Why didn't I get pregnant without using contraception?

Patient's question:

3 years ago, I had an ultrasound examination, and a hysterosalpingogram was performed. Both fallopian tubes were found to be patent. Previous treatment and outcomes: MRI findings: Transabdominal scan showed a normally positioned uterus with normal size and shape, smooth surface, uniform wall echoes, and an endometrial thickness of 6mm. Both ovaries were clearly visualized with normal size, and no significant abnormalities were observed in the adnexal region. Why am I not pregnant despite not using contraception?

Doctor's answer:

From the situation you mentioned above, this only proves that your uterus and appendages are normal, but it cannot confirm that this menopause is normal. In your current condition, it is recommended that you start follicle monitoring three days after your period is clean to see if there is a mature follicle released. Additionally, your partner should also have a sperm test performed, as poor sperm quality can also prevent pregnancy. Gynecological patients can use dietary therapy as a supplementary treatment while understanding professional treatment. In daily diet, it is essential to avoid excessive hunger or fullness and never overeat or binge on food.

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