How should infertility be diagnosed to be effective?

Patient's question:

I'm already married, and I haven't been using any form of contraception during this time, but I haven't been able to get pregnant. Is it possible that I'm infertile? I would like to ask: How is infertility diagnosed and treated?

Doctor's answer:

You mentioned how to diagnose immunological infertility, and I will clarify it for you as follows. Ovarian factors account for about 15%-25% of infertility. Ovarian infertility can be caused by various factors, including: local ovarian factors such as congenital absence of ovaries or immature ovaries, premature ovarian failure, polycystic ovaries, certain ovarian tumors like granulosa cell tumors or Sertoli-Leydig cell tumors, which can all affect ovarian hormone secretion and menopause; systemic conditions such as severe malnutrition or a diet lacking essential nutrients can also affect ovarian function and lead to infertility; chronic diseases, catabolic disorders such as hypothyroidism or hyperthyroidism, diabetes, and adrenal dysfunction can also cause infertility.

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