What are the causes of infertility when the fallopian tubes and follicles are normal?

Patient's question:

The follicles are developing normally, and the hysterosalpingogram done two days ago showed that the fallopian tubes are patent. I would like to ask about the cause of infertility. My husband also had a semen analysis done two days ago, which was normal with a sperm vitality of 65% and a very active grade of 20%. What further tests should be conducted?

Doctor's answer:

Hello: Couples of childbearing age living together for a year, with normal sexual life, and without any contraceptive measures, are referred to as infertile. The essential conditions for pregnancy: Normal ovarian function, releasing normal eggs. Normal semen and sperm from the male. Sperm and egg can combine in the fallopian tubes, and the fertilized egg can normally implant in the uterus. The endometrium is fully prepared for the growth and development of the fertilized egg. Any abnormality in any of these links can lead to infertility. It is recommended that you go to a regular specialized hospital for a thorough examination to identify the specific cause of infertility and implement targeted treatment. Take care of your health! The recurrence of fallopian tube problems poses serious harm to women's health. Patients need to pay attention during treatment and avoid...

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