What are the reasons for not being able to get pregnant?

Patient's question:

Good friends and husband got married and started a family for a year, but they have never had children and have never used any form of contraception. The friends are very concerned about why they have been unable to conceive for so long. What could be the reason? It's just that they can't get pregnant.

Doctor's answer:

After getting married and starting a family, it takes more than a year to get pregnant, which is a multi-factorial event regulated by many factors. How a woman's menstruation can be abnormal, how the fallopian tubes can be unobstructed, how the endometrium can be proficient in implantation, and how the quality of male sperm can be abnormal—all of these may interfere with the success of getting pregnant. If it takes more than a year to get pregnant, both the man and the woman need to go to a local regular hospital or institution for a thorough examination, mainly through ultrasound, fallopian tube contrast, male semen tests, etc., to see who the problem lies with.

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