What could be the reason for not conceiving for half a year without contraception?

Patient's question:

I've been pregnant with my husband for seven years. The past two years, we both worked hard for a better life and didn't plan to have a child. This year, we started thinking about having a baby, so we haven't taken any measures for half a year. But even though we've never breastfed for a year and still haven't gotten pregnant, what's going on?

Doctor's answer:

Hello. Based on the specific situation you described, it is recommended that both you and your spouse undergo a thorough and detailed examination to determine the exact cause of the inability to conceive. Women can be checked for tubal blockages and the condition of the uterus, while men can be tested for sperm viability. If there are no issues after a careful examination, it could also be due to excessive mental stress or environmental factors, which may make it difficult to conceive.

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