Why can't I get pregnant with a second child?

Patient's question:

I would like to ask you, I am now planning to have a second child, but I just can't get pregnant. The older one is already four years old, and we haven't taken any contraceptive measures, yet……… I have been to the hospital several times, taken a lot of medicine, but it still hasn't worked.

Doctor's answer:

Problem Analysis: You may have secondary infertility, and taking medication alone is not sufficient.
Recommendation: There are many factors or causes that can lead to secondary infertility, such as blocked fallopian tubes, gynecological diseases, or uterine conditions. It is recommended that you undergo a routine gynecological examination, ultrasound, and fallopian tube tests to determine if there are any issues. Once the problem is identified, targeted treatment can be administered.

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