Reasons for infertility after one year of marriage

Patient's question:

Every month when it comes, there will be one or two times around the first day or the first three days where it falls off piece by piece. I don't know if it will affect anything. Last month, on the third day, it was wet after about a month, and there was another piece on top. I'm really worried. In the past, there was lower back pain for the first one or two days and the first day when it came. However, recently, every time it comes, there are no discomforts at all, just like, no pain anywhere, just falling off piece by piece. If I go to the hospital for a check-up now, what should I check first? Last month, it arrived on the evening of January 22, 2010, and it lasted until the 27th. But

Doctor's answer:

Infertility is primarily a two-sided issue or cause: Male factors: No sperm, low sperm count, insufficient semen concentration, low sperm survival rate! These are all important to understand. Female factors: Congenital or secondary fallopian tube blockage, genital malformations, immature or absent ovulation, menstrual disorders, cervical diseases, inflammation, and other aspects can all affect fertility.
Advice: It is recommended that the male undergo a sperm test at the hospital, which costs only tens of yuan. The female's examination should be targeted. Generally, infertility tests focus on understanding the condition of the fallopian tubes and ovulation status! Further tests can be conducted if any issues are found.