How to treat female long-term infertility?

Patient's question:

I have been married for two years and have not been able to get pregnant. I had an abortion once before, and now my menstrual cycle has become abnormal again. The timing is irregular—sometimes it comes earlier, and sometimes it comes later. Every time I have my period, my stomach aches badly, and blood clots have reappeared in my menstrual flow. The amount of blood flow has also decreased. What kind of help do I need: How can female infertility be treated?

Doctor's answer:

There are several causes of infertility. On the female side, these include ovulation disorders, fallopian tube factors, uterine factors, cervical factors, vaginal and perineal factors. On the male side, causes include abnormal semen, sexual dysfunction, autoimmune factors, and excessive mental stress due to strong desires for children. If your menstrual cycle is regular, it is recommended to perform basal body temperature tracking and undergo a hysterosalpingogram to check for tubal patency. The male partner should first have a semen analysis. If pregnancy still cannot be achieved, further detailed examinations should be conducted.

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