I haven't been pregnant, what should I get checked?

Patient's question:

I haven't taken any form of contraception with my wife for 4 years, but we haven't been able to get pregnant. What should I get checked?

Doctor's answer:

Hello, if a sexually active, cohabiting couple with normal sexual life and no contraception has not become pregnant within 2 years while the male's fertility is normal, it can be considered female infertility. There are multiple reasons, with the most common being fallopian tube blockage. Other conditions such as uterine disorders, ovarian disorders, endocrine diseases, and immune disorders can also lead to infertility. Treatment is based on the underlying cause and involves symptomatic measures, and in most cases, fertility can be restored.

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