I've had the IUD removed for more than half a year and still haven't gotten pregnant, what's going on?

Patient's question:

My child is 11 years old and I want to have another one. It has been more than half a year since I had the IUD removed, but I haven't been able to get pregnant. I have never had a miscarriage, and our sexual life is normal. However, two days before my period, I always feel a dull ache in my lower back. Sometimes I feel occasional mild dizziness, my legs feel weak and I lack energy at night, and I often have dreams.

Doctor's answer:

Considering the possibility of not conceiving after having an IUD removed, for your situation, it is recommended to continue monitoring and have sexual intercourse during ovulation. If you still do not conceive, it is advisable to undergo a comprehensive examination. There are many factors that can cause infertility, such as blocked fallopian tubes, gynecological inflammation, irregular menstruation, immune diseases, abnormal semen, and so on. The causes of infertility are numerous, but the key is to undergo tests to identify the underlying issues. Once the cause is clearly determined through examination, there is a high chance of successful treatment.

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