Patient's question:
I am 36 years old and got married in June this year, but I have not been able to get pregnant in the past few months. I have been to the hospital for check-ups and confirmed that I ovulate, but I am wondering if pregnancy will occur every time I ovulate? Why have I been unable to get pregnant?Doctor's answer:
Hello:Infertility refers to women of childbearing age who have been married and cohabiting for more than two years without using contraception and remain childless, known as primary infertility. Infertility that occurs after giving birth or an abortion, with no pregnancy for more than two years, is called secondary infertility.
Common causes:
If either or both partners have systemic or genital diseases, it can lead to infertility. The main reasons for female infertility are:
(1) Systemic diseases Severe chronic diseases and endocrine disorders, etc.
(2) Reproductive organ diseases This is the most common cause of infertility.
1. Developmental abnormalities Malformations of the uterus, congenital absence of the vagina, transverse vaginal septum, etc., can affect intercourse or hinder sperm entry.
2. Inflammations Vaginitis and cervicitis can alter vaginal pH, making it unsuitable for sperm survival, while endometritis can affect embryo implantation; tubal inflammation-induced occlusion of the fallopian tubes can hinder fertilization.
3. Tumors Uterine fibroids may sometimes block or compress the fallopian tubes, reducing the chance of conception; submucosal and intramural fibroids can cause endometrial changes, hindering embryo implantation.
4. Ovarian dysfunction Primarily includes anovulation or luteal dysfunction.
You can continue to monitor the situation, pay attention to conception during the ovulation period, and undergo regular gynecological examinations.