What is the reason for not getting pregnant

Patient's question:

Started to date until now without contraception and pregnancy, menstrual volume is less, dark with a small amount of blood clots. Uterus is retroverted, and they only have sexual intercourse in the days after ovulation each time. Also, there is cervical erosion of degree 2. What is the reason? Is it necessary to do fallopian tube? What tests need to be done? Which department should I register for? What reasons can lead to infertility?

Doctor's answer:

Essential conditions for pregnancy: 1. Normal ovarian function, releasing normal eggs. 2. Normal sperm and semen from the male partner. 3. Sperm and egg can combine in the fallopian tubes, and the fertilized egg can normally enter the uterine cavity. 4. The endometrium is fully prepared, suitable for the development of the fertilized egg. If any one of these steps is abnormal, it can lead to infertility.
If a couple has not used contraception and remains infertile for more than one year, they should seek medical examination. The male partner should abstain from sex for 3-5 days and undergo a routine semen analysis. The female partner should have her endocrine levels checked using electrochemical luminescence during the 3-5 days of her menstrual period, followed by a vaginal examination, dynamic digital hysterosalpingography, and 4D vaginal ultrasound 3-5 days after her period ends. These tests generally confirm the diagnosis. If the cause remains unclear, further examination with an electronic hysteroscope or laparoscope may be necessary.

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