What are the reasons why women cannot get pregnant

Patient's question:

Hello: What are the reasons why a woman cannot get pregnant? You have been married for a long time and have not been using contraception, why haven't you been able to get pregnant?

Doctor's answer:

Hello, if you are not using contraception for 6 months to 1 year and still unable to conceive, you should get checked. For the male: Abstain from sex for 3-5 days and have a routine semen analysis. For the female: On day 3-5 of menstruation, have an endocrine test using electrochemical luminescence; on day 3-5 after menstruation ends, have a vaginal mirror examination, dynamic digital hysterosalpingography, and vaginal four-dimensional color ultrasound. Generally, this can confirm the diagnosis. If the cause is still not found, further examination with an electronic hysteroscope or laparoscope may be needed.

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