After 2 years of marriage without children, is it infertility or subfertility?

Patient's question:

My sister-in-law and her husband have been married for over two years. They have always planned to have children, but so far, she hasn't been able to get pregnant. She is a bit worried—could it be infertility?

Doctor's answer:

Hello: Infertility is defined as the inability of a couple of reproductive age who live together for more than one year, have normal sexual life, and have never taken any contraceptive measures to conceive. Infertility is divided into two types: primary infertility and secondary infertility. Fertilization is a complex physiological process that requires the following conditions: 1. Normal ovulation of the ovaries 2. Normal semen containing normal sperm 3. The meeting and combination of eggs and sperm in the fallopian tubes to form a zygote 4. The smooth transport of the zygote into the uterine cavity 5. The endometrium is fully prepared for the implantation of the zygote. If any of these steps are abnormal, it can hinder conception. The factors or causes that hinder conception may be related to the woman, the man, or both. It is recommended that you bring relevant medical records to a specialized hospital for examination, to identify the cause and receive targeted treatment.

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