Patient's question:
Hello, I have been with my husband for several years. During this time, we never used contraception, but we did not get pregnant. I don't know if there is an issue with either of us. Recently, my husband had a semen analysis, and the results showed prostatitis. He is now being treated, and it has improved quite a bit. I am wondering what problems I might have.Doctor's answer:
Examine for genital organ diseases, checking for masses, tenderness, and mobility of the uterus, fallopian tubes, and ovaries, as well as the patency of the fallopian tubes, and whether the development of the uterus, fallopian tubes, and vagina is normal, and whether any abnormalities are present.Examine for infertility caused by diseases of the vagina, cervix, uterus, fallopian tubes, ovaries, and pelvic cavity, assessing whether the size and position of the uterus are normal and whether there is any infection.
Examine for endocrine and other functional disorders, assessing ovulation status and ovarian function by measuring serum estrogen and progesterone levels at different times in the menstrual cycle; evaluate basal metabolic function to assess thyroid function; conduct adrenal function tests and serum prolactin measurements, etc., to determine if antisperm antibodies are present.
Examine for systemic diseases, identifying whether factors or causes affecting female fertility are obesity, thyroid dysfunction (ovarian dysfunction, autoimmune disorders, metabolic abnormalities), diabetes, or psychological factors, among others.