Married for half a year, no contraception and not pregnant, what's going on?

Patient's question:

Medical history: Married for half a year without contraception and still not pregnant. What should I do? What tests should I take? What is the most appropriate time to do them?
Past treatment history and effectiveness: Had a medication-induced abortion a year ago.
Help needed: Married for half a year without contraception and still not pregnant. What should I do? What tests should I take? What is the most appropriate time to do them?

Doctor's answer:

Hello; First, it is recommended that both partners refrain from sexual activity for three to five days before the ovulation period and engage in intercourse during the ovulation period. Adopt the male-on-top position during intercourse. After intercourse, do not withdraw the penis hastily. Place a pillow under the woman's hips to prevent semen leakage, which can also increase the chances of conception. Excessive sexual frequency may also affect fertility. If you have had normal sexual activity for two years without contraception and have not become pregnant, it may be considered a case of infertility. It is recommended that you and your partner go to the hospital for a comprehensive and systematic examination. Both partners should refrain from sexual activity for three to five days. The man should undergo a semen analysis, and the woman should have tests for six sexual hormones, ovarian function, and immunological tests, etc., to identify the cause of infertility and receive targeted treatment. Wishing you good health.

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