Second child keeps not coming, what tests should be done

Patient's question:

I've been trying to have a second child but haven't been successful. Can general county maternal and child health hospitals perform tests? Which tests should be done?

Doctor's answer:

Hello, if you are not using contraception and still infertile after 6 months to 1 year, you should check the male: Abstinence for 3-5 days to test semen routine. For the female: Test endocrine using electrochemical luminescence on day 3-5 of menstruation; perform vaginal dynamic digital hysterosalpingography and vaginal 4D color ultrasound on day 3-5 after menstruation is clean. This usually confirms the diagnosis. If the cause is still not found, further examination with hysteroscopy or laparoscopy is needed.

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