What are the reasons for not being able to get pregnant with a second child?

Patient's question:

Hello: Have you and your wife been trying to have a second child recently? For half a year, your wife hasn't been pregnant yet. What could be the reason for this??

Doctor's answer:

Infertility should be checked. The male should abstain from sex for 3-5 days and have a routine semen analysis. The female should have her endocrine levels checked using electrochemical luminescence during the 3-5 days of her menstrual period; a vaginal mirror, dynamic digital hysterosalpingography, and 4D vaginal ultrasound should be performed 3-5 days after the menstrual period is clean. Generally, this can confirm the diagnosis. If the cause is still not found, further examination with an electronic hysteroscope or laparoscope is needed.

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