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

Patient's question:

Hello: What are the reasons for not being able to get pregnant with a second child? I would like to ask, I have already had one baby, and I want to have another one. I haven't been using any form of contraception for more than half a year, but I still haven't gotten pregnant.

Doctor's answer:

Hello, considering it may be a case of secondary infertility, both partners need to undergo examinations. The male needs to be tested for sperm viability and abnormality rates. The female should have a detailed gynecological examination to rule out gynecological diseases and endometriosis, check if the fallopian tubes are blocked, and whether ovulation is normal. It is recommended to go to a regular specialized hospital for infertility and subfertility for examination and treatment.

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