What are the reasons for infertility after IUD removal?

Patient's question:

Doctor, hello: What are the reasons for infertility after removing the IUD? Every time I have my period, my lower back really hurts. It was the same even before I got married. I heard from older people that it would get better after marriage, but now my first child is already three years old, and the situation is still the same. I got the IUD last year and this year I want to have a baby, but it has been four months since I had it removed, and there is still no sign of anything.

Doctor's answer:

Hello: Fertilization is a complex physiological process that requires the following conditions: 1. Ovaries releasing normal eggs 2. Normal semen containing normal sperm 3. Eggs and sperm meeting and combining in the fallopian tubes to form a zygote 4. The zygote being successfully transported into the uterine cavity 5. The endometrium being fully prepared to support the implantation of the zygote.

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