Patient's question:
My friend has been married for over ten years this year. We have checked her fallopian tube condition, ovulation, and semen, and everything is normal, but she still hasn't gotten pregnant yet.Doctor's answer:
Hello: Common Causes:If either partner or both have systemic or genital diseases, it can lead to infertility. The main reasons for female infertility are:
(1) Systemic diseases Severe chronic diseases and endocrine disorders.
(2) Reproductive organ diseases This is the most common cause of infertility.
1. Developmental abnormalities Uterine underdevelopment and malformations, congenital absence of the vagina, transverse vaginal septum, etc., can affect intercourse or block sperm entry.
2. Inflammation Vaginitis and cervicitis can alter vaginal pH, making it unsuitable for sperm survival, while endometritis can affect embryo implantation; tubal inflammation-induced lumen obstruction can hinder fertilization.
3. Tumors Uterine fibroids may sometimes block or compress fallopian tubes, reducing the chance of conception; submucosal fibroids and intramural fibroids can cause endometrial changes, hindering embryo implantation.
4. Ovarian dysfunction Primarily includes anovulation or luteal dysfunction.
If the above possibilities are ruled out, consider whether it may not be fertilization during the ovulation period.