What tests are needed for infertility?

Patient's question:

What tests should be done if not pregnant? Medical history and treatment effectiveness: No treatment has been received. What kind of help do you want: What are the possible causes, what tests need to be done?

Doctor's answer:

Hello, there are many causes of infertility. For men, the main issues are related to semen, including low sperm quality, poor motility, and a low sperm count. For women, possible causes include gynecological inflammation, ovulation disorders, blocked fallopian tubes, hormonal imbalances, and cervical adhesions. If a couple has normal sexual intercourse but remains unconceived for over two years, it is referred to as infertility, and they should seek medical attention. Under the condition of no sexual intercourse for 3 to 7 days after the menstrual period has ended, a fallopian tube hydrotubation can be performed to check if the tubes are unobstructed. If the menstrual cycle is regular, an ultrasound can be conducted starting from the 11th day of the menstrual period to monitor the follicular development. It is recommended that the male partner undergo a routine semen analysis to determine if it is normal and to identify the underlying cause for targeted treatment.

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