I have been living with my boyfriend for four years and haven't gotten pregnant yet. What should I do?

Patient's question:

Doctor, I've been living with my boyfriend for four years and haven't been able to get pregnant. I've had my uterus checked carefully, and the doctor said there's nothing wrong with it; it's very normal. What should I do?

Doctor's answer:

If a couple does not use any form of contraception and remains childless for more than a year, they can be diagnosed with infertility. Both partners need to go to the hospital for thorough examinations. The woman should have blood tests for six endocrine hormones while fasting, autoimmune four antibodies, three thyroid function tests, and a color Doppler ultrasound of the uterine appendages. It is recommended that the woman undergo tubal contrast angiography between days 3 to 7 after her menstrual period to check if the fallopian tubes are open. The man should abstain from sexual intercourse for five days before providing a semen analysis.

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