Hello, it's been almost a year since we got married. Why aren't we pregnant?

Patient's question:

Hello, I've been married for almost a year and haven't been able to get pregnant. I've had tests done and there's nothing wrong with me or my partner. What should I do? My family is getting anxious. The help I want: I want to know if there are any good ways to check, and I'd like to have a more specific examination.

Doctor's answer:

Hello! There are many reasons that can lead to infertility. It is recommended to go to a regular infertility hospital for a comprehensive examination. The specific items are as follows:
For Women:
1. Gynecological Routine Examination: Screen for trichomoniasis, mycoplasma infection, chlamydia infection, and vaginal inflammation. Check for gynecological inflammation, mycoplasma infection, chlamydia infection, etc.
2. Reproductive System Examination: Uterus, bilateral adnexa, and pelvic examination. Understand the health status of the female reproductive system to prevent infertility.
3. Five Tests: Hepatitis B virus, hepatitis C virus, HIV, syphilis, and tuberculosis. Avoid the transmission of infectious diseases from mother to fetus.
4. Six Sexual Hormone Tests: Including six items such as follicle-stimulating hormone and luteinizing hormone. Understand the causes of menstrual disorders, infertility, or miscarriage and intervene accordingly.
5. Seven Immune Tests: Anti-zona pellucida antibody, anti-ovary antibody, anti-cardiolipin antibody, anti-endometrial antibody, anti-trophoblast antibody, and anti-HCG. Carrying immune antibodies makes it difficult to conceive, and even if pregnancy occurs, it is prone to miscarriage or stillbirth.
For Men:
1. Semen Analysis: Extract and test semen. Identify semen issues, such as low vitality, low sperm count, or abnormal sperm and semen.
2. Color Doppler Ultrasound Examination: Color B-ultrasound to examine the reproductive system. Rule out conditions such as prostatitis and varicocele.
Wishing you good health!

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