What are the reasons for not getting pregnant?

Patient's question:

All symptoms: On the 5th day of my period, I had a little bit of tomato sauce-like discharge with a rusty smell, and the vagina also had that smell. After washing my external genitalia with clean water, the smell became less. What could be the reason for this?
Onset time and cause: Treatment status:
Help needed: What could be the cause of this, and does it have any impact?

Doctor's answer:

Hello, you have been married for nearly two years without contraception but have not become pregnant, which could be diagnosed as infertility. There are many causes of infertility, such as abnormal development of uterine appendages, fallopian tube blockage, abnormal ovulation function, abnormal sex hormone levels, abnormal semen and sperm quality, and so on. Any problem in any of these aspects can directly affect pregnancy.
Recommendation: Seek medical attention as soon as possible and undergo relevant infertility tests, such as hysterosalpingography to assess whether the fallopian tubes are open and normal. Monitor follicular development and ovulation using ultrasound to determine if ovulation function is normal. Check the six sex hormones to assess whether hormone levels are normal. Analyze semen to see if it is normal. Based on the test results, identify the cause and then receive targeted treatment.

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