How can I not get pregnant after a year?

Patient's question:

Before November last year, I took emergency contraception once a month for four consecutive months. After that, I haven't taken it anymore. I had menstrual cramps for a few months, but they have improved now. Why haven't I been able to get pregnant after a year has passed? Is this infertility? If so, how can it be checked? Please advise.

Doctor's answer:

Hello: Fertilization is a complex physiological process that requires the following conditions:
1. The ovary must release a normal egg.
2. Sperm must be normal and contain healthy sperm.
3. The egg and sperm must meet in the fallopian tube and combine to form a zygote.
4. The zygote must be successfully transported into the uterine cavity.
5. The endometrium must be fully prepared to support the implantation of the zygote.
If any of these steps are abnormal, fertilization can be hindered. The cause of infertility may be related to the female, the male, or both. It is recommended that you visit a specialized hospital for examination. Based on the results, you should undergo targeted treatment under the guidance of a doctor before trying to conceive. Wishing you good health!

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