Two years without taking any contraceptive measures, but never got pregnant

Patient's question:

Detailed medical history and purpose of consultation: I have been with my boyfriend for two years and have never taken any contraceptive measures, but we have never conceived. What could be the reason?
Onset and duration of the current illness:
Current general condition:
Previous diagnoses and treatment history and effectiveness: Both of us are normal
Auxiliary examinations:
Other:
Medical history:

Doctor's answer:

Hello, if a couple has not used contraception for more than one year and remains infertile, they should undergo medical examination. The male partner should abstain from sex for 3-5 days and have a routine semen analysis. The female partner should have her endocrine levels checked using electrochemical luminescence during the 3-5 days of her menstrual period; a vaginal mirror examination, dynamic digital hysterosalpingography, and 4D color vaginal ultrasound should be performed 3-5 days after her period ends. Generally, this can lead to a definitive diagnosis. If the cause remains unclear, further examination with an electronic hysteroscope or laparoscope may be necessary.

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