What is infertility?

Patient's question:

I am a girl, and I did not bleed the first time I had sex. In subsequent sexual activities, I also did not get pregnant. What is going on? And I have been having sex for almost a year now? Could it be that my hymen is still intact? Thank you

Doctor's answer:

Hello:
The hymen is a thin layer of mucous membrane covering the vaginal opening, containing connective tissue, blood vessels, and nerve endings. It often tears during the first sexual intercourse but can also be ruptured due to vigorous activities like horseback riding, resulting in bleeding and pain. The size and thickness of the hymen vary from person to person, and in rare cases, some individuals may not experience bleeding during intercourse due to a naturally thicker hymen.
Infertility refers to women of reproductive age who have been married and living together for more than two years without using contraception and remain childless, known as primary infertility. If pregnancy has occurred before or after a miscarriage, and the couple has not conceived again for more than two years, it is referred to as secondary infertility.
If the menstrual cycle is normal, you can continue to monitor the situation.