What should I do if I haven't been using contraception for half a year but still haven't become pregnant?

Patient's question:

Hello, I haven't used contraception for half a year but haven't gotten pregnant. Ultrasound shows some thickening of the fallopian tubes, but it's not a big problem. Do I need to do a sperm test? Is it done by taking a blood sample? When is a good time to do it? Thank you

Doctor's answer:

Generally speaking, a couple is considered infertile only if they have normal sexual frequency (approximately 2-3 times per week) and remain unconceived for a year without contraception. Common causes of infertility in clinical practice include: abnormal semen quality in males, abnormal ovulation function in females, fallopian tube blockage, pelvic adhesions, abnormal endocrine hormone levels, uterine and cervical lesions, immunological factors, etc. Common tests for infertility include: ovulation function in females, fallopian tube patency, pelvic condition assessment, endocrine hormone level testing, immunological tests, and semen analysis in males. The aforementioned tests are not mandatory for every patient; doctors will select the necessary tests based on the patient's specific condition.
Women should come to the hospital for examination on days 3-7 of their menstrual cycle. Men should refrain from sexual activity for 3-7 days before coming for examination.

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