What should I do if I haven't been able to get pregnant for several years?

Patient's question:

What should I do if I haven't been able to get pregnant for several years?

Doctor's answer:

Hello: Common Causes:
If either partner or both have systemic or genital diseases, it can lead to infertility. The main reasons for female infertility are:
(1) Systemic Diseases Severe chronic diseases and endocrine disorders, etc.
(2) Reproductive Organ Diseases This is the most common cause of infertility.
1. Abnormal Development Uterine underdevelopment or malformations, congenital absence of the vagina, transverse vaginal septum, etc., can affect intercourse or obstruct sperm entry.
2. Inflammation Vaginitis and cervicitis can alter vaginal pH, making it unsuitable for sperm survival. Endometritis can affect embryo implantation; tubal inflammation-induced lumen obstruction can hinder fertilization.
3. Tumors Uterine fibroids may sometimes block or compress fallopian tubes, reducing the chance of conception; submucosal fibroids and intramural fibroids can cause endometrial changes, hindering embryo implantation.
4. Ovarian Dysfunction Primarily includes anovulation or luteal dysfunction.
If the above possibilities are ruled out, consider whether it is not conception during the ovulation period.

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