What are the reasons for not getting pregnant after being married for a year and a half?

Patient's question:

Detailed medical condition and consultation purpose: Hello! My husband and I have been married for one and a half years. Every time we have sexual intercourse, the semen flows completely out of my body, and we have not been able to conceive yet. Is it normal for semen not to flow out?

Doctor's answer:

It is recommended that you and your partner go to the hospital for a comprehensive and systematic examination. Both partners should abstain from sexual activity for three to five days. The man should undergo a semen analysis, while the woman should have tests for six sexual hormones, ovarian function, and immunological tests, among others, to identify the causes of infertility and provide targeted treatment.
A comprehensive infertility examination mainly includes the following aspects: For the woman, it covers the uterus, fallopian tubes, ovarian function, endocrine status, etc. For the man, it primarily focuses on sperm quality and blood conditions. It is recommended that both of you undergo a full examination at a reputable hospital within three to seven days after your menstrual period ends, with the man abstaining from ejaculation for three to five days. This will help identify the cause of infertility and allow for targeted treatment, avoiding the delay of the optimal age for pregnancy.

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