Why can't I get pregnant without using any contraception methods?

Patient's question:

, I really want to get pregnant right now, but my husband and I haven't used any form of contraception for about 3 months, yet we haven't gotten pregnant yet. I'm very anxious. (Note: After every sexual intercourse, I use warm water to wash my private area—is this the reason?) Thank you; First follow-up question: After being together for so long, could it be that none of the times were during ovulation? I don’t know. Yesterday, I checked myself, and they said that overall, there’s nothing wrong, but some minor aspects aren’t included (I checked for gynecological diseases, and the ultrasound was normal). But why can’t I get pregnant? If my husband also checks and there’s no problem, then

Doctor's answer:

Generally speaking, if there is a regular sexual life without contraception for more than one year without conception, infertility should be considered. There are many causes of infertility, which can be attributed to both men and women.
The examination items for female infertility are numerous:
1. Tubal patency test,
2. Tubal ventilation test,
3. Hysterosalpingography,
4. Hysteroscopy and laparoscopy, as well as tubal microscopy.
5. Hormone level tests, such as estrogen, progesterone, follicle-stimulating hormone, luteinizing hormone, etc.
6. Basal body temperature measurement,
7. Endometrial examination,
8. Cervical mucus examination,
9. Vaginal cytology examination,
10. Ultrasound monitoring of ovulation,
11. Sperm antibody detection, etc.
Laboratory tests for male fertility mainly include semen analysis and the cervical penetration test of sperm. The doctor will choose the appropriate tests based on your specific condition. Without understanding your condition or conducting preliminary examinations, it is difficult to determine what tests you need. You should go to a major 3A hospital for examination.

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