I and my husband have been cohabiting for more than a year without getting pregnant?

Patient's question:

Medical history: Tried irregular menstruation

Doctor's answer:

Hello: Infertility refers to women of childbearing age who have been married and cohabiting for more than two years without using contraception and remain childless, known as primary infertility. Infertility that occurs after childbirth or an abortion, where pregnancy does not occur again for more than two years, is called secondary infertility.
Common causes:
Either one or both partners having systemic or genital diseases 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 and malformations, congenital absence of the vagina, transverse vaginal septum, etc., can affect intercourse or obstruct sperm entry.
2. Inflammation: Vaginitis and cervical inflammation can alter vaginal acidity, making it unsuitable for sperm survival, while 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 characterized by anovulation or luteal dysfunction.
It is recommended that both partners visit a hospital for examination and testing!

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