Patient's question:
I had an ultrasound, and the uterus appears normal with uniform echoes and no abnormalities in the adnexa. Can this indicate that my endometrium is normal?I have regular periods every 28 days, with menstrual cramps accompanied by lower back pain, abdominal bloating, and irritability before the onset. On the first day of my period, the pain is usually severe within four to five hours, sometimes accompanied by diarrhea or nausea. The pain subsides after a few days.
Could ovulation issues or fallopian tube blockages cause problems with my menstrual cycle?
I want to have a child, but I haven’t conceived after several months of unprotected intercourse. What tests should I undergo?
Doctor's answer:
Hello, if your menstrual cycle and flow are generally good, the endometrium is usually not a problem. Under normal menstrual conditions, ovulation is also normal. It is recommended to start an ultrasound examination of ovulation at the 10th day of your menstrual cycle. The fallopian tubes have no relationship with menstruation. If you have had normal sexual intercourse without contraception for a year without pregnancy, it is considered infertility. If ovulation is very normal, you can try pregnancy for another half year. Additionally, if menstrual pain is severe, it is important to consider the possibility of endometriosis. If endometriosis is present, it can also lead to infertility. You can have a gynecological examination, ultrasound, and blood test for CA125 at the hospital to initially determine if endometriosis is present. If you want a comprehensive examination to check for infertility factors, the male partner can abstain from sex for 3-5 days for a semen analysis, while the female partner can monitor ovulation and have a digital dynamic hysterosalpingography 3-7 days after menstruation to assess the condition of both fallopian tubes and the pelvic area. Additionally, a vaginal ultrasound or 4D vaginal ultrasound can be performed to evaluate the basic condition of the uterus and ovaries.