Lived for five years until now without pregnancy

Patient's question:

Lived for five years so far without pregnancy

Doctor's answer:

Hello! If you have been sexually active for 5 years without using contraception and have not become pregnant, it may be a case of primary infertility. Fertilization is a complex physiological process that requires the following conditions:
1. The ovaries must release normal eggs
2. Sperm must be present in normal semen and contain normal sperm
3. Eggs and sperm must meet and combine in the fallopian tubes to form a zygote
4. The zygote must be successfully transported into the uterine cavity
5. The endometrium must be fully prepared to support the implantation of the zygote.
If any of these steps are abnormal, fertilization can be hindered.