How to deal with infertility after living together for five years?

Patient's question:

Hello, how can I handle the situation where I have been living here for five years and have not been able to get pregnant yet?

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 the semen and be normal
3. The egg and sperm must meet and combine in the fallopian tubes to form a fertilized egg
4. The fertilized egg must be successfully transported into the uterine cavity
5. The endometrium must be fully prepared to support the implantation of the fertilized egg. If any of these steps are abnormal, it can hinder fertilization.

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