Married for three years without pregnancy

Patient's question:

I have been married for three years and have been infertile; I have also had some tests done; my husband's sperm count is a bit low; he is also undergoing treatment; still no pregnancy; I came to this hospital for a check-up; please ask if it is before or after menstruation

Doctor's answer:

Hello, if you have been married for more than a year, have normal sexual life, have not taken any measures, and have never been pregnant, it is called primary infertility. If you have been pregnant before and have not been able to get pregnant again after a year, it is called secondary infertility.
Common causes of infertility include: abnormal semen in men, abnormal ovulation function in women, fallopian tube blockage, pelvic adhesions, abnormal levels of endocrine hormones, uterine and cervical lesions, immunological factors, etc.
For treating infertility, identifying the cause requires examinations. First, the husband needs to undergo routine tests, including semen analysis, bacterial culture of semen, autoantibodies in semen, sexual hormone tests, prostatic fluid and fructose tests, etc. The wife generally needs to undergo tests such as routine vaginal discharge examination, sexual hormone tests, endometrial examination, fallopian tube examination, antisperm antibodies, antiphospholipid antibodies, antiendometrial antibodies, and antiovarian antibodies, to confirm the cause and provide targeted treatment.