Got married for 4 years without contraception, still not pregnant

Patient's question:

Normal menstruation, no galactorrhea. No headaches. Always been infertile. Husband's sperm vitality is normal. Prolactin level detected at 454.90 IU/ml. Estradiol level at 29.42 pg/ml.

Doctor's answer:

Pregnancy is a complex process that requires both partners to be in good health without any fertility-damaging conditions. For women with normal sexual activity who have not used contraception for more than a year and have not become pregnant, infertility can be diagnosed. Female infertility is classified based on the cause into uterine infertility, tubal infertility, ovarian infertility, immunological infertility, and others. Infertility can result from multiple causes simultaneously. Male infertility is divided into low sperm quality, male inflammation, sexual dysfunction, and other issues. Therefore, the key to treatment is to conduct tests for diagnosis and then provide targeted treatment.
Advice: It is recommended to undergo formal infertility testing at a hospital and receive targeted treatment after a diagnosis is confirmed.

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