It has been a year since I took out the IUD, but I haven't gotten pregnant yet.

Patient's question:

Hello, I have had an IUD for 6 years, and I took it out in May last year, but I haven't gotten pregnant yet. What should I do? Six years ago, I had one implanted, and it took over a year for me to get pregnant then. Thank you.

Doctor's answer:

Hello, if you have not been using contraception for a year after removing the IUD and are unable to conceive, some tests should be conducted to identify the factors or causes of infertility. Since you have a history of pregnancy, not using contraception for half a year and being unable to conceive can be diagnosed as secondary infertility.
Suggestions:
1. The most common factor or cause of secondary infertility is fallopian tube blockage. Given your history of induced abortion, this is a possibility. You can undergo an iodine oil contrast examination and fluid infusion test to determine if there is any fallopian tube blockage.
2. Next, it is recommended to check the semen and follicular conditions of both partners to understand whether there are any abnormalities in the essential materials for conception.

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