Patient's question:
Problem Description: I have been married for three years and have not taken any contraceptive measures, but I haven't noticed any pregnancy symptoms. Ovulation tests also show no eggs being released. I want to know what kind of tests are usually done at the hospital.Doctor's answer:
Hello: Fertilization is a complex physiological process that requires the following conditions:1. Normal ovulation from the ovaries
2. Normal semen containing healthy sperm
3. The meeting and combination of the egg and sperm in the fallopian tubes to form a zygote
4. The zygote being successfully transported into the uterine cavity
5. The endometrium being fully prepared for the implantation of the zygote.
If any of these steps are abnormal, fertilization can be hindered. The factors or causes of infertility may be related to the female, the male, or both.
Factors or causes of female infertility:
1. Vaginal factors: such as hymen atresia, vaginal atresia, vaginal septum, vaginal tumors, etc.
2. Cervical factors: such as cervical stenosis, cervical polyps, cervical tumors, cervical adhesions, etc.
3. Uterine factors: such as uterine malformation, retroflexion of the uterus, endometritis, uterine fibroids, uterine adhesions, etc.
4. Fallopian tube factors: such as excessively long or narrowed fallopian tubes, fallopian tube blockage, or hydrosalpinx.
5. Ovarian factors: such as premature ovarian failure, polycystic ovaries, ovarian tumors, incomplete follicular development, or luteinized unruptured follicle syndrome.
6. Other factors: such as endocrine disorders, recurrent early miscarriage, endometriosis, sexually transmitted diseases, unexplained infertility, immunological infertility, or genetic diseases.
It is recommended that couples seek specialized medical guidance to undergo targeted examinations and treatments after identifying the specific causes.