Patient's question:
I have been married for six years and have not been pregnant. In the past few years, it was because my husband's sperm vitality was not high enough. This year, the vitality is 50%, and the doctor said it is possible to conceive, but after trying several times, it hasn't been successful. I want to check what problems I might have.Doctor's answer:
Hello! The first step in infertility is to check whether there is the ability to conceive. Fertilization is a complex physiological process that requires the following basic conditions: ① The female's ovary releases normally mature eggs each month; ② The male can ejaculate during intercourse, with semen containing a normal number, shape, and vitality of sperm; ③ The female's fallopian tubes are unobstructed, allowing sperm and eggs to meet and fertilize within the tubes; ④ The fertilized egg must be able to pass through the fallopian tubes into the uterine cavity and implant in the endometrium. Additionally, it is necessary to check whether there are any immune antibodies present in both partners. If any of these steps are obstructed, infertility can occur. There are over 150 factors or causes of infertility, which can exist in both partners or only in one partner. Therefore, it is essential to undergo early examination to identify the main cause of infertility so that effective treatment can be administered. If you have any other questions, feel free to ask. Wishing you good health!