Got married for a year and a half without getting pregnant

Patient's question:

Irregular menstruation, fallopian tubes are open

Doctor's answer:

① Ovulatory dysfunction, characterized by anovulation during the menstrual cycle, or ovulation with inadequate luteal function;
② Congenital or acquired abnormalities of the reproductive organs, or lesions of the reproductive organs that obstruct the patency and function of the reproductive tract from the vulva to the fallopian tubes, hindering the meeting of sperm and eggs, leading to infertility;
Recommendations:
③ Immunological factors, referring to the presence of antisperm antibodies in the female reproductive tract or serum, which produce homologous immune reactions against sperm, causing sperm agglutination, loss of vitality or death, leading to infertility or subfertility. Additionally, some infertile women have serum antibodies against their own zona pellucida, which can hinder sperm penetration and fertilization, also causing infertility;
④ Sexual dysfunction, lack of sexual knowledge, systemic diseases, and unknown factors account for about one-third of infertility causes.
Lifestyle Management:
Factors or Causes of Male Infertility:
① Sexual dysfunction, including impotence, premature ejaculation, nocturnal emission, and anejaculation. This category can be divided into psychological/neurological and organic disorders. According to relevant data, 1 in every 8 married men suffers from varying degrees of sexual dysfunction. Currently, there are approximately 50 million male sexual dysfunction patients in China, with an incidence rate as high as 10%. Domestic reports indicate that oligospermia accounts for 15.4% of male infertility causes, ranking second only to anejaculation as the second leading male infertility cause.
③ Varicocele-induced male infertility, accounting for 12.1% according to World Health Organization data and 6% according to domestic data.
④ Immunological factors, referring to the presence of antisperm antibodies in male serum or seminal plasma, which produce autoimmune reactions against sperm, leading to immunological infertility.
⑤ Reproductive tract infections, congenital abnormalities, systemic diseases, and unknown factors causing infertility.
Prevention:
Mental State: Stress can lead to decreased libido and difficulty achieving erection or ejaculation. Factors such as family disharmony or excessive workload may contribute.
Nutrition: A balanced diet rich in zinc, vitamins A, C, and E is beneficial for sperm production.
Exercise: Avoid prolonged, intense physical activity.
Daily Habits: Avoid excessive alcohol consumption, smoking (no more than 20 cigarettes per day), staying up late, wearing tight pants, taking hot baths, or using saunas.
Environment: Avoid prolonged exposure to high temperatures, radiation, or chemical industrial environments.
Medications: Drugs such as marijuana, sedatives, chemotherapy medications, antihypertensive medications, antidepressants, and gout treatments can all have adverse effects on reproductive function.

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