Why haven't I been pregnant after being married for 2 years?

Patient's question:

Why haven't I been pregnant after being married for 2 years?

Doctor's answer:

Hello, after two years of marriage, with normal sexual life and no contraceptive measures, the failure to conceive may be considered infertility. It is recommended that both husband and wife go to the hospital for examination. The male should have a semen analysis, paying attention to the quantity, motility, abnormal morphology, and inflammation. The female should have a basal body temperature measurement to understand luteal function, check for reproductive organ diseases, and screen for chronic hypertension, hyperthyroidism, and other internal diseases that may cause miscarriage. It is also important to check for blood type incompatibility between the couple. If possible, karyotyping should be performed to identify any abnormalities. Treatment or correction should be pursued to address any detected issues before attempting pregnancy again.

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