What to do about vaginal infertility?

Patient's question:

What should be done about vaginal infertility?

Doctor's answer:

Generally, if a couple has not used any form of contraception for more than a year and remains infertile, they should undergo medical examination. The male partner should abstain from sex for 3-5 days, and a routine semen analysis should be performed. The female partner should have her menstrual period for 3-5 days and undergo an endocrine test using electrochemical luminescence. Additionally, a vaginal speculum examination should be conducted 3-5 days after the menstrual period, followed by dynamic digital hysterosalpingography and 4D vaginal ultrasound. These tests usually help confirm the diagnosis. If the cause remains undetermined, further examination with an electronic hysteroscope or laparoscope may be necessary.

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