Patient's question:
Female, 25 years old. I and my husband used to get pregnant, four years ago, but had one induced abortion. Now I have checked my uterus, ovaries, fallopian tubes, vagina, and ovulation, and everything is fine. Why can't I get pregnant? My husband used to get us pregnant. Does he need a semen analysis now? Can sperm quality weaken over time? Did I not have antibodies to sperm before, and will I develop them now?Doctor's answer:
Infertility is not a simple disease but a comprehensive condition caused by over 150 different factors.Female factors: Issues with the ovaries, fallopian tubes, uterine cavity, cervix, vagina, and immune antibodies (over 20 types).
Male factors: Abnormal semen (e.g., nonliquefaction, inflammation, acidic or alkaline pH), blocked spermatic ducts, genital malformations, and systemic conditions. Additionally, there are shared factors between both partners: lack of sexual knowledge, immune factors (antibodies present in both partners), and psychological reasons (e.g., excessive stress).
Only through advanced modern medicine, with accurate analysis of multiple causes and targeted treatment, can infertility be cured. For your current situation, it is necessary to undergo a fallopian tube (hysterosalpingography) and a comprehensive check for immune antibodies. The male partner must also have his sperm quality tested.