How should primary infertility be treated?

Patient's question:

Started reproductive health examinations in February 2014. After all the tests, the doctor said there were no major issues. My husband's semen was not completely liquefied. On July 10th, I had an imaging test, and the result was that the fallopian tubes were tortuous and not fully unobstructed. On August 10th, I had a normal period for 6 days. Starting on September 6th, I experienced brownish menstrual blood accompanied by coffee-colored, viscous discharge until the 17th. On September 22nd, I had another vaginal ultrasound. The doctor heard about my symptoms and said it was possible that I had not ovulated, so they prescribed human placenta tablets, women's reconstruction pills, and Progesterone Yimaxin to take.

Doctor's answer:

Hello, I suggest you have a blood test for endocrine during your menstrual period for 2-5 days. Around the 10th day of your period, you should have an ultrasound to monitor your follicles. During the follicle monitoring, you can understand the development of your follicles, ovulation status, and the condition of your endometrium. These can help determine whether your menstrual irregularities are related to endocrine issues or endometrial issues. If it is indeed a case of follicle growth failure, ovulation induction treatment can be administered. Of course, if the follicle growth failure is caused by endocrine abnormalities, endocrine regulation treatment should be prioritized first.
Regarding your partner's condition, it is recommended to quit smoking and drinking, engage in more exercise, and reduce late-night activities before the follow-up. Additionally, a prostatic fluid examination should be conducted to rule out prostatitis.

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