Pregnant twice without fetal buds, which tests should be checked?

Patient's question:

Pregnant in September 2011, 56 days without finding a fetal bud. Pregnant in September 2012, the same situation.

Doctor's answer:

Items for female infertility examination: Tubal patency and tests, cervical mucus examination, endometrial examination, hysteroscopy and laparoscopy, and fallopian tube, etc. Hormone level testing, such as estrogen, progesterone, follicle-stimulating hormone, luteinizing hormone, etc. Ultrasound monitoring of ovulation, hysterosalpingography, vaginal cytology, basal body temperature measurement, and antisperm antibody testing, etc.
Items for male infertility examination: Semen analysis, in vitro heterologous insemination experiment, prostatic fluid examination, endocrine examination, Doppler ultrasound, X-ray examination, immunological examination, testicular biopsy, and karyotype analysis. Avoid colds during pregnancy and exercise moderately to enhance physical fitness.

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