What are the reasons for not getting pregnant after one year of marriage?

Patient's question:

Doctor, hello: I have been married for a year without getting pregnant, and it's very frustrating! Many problems have occurred in my body: 1. I have a benign cyst on my ovary. 2. My menstrual cycle is irregular, with low volume and a long duration. 3. My husband comes back only once a month. I have seen doctors many times, but there has been no improvement. Are these the main reasons? I don't know what to do. Please reply, thank you.
First follow-up question: The last time I saw a doctor, the doctor suggested I have surgery to remove the cyst. But will the surgery affect my fertility? I have seen doctors many times about my menstrual cycle, but there has been no improvement. Please advise!

Doctor's answer:

Don't hurry, first it is recommended that both men and women abstain from sex for three to five days before ovulation, and then try coitus during ovulation. The male-on-top position is preferable. Additionally, do not withdraw the penis immediately after each sexual encounter. Placing a pillow under the woman's hips can also increase the chances of conception. Excessive frequency of sexual activity may also affect fertility. If you have had normal sexual activity for two years without contraception and have not become pregnant, then consider the possibility of infertility. In such cases, both partners should abstain from sex for three to five days and undergo medical examinations. The man should have a semen analysis, while the woman should undergo tests for sex hormones, basal metabolic rate, ovarian function, and immunological tests. It is recommended that you and your partner visit a regular hospital for a comprehensive and systematic examination to identify the causes of infertility and receive targeted treatment.

📌 Related Posts