Patient's question:
Married for two years without pregnancy, no beard, Adam's apple, or other male characteristics, small penis, poor mental state, lacking energyDoctor'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 conducted. The female partner should have her menstrual period for 3-5 days and undergo an endocrine test using electrochemical luminescence. Additionally, a vaginal mirror examination, dynamic digital hysterosalpingography, and vaginal four-dimensional color ultrasound should be performed 3-5 days after the menstrual period is clean. Usually, this can lead to a definitive diagnosis. If the cause remains undetermined, further examination with an electronic hysteroscope or laparoscope is necessary.