What should I check if I can't get pregnant?

Pregnancy is a very important matter for every family. Couples need to have a baby before they can enjoy the joy of having a baby. Many women have been preparing for pregnancy for a long time but have never conceived a baby. In this case, they must understand that there may be something wrong with their bodies, and it is best to see a doctor in time for examination. How long does it take to get pregnant before you need to do a check-up?

How long does it take to get pregnant before you need to check?

If a couple has normal sexual life without taking any contraceptive measures for more than one year but has not gotten pregnant, it is called infertility. Three-year infertility needs to be examined and treated as soon as possible. There are many causes of infertility, the interrelated factors include sex chromosomes, endocrine system, immune antibodies, female factors include abnormalities of bilateral fallopian tubes, uterus, uterus and ovaries, and male sperm quality.

What to do if the pregnancy preparation period is unsuccessful

1. If the pregnancy preparation period is unsuccessful, it is best to check the male first.

Couples with infertility concerns come to the hospital. After the doctor eliminates various obvious controllable factors (such as the number of sexual intercourse), the examination should start with the male.

Because the male examination is simple, minimally invasive and less painful, the male's internal and external genital development should be checked to ensure that the growth and development and male sexual function are normal, and then the sperm test should be performed. If the sperm test is also OK, then the male factor has been basically ruled out and the female factor can be checked again.

2. If you are a woman, what tests should you do?

Among infertility, the main causes of female infertility are reproductive system malformations, inflammation, tumors, endometriosis and ovulation disorders. If the male semen test is normal, the female should do the following tests:

Basic gynecological examination: For example, routine examination of leucorrhea can eliminate vaginal malformations, Trichomonas vaginitis and cervical lesions.

Color Doppler ultrasound examination: It can roughly check whether the uterus, uterus, ovaries, and bilateral fallopian tubes have any diseases, and rule out uterine myoma, uterine malformation, ovarian cysts or tumors, polycystic ovaries, or hydrosalpinx.

Ovulation check: The development of follicles can be monitored under ultrasound to see if the ovulation period is normal. How can you get pregnant if you don't ovulate?

Endocrine examination: including various hormone tests, to understand the reserve capacity of the uterus and ovaries (how the normal ovulation period works), to eliminate hyperprolactinuria, hyperandrogenuria, abnormal thyroid hormone, etc.

Bilateral fallopian tube patency test: Check whether the bilateral fallopian tubes are patency, determine the location of fallopian tube blockage, and check whether there are uterine malformations, cervical fibroids, and fallopian tube tuberculosis.

Antigen or chromosome examination: Check for chromosomal abnormalities, anti-uterine wall antigens, anti-sperm antibodies, and anti-zona pellucida antigens.

Total resection examination: If the above examinations cannot find the cause, you can consider doing a hysteroscopy or laparoscopy to immediately observe the pelvis, uterus, bilateral fallopian tubes, uterus and ovaries for changes or adhesions.

The article explains in detail how long it takes to get pregnant before doing a check-up, and also gives a detailed introduction to what tests to do if the pregnancy preparation period is unsuccessful. As a couple who have been preparing for pregnancy for a year or even more than a year but still cannot conceive, it is best to go to the hospital in time to check the bodies of both husband and wife to see where the problem is and treat it accordingly.