Why haven't you gotten pregnant yet?

Many couples have been worried about not being able to get pregnant after marriage. A family cannot be considered a complete family if it has not had a child for so long. Therefore, many couples have made great efforts to have children. So what are the reasons for not being able to get pregnant? Is it normal to have a pregnancy test?

What are the reasons why I can't get pregnant?

The inability to conceive for more than a year is called infertility. There are many reasons for infertility, such as chronic gynecological inflammation in women, abnormal ovulation period of the uterus and ovaries, blockage of fallopian tubes, chronic gynecological inflammation, female hormone disorder, unstable menstrual cycle, etc., all of which are related to each other. Of course, it is also related to the male's sperm survival rate or ejaculatory duct defect. Therefore, women should undergo color Doppler ultrasound examination, hormone measurement, fallopian tube permeability test, leucorrhea routine examination and digital gastroscopy examination, etc., and then receive targeted treatment after the diagnosis is confirmed.

Infertility refers to the situation where the couple has normal sexual life for more than one year, but the woman cannot get pregnant due to male reasons, which is called infertility; infertility refers to the situation where the woman cannot get pregnant due to female reasons, which is called infertility. Couples who are planning to have a baby can have reproductive health checks anytime and anywhere. There is no time limit for infertility. The key causes for men are: 1) reproductive diseases such as left and right urethral fissures, cryptorchidism, etc.; 2) erectile dysfunction such as erectile dysfunction, severe premature ejaculation, etc.; 3) poor sperm quality such as oligoasthenozoospermia, oligoasthenozoospermia, azoospermia, etc.; 4) immune infertility; 5) infertility due to unclear reasons, etc. Women have: 1) older age; 2) reproductive diseases such as vaginal and uterine diseases; 3) blocked fallopian tubes; 4) polycystic ovaries, ovarian cysts, aging, etc.

Can I get pregnant with uterine septate?

The risk of pregnancy with uterine septate is quite high. Even if pregnancy occurs with uterine septate, the incidence of intrauterine language delay and intrauterine death of the fetus is also high. This is because the septum has fewer blood vessels and more fibrous tissue in the uterine myometrium than the normal one, which hinders normal embryo implantation. In addition, the endometrium covered by the septum responds poorly to the stimulation of hormones, and the septum can hinder the normal growth and development of the embryo, leading to early fetal death. If pregnancy continues, it will also develop into intrauterine language delay. Experts recommend that patients with uterine septate consider having a baby after treatment.

The uterus is formed by the aggregation of the paramesonephric ducts on both sides. After the paramedrine ducts converge, the septum in the middle is not absorbed. The septum divides the uterine body into two parts, but the shape of the uterus is normal. This deformity is called "uterine septum". The septum that completely separates the uterine body into two parts from the fundus of the uterus to the internal os of the cervix and even the external os is called "complete uterine septum". The septum that starts from the fundus of the uterus and divides part of the uterine cavity is called "incomplete uterine septum". Uterine septum may cause infarction, miscarriage, etc. Patients with recurrent miscarriage and uterine septate can undergo hysteroscopic or transabdominal surgical removal.

Pregnancy is a complex physiological process that requires the following conditions: normal egg cells are released from the ovaries; normal sperm are produced and contain normal sperm; the egg cells and sperm can meet and fuse in the fallopian tubes to form a sperm-egg combination; the sperm-egg combination is successfully transported to the uterus; the uterine wall is ready for embryo implantation. Any abnormality during these stages can prevent pregnancy.