What should I do if my wife can't get pregnant?

If a woman has not been pregnant, she should pay attention and go to the hospital for a check-up in time. Generally speaking, if a woman has a normal married life for one year after marriage and has not taken any contraceptive measures, if she still has not been pregnant after a year, she should be checked in time. It is likely caused by some organic diseases. Symptomatic examination and symptomatic treatment are required to gradually improve the situation.

1. Why am I not pregnant if the premarital examination is normal?

In recent years, premarital physical examinations have been advocated to avoid genetic and infectious diseases and achieve good birth and upbringing. Before Xiaomei and her husband got married, they followed the usual practice and went to the hospital for a pre-marital physical examination, and all indicators were normal. But after almost a year of trying to get pregnant, there was still no sign of pregnancy, which made Xiaomei very anxious: Our premarital check-ups were all normal, so why can't we get pregnant?

——My wife said: My menstruation is normal, it’s not my problem

Xiaomei thought: My menstruation has always been normal, so it shouldn’t be my problem. I heard from friends that some men have oligospermia or even necrospermia. Will my husband's sperm quality be substandard?

——My husband said: The amount of ejaculation is enough, it shouldn’t be my problem

My husband also secretly analyzed the reasons: Logically speaking, my ejaculation volume is sufficient, so my fertility should be strong, right? Since I can’t get pregnant, maybe my wife has other problems?

Both of them should seek professional medical help as soon as possible and face this problem together. No matter who has the problem according to the examination results, or whether it is a problem for both of them, if the couple can support each other and face it together, I believe that through modern medical means, they will be able to successfully conceive a baby.

Normal premarital examination ≠ normal fertility

Premarital examination is the most routine physical examination, which includes three parts: routine physical examination, genital examination and auxiliary examination.

Among them, routine physical examination is a general whole-body examination to understand whether there are any abnormalities in important organs such as the heart, lungs, liver, and kidneys, as well as the development of both parties.

Genital examination: For men, the main purpose is to check whether the penis, testicles and other genitals are inflamed or dysplastic. Women mainly undergo routine abdominal and anal massage. If suspicious lesions are found in the internal reproductive organs and a vaginal examination is necessary, the doctor will obtain the consent of both the man and the woman before proceeding. Except for congenital developmental abnormalities of the hymen that may affect fertility, the doctor will not describe its integrity.

There are many reasons that affect fertility, the most common ones are as follows:

Common factors: chromosomes, endocrine, immune antibodies, etc.;

Female factors: abnormalities of fallopian tubes, uterus, ovaries, etc.;

Male factors: sperm quality, sperm density, sperm motility, etc.