Why can't I get pregnant?

In the case of being unable to get pregnant, most of the time it is caused by infertility. In fact, infertility has its reasons, such as unstable ovulation function, problems with the uterus or fallopian tubes are the main factors leading to infertility. It may also be related to the male, such as problems with the male's sperm. Treatment can only be conducted after the cause is found.

1. Treatment principles

Pay attention to strengthening your physical fitness to improve your health, correct anemia and malnutrition, actively treat various medical diseases, and make corresponding treatments based on the examination results.

(II) Treatment methods

1. Treatment of abnormal ovulation function

If it is determined that the cause of infertility is anovulation, it is necessary to find out the cause and prescribe the right medicine, such as using thyroxine to treat hypothyroidism, using gonadal hormone-releasing factor to treat insufficiency of gonads, using gonadal hormone-releasing factor antagonists to treat androgen hypersecretion, and using drugs that stimulate ovulation to induce ovulation.

Some anatomical abnormalities of the uterus can be corrected surgically, persistent endometritis can be treated with antibiotics, and endometrial hyperplasia can be treated with dilation and curettage to remove the abnormal tissue. Endometriosis can be treated with surgery, medication, or both, and fallopian tube obstruction can be treated with a tubal ventilation trial or corrected with microsurgery. Poor cervical mucus secretion can be improved by taking small doses of androgen.

3. Others

According to the specific examination results and treatment conditions, artificial insemination, in vitro fertilization and blastocyst implantation, gamete intrafallopian tube transfer and intrauterine gamete transfer techniques are used respectively. [1]

1. Provide relevant knowledge

First of all, the couple's current knowledge and misconceptions about infertility should be thoroughly assessed, and they should be encouraged to express their inner views, understandings and concerns without reservation. They should be taught how to predict ovulation and know the appropriate time for sexual intercourse. Guide both couples to pay attention to regular life, avoid emotional changes such as mental stress, maintain a healthy mentality, use in-depth and easy-to-understand explanations to enable them to have a correct understanding of fertility and infertility, correct misconceptions, and understand fertility and infertility correctly and objectively. Point out that most infertility factors can be treated, so that they are full of confidence and cooperate with the examination.

2. Assist doctors in implementing treatment plans

Cooperate with doctors to determine treatment plans based on examination results, provide confidence to patients, encourage them to persist in treatment, and help those with absolute infertility to overcome the grief period, face reality, and accept appropriate treatment plans based on their own conditions, such as artificial insemination, in vitro fertilization and blastocyst implantation, etc.

3. Provide psychological support

Due to the influence of feudal ideology, infertile couples suffer tremendous pressure from family and society and even the pain of family breakdown, and often show inferiority, helplessness or despair of life. Therefore, we should listen to their stories patiently, gain their trust, and provide psychological counseling and support so that they can have a correct attitude towards life and fertility, relieve tension, improve their quality of life, or correct ovulation abnormalities caused by cerebral cortex dysfunction and conceive.