What tests should I do if I haven't gotten pregnant after one year of trying to conceive?

As the pressure of life increases, many couples have experienced failures in preparing for pregnancy. This situation makes many families very anxious. Some families have not conceived after preparing for pregnancy for a year. Once this happens, it is best to go to a regular hospital for a detailed examination in time. Only in this way can the accurate cause of the disease be found and symptomatic treatment be convenient. So what kind of examination should be done if you have not conceived after preparing for pregnancy for a year?

First, what kind of examinations should be done if you haven’t gotten pregnant after a year of trying to conceive? If pregnancy fails, it is best to check the male partner first. When a couple with infertility problems goes to the hospital, after the doctor has ruled out various obvious controllable factors (such as the frequency of sexual intercourse), the doctor should first start with the examination of the man. Because the male examination is simple, non-invasive and less painful, the male internal and external genital development is checked first. After confirming that the development and sexual function are normal, the semen examination is then performed. If the semen examination is also OK, then the male factor is basically ruled out and the female factor can be checked.

Second, among infertility cases, the main causes of female infertility include reproductive tract malformations, inflammation, tumors, endometriosis and ovulation disorders. If the male semen test shows that everything is normal, the female should do the following examinations: routine gynecological examination: such as leucorrhea examination, which can rule out vaginal malformations, vaginal inflammation and cervical lesions. Ultrasound examination: It can roughly check whether the uterus, ovaries, and fallopian tubes have any lesions, and rule out uterine myoma, uterine malformation, ovarian cysts or tumors, polycystic ovaries, or hydrosalpinx. Ovulation test: The development of follicles can be monitored under ultrasound to see whether ovulation is normal. How can you get pregnant if you don't ovulate?

What tests should be done if you have been trying to get pregnant for a year but still haven't gotten pregnant ? Endocrine examination: including various hormone tests, to understand the ovarian reserve capacity (how normal ovulation functions), to rule out hyperprolactinemia, hyperandrogenemia, abnormal thyroid function, etc. Fallopian tube patency check: Check whether the fallopian tubes are unobstructed, identify the site of fallopian tube blockage, and check for uterine malformations, submucosal fibroids, and fallopian tube tuberculosis. Antibody or chromosome test: Check for chromosomal abnormalities, anti-endometrial antibodies, anti-sperm antibodies, and anti-zona pellucida antibodies. Laparoscopic examination: If the above examinations cannot find the cause, hysteroscopy or laparoscopy can be considered to directly observe the pelvic cavity, uterus, fallopian tubes, and ovaries for lesions or adhesions.