In modern society, people's pace of life is not fast-paced, their eating habits are chaotic, and some people smoke and drink too much, which leads to many diseases. The most common disease is infertility. Some men and women who want children have encountered this situation, but many couples don't know what's going on when they have infertility. So, why can't they get pregnant for a long time? First, why can't you get pregnant for a long time? For the man, the requirements are relatively simple, and all he needs to do is to discharge enough healthy sperm. For women, the uterus, fallopian tubes, and ovaries need to work together. First of all, the ovarian function must be normal, and there must be a sufficient number of eggs. The eggs can gradually grow and mature under the influence of hormone levels until they are completely discharged. At this time, the small hand at the distal end of the fallopian tube needs to pick up the egg and gradually transport it along the fallopian tube to the uterine cavity. During the transportation in the fallopian tube, it meets the sperm and becomes pregnant. After fertilization, the fertilized egg will be transported by the fallopian tube toward the uterus until it arrives in the uterine cavity and is implanted and settles down. At this time, the endometrium has been converted to the secretory period under the action of progesterone after ovulation. At this time, the endometrium is soft and rich in various nutrients. After the fertilized egg arrives in the uterine cavity, it will directly find a comfortable place to settle down. The fertilized egg gradually grows and eventually grows into a child. Any problem in these processes may affect normal pregnancy and lead to infertility. Second, the first thing to be examined is the man’s semen to find out whether there are abnormalities in the sperm quantity and quality. Since this is a non-invasive examination, it should be the first step. The important thing to note about sperm testing is that you need to abstain from sexual intercourse for 2-7 days before the semen test, otherwise the results may be inaccurate. If the man's semen is found to be abnormal in quantity or quality, he should go to the andrology department for further examination to understand the cause of the semen abnormality. Why can't you get pregnant for a long time? Female, basal body temperature monitoring. After ovulation, the corpus luteum of the ovary begins to develop. Under the influence of progesterone, the body temperature measured in a quiet state in the morning will increase. Therefore, through the method of basal body temperature measurement, it can be determined whether there is a lower body temperature in the early stage of the menstrual cycle and a temperature increase of 0.5℃ in the later stage (if so, it is a biphasic body temperature) to determine whether ovulation has occurred. This method is greatly affected by external factors and needs to be adhered to for a long time. Direct ultrasound monitoring of follicle development in the ovaries, especially during menstruation During the pregnancy, if you observe enlarged follicles and then rupture the follicles, you can roughly judge whether ovulation has occurred. Ultrasound testing can be combined with ovarian hormone testing. This test is usually used to assist in understanding the function of the ovaries in the body. If the purpose is to understand the basic status of ovarian hormones, blood will usually be drawn on the second day of the menstrual cycle to check the ovarian estradiol (E2), progesterone (P), follicle-stimulating hormone (FSH), luteinizing hormone (LH), androgen (T) and prolactin (PRL). If an abnormal hormone is found, it is often necessary to further understand the cause. Checking the progesterone level in the second half of the menstrual cycle can also help understand the function of the corpus luteum in the body. |
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