Having been a doctor for so many years, I have met all kinds of infertility patients with all kinds of problems and all kinds of mentality. Some patients have serious and difficult problems, even difficult to break through at the current level of medicine, while others have nothing wrong, in other words, what we call unexplained infertility. It is good that these patients communicate during their visits, chat on the Internet, help each other, form a group and have circles of this and that, but not all. It is good to have a circle of one kind or another, but not all of them are carrying a heavy psychological burden because of infertility, and when combined with the experience of the patients, they apply it all by themselves regardless of whether it is suitable for them or not, and make their own plans. First, let’s look at the concept of “infertility”. “Infertility” is rarely absolute infertility, so recently some scholars think it should be called “sub-fertility”, just like what we often call “sub-health”. It is a condition that is often referred to as “sub-fertility”. According to statistics, about 84% of couples who wish to get pregnant will get pregnant within one year if they live together and have a normal sex life, and about 92% of couples will get pregnant after two years of cumulative statistics, which means that even couples who are normal have an 8% chance of getting pregnant after two years. If you join this group of patients at this time, some MM are still doing their homework super seriously, taking basal body temperature, measuring luteal function, taking the initiative to request ovulation monitoring and tubal imaging, then not only do you waste precious time, energy and money, but also affect your work and study, lose the pleasure of enjoying life and carry a heavy psychological burden for no reason. Pregnancy is like falling in love, a good egg is picked up by the umbrella of the fallopian tube to the fallopian tube, in just 48-72 hours before the possibility of fertilization, and then look at the sperm, most stay in the vagina, a few can penetrate the cervical mucus, but also from the lowest part of the uterine cavity to swim to the fallopian tube, enter, and lose a lot of teams along the way, and finally into the fallopian tube is the best of the hundred, sperm in the fallopian tube can generally survive for 3-5 days, either in there and wait for the egg, or in the fallopian tube. 5 days, either waiting there for the egg or arriving within 48 hours of the egg’s arrival, otherwise the egg withers away. So only at the right time, in the right place and with the right protagonist will the crystallization of love happen, which is easy to say and hard to say, looking at three ovulations may not match these three fits either. (There may not be any good eggs, or the good eggs may not be picked up, the sperm lost too much along the way and very few reach the fallopian tube or have lost their ability to fertilize. Or too early, or too late). In general, a year of normal couple life without pregnancy can be consulted at a fertility clinic. The most common factors are follicular development and ovulation in the woman, the patency of the fallopian tubes and the quality of the male partner’s semen. Among these three main factors, ovulation in women is closely related to their age status, so generally white-collar women have to consider their great and glorious task of motherhood while taking care of their career. A woman’s menstrual cycle is accompanied by the development and maturation of follicles and their discharge, suitable for conception is 3-5 days before follicle discharge lasts until 2 days after ovulation, so only about a week per cycle is possible pregnancy, if this cycle is missed, then wait for the next cycle of follicle development, if both parties are separated, then especially to grasp this period, if both parties are busy with work, coupled with The traditional Chinese culture does not pay attention to the status of sex in marriage, and the frequency of sex is often much lower than that of couples in Europe and the United States, which is also an important cause of delayed pregnancy. According to statistics, even for women with irregular menstruation, that is, irregular ovulation, as long as the frequency of sex is normal, the pregnancy rate is only better than that of women with normal menstruation but sparse sex, so it is not necessary for young couples to take the time and effort to monitor ovulation to arrange conception. In addition to the above three factors, there are many other reasons for infertility, such as psychological factors, the most typical example is infertility for many years, adoption of children after a short period of pregnancy, such cases are not uncommon, so if the couple is particularly urgent to conceive, the mind can not relax, will cause this psychological infertility. As for other factors, such as the detection of anti-sperm antibodies and anti-endometrial antibodies, they are not directly related to infertility. Even the most sophisticated technology in medicine cannot discover all the causes of infertility, and the mechanism between some of the discovered causes and infertility is not well explained, for example, normal pregnancy is very common among those who have anti-sperm antibodies and anti-endometrial antibodies. Many patients have taken many detours in the path of consultation, and the most common ones are: (a) Frequent changing of hospitals and doctors, and changing immediately when they hear that a doctor is better after three or four months of treatment without pregnancy, resulting in interruption of the continuity of the treatment process. It is sometimes counterproductive to start all over again. (If you meet a reasonable doctor, you will be carefully explained or corrected, if you meet an impatient doctor who is not willing to explain more often according to the patient’s request for simple treatment, and did not achieve good results, if you meet a doctor with a bad attitude can also say a word like “are you a doctor or am I a doctor? ?” . For example, some patients, without careful consultation and gynecological examination, take the initiative to request certain items, request ovulation monitoring, request hysterosalpingography, etc. (C) over-reliance on theoretical knowledge, network information, a network knowledge is true and false, even if it is correct, there are problems of applicability, not suitable for each specific case, do not take it out of context, their own control, to find a large number of possible causes and seek out the corresponding treatment measures. Medicine is a practical science, not in relation to their own situation mechanically applied will want to speed is not achieved, the so-called “paper talk”. (4) Taking infertility as the whole of life and neglecting other matters and emotions in life, for example, neglecting work and study, refusing to participate in activities among colleagues, being tired of leisure activities, or even having conjugal life only during the so-called ovulation period for the purpose of pregnancy, not only cause tension in life, but also lose more opportunities, while in fact follicle development and ovulation, although there is a certain pattern, are sometimes stimulated during The fact is that although there is a certain pattern of follicle development and ovulation, sometimes ovulation is stimulated during orgasm, called “emergency ovulation”, which is not uncommon, and this is the reason why some couples “safe period contraception” fails. (E) Couples must communicate and cooperate well, especially when one partner has a problem and the other has a normal test, do not blame and complain. The male should take the initiative to cooperate with some tests when screening the causes of infertility, on the other hand, the male due to various bad habits, environmental influences and psychological pressure, the quality of semen or sexual dysfunction, the female must actively encourage, the male to urological treatment, most of the male fertility disorders can be treated or assisted reproductive technology to complete the desire to have offspring. What I want to tell you patients is: to prevent two extremes, one is no major problem, premature over-intervention, which can cause unnecessary burden and also affect the quality of life; the other is the discovery of a clear cause, without giving sufficient attention and positive action, such as combined endometriosis, combined fibroids, poor tubal conditions, advanced age and other factors . Pregnancy is difficult and there may be some risks during pregnancy, but if you have the desire to have children, you should have strong confidence, scientific attitude and positive action to strike while the iron is hot, and try to achieve what you want as soon as possible, if you fish for three days and sunbathe for two days, the so-called “peace of mind”, a year or two down or standstill, and start again from scratch. And will further increase with age, the disease will further progress will be more difficult, the risk further increased. Of course, if you are “dink” to the end, it is another story, is also a good attitude to life, but the most fear is “d” to half and change their minds, missed a good light for nothing. May you all have a healthy mindset and good luck with your pregnancy!