Why the hell aren’t we pregnant?

What should we do about infertility under the current medical conditions? First of all, both husband and wife should do a good systematic examination. Infertility examination is different from other diseases, if you can check the problem under the current medical technology, then you can know why you are not pregnant, so it is good to find out the problem, don’t worry, if you can check it out, there is a solution. What tests should be done? First check the factors that cause the most infertility, including: female fallopian tube examination, ovulation examination, routine gynecological examination, male semen quality examination, sexual function examination, etc., these examinations are time requirements and the examination sequence requirements, which have problems to deal with which, for example, tubal blockage, we can interventional therapy or laparoscopic surgery, a one-time restoration of blocked tubes, according to the needs of the disease can achieve the treatment. The purpose of treatment can be achieved according to the needs of the disease. Ovulation is not good, the most common is polycystic ovary syndrome, we can be adjusted through the medication for ovulation treatment; the most common is the male side of the sperm quality problems, sperm, poor viability, etc., nowadays, more and more patients with male infertility, and the effect of the treatment is relatively unsatisfactory, male infertility through the medication with the adjustment of lifestyle habits, etc. can not be satisfied with the results of the treatment can be considered through artificial insemination, In vitro fertilization (IVF) can be considered as a solution to fertility problems. For patients with azoospermia, there is no good method at present, but patients with azoospermia must be diagnosed only after eliminating genetic factors, factors of spermatogenic failure, and after testicular puncture biopsy without obtaining spermatozoa. Indeed, it is confirmed that there is no sperm, and the patient is unable to obtain the next generation with blood relatives, and can only look forward to the early clinical application of the current stem cell technology that can cultivate other cells into sperm. If all of the above tests are normal and the patient has not yet experienced pregnancy, then the patient can only undergo tests for rare factors, including various immune antibody tests, genetic tests, blood type antibody tests, sperm function tests, etc. In particular, in the case of a “spermatozoon”, the patient can not obtain a next generation with a blood relative. A special case is “recurrent miscarriage”, which means that every time you get pregnant, you have to miscarry or the embryo stops developing. This disease is more painful than not getting pregnant, and there is no good solution at home or abroad, such as lymphocyte immunotherapy. Secondly, once after the above examination, both husband and wife have not been examined for problems and have been infertile for many years, it is not that both husband and wife do not have problems, but it is not possible to examine and figure out all the problems related to fertility under the existing technical conditions. For example, whether sperm and egg can be fertilized to become fertilized egg, whether fertilized egg can be planted in the uterus to become embryo and many other problems are not available in the world reproductive technology to check, only with the existing assisted reproductive technology to test the treatment, like I said: go try! You can consider doing artificial insemination, doing in vitro, there really isn’t anything too good, and you can only look forward to another leap in technology in order to improve the success rate of infertility treatment. Finally, I would like to emphasize that the assisted reproductive technology for infertility is still a marginal discipline, the development of a relatively short period of time, many of the technical problems of fertility have not yet been resolved, and the examination and treatment cycle is relatively long, which is caused by the law of human pregnancy, there are only so many three to five days a month to have the opportunity to get pregnant, a month a month time will soon be over, unlike the tumor surgical resection! Unlike having a tumor surgically removed, all these have caused too much mental and economic pressure on infertile couples. Therefore, it is recommended that patients still need to achieve the goal of successful pregnancy through regular examination and standardized treatment. In another article of mine, I also mentioned the problem of standardized treatment and careful selection of hospitals, but we still can not guarantee that it will make you pregnant, but it can make you less detour, and it will give you a more mature advice. And the patients themselves should actively cooperate with the treatment, adjust the mindset, face the difficulties with an optimistic attitude, to overcome our common enemy – infertility.