There are two kinds of patients who come to the clinic to see infertility, one is a grassroots, looking at the degree of self-seeking disease, one is insensitive, “teenage” ambition does not say worry. The former is suspicious of the disease, resulting in excessive examination and treatment, increasing the psychological burden and wasting money and money. The latter is to avoid the disease not to see a doctor, to find their own reasons for blind optimism, lost the best time to have children. In fact, when many people encounter infertility problems, they are torn between sickness and non-sickness, seeing and not seeing, treating and not treating, and even people with medical backgrounds cannot avoid it. The optimal age of human fertility is just over 10 years, and if there are no extremely special circumstances, you should do whatever you want at whatever age. Especially when it comes to fertility issues. It always makes sense to identify problems in time and seek medical attention. Therefore, infertility starts with “self-examination”. The six steps to self-test for infertility are to know if there is a disease or not. Step 1: Look at the time Currently, according to the medical definition, a couple is diagnosed as infertile if they have normal sexual life without contraception and are infertile for one year. If the couple is often separated, this time can be extended to two years. There are no strict rules for normal sexual life, generally 2-3 times a week prevail. Regarding contraception, it does not include some unreliable contraceptive methods, such as safe period contraception, in vitro ejaculation, vaginal douching after sex, and not strict use of contraceptives, such as condoms. If you are too successful with these methods, you should be wary of infertility. As for the statement “we didn’t want to get pregnant”, it is even more unreliable, pregnancy is a question of whether you want to get pregnant or not? The second step is to look at menstruation. Generally speaking, normal menstruation indicates normal endocrine function and normal ovulation. Under normal circumstances, the menstrual cycle is 25-35 days and the period is 3-7 days. Irregular menstruation, amenorrhea, scanty menstruation, excessive or scanty menstruation may affect ovulation and lead to infertility. Occasional changes in the menstrual cycle need not be too stressful and overly concerned, but can affect the regularity of menstruation. Menstrual changes may occur in the healthiest of women, especially when there are large emotional swings. Attention should be paid to the presence of dysmenorrhea, which is sometimes associated with infertility. Step 3 Look at medical history For infertility patients, past medical history is important. Leaving aside internal medicine and various chronic diseases, endocrine diseases and autoimmune diseases should be taken seriously. For example, thyroid disease, diabetes mellitus, rheumatoid arthritis, systemic lupus erythematosus, etc. History of infection and surgery in the pelvic and abdominal cavity is most important. Conditions such as pelvic abscess, appendicitis, abdominal tuberculosis, pelvic inflammatory disease, intestinal obstruction, ectopic pregnancy, endometriosis, ovarian cysts, cesarean section, and abortion can affect the function of the fallopian tubes leading to infertility. The fourth step is to look at weight. Weight related to disease has nothing to do with being plump and slim. I am talking about excess weight. What do I mean by excess? Excess is when you are out of the norm. Weight is one of the most important indicators of a person’s health status. Too fat and too thin are not good for health. Excess weight is often associated with endocrine disorders, manifested by irregular menstruation, amenorrhea, and scanty menstruation. Medical science is based on body mass index. Body mass index (BMI) = weight (kg)/height (m) squared. Normal BMI = 18C25, overweight BMI = 25C30, mild obesity BMI >30, moderate obesity BMI >35, and severe obesity BMI >40. The fifth step is to look at age Infertility is an age-related disease within certain limits. From a scientific point of view, it is an indisputable fact that the incidence of infertility in women increases with age and fertility decreases. When it comes to infertility diagnosis and treatment, if the younger person can be capricious, the older person needs to be the dumb bird first. If an infertile patient aged 25 is hesitant to accept the treatment suggested by her doctor, I can give her 5 years to think about it. For a 35-year-old patient, the doctor will not be so “kind”. In the case of the elderly, early intervention means “taking it easy”. The sixth step is to see the doctor. The doctor’s duty is not only to see the patient, but also to promote medical science and health consultation, and finally to make a judgment on the disease and propose a treatment plan and timing of treatment intervention. If you have doubts and questions about the above “5 steps”, then take your sixth step and go to the doctor.