With the opening of the second child policy, there are more and more patients with pregnancy preparation problems in the clinic. Among them, there are some patients who have normal hormone levels, normal tests, normal male semen, dominant follicles, clear fallopian tubes, IVF, but just can’t conceive. Please do not be discouraged, there is a possibility. Endometriosis The endometrial tissue that is supposed to grow in the uterus appears in other parts of the body. The endometrium grows in the uterine cavity for our menstrual pregnancy, but once it grows elsewhere, it becomes a stumbling block. Typical symptoms of endometriosis: menstrual pain, infertility, painful intercourse “I don’t have any discomfort except that I can’t get pregnant, why is that?” This is the most common question asked by most “healthy” infertility patients, and it is important to know that a small number of patients with endo are usually asymptomatic and surgery is required to clarify whether they have endo. Why is infertility? Some studies show that more than 50% of women who are infertile have endo, and 70% of those with endo are infertile. If you think about it, if you compare our pelvis to a fish tank, the fallopian tube is a small fish, and the egg is the fish food in the corner of the fish tank, then the fish eating the fish food is the first step to get pregnant, so naturally the better the water quality and the easier the small fish is, the smoother and faster the process of eating the fish food can be. But once these “stumbling blocks” appear, then the water quality will become worse, or even stick to the fish tank, or grow in the body of the fish, then naturally the more difficult to eat fish food. This is what doctors usually call uterine adhesions, ectopic cysts, etc. What to do after diagnosis Endometriosis is classified as mild, moderate or severe according to its severity. Some literature reports that medication for endometriosis does not increase the pregnancy rate, while others report that surgical removal of the lesion with laparoscopic surgery can significantly increase the pregnancy rate in mild to moderate endometriosis. In severe cases, surgical treatment is unquestionable, and it is not possible to achieve pregnancy with oral medication. For mild to moderate cases, doctors usually have two recommendations, one is aggressive surgical treatment and the other is expectant therapy. The so-called expectant therapy means that no medical treatment is done and the patient prepares for pregnancy naturally for 6 months, and if it is not successful, then the next treatment plan will be implemented. What to do after surgery For post-operative patients with endometriosis infertility, some studies have shown that combined herbal treatment and herbal enemas can significantly increase the pregnancy rate. Usually, according to the patient’s own constitution, they are classified into Qi stagnation and blood stasis, cold clotting and blood stasis, dampness and heat blockage, phlegm and blood stasis, Qi deficiency and blood stasis, and kidney deficiency and blood stasis, and then the prescriptions are added or subtracted according to the individual symptoms. After surgery, patients can try to conceive naturally.