What if I can’t have children?

According to statistics, the conception rate of men and women who have normal sexual life without contraception after marriage is 87.7% in the first year and 94.6% in the second year. If a person has not conceived for two years after marriage, it is called infertility. Those who have never been pregnant without contraception after marriage are called primary infertility; those who have been pregnant without contraception and have been infertile for two consecutive years are called secondary infertility. The cause of infertility may be in the female partner or in the male partner or in both men and women. The female factor accounts for 60%, the male factor accounts for 30%, and the male and female factors account for 10%. Therefore, for infertile couples, it is recommended to do the following examinations: Zhao Xianlan, Department of Obstetrics and Gynecology, First Affiliated Hospital of Zhengzhou University Male partner: Ask if there is any previous tuberculosis or mumps; find out if the sexual life is normal; check if there are any deformities in the external genitalia; semen analysis is important to find out if the quantity and quality of sperm are normal. Female: 1 Usual menstruation, whether it is regular. 2 Check whether the internal and external genitalia are normally developed, whether there are deformities, inflammation, etc. 3 Tubal patency test, of which hysterosalpingography is important, not only to detect tubal obstruction, but also to clarify the site of obstruction, because the treatment for obstruction in different parts of the fallopian tube is different. 4 Ovarian ovulation, ultrasound can be done to monitor follicular development and ovulation; the patient The patient can also perform basal body temperature measurement on her own and trace it as required for the doctor’s diagnosis.5 Hysteroscopy: to understand the endometrial condition of the uterine cavity, the presence of uterine adhesions, submucosal fibroids, endometrial polyps and uterine developmental malformations.6 Laparoscopy: if no abnormalities are found after the above examination, laparoscopy can be done to further examine the pelvic cavity and directly observe the uterus, fallopian tubes and ovaries, and combined with tubal lysis to observe whether the fallopian tubes are patent under direct vision. Therefore, if you are suffering from infertility, you should first find the cause of infertility and treat it according to the cause. Blind treatment will cause waste of time and money, and even lose the best time for treatment.