If you have a normal sex life and have not been pregnant, you can be diagnosed as having primary infertility if this state has lasted for one year. primary infertility is mainly related to the following factors: 1. the quality of the male partner’s semen is problematic, which leads to infertility. 2. caused by ovulatory dysfunction, although menstruation is normal, it does not necessarily indicate that ovulation is normal and needs to be monitored by ultrasound to see if there is ovulation. 3. 3. endocrine conditions, such as progesterone deficiency or estrogen deficiency, may lead to infertility. 4. if the endometrial lining has been damaged due to abortion, it may also lead to infertility. 5. if infertility is caused by obstruction of the fallopian tubes, a detailed examination should be done to find out the cause before treatment, and most of them can get pregnant.