Having been a doctor for so many years, I have met all kinds of infertility patients with all kinds of problems and all kinds of mentality. Some patients have serious and difficult problems, even difficult to break through at the current level of medicine, while others have nothing wrong, in other words, what we call unexplained infertility. It is good that these patients communicate during their visits, chat on the Internet, help each other, form a group and have circles of this and that, but not all. It is good to have a circle, but not all of them are carrying a heavy psychological burden because of infertility, and when combined with the experience of the patients, they apply it all by themselves, regardless of whether it is suitable for them or not. First, let’s look at the concept of “infertility”. “Infertility” is rarely absolute infertility, so some scholars recently believe that it should be called “sub-fertility”, just like what we often call “sub-health”. It is a sub-fertility state. According to statistics, about 84% of couples hoping to get pregnant will get pregnant within one year if they live together and have a normal sex life, and about 92% of couples will get pregnant after two years of cumulative statistics, which means that even couples who are normal have an 8% chance of getting pregnant after two years. If you join this group of patients at this time, some MM are still doing their homework super seriously, taking basal body temperature, measuring luteal function, taking the initiative to request ovulation monitoring and tubal imaging, then not only do you waste precious time, energy and money, but also affect your work and study, lose the pleasure of enjoying life and carry a heavy psychological burden for no reason. Pregnancy is like falling in love, a good egg is picked up by the umbrella of the fallopian tube to the fallopian tube, in just 48-72 hours before the possibility of fertilization, and then look at the sperm, most of them stay in the vagina, a few can penetrate the cervical mucus, but also from the lowest part of the uterine cavity to swim to the fallopian tube, enter, and lose a lot of teams along the way, and finally enter the fallopian tube is a hundred miles of the best and brightest, sperm in The sperm can usually survive in the fallopian tube for 3-5 days, either waiting there for the egg or arriving within 48 hours of the egg’s arrival, otherwise the egg withers away. So only at the right time, in the right place and with the right protagonist will the crystallization of love happen, which is easy to say and hard to say, seeing as three ovulations may not match these three fits. (There may be no good eggs, or the good eggs may not be picked up, and too many sperm are lost along the way, and very few reach the fallopian tube or have lost their ability to fertilize. (Or too early, or too late). In general, a year of normal couple life without pregnancy can be consulted at a fertility clinic. The most common factors are follicular development and ovulation in the woman, the patency of the fallopian tubes and the quality of the male partner’s semen. Among these three main factors, ovulation in women is closely related to their age status, so generally white-collar women have to consider their great and glorious task of motherhood while taking care of their career. A woman’s menstrual cycle is accompanied by the development and maturation of follicles and their discharge, suitable for conception is 3-5 days before follicle discharge to 2 days after ovulation, so only about a week per cycle is possible pregnancy, if this cycle is missed, then we have to wait for the next cycle of follicle development, if the two parties are separated, then especially to grasp this period. If both partners are busy with work, coupled with the traditional Chinese culture that pays no attention to the place of sex in marriage, the frequency of sex is often much lower than that of couples in Europe and the United States, and is an important cause of delayed pregnancy. According to statistics, even for women with irregular menstruation, that is, irregular ovulation, as long as the frequency of sex is normal, the pregnancy rate is only better than that of women with normal menstruation but sparse sex, so for young couples, it is not necessary to take the time and effort to monitor ovulation to arrange conception. In addition to the above three factors, there are many other reasons for infertility, such as psychological factors, the most typical example is infertility for many years, adoption of children after a short period of pregnancy, such cases are not uncommon, so if the couple is particularly urgent to conceive, the mind can not relax, will cause this psychological infertility. As for other factors, such as the detection of anti-sperm antibodies and anti-endometrial antibodies, they are not directly related to infertility. Even the most sophisticated technology in medicine cannot discover all the causes of infertility, and the mechanism between some of the discovered causes and infertility is not well explained, for example, normal pregnancy is very common among those who have anti-sperm antibodies and anti-endometrial antibodies. Many patients have taken many detours in the course of medical treatment, and the most common ones are: a) Frequent change of hospitals and doctors; when there is no pregnancy in three or four months of treatment, they change immediately when they hear where or which doctor is better, resulting in interruption of the continuity of the treatment process. It is very important to communicate with the doctor to develop and adjust the program. If you meet a reasonable doctor, you will be carefully explained or corrected, if you meet an impatient doctor who does not want to explain more, often according to the patient’s request for simple treatment, and did not achieve good results, if you meet a doctor with a bad attitude, you can say something like “are you a doctor or am I a doctor? “. . For example, some patients, without careful consultation and gynecological examination, take the initiative to request certain items to be checked, to request ovulation monitoring, to request hysterosalpingography, etc. (C) over-reliance on theoretical knowledge, network information, a network knowledge has true and false, even if it is correct there are problems of applicability, not suitable for each specific case, do not take it out of context, their own control, to find a large number of possible causes and seek out the corresponding treatment measures themselves. Medicine is a practical science, and applying it mechanically without taking into account one’s own situation will make you want to be fast but not fast enough, so to speak. 4) Taking infertility as the whole life, ignoring other matters and emotions in life, for example, neglecting work and study, refusing to participate in activities among colleagues, being tired of leisure activities, or even having conjugal life only during the so-called ovulation period for the purpose of pregnancy, not only cause tension in life, but also lose more opportunities, while in fact follicle development and ovulation have a certain pattern, but during sexual intercourse The fact is that although there is a certain pattern of follicle development and ovulation, sometimes ovulation is stimulated at the time of orgasm, called “emergency ovulation”, which is not uncommon, and this is the reason why some couples fail in “safe period contraception”. E) Couples must have good communication and cooperation, especially when one partner has a problem and the other has a normal test, do not blame and complain. When screening the causes of infertility, men should take the initiative to cooperate with some tests, on the other hand, men due to a variety of bad habits, environmental impact and psychological pressure, the quality of semen or sexual dysfunction, women must actively encourage, men to urology treatment, most of the male fertility disorders can be treated or assisted reproductive technology to complete the desire to have offspring. What I want to tell you patients is: to prevent two extremes, one is no major problem, premature over-intervention, which can cause unnecessary burden and also affect the quality of life; the other is the discovery of a clear cause, not given enough attention and positive action, such as combined endometriosis, combined uterine fibroids, poor tubal conditions, advanced age and other factors, pregnancy is a certain degree of difficulty, but also may However, if you have the desire to have children, you should have strong confidence, scientific attitude and positive action to strike while the iron is hot and try to achieve what you want as soon as possible, if you fish for three days and sunbathe for two days, the so-called “peace and quiet”, a year or two down the road is still the same place, start again, and with further age, further progress will be more As we get older, the disease will progress further and the risk will increase further. May you have a healthy mindset and good luck to get pregnant!