Having been a doctor for so many years, I have encountered all kinds of infertility patients with all kinds of problems and all kinds of mindsets. Some patients have serious and difficult problems, even difficult to break through with the current state of medicine, while others have nothing wrong with them, 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 of them. Originally because of infertility on the back of a heavy psychological burden, coupled with the experience of patients, regardless of whether it is suitable for their own, a brain set, do their own plans, often small problems into a big burden, very undesirable, then see what kind of psychology of infertility should be? First, let’s look at the concept of infertility. “Infertility” is rarely absolute infertility, so recently some scholars believe that it should be called “sub-fertility” (sub-fertility), as we often say sub-health. According to statistics, a couple wishing to get pregnant, if they live together and have a normal sex life, about 84% of them will get pregnant within one year, and in the cumulative statistics of two years, about 92% of the couples will be able to get pregnant, that is to say, even if all the couples are normal, there is also an 8% chance of getting pregnant after two years. Therefore, young couples who do not have contraception for half a year and are not pregnant do not need to be nervous and come to the reproduction center to see the fertility in a hurry. If you join this group of people, some MM also do their homework super seriously, measure basal body temperature, measure corpus luteum function, take the initiative to ask for ovulation monitoring, do tubal imaging, then not only waste valuable time, energy and money, but also affect the 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 end 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 which remain in the vagina, a few can penetrate the cervical mucus, but also from the lowest part of the uterine cavity to the fallopian tubes to swim into the, and along the way, and lost a lot of the team, and finally into the fallopian tube is the one in a hundred of the best soldiers, spermatozoa in the The fallopian tube can usually survive 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, the right place and the right protagonist will the love crystallization occur, to say easy and easy, to say hard and hard, see three times ovulation may not meet these three suitable it. (There may not be any good eggs, or the good ones may not be picked up, and the sperm may have lost too much along the way, and very few of them reach the fallopian tubes or have lost their ability to fertilize. (Or too early, or too late). In general, a year of normal couple life without pregnancy can lead to counseling at a fertility clinic, and the most common factors are the woman’s follicular development and ovulation, the patency of the fallopian tubes, and the quality of the man’s semen. Of these three main factors, a woman’s ovulation is closely related to her age status, so the average white-collar woman has to consider her great and honorable task of motherhood while juggling her career. Women’s menstrual cycle is accompanied by the development and maturation of the follicles and discharged, suitable for fertilization is the follicle discharged before the 3-5 days lasted until 2 days after ovulation, so each cycle is only about a week of time is possible pregnancy, if this cycle is missed, then we have to wait for the next cycle of the follicle development, if the two sides are living apart, then especially to grasp this period, the two sides are living apart, then especially to grasp this period, the two sides are living apart, the two sides are living apart, then especially to grasp this period, the two sides are living apart. If both parties are busy with work, coupled with the traditional Chinese culture of sex in the marriage of the status of the unattended, sexual life is often far less frequent than couples in Europe and the United States, is also an important cause of delayed pregnancy. According to statistics, even irregular menstruation, that is, irregular ovulation of women, as long as the frequency of sex is normal, and normal menstruation but sparse sex life of women, its pregnancy rate is only ever better, so for young couples, is not necessarily time-consuming and laborious monitoring of ovulation arrangements for conception. In addition to the above three factors, there are many causes of infertility, such as psychological factors, the most typical example, is infertility for many years, after adopting a child short-term pregnancy, such a situation is not uncommon, so if the couple of the requirements of conception is particularly urgent, the mind can not be relaxed, it will lead to this psychological infertility. As for other factors, such as anti-sperm antibodies, anti-endothelial antibodies, etc., which are not directly related to infertility. Currently, the most advanced technology in medicine cannot discover all the causes of infertility, and the mechanism between some of the discovered causes and infertility cannot be well explained, for example, normal pregnancy is very common among those who have anti-sperm antibodies and anti-endothelial antibodies. Many patients have taken a lot of detours in the path of diagnosis and treatment, the more common are: (a) frequent change of hospitals, doctors, treatment for three or four months without pregnancy, heard of where or which doctor is better, and immediately change, resulting in the continuity of the diagnosis and treatment process interrupted, infertility diagnosis and treatment is a more complex process, so it is very important to communicate with the doctor to make the program development and adjustment is very important, once the replacement, in fact, is to start again, sometimes counterproductive. Once replaced, it is actually a new start, which is sometimes counterproductive. (b) patients check their own information, communicate with their friends, develop their own treatment plan, if you meet a reasonable doctor, will carefully explain or correct with you, if you meet the doctor is not patient and unwilling to explain more often according to the patient’s request for a simple treatment, and did not achieve good results, if you meet a bad attitude of the doctor can also be said on a similar to “you are a doctor or I am a doctor words! ?” 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 did not go through a careful consultation, gynecological examination, etc., and took the initiative to request the examination of certain items, took the initiative to request the monitoring of ovulation, and requested to do a hysterosalpingography, and so on. (C) excessive reliance on theoretical knowledge, network information, a network of knowledge is true and false, even if it is correct, there is also the problem of applicability, is not suitable for each specific case, do not take out of context, their own control, to find out a large number of possible causes and their own search for the appropriate treatment measures. Medicine is a practical science, do not relate to their own situation mechanically apply will want to speed is not enough, the so-called “paper”. (D) to see infertility as all of life, ignoring other matters in life and emotions, for example: ignoring the work, study, refused to participate in activities among colleagues, tired of leisure activities, and even only in the so-called ovulation for the purpose of pregnancy to have a conjugal life, not only to cause the state of life of the tensions, but also lost more opportunities, and in fact, follicular development and ovulation, although there is a certain law, but in the sexual climax sometimes stimulate ovulation. The fact that follicular development and ovulation, although there is a certain regularity, but in the climax of sex will sometimes stimulate ovulation, known as “emergency ovulation”, this situation is not uncommon, which is the reason why some couples “safe period contraception” failure. (e) Couples must communicate well with each other, especially when one party has a problem and the other party has a normal test, do not blame and complain. Screening for infertility, men should take the initiative to cooperate with some of the examination, on the other hand, men due to a variety of bad habits, environmental influences and psychological pressure, semen quality or sexual dysfunction, women must be actively encouraged, men to urology men’s clinic for treatment, most of the male fertility disorders can be treated or with the help of assisted reproduction technology to complete the desire to have offspring. What I want to tell you patients is: to prevent two extremes, one is no major problems, premature over-intervention, will cause unnecessary burden, but also affect the quality of life; the other is found a clear cause of the disease, did not give enough attention and positive action, such as the combination of endometriosis, the combination of uterine fibroids, tubal conditions, poor condition, advanced age and other factors, the pregnancy is a certain degree of difficulty, but also may be There are certain risks during pregnancy, but if you have the desire to have children, you should have strong confidence, scientific attitude and positive action, strike while the iron is hot and strive for early success, if you fish for three days and sun-dry the net for two days, the so-called “let’s take things as they come”, or one or two years down the same place, start from scratch, and with the further increase of age, further progression of the disease will be more And with the further increase in age, the further progress of the disease will be more difficult, the risk is further increased. Of course, if you are a “Dink” in the end, that’s a different story, but also a good attitude towards life, but the biggest fear is that “D” to half and change their minds, and miss a great light for nothing. I wish all of you have a healthy mindset, good luck and good pregnancy!