The gpal is a way of recording fertility history and is not a gynecological examination. Clinically gpal represents a woman’s reproductive history, with g representing the number of pregnancies, while p represents the number of deliveries, a represents the number of miscarriages, and l represents the number of existing children. Usually when a pregnant woman undergoes her first obstetric examination, the doctor will record these items in detail. After 28 weeks of pregnancy, pregnant women need to be examined once every half a month. after 36 weeks, they have to go to the hospital once a week, and during pregnancy, they have to go to the maternity checkups and screening tests at various times regularly, so that they can observe the development of the fetus in time according to the results of the checkups. However, if the test report shows positive sperm antibodies, it means that there may be antibodies against sperm in the woman’s body, making her prone to infertility. gpal is a general term for the four tests, which is a conclusion drawn by the doctor through the medical history, and has nothing to do with the ultrasound, and cannot be detected during the physical examination.