The causes of infertility are extremely numerous, on the whole, infertility unilaterally caused by the wife accounts for 50%, the male unilaterally accounted for 30%, and the two sides of the common causes account for 20%. Under normal physiological conditions, couples cohabiting without contraceptive measures, have normal sex life, the chance of conception every month for 20%, half a year the chance of pregnancy for 70%, a year the chance of pregnancy for 80%, if more than a year without contraceptive measures and infertility is called infertility, should be medically examined, that is to say, a couple of what fertility problems are not any month want to get pregnant are able to But if you get married later, older, want to get pregnant in a hurry, can be advanced to half a year after marriage to carry out the relevant checks, it should be noted that many couples after marriage for a month or two did not get pregnant or although married for a long time, but lifting the contraceptive time is shorter, on the urgent illnesses and illnesses to seek medical treatment for a completely unnecessary excessive checkups may bring a series of problems that should not have been. It is simple and economical to check the husband first. There are many reasons for infertility, and on the whole, infertility unilaterally caused by the wife accounts for 50%, unilaterally caused by the man accounts for 30%, and jointly caused by both parties accounts for 20%. Because male fertility test is simple and convenient, painless, non-invasive, and less expensive, so infertility test first check the male, first check whether the male internal and external genital development is normal, if the genital fertility test is not abnormal, the sexual function is normal, the next step of the male party to do the semen test first. If the semen test is normal, basically we can rule out the possibility of infertility caused by the male side, then we can start to find the cause from the female side. If the husband has no spermatozoa, there is no need to check the wife. If the result of the semen test is no spermatozoa, the next step is to do a testicular biopsy. If the result of the testicular biopsy is azoospermia, it means that it is the man who is infertile and there is no need to continue with other tests. If the testicular biopsy shows spermatozoa are present in the testis, there may be a blockage of the vas deferens and a vasovasogram may be performed. The female side of the examination follows the “progressive, demining method” The causes of female infertility are quite numerous, and the examination can only be done in a gradual manner from simple to easy, and then from absolute to relative. It should be noted that if the patient does not have any clear indications: for example, genital deformity, amenorrhea or extremely irregular menstrual cycles, or a history of fertility surgery, etc., the patient needs to be examined at least one year after marriage without using contraceptive methods. It should be noted that if the patient does not have clear indications, such as amenorrhea or extremely irregular menstrual cycle, and has a history of fertility surgery, etc., it is necessary to carry out the damaging test only if the patient is infertile or infertile for more than one year after the marriage and has had a normal sexual life without contraception or has waited for more than one year to conceive, because medical treatment is a double-edged sword, and it may bring damage on the other hand, while it provides checkups and treatments. This is why I always emphasize not to overdo medical treatment, but only proper medical treatment. At the first visit, a general gynecological examination is done to see if there are any abnormalities of the reproductive organs, vaginitis, uterine tumors, and other gynecological diseases. If there is a disease, treat it first and then see if you can get pregnant. Check the fallopian tubes: if the previous gynecological examination is normal, then you need to do an X-ray hysterosalpingography 3-7 days after menstrual cleansing to diagnose whether the uterine cavity is normal and whether the fallopian tubes are open, if the imaging is normal, women’s other problems are better solved. Check the fallopian tubes must do tubal imaging also some hospitals let the patient to do water, or ultrasound under the fluid, or hysteroscopy under the fluid, these are unreliable, easy to misdiagnosis. If even the diagnosis is wrong, is there any possibility of cure? Therefore, if you want to check the tubes, you must use the most accurate and reliable method to check the tubes, and the treatment is different from other things, so you can’t make it up. Speaking of checking the fallopian tubes I would like to say more, at present, although many hospitals can do tubal imaging, but really can do a good job is not much, although the imaging seems simple, but to do a good job to do accurately, to do qualified is not easy. Many patients pass the film to take a look at a large part of the unqualified, either there is no delayed filming, or delayed film interval is too short, or give insufficient drugs, or contrast tube insertion is not in place, or insertion of the uterine horn will be blocked resulting in tubal pseudo-obstructed, but also may capture the timing of the tubes caused by the wrong bad imaging. Therefore, although it is easy to do imaging, it is difficult to do it well. If the patient’s hospital and the doctor who do the imaging happen to be not very professional, it is easy to misdiagnose, since the diagnosis is wrong, the direction of treatment is certainly not right, the doctor is not afraid to use drugs for fear of looking at the wrong disease. Therefore, patients must go to the regular hospital to check the fallopian tubes to find a very professional tubal professional doctors, or spend money to suffer not to say also delayed to see a doctor. Tubal diagnosis and treatment of the key to do tubal imaging is one aspect, another key is the reading of the film. Different doctors due to the different experience, the results of the reading of the film is not the same, many patients have such experience, after doing the film radiology doctor said that through but not smooth, to the above to find the attending doctor and said that it is not recommended that you do laparoscopy, the results of a new doctor said that the blockage of the serious can only be done with in vitro fertilization, some doctors look at the tubes said that there is nothing wrong with the tubes, a film to read out a few results, so the more patients look more confused, but also the more patients read out the results. The more the patient reads, the more confused he gets, and he doesn’t know who is right. Why? Because different doctors have read different number of films, and their experience is also different. If you read more, the accuracy rate will be higher, and if you read less, the misdiagnosis rate will be higher. For example, we have done nearly 100,000 cases of imaging what kind of situation have seen, so a look at the patient’s film where we are not qualified clearly. Why, because they are all the mistakes we have made before, but some doctors do less ah, so she does not know that they are wrong also think it is a disease which is easy to misdiagnose. And nowadays, hospitals usually do imaging in the radiology department, and your consultation is usually in the obstetrics and gynecology department, so the doctor who treats you doesn’t do imaging, and the doctor who does imaging for you doesn’t treat you. The two are disconnected and it’s not easy to give you an accurate diagnosis. Our doctors here are each from the most basic imaging to do, so they look at any of the tablets can be in place, even if he did not do him a look to know what is going on, this is the importance of reading tablets Women checked the fallopian tubes if the fallopian tubes are normal women can check ovulation to see if the follicle development is normal, for women with normal menstrual cycles can be recommended to the 10th day of the menstrual cycle began to do For women with normal menstrual cycles, it is recommended to start ultrasound on the 10th day of the menstrual cycle to monitor the follicle development continuously to confirm whether there is normal ovulation or not, follicle monitoring must be monitored continuously for a full cycle to be meaningful. Contact us with the results every time you have an ultrasound and send us the results so that we can help you schedule your next ultrasound. If your periods are not normal and ovulation is usually not good, you can have blood drawn directly for endocrine hormones. These are the main items to be checked. If you can’t find anything wrong with the previous tests, then you can check for anti-endometrial antibodies, anti-sperm antibodies, and chromosome tests. Laparoscopy is the final test. If you have been trying to conceive for more than five years and have not been able to detect any fertility problems through various fertility tests, you can try this method.