Patient: ectopic pregnancy in October 2007, after surgery and rest for a year to prepare for pregnancy 07 ectopic pregnancy, removal of the right fallopian tube would like to know what causes me can not get pregnant? Laboratory and examination results: my husband’s semen test is normal, my ovulation test is normal, a pair of one-month ovulation, my tubal imaging, the left side of the fluent. Last hospital visit: Nanjing Women’s and Children’s Guizhou Provincial People’s Hospital Reproductive Center Tan Zongjian Patient: Hello, please be sure to help me, thank you! I am a Nanjing infertility patient, please help me to see what is going on? I was 07 years in October to do the right side of ectopic pregnancy excision surgery, the doctor said that the left side of the quite good, does not affect the birth of a child, and then I I rested at home for a year, ready to have a child, but now there is no pregnancy, I went to the last March in your hospital in the reproductive center of the hospital hospital Hexi branch to see a doctor, the doctor asked me to do the examination, first of all, my husband’s semen examination, and then my ovulation test, and finally, my First, my husband’s semen test, then my ovulation test, and finally my tubal imaging, the results were all good. Finally, the doctor said that he would let me do artificial insemination, and if that didn’t work, he would do in vitro fertilization, but I don’t want to do that, I want to give birth to children naturally by myself, so may I ask if there are any other tests that I haven’t done yet? What should I do? My ovulation test is a pair of months, I did the test for 2 months, then I wait for the ovulation period to see which side is it? If it’s on the left side I’ll have intercourse at that time, if it’s on the right side I’ll do whatever, but so far nothing, I feel like I’m still ovulating one month at a time. I’m not sure if you’re a good person, but I’m sure you’re a good person. Guizhou Provincial People’s Hospital Reproductive Center Tan Zongjian: The information you provided is incomplete, I can not give specific advice, please add the following information: hysterosalpingography, basic endocrine, ultrasound to monitor ovulation, male semen. Don’t say conclusions, ask for results. PATIENT: Thank you, my hysterosalpingogram showed the left side was patent and the right side was not visualized due to resection. Ultrasound to detect ovulation from the 12th day of the start of menstruation to detect, the 7th came to menstruation, 19 to go to start the first day of testing, and then has been very normal, follicles in the growth, to the 28th or so to go to check the growth of the natural ovulation, it is also normal. Hubby’s semen test was also done and all was normal as well. I did not do the basic endocrine, the doctor is based on this conclusion to let me go back to try to conceive, said that if it does not work, go to artificial or IVF, I do not want to do, I would like to bother to ask, that basic endocrine is what time to go to do ah? I’m going to do it this month, do I need to fast before I go? Thank you so much for your time! I’ll let you know what I find out, thank you Tan Zongjian, Reproductive Center, Guizhou Provincial People’s Hospital: Hi, the basic endocrine is usually done on the 2nd-3rd day of menstruation, and fasting is required. Women usually ovulate alternately, so you only have a chance to get pregnant once every 2 months, and your chances of getting pregnant are lower than normal women. We suggest that in addition to basic endocrinology, you should also do an anti-sperm antibody test, and do a post-coital sex test when you have intercourse during the period of ovulation, and if all these are good, you can try to get pregnant for a certain period of time, provided you have intercourse when you ovulate on the side of the tubes that are open. If the side of the tube that is open does not ovulate, you may have to think of other ways. If you are still infertile after a period of time, you may have to try another method. Because the tubes are open does not mean that you can get pregnant. Patient: Hello, doctor, thank you for giving me such a careful explanation, I have my period today, is the first day, very little, I went to the third day of the blood test, may I ask, you said that the basic endocrine and anti-sperm antibody test, is it a time to check together, or to wait a few days to the right time to check it is a time to check the blood, or to check it separately ah? I’d like to thank you for your help! Tan Zongjian, Reproductive Center, Guizhou Provincial People’s Hospital: You can check together. Patient: OK, very grateful, I will tell you as soon as the results come out, thank you. Tan Zongjian, Reproductive Center, Guizhou Provincial People’s Hospital: You’re welcome. Patient: Hello, Dr. Tan, I encountered a little trouble, I have a little bleeding on the 27th, I thought it was the first day of menstruation, I thought it was the first day of menstruation, I thought it was the first day of menstruation, but I found that there is no sign of more, but no more, on the 27th there is a little bit of the day, I have always been very punctual menstruation, before and after the no more than 3 days, it has always been like this, this time it is over 10 days, I was the last time I came on 21st, I used a paper to measure, and I was able to see that it was the last time. The last time I came was on the 21st, and I didn’t get pregnant even when I took a paper test. I would like to ask if I can have blood drawn for a six-item and three-item test in my current situation? Or do I need to go to the hospital to take progesterone and wait until I am pregnant? Tan Zongjian, Reproductive Center, Guizhou Provincial People’s Hospital: It’s better to wait until you are pregnant. Before taking progesterone, it is recommended that you have an ultrasound to see the thickness of the lining and the condition of both ovaries. Patient: see this doctor’s clinic specific time: October 2009 doctor to do your examination items, results and give the treatment plan: ultrasound, imaging and ovulation detection You also need help: want to ask why not pregnant Guizhou People’s Hospital Reproductive Center Tan Zongjian: your examination is not yet done ah. Patient: Dr. Tan, I’m so unlucky, I’m pregnant! This is another ectopic, what should I do? I went for a blood draw on the 1st and the doctor said it’s there, 41 days according to normal projection, but the HCG value is scary low, only 42, oooh, do you think I should do conservative treatment or laparoscopy? I really want to give up on the tubes and go straight to IVF, like we can get pregnant normally, the success rate of IVF should be high, right? I’m so scared of surgery, I’m still having a small embryo, can I do conservative treatment? Patient: see this doctor’s clinic specific time: June 2007 The doctor gave you to do the examination items, results and give the disposal plan: ovulation test, tubography, semen query You also need help: , seems to be again ectopic, how to do, I will go to the blood draw tomorrow to see the HCG situation, and so on have the results of the contact with you again. I will contact you again when I have the results.