"Why Havent We Conceived After Being Married for a Year?"

One year of marriage without pregnancy is a normal phenomenon. If a married couple has not conceived after one year without taking any protective measures, they can go to the hospital for a physical examination. Generally, the male partner needs to check whether the semen is normal, whether there is weak sperm, oligospermia, or even dead sperm. The female partner will check the health status of the fallopian tube, ovaries, uterus, and other parts. If there are any problems detected, only symptomatic treatment is required.

I. Female Infertility Factors

1. Ovulation is controlled by an endocrine axis called the "hypothalamus-pituitary-ovary axis" and is also influenced by the thyroid and adrenal glands. Pathological changes in these related parts can lead to ovulation disorders, such as polycystic ovary syndrome, decreased ovarian reserve function, ovarian premature aging, ovarian resistance, luteinized unruptured follicle syndrome, hyperthyroidism, hypothyroidism, and so on.

2. Blockage of the fallopian tube due to infection, pelvic adhesion caused by chronic pelvic inflammatory disease or endometriosis, and having undergone fallopian tube removal surgery or fallopian tube ligation surgery can all prevent fertilization between eggs and sperm.

3. If a woman suffers from intrauterine adhesions, endometrial polyps, submucosal uterine fibroids, chronic endometritis, etc., it can lead to female infertility.

II. Male Infertility Reasons

1. When the sperm density in a male's semen is lower than 0.2×109/ml, the chances of his partner conceiving will decrease, resulting in infertility. However, this infertility can be permanent or temporary depending on the time frame. If the male has congenital testicular developmental disorders or severe lesions of the testis or seminal vesicles, it will be permanent infertility.

2. If most of the sperm in the semen lacks vitality, or if there are more than 20% dead sperm, or more than 30% malformed sperm, it will generally lead to infertility.

3. Normal semen solidifies into a jelly-like state shortly after ejaculation and then liquefies completely within 15 to 30 minutes. If the semen does not solidify after ejaculation, or if it does not liquefy completely after solidification, it may indicate that the seminal vesicles or prostate have developed lesions.