A woman who has been married for several years cannot conceive a child

Women who have been married for many years without pregnancy may be related to ovulation disorders, blocked fallopian tubes, endometriosis, polycystic ovary syndrome, immune factors, and other reasons. It is recommended to seek medical examination in a timely manner, clarify the cause, and receive targeted treatment.

1. Ovulation disorders

Ovulation disorders are a common cause of female infertility, mainly manifested as menstrual cycle disorders or anovulation. It may be related to dysfunction of the hypothalamic pituitary ovarian axis, commonly seen in situations such as excessive dieting and high mental stress. Diagnosis can be confirmed through basal body temperature monitoring and ultrasound examination. Treatment requires adjusting lifestyle and, if necessary, using ovulation inducing drugs under the guidance of a doctor.

2. Tubal blockage

Tubal blockage can hinder sperm egg binding and is often caused by pelvic inflammation, endometriosis, or previous surgery. The patient may have no obvious symptoms, or may have lower abdominal pain and abnormal vaginal discharge. Diagnosis can be confirmed through imaging examination. Mild blockage can be treated with medication, while severe cases may require laparoscopic surgery to clear the blockage.

III. Endometriosis

Endometriosis can cause changes in the pelvic environment, affecting fertility. The typical symptoms are progressively worsening dysmenorrhea and painful intercourse. Ultrasound examination and laparoscopy can confirm the diagnosis. Treatment includes medication control and surgical intervention, and in severe cases, assisted reproductive technology may be required.

4. Polycystic ovary syndrome

Patients with polycystic ovary syndrome often present with infrequent menstruation, hirsutism, acne, and obesity. Ultrasound shows polycystic changes in the ovaries. Treatment requires weight control, improvement of insulin resistance, and the use of ovulation inducing drugs if necessary. Long term management is important for increasing the probability of conception.

V. Immune Factors

Immunological infertility, including positive anti sperm antibodies, may interfere with fertilization or embryo implantation. Diagnosis can be made through relevant antibody testing. The treatment should be based on the specific situation and choose immune regulating drugs or assisted reproductive technologies. Some patients require joint treatment from both spouses. For women who have not been pregnant for many years, it is recommended that both husband and wife seek medical examination together. In addition to medical treatment, maintaining a regular schedule, balanced diet, and moderate exercise can help improve fertility. Avoid excessive anxiety, quit smoking and limit alcohol consumption, and control weight within the normal range. supplementing with nutrients such as folic acid can be done appropriately, but under the guidance of a doctor. Regular follow-up and adjustment of treatment plans based on treatment effectiveness can improve most infertility problems through standardized treatment.