Why haven't you become pregnant after two years of marriage

Not getting pregnant after two years of marriage may be related to factors such as ovulation disorders, blocked fallopian tubes, sperm quality issues, endometriosis, psychological stress, etc. It is recommended that both spouses seek medical examination together and receive targeted treatment after identifying the cause.

1. Ovulation disorders

Abnormal ovulation in women is a common cause of infertility, and diseases such as polycystic ovary syndrome and thyroid dysfunction may lead to poor follicular development or inability to ovulate normally. Basal body temperature monitoring and ultrasound examination can help determine ovulation status. Doctors may recommend using ovulation inducing drugs to help follicle development. Commonly used drugs include clomiphene citrate, letrozole, etc., and should be strictly used according to medical advice.

2. Blockage of fallopian tubes

inflammation of the fallopian tubes or a history of previous surgery may cause adhesions or blockages in the fallopian tubes, hindering sperm egg binding. Hysterosalpingography can be used to evaluate patency. Mild adhesions can be treated with hysteroscopy and laparoscopy combined with surgical clearance. Severe blockages may require assisted reproductive technology intervention.

3. Sperm quality issues

A low sperm count, low motility, or high abnormality rate in males can affect the probability of conception. Semen analysis can evaluate sperm quality, and unhealthy lifestyle habits such as smoking, alcohol abuse, and high temperature environments can damage sperm production function. At the same time as improving lifestyle, doctors may prescribe drugs such as levocarnitine and vitamin E to improve sperm quality.

4. Endometriosis

Endometrial tissue growth may cause pelvic adhesions, ovarian cysts, and alter the uterine environment. Typical symptoms include worsening dysmenorrhea and pain during sexual intercourse, and laparoscopic examination is the gold standard for diagnosis. According to the condition, medication can be chosen to inhibit the development of the lesion or surgical resection of ectopic endometrium can be performed.

5. Psychological stress

Long term anxiety and tension can affect hormone secretion through the hypothalamic pituitary gonadal axis, causing menstrual disorders in women and sexual dysfunction in men. Psychological counseling and mindfulness training can help alleviate stress, and couples should avoid overly focusing on conception and increasing each other's psychological burden.

During the preparation period for pregnancy, it is recommended to maintain a regular daily routine, balance the intake of foods rich in zinc and selenium, such as seafood and nuts, and engage in moderate exercise to enhance physical fitness. Women can supplement folic acid in advance to avoid exposure to toxic chemicals. Increase the frequency of sexual intercourse appropriately before and after the ovulation period each month, but there is no need for excessive mechanical calculation. If natural conception attempts have not been successful for more than a year, it is recommended that both parties seek medical attention as soon as possible for a systematic evaluation. Women over 35 years old can seek medical attention six months in advance. The reproductive center will develop personalized plans based on the examination results, including medication adjustments, surgery, or assisted reproductive technologies such as artificial insemination.