What tests should I do if I am not pregnant?
The clinical examination methods of infertility are as follows; Tubal examination. Tubal hydrotubation has been eliminated at present, and it is often judged whether the fallopian tube is unobstructed, whether there is adhesion or proximal or distal obstruction by radiography, including radioactive lipiodol-iohexol radiography and ultrasound hysterosalpingography, and further treatment methods are selected according to specific conditions; Ovulation test. Check the hormone level on the second to third day of menstruation to find out whether there is any abnormality in corpus luteum function; 5-7 days after ovulation, check the level of progesterone, understand the function of corpus luteum, and judge whether ovulation occurs; Ultrasound monitoring is the most accurate. Ultrasound can directly observe the process of follicular growth and expulsion, and observe the appearance of uterus and whether there is abnormality in uterine cavity. Male semen test. Pregnancy is a complex physiological process, which must meet the following conditions: (1) Normal eggs are discharged from the ovary; Semen is normal and contains normal sperm; Eggs and sperm can meet in fallopian tubes and combine to become fertilized eggs; The fertilized egg was successfully transported into the uterine cavity; The endometrium is fully prepared for the implantation of fertilized eggs. Any abnormality in any of these links will hinder pregnancy. The reason for preventing pregnancy may be the woman, the man or both men and women.
Treatment of infertility
According to the location of the lesion, the degree of adhesion, the scope of involvement, the years of infertility, whether it is complicated with other infertility reasons and the patient's wishes, choose the appropriate method to treat tubal infertility. The treatment of tubal obstruction, such as umbrella tip obstruction and unilateral tubal isthmus obstruction, can be treated with bilateral tubal obstruction; Patients with interstitial and isthmus obstruction of fallopian tubes can be treated by hysteroscopic tubal intubation and dredging. The treatment of chronic tubal inflammation is only suitable for patients with tubal adhesion, mild obstruction and short pathological time. Traditional Chinese medicine for promoting blood circulation and removing blood stasis, retention enema, acupoint injection and ultrashort wave physiotherapy can promote the elimination of inflammation. In vitro fertilization-embryo transfer (IVF-ET), it is suggested to directly use IVF-ET for patients who cannot conceive naturally after six months to one year of tubal and pelvic plastic surgery. Treatment of bilateral tubal obstruction and tubal umbrella end adhesion obstruction: pelvic adhesion release and tubal umbrella plasty are feasible.