I had sex many times but never got pregnant.

Failure to get pregnant after multiple intercourse may be related to factors such as abnormal ovulation, blocked fallopian tubes, poor sperm quality, endocrine disorders, endometriosis and other factors. It is recommended that both husband and wife seek medical examination together and provide targeted treatment after the cause is clarified.

1. Abnormal ovulation

Ovulatory disorder is a common cause of infertility in women. Diseases such as polycystic ovary syndrome and thyroid dysfunction may lead to poor follicle development or the inability to ovulate normally. Ovulation can be confirmed through basal body temperature monitoring, ovulation test strips or B-ultrasound examination. Doctors may recommend the use of ovulation induction drugs such as clomiphene citrate capsules and letrozole tablets, along with ultrasound monitoring of follicle development.

2. Fallopian tube blockage

Fallopian tube inflammation, previous pelvic surgery, or endometriosis may cause adhesions or blockages in the fallopian tubes, preventing sperm and eggs from combining. It manifests as dull pain in the lower abdomen and increased secretions, which can be diagnosed through hysterosalpingography. For mild cases, fallopian tube drainage can be attempted. For severe blockage, laparoscopic surgery may be required to clear the fallopian tubes.

3. Poor sperm quality

Male oligozoospermia, asthenospermia or teratozoospermia will reduce the probability of pregnancy and is related to varicocele, reproductive tract infection and bad living habits. Routine semen examination assesses sperm count, motility, and morphology. Doctors may prescribe drugs to improve sperm quality such as L-carnitine oral solution and vitamin E soft capsules. In severe cases, assisted reproductive technology may need to be considered.

4. Endocrine disorders

Endocrine problems such as luteal insufficiency and hyperprolactinemia can affect endometrial receptivity. It manifests as menstrual cycle disorders and abnormal menstrual flow, and needs to be diagnosed through six sex hormone tests. Estradiol valerate tablets, progesterone capsules and other drugs are commonly used to regulate hormone levels, and organic diseases such as pituitary tumors need to be checked at the same time.

5. Endometriosis

Ectopic growth of endometrial tissue may lead to pelvic adhesions, ovarian cysts, and affect the implantation of a fertilized egg. Typical symptoms are progressive dysmenorrhea and dyspareunia. CA125 testing and laparoscopy can assist in diagnosis. In mild cases, dienogest tablets and ibuprofen sustained-release capsules can be used to control symptoms, while in severe cases, surgical removal of the lesions is required.

During pregnancy preparation, it is recommended to maintain a regular schedule and avoid bad habits such as smoking and drinking. Women can take daily folic acid supplements to prevent fetal neural tube defects, while men can appropriately increase their intake of zinc, selenium and other trace elements. The frequency of intercourse is 2-3 times a week, and should be increased appropriately during the ovulation period. If you have had regular intercourse for more than one year without getting pregnant, you should go to the reproductive medicine department for a systematic check-up in time. Women over 35 years old can seek medical treatment half a year in advance. Maintain a positive attitude and avoid excessive anxiety that affects endocrine balance.