What to do if unable to conceive after one year of marriage

In general, infertility lasting one year after marriage may be caused by factors such as blocked fallopian tubes, ovulation disorders, poor follicular development, epididymitis, asthenospermia (low sperm motility), or erectile dysfunction. Patients should promptly visit a正规 medical institution to identify the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Blocked Fallopian Tubes

This condition may result from infections, surgical scarring, or endometriosis. Blocked fallopian tubes can prevent the egg and sperm from meeting, thereby impeding fertilization and leading to infertility. Patients may undergo microwave physical therapy under a doctor's guidance. This treatment generates localized heat, improving blood circulation in the fallopian tubes and promoting recovery.

2. Ovulation Disorders

Endocrine imbalances or ovarian dysfunction may lead to ovulation disorders. When ovulation is abnormal, eggs cannot be released properly, reducing opportunities for fertilization and decreasing the likelihood of conception. Some patients may also experience irregular menstruation, changes in menstrual flow, or weight fluctuations. Under medical supervision, medications such as medroxyprogesterone acetate tablets, dydrogesterone tablets, or clomiphene citrate tablets may be used to improve the condition.

3. Poor Follicular Development

Poor nutrition, endocrine abnormalities, or ovarian issues may impair follicular development. Inadequate follicle growth hinders egg maturation, reducing the chances of successful fertilization. Under a doctor’s guidance, patients may use medications such as letrozole tablets, urofollitropin for injection, or recombinant human follicle-stimulating hormone for injection to improve outcomes.

4. Epididymitis

Epididymitis can affect sperm production, quality, and motility. Infections or sexually transmitted diseases may cause epididymitis, reducing both the number and quality of healthy sperm and thus lowering fertility. Patients should follow medical advice and may be prescribed medications such as levofloxacin hydrochloride capsules, amoxicillin capsules, or minocycline hydrochloride capsules for treatment.

5. Asthenospermia (Weak Sperm Motility)

Asthenospermia refers to insufficient sperm motility, making it difficult for sperm to reach the egg. This condition is commonly caused by endocrine disorders, reproductive tract infections, or genetic factors, all of which can reduce sperm motility and lower the probability of conception. Under medical guidance, treatments may include L-carnitine oral solution, zinc gluconate oral solution, or Wuzi Yanzong pills.

6. Erectile Dysfunction

Men with erectile dysfunction may experience difficulty during intercourse, disrupting the normal conception process. Psychological factors, cardiovascular conditions, or medication side effects may contribute to erectile dysfunction, reducing the frequency of intercourse and consequently affecting fertility. Under medical supervision, patients may use tadalafil tablets, sildenafil citrate tablets, or vardenafil hydrochloride tablets to improve symptoms. In severe cases, surgical options such as penile arterial reconstruction, penile venous ligation, or penile prosthesis implantation may be considered at正规 hospitals.

Patients should maintain healthy lifestyle habits in daily life, avoid smoking and alcohol consumption, and engage in moderate physical exercise to enhance overall physical health.