Not conceiving after one year of trying is medically termed "infertility." At this point, there is no need for excessive anxiety, but it is recommended that both partners undergo systematic examinations together at a reproductive medicine department or obstetrics and gynecology clinic. The purpose of these examinations is to identify factors that may affect conception, including ovulation, fallopian tubes, sperm quality, and the uterine environment.
Female examinations typically begin with basic tests. The first is ovulation function assessment. The physician will recommend blood tests on days 2-4 of the menstrual cycle to measure hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and anti-Mullerian hormone (AMH) to assess ovarian reserve. This can be combined with basal body temperature tracking or ovulation predictor kits to confirm whether normal ovulation is occurring.
Assessment of fallopian tube patency is another key step. A common method is hysterosalpingography (HSG), in which contrast medium is injected under X-ray guidance to observe whether the fallopian tubes are blocked. In addition, saline infusion sonohysterography or hysteroscopy can evaluate the uterine cavity for abnormalities such as polyps, fibroids, or adhesions, all of which may affect embryo implantation.
Male examinations are relatively simpler, primarily involving semen analysis. Abstinence for 2-7 days is required before the test, which evaluates sperm count, motility, and morphology. If results are abnormal, further testing of hormones or scrotal ultrasound may be needed to rule out conditions such as varicocele.
In addition to the above examinations, the physician may arrange other tests based on individual circumstances, such as thyroid function, prolactin levels, or chlamydia antibody testing. If all examinations are normal, the condition is classified as "unexplained infertility," accounting for approximately 10-30% of infertility patients. In such cases, ovulation induction combined with timed intercourse or intrauterine insemination (IUI) may be considered as first-line treatment.
This article provides general scientific information and does not constitute individualized medical advice. Please consult a professional medical institution for specific diagnosis and treatment.
Published 2026-08-18
This article was prepared with AI assistance and reviewed by our editorial team before publication.
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Trying to conceive for one year without pregnancy, which tests should be done?
Not conceiving after one year of trying is medically termed "infertility." At this point, there is no need for excessive anxiety, but it is recommended that both partners undergo systematic examinations together at a reproductive medicine department or obstetrics and gynecology clinic. The purpose of these examinations is to identify factors that may affect conception, including ovulation, fallopian tubes, sperm quality, and the uterine environment.
Female examinations typically begin with basic tests. The first is ovulation function assessment. The physician will recommend blood tests on days 2-4 of the menstrual cycle to measure hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and anti-Mullerian hormone (AMH) to assess ovarian reserve. This can be combined with basal body temperature tracking or ovulation predictor kits to confirm whether normal ovulation is occurring.
Assessment of fallopian tube patency is another key step. A common method is hysterosalpingography (HSG), in which contrast medium is injected under X-ray guidance to observe whether the fallopian tubes are blocked. In addition, saline infusion sonohysterography or hysteroscopy can evaluate the uterine cavity for abnormalities such as polyps, fibroids, or adhesions, all of which may affect embryo implantation.
Male examinations are relatively simpler, primarily involving semen analysis. Abstinence for 2-7 days is required before the test, which evaluates sperm count, motility, and morphology. If results are abnormal, further testing of hormones or scrotal ultrasound may be needed to rule out conditions such as varicocele.
In addition to the above examinations, the physician may arrange other tests based on individual circumstances, such as thyroid function, prolactin levels, or chlamydia antibody testing. If all examinations are normal, the condition is classified as "unexplained infertility," accounting for approximately 10-30% of infertility patients. In such cases, ovulation induction combined with timed intercourse or intrauterine insemination (IUI) may be considered as first-line treatment.
This article provides general scientific information and does not constitute individualized medical advice. Please consult a professional medical institution for specific diagnosis and treatment.