Question
A mother who gave birth to a daughter at the age of 19 now wants to have a second child but has been unable to conceive. Her menstrual cycle is approximately 28 days, lasting 6 to 7 days, with small blood clots during the period.
Answer
Under normal menstrual cycle conditions, menopause issues are generally not considered. Possible causes could include tubal blockage, sperm abnormalities, or autoimmune issues. It is recommended that both partners visit a fertility clinic for detailed examinations, including routine sperm tests for the male, hysterosalpingography and ovulation monitoring for the female, as well as autoimmune antibody testing. Since the mother is now 37 years old, it is also necessary to check her ovarian function.