Why Aren’t You Getting Pregnant When Things Seem Normal?

Why Aren’t You Getting Pregnant When Things Seem Normal?

The first step after trying to conceive for over a year is to schedule an infertility evaluation with your local fertility specialists.

What is infertility? In general, infertility is defined as not being able to get pregnant (conceive) after one year (or longer) of unprotected sex. For women aged 35 years or older, evaluation is recommended after 6 months of unprotected sex.

Cases of infertility are about one third male-related, one third female, and the rest a combination of factors in both partners and unexplained infertility.

Let’s take a closer look at the factors that may be  hindering your fertility:

Polycystic Ovary Syndrome (PCOS) and other disorders of ovulation: With PCOS, ovulation does not occur. Ovulation can also be affected by other hormonal disorders, stress, thyroid disorders, and hyperprolactinemia. Both underweight and overweight women and women who over exercise can fail to ovulate. Ovulatory disorders are present in 21 percent of couples with infertility.

Blocked Fallopian Tube: Damaged and blocked fallopian tube might also affect your chances of getting pregnant. A history of pelvic infection, sexually transmitted diseases, endometriosis, previous surgery on the fallopian tube or ectopic pregnancy increases your risk for fallopian tube obstruction. Tubal damage accounts for 14 % of infertility cases.

Endometriosis: The endometrial lining starts forming outside the uterus instead of inside it and thus blocks the passage of egg and sperm for fertilization. Even though symptoms vary, patients with endometriosis experience pain in the pelvic region, painful sex, and pain during periods. Endometriosis is a factor I approximately 6 percent of infertile women. can cause ovarian cysts and tubal and pelvic scar tissue to form.

Age: As you age, the quality and quantity of eggs that are produced in a women’s body decline. At birth, you have about two million eggs but naturally lose hundreds of thousands of them by the time you reach puberty. The rate at which women lose eggs accelerates around the age of 37. The quality of eggs stored in the ovaries also declines over time. Smoking accelerates the loss of eggs.

Male Factor Infertility: The poor quality and quantity or low motility of a man’s sperms can delay or stop you from getting pregnant. Male infertility can be due to endocrine disorders, chromosomal abnormalities, and issues with sperm transport. Obesity, alcohol, drugs, smoking, and serious chronic illnesses can have a negative impact on the release and production of sperm. Male factor infertility can be due to other reasons including local trauma, previous surgery, sexually transmitted diseases or erectile dysfunction and other abnormalities of ejaculation. Testosterone supplements inhibit sperm production, and sperm production may not improve until months after stopping testosterone.

The timing of intercourse is an important factor in conceiving. It is necessary to have sperm in the women’s reproductive tract before ovulation. The fertile window in a women’s cycle is approximately 6 days: the 5 days before ovulation and the day of ovulation. The highest pregnancy rates are in couples who have intercourse every one to two days in the week before ovulation.

To learn more about these topics and speak to one of our physicians about fertility treatment, you can request a consultation here.



You’re unique.
Your fertility plan should be too.