Why can't I get pregnant?
7 possible reasons why pregnancy is not achieved
Several and unsuccessful attempts for pregnancy are devastating and frustrating. In addition, the pressure from your environment can fill you with anxiety or stress, factors that add further weight to the problem.
First, let's look at what infertility is. Infertility is defined as the inability to achieve pregnancy after 1 year of unprotected intercourse for women under 35 and 6 months for women at 35 years and older.
If you are having trouble getting pregnant, know that you are not alone. Below you will find 7 possible reasons why it may take a long time to get a positive pregnancy test, as well as when to contact your doctor for help.
1. You do not have intercourse on your fertile days
To get pregnant, you need an egg and a sperm. The sperm must travel to the fallopian tube, find the egg, penetrate it and fertilize it. Sperm production is easy. How; Simple. It’s produced with each ejaculation. However, releasing an egg is a bit harder as it occurs once a month, in each menstrual cycle. The process of releasing an egg is called ovulation. Immediately after ovulation, the woman's fertile window begins. Therefore, intercourse with the highest probability of success is around this fertile window.
There are several ways to find out when your fertile days are, that is, when you ovulate.
The easiest and most reliable way is by using ovulation tests.
Ovulation tests are done every day. You start a specific day according to the duration of your cycle, and stop when you find a positive test. You start your contacts on the day of the first positive ovulation test and continue the next two. This way you maximize the chances of pregnancy.
2. It takes a little more time
I found my ovulation! Why didn't I get pregnant this time?
Like everything in this life, achieving fertilization is a matter of chance. Finding ovulation is the first step. Beyond that, medical researchers give a 23% -25% chance that intercourse will lead to conception and therefore pregnancy.
Do not give up and do not lose hope if the desired pregnancy has not been achieved after 1-2 attempts, even with the detection of ovulation. Don’t care about what others are doing. Each couple is unique and they have to deal with their own experiences. Keep trying and as long as there is no other problem, achieving pregnancy is a matter of time.
Also, if you are a woman over 38 or a man over 40, it may take a little longer to try than at a younger age. This is because the quality of the eggs deteriorates over the years.
Women are born with a certain number of follicles (from which the eggs will be released), and this is called follicle reserve. Women are born with about two million follicles, but many of them are lost during adolescence. In each passing cycle, follicles are lost, the number of which increases with age, especially after 37 years.
Therefore, listen to your biological clock and try not to leave the pregnancy issue for later, especially if you have never been pregnant before.
3. You do not ovulate
If you do not ovulate, pregnancy cannot be achieved. Provided you are in the reproductive age and have not reached menopause, ovulation can be disrupted by a number of factors:
Polycystic ovary syndrome (PCOS) is one of the main factors preventing ovulation.
Other reasons for preventing ovulation is being overweight (well above normal) or underweight (well below normal), Premature Ovarian Insufficiency (a condition in which there is a loss of normal function of the ovaries before the age of 40), various thyroid problems, hyperprolactinemia (increased prolactin in the blood), low progesterone, excessive physical exercise, etc.
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In most cases, women who have problems with their ovulation will have irregular cycles. But there are also cases where ovulation problems exist even with regular cycles.
In any case, if you have been trying for a long time, and you always find your ovulation - but fail to conceive - you should consult a gynecologist.
4. You are not the problem
As mentioned earlier, in order to achieve conception and therefore pregnancy, there must be two players: the egg and the sperm. If you ovulate normally, but the sperm count is not good or of bad quality, then conception will be delayed.
According to studies, 40% -50% of conception and infertility problems are due to the male side.
In contrast to female infertility, where menstrual instability is an obvious factor, in the case of men, if there is an infertility problem in the sperm, in most cases there is no obvious symptom. The only way to find out is to check the sperm to measure its quality.
5. Problems with the fallopian tubes
The fallopian tubes play very important role in the conception process.
The fallopian tube is a small tube that connects the ovary to the uterus. The egg is released into the ovary, passes through the fallopian tube and begins its descent to the uterus. On the other hand, any sperm that survives after ejaculation, and after passing through the cervix and uterus, swims towards the fallopian tube and waits for the egg to fertilize it. The fertilized egg will then fall into the uterus and get attached to its walls to begin the pregnancy process.
If the fallopian tube is blocked then all this process is disrupted. That is, if the fallopian tubes do not function properly or if something prevents the entrance to the sperm, pregnancy cannot be achieved.
Blocked fallopian tubes usually cause minor or major pain, but there are cases where no symptoms are observed.
Only an close examination of the fallopian tubes can reveal whether your fallopian tubes have a problem or not.
6. Various other problems
To a lesser extent, but still existing, there are several factors that cause problems in achieving pregnancy. These are endometriosis, uterine fibroids, sexually transmitted diseases (which can leave their mark for many years), thyroid problems, various hormonal disorders, diabetes, etc. Also, stress has a negative effect on fertility.
You should discuss all this with your gynecologist.
There is also the term "unexplained infertility". This term is used by doctors when for an inexplicable reason the couple cannot conceive, even when they "do everything right" and don’t have any pathological problems.
7. Bad habits
Conception and subsequent pregnancy are processes that require a healthy body. So protect your body! Avoid bad habits, quit smoking completely, reduce alcohol consumption, enrich your diet with fruits and vegetables and other healthy foods, reduce the consumption of processed foods (especially those that are high in trans fats), find more time to exercise, correct sleep disorders.
Give health to your body and it will reward you!
When to contact your gynecologist
Basically, there is no reason not to. An expert’s opinion or an examination will not hurt, whether or not there is a problem. But if one year has passed, you always find your ovulation, your partner's sperm is fertile but you still have not managed to conceive, then you should see your gynecologist to assess the situation and have suggestions of examinations and treatments.
In general, as we mentioned at the beginning of the article, you should start by finding your ovulation and by having intercourse during your fertile days. Then let your body do its job. During all these years we have witnessed hundreds of pregnancies, which were totally unexpected! It takes patience, perseverance and method. And the desired result may be closer than you think.
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