Having trouble getting pregnant can be caused by many things including problems with ovulation, blocked fallopian tubes, endometriosis, PCOS, premature menopause, fibroids, thyroid problems and a condition called Turner syndrome. Depending on the cause there are a number of treatment options.
Risk factors
age – fertility declines with age. weight – being overweight or obese (having a BMI of 30 or over) reduces fertility; in women, being overweight or severely underweight can affect ovulation. sexually transmitted infections (STIs) – several STIs, including chlamydia, can affect fertility.
Ovulation disorders
Conditions such as polycystic ovarian syndrome (PCOS) affect normal ovulation. Irregular ovulation is also a problem. Being overweight can add to ovulation problems and reduce your chances of conceiving. Stress, very low body weight, and excessive exercise also impact ovulation.
Some common reasons include stress, not timing baby-making sex with ovulation, residual effects of hormonal birth control, and certain health conditions. As much as we may try, pregnancy really can't really be planned—but you can increase your chances by being aware of common pitfalls.
Reason for not getting pregnant
problems with ovulation. their age. abnormalities in uterus shape. a blockage of one or both fallopian tubes.
But, ovulation alone does not guarantee that you can get pregnant. Sometimes there can be an issue with egg quality, how the egg is fertilized, its ability to be transported to the uterus, or how it becomes implanted in the uterus. There may also be a problem with the sperm.
The main symptom of infertility is not getting pregnant. There may be no other obvious symptoms. Sometimes, women with infertility may have irregular or absent menstrual periods. In some cases, men with infertility may have some signs of hormonal problems, such as changes in hair growth or sexual function.
What Causes Infertility? Problems with ovulation are the most common reasons for infertility in women. A woman's age, hormonal imbalances, weight, exposure to chemicals or radiation and cigarette smoking all have an impact on fertility.
Of all couples trying to conceive: 30 percent get pregnant within the first cycle (about one month). 60 percent get pregnant within three cycles (about three months). 80 percent get pregnant within six cycles (about six months).
Most docs say you shouldn't worry until after an entire year of trying to conceive with no success. But, if it's been nine months or so and you're worried something's wrong, don't hesitate to ask your OB to refer you to a reproductive endocrinologist (R.E.)for some tests.
The main cause of poor egg quality is age, but it is not the only one; there can be other reasons too, including but not limited to pelvic radiation, ovarian surgery, any reproductive illness, genetic abnormalities, chemotherapy, excess consumption of tobacco, alcohol, and some unknown factors.
About 9% of men and about 11% of women of reproductive age in the United States have experienced fertility problems. In one-third of infertile couples, the problem is with the man. In one-third of infertile couples, the problem can't be identified or is with both the man and woman.
The main reason fertility decreases with age is because the quality of a woman's eggs declines as she gets older. And, as women are born with all the eggs they will ever have, older women have fewer eggs. The natural aging process also means higher chances of miscarriage and having a child with a genetic condition.
Experts say the best way to get pregnant fast is to have sex once a day, every other day, during the fertile window right before and after ovulation. If you have sex too often, your partner's sperm count may be reduced—and if you don't have enough sex, the sperm may be old and unable to swim as fast.
Other than age, causes such as endometriosis, ovarian cysts, some immunological disorders, obesity, chemotherapy, drug use, smoking, alcohol and caffeine consumption may also lead to decreased egg quality.
By age 30, fertility (the ability to get pregnant) starts to decline. This decline happens faster once you reach your mid-30s. By 45, fertility has declined so much that getting pregnant naturally is unlikely.
There are two good ways to measure egg count: an antral follicle count and an AMH (anti-Müllerian hormone) test. During an antral follicle count, a doctor uses ultrasound to count the visible follicles.
45% of young couples (under 35) will conceive after three cycles of unprotected sex. 65% of couples conceive after six cycles of unprotected sex. 85% of couples will conceive within the first year of regular unprotected sex.
While September is the most popular month for American couples to start trying to get pregnant, many don't actually conceive until late autumn. If you're trying for a baby this fall, your chances of success are highest in late November and early DecemberOpens a new window.