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Why Cannot I Get Pregnant? 11 Attainable Causes

In the event you’ve been making an attempt unsuccessfully to get pregnant, it’s possible you’ll be questioning, “Why cannot I get pregnant?” You can be worrying that you simply by no means will. Nevertheless, there are numerous attainable explanation why you are not conceiving and plenty of attainable options.

You might have ovulation irregularities, structural issues within the reproductive system, low sperm depend, or an underlying medical drawback. Otherwise you merely have not tried lengthy sufficient.

Whereas infertility can have signs like irregular durations or extreme menstrual cramps, most causes of infertility are silent. Male infertility, for instance, hardly ever has signs. Listed below are 11 attainable causes you have not conceived but.

Not Attempting Lengthy Sufficient

The very first thing to contemplate is how lengthy have you ever been making an attempt. It might really feel such as you’ve been making an attempt without end—and possibly you could have—but it surely’s necessary to know that many {couples} do not conceive straight away.

About 80% of cisgender, heterosexual {couples} conceive after six months of making an attempt. Roughly 90% might be pregnant after 12 months of making an attempt to get pregnant. These charges assume you could have well-timed intercourse each month.

When to Name a Physician

See a healthcare supplier about your fertility if

  • You are 35 years or older and have been making an attempt for not less than six months
  • You are youthful than 35 and have been making an attempt for not less than one 12 months

If both of those conditions matches your expertise, search medical recommendation, even if in case you have no signs of a fertility drawback.

Not Ovulating

Human conception requires an egg and sperm. In the event you’re not ovulating, you will not be capable of get pregnant. Anovulation is a typical reason behind feminine infertility and it may be triggered by many circumstances.

Polycystic ovary syndrome (PCOS) is one attainable reason behind anovulation. Different attainable causes embrace being obese or underweight, main ovarian insufficiency, thyroid dysfunction, hyperprolactinemia, and extreme train.

Most people who find themselves experiencing ovulation issues have irregular durations. Nevertheless, common menstrual cycles do not assure that ovulation is going on usually. In case you have irregular cycles, speak to your physician, even when you have not been making an attempt for a 12 months but.

Male Infertility

Until you’re utilizing medical interventions like sperm or egg donation. it takes each companions to conceive. Fertility points don’t simply occur to the particular person intending to hold the newborn. In 20% to 30% of infertile male-female {couples}, the male companion has a fertility drawback. One other 40% of {couples} have infertility components in each companions.

Male infertility hardly ever has signs which can be observable and not using a semen evaluation, which is a check that measures the well being of the semen and sperm. Make sure that each companions’ medical doctors know you are making an attempt to get pregnant, and that you’re each examined for fertility points.

Age-Associated Infertility

For girls after age 35, it will probably take longer to get pregnant. Many individuals assume in the event that they nonetheless get common durations, their fertility is okay, however this is not essentially true. Age impacts egg high quality in addition to amount. Males after age 40 may face issues conceiving.

Blocked Fallopian Tubes

Ovulation issues account for about 25% of feminine infertility instances. In different instances, girls could expertise blocked fallopian tubes, uterine abnormalities, or endometriosis.

The fallopian tubes are the pathway between the ovaries and the uterus. When an egg is launched from the ovaries, hair-like projections from the fallopian tube draw the egg inside.

Sperm should swim up from the cervix, via the uterus, and into the fallopian tubes. Conception takes place contained in the fallopian tube, the place the sperm and egg lastly meet.

If something prevents the fallopian tubes from working correctly, or if scarring blocks the sperm or egg from assembly, you will not be capable of get pregnant.

There are numerous attainable causes of blocked fallopian tubes. Whereas some folks with blocked tubes expertise pelvic ache, many others haven’t any signs. Solely fertility testing can decide in case your tubes are open. A hysterosalpingogram (HSG) is a specialised X-ray used to find out if the fallopian tubes are open. An OB/GYN can order this check (you do not want a fertility specialist).


Endometriosis is when endometrium-like tissue (which is the tissue that traces the uterus) grows outdoors of the uterus. It is estimated that as much as 50% of individuals with endometriosis may have issue getting pregnant.

The most typical signs of endometriosis embrace painful durations and pelvic ache at occasions in addition to menstruation. Nevertheless, not everybody with endometriosis has these signs. Some folks solely uncover they’ve endometriosis as a part of an infertility work-up.

About 10% to fifteen% of ladies have endometriosis, however it’s generally misdiagnosed or just missed. Endometriosis cannot be recognized with a blood check or ultrasound. It requires diagnostic laparoscopic surgical procedure. Due to this, correct analysis can take 4 to 11 years from when signs being.

Underlying Medical Issues

Underlying medical circumstances can result in female and male infertility. For instance, a thyroid imbalance or undiagnosed diabetes could cause infertility. Some autoimmune illnesses, like lupus, could cause infertility, as properly. Whereas it isn’t properly understood, psychological well being circumstances like anxiousness and despair are additionally related to infertility.

Additionally, an undiagnosed sexually transmitted an infection (STI) could cause infertility. Be aware that you could be not have any signs of an STI however nonetheless have one.

Sure Medicines

Some prescription drugs that will affect fertility. For instance, analysis has proven that taking some antidepressants makes it tougher to get pregnant. In a single 2016 research, researchers concluded: “Our information counsel that antidepressants could scale back the likelihood of a lady with a historical past of despair to conceive naturally.”

Nevertheless, by no means cease taking a drugs with out speaking to your physician first. In case you have issues {that a} drug you’ve got been prescribed could also be interfering with getting pregnant, seek the advice of a healthcare supplier. They might have to put you on one other remedy, have you ever strive a distinct kind of remedy, or reassure you that the remedy is not a difficulty.

Way of life Components

Marijuana, whether or not taken recreationally or for medicinal functions, may impair fertility. Likewise, research present that smoking tobacco, extreme alcohol use, and illicit drug use, corresponding to cocaine, ecstasy, ketamine, and amphetamines, can contribute to fertility points.

Moreover, residing with excessive or power stress, experiencing trauma, or having insomnia and different sleep points could scale back fertility.

Being considerably obese or underweight can be identified to disrupt fertility. Exercising excessively or by no means can even trigger issues getting pregnant. Following a program to succeed in a more healthy weight and bodily exercise stage usually will increase charges of conception.

Unexplained Infertility

Between 10% and 30% of infertile {couples} by no means discover out why they can not get pregnant. That is known as unexplained infertility, or extra precisely, lack of fine analysis. Many medical doctors make the purpose that there actually is not any such factor as unexplained infertility however solely undiscovered or undiagnosed issues.

The actual fact stays, although, that some {couples} do not get solutions. Nevertheless, not having solutions doesn’t suggest you possibly can’t be handled. You’ll be able to nonetheless obtain remedy for infertility even when your analysis is unexplained.

Not Searching for Fertility Remedy

In the event you’re having issue getting pregnant, know that there’s assist accessible. The easiest way you possibly can know if in case you have fertility points is to seek the advice of an OB/GYN. Whether or not you are attempting to get pregnant for the primary time, you are hoping to conceive after a miscarriage, otherwise you’ve been pregnant earlier than however are having issue conceiving now. your physician can consider you for fertility issues and remedy.

Many {couples} delay testing and remedy, considering they need to simply “strive a bit longer” first. It is a mistake. Many causes of infertility are silent and worsen with time. The earlier you get assist, the extra probably fertility remedies will be just right for you.

Another excuse {couples} typically delay testing is that they really feel and appear to be in excellent well being. However many individuals who’ve infertility points would not have outward indicators or signs of a fertility drawback. You might have a textbook 28-day menstrual cycle, however that does not imply you are assured quick and clean outcomes when making an attempt to get pregnant, and it doesn’t suggest it’s possible you’ll not have a fertility drawback.

A Phrase From Verywell

Whereas nearly all of folks conceive naturally in the event that they proceed making an attempt for six to 12 months, some folks have extra issue getting pregnant. There are a number of causes for fertility points—and the explanations for infertility aren’t at all times observable to the layperson. In the event you’ve been making an attempt to conceive for one 12 months (or six months should you’re 35 years or older), please get assist. Do not wait.

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