There are several common reasons why a person might not be getting pregnant despite trying. These can be related to issues with ovulation, the reproductive system, male factors, age, stress, and lifestyle. Some key reasons include:
- Ovulation disorders such as polycystic ovarian syndrome (PCOS), irregular ovulation, hormonal imbalances, thyroid problems, or premature ovarian failure can prevent the release of eggs necessary for conception. Stress, low body weight, and excessive exercise also impact ovulation.
- Fallopian tube damage or blockage, often caused by infections, pelvic inflammatory disease, endometriosis, or previous surgeries, can block sperm from reaching the egg or the fertilized egg from reaching the uterus.
- Conditions like endometriosis, uterine fibroids, or abnormalities in the uterus or cervix can interfere with fertilization or implantation of the embryo.
- Male fertility issues including low sperm count, poor sperm movement or shape, hormonal imbalances, or lifestyle factors such as smoking, diabetes, or obesity affect the ability to conceive.
- Age plays a significant role: female fertility decreases especially after age 35-37, and male fertility also declines after age 40.
- Emotional and physical stress, as well as lifestyle factors like weight (both overweight and underweight), smoking, alcohol, and certain medications, can reduce fertility.
If pregnancy is not occurring after a year of trying (or six months if over age 35), it is recommended to seek medical advice to identify specific causes and explore treatment options.
This comprehensive perspective can guide further consultation with a healthcare provider for personalized diagnosis and treatment.
