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WHY YOU MAY NOT BE GETTING PREGNANT?

WHY YOU MAY NOT BE GETTING PREGNANT?

Are you trying to conceive with no success, checking on the pregnancy stick but getting a negative result? Don’t be disheartened.

Let’s discuss why you may not be getting pregnant.

First, let’s see how a pregnancy normally occurs.

At the start of your periods, under the effect of hormones released from your brain, the small follicles present in both your ovaries start growing. One of the follicles grows more quickly than the others. This follicle then ruptures midcycle (around 14th day in a regular 28-day cycle) and goes into the fallopian tube. This is also known as ovulation or egg release.

If at this time, you have relations, the healthy forward moving sperms, swim through the mouth of the uterus, the uterus and reach the fallopian tubes. If the egg is present at the time in the fallopian tube, one of the healthy sperm fertilizes the egg. The resulting embryo starts growing and is simultaneously pushed towards the uterus by the fallopian tubes. If it reaches the uterus and sticks to its wall and starts growing, then pregnancy happens; else the lining of the uterus is shed and you get your periods.

ovulation

So for a pregnancy to happen, you need to have

  1. Regular formation and release of an egg from the ovary
  2. Fallopian tubes should be open and healthy
  3. The uterus should be healthy
  4. A sufficient number of motile healthy sperm should be present.

If you are having trouble conceiving you may have problems with one or more of these organs.

TIME MATTERS

The first thing to consider is how long you have been trying to get pregnant, many couples won’t conceive as soon as they start trying. Approximately 80 % of couples conceive within one year of trying to get pregnant (well-timed regular intercourse)

In females, you may have problems like-

OVULATION PROBLEMS

Problem with proper formation and release of an egg from the ovary is seen in 25- 40 % of females having trouble conceiving.

The reasons for this may be

  • Polycystic Ovarian Syndrome ( PCOS)
PCOS
ovary
  • Thyroid disorder
thyroid

  • Increase in Prolactin hormone
  • Weight gain or loss- under or overweight – Being too thin or too fat will also affect your chances of conceiving. Therefore an ideal body weight is that helps.

weight gain
  • Vigorous exercise
Vigorous exercise.jpg

Most women with ovulatory problems have irregular periods. So if you have irregular periods consult your doctor early.

YOU MIGHT BE HAVING ENDOMETRIOSIS

Endometriosis is a chronic disorder when endometrium-like tissue (the tissues which line the uterus) starts growing in places outside the uterus. The condition causes painful periods, pain during sex, painful bowel movements or chronic pelvic pain. It’s estimated that up to 50% of women with endometriosis will have difficulty getting pregnant.

endometriosis

YOUR FALLOPIAN TUBES MIGHT BE BLOCKED

Or you might be having uterine structural defects. If the tubes are blocked it prevents the sperm or egg from meeting so you won’t be able to get pregnant. Blocked tubes and uterine malformations usually do not cause any symptom and can be diagnosed by an HSG( a special X-ray )or by laparoscopy/hysteroscopy or other imaging modalities.

THE PROBLEM MIGHT BE WITH HIM, NOT YOU

20 to 30 percent of infertility causes are because of male factors. Male infertility rarely has symptoms and are usually diagnosed by a semen analysis.

sperm

AGE-RELATED INFERTILITY

Age of both partners matters. Women above 35 and for men above 40, it can take longer to get pregnant. Most women think if they still get regular periods then fertility is fine but the truth is age affects the egg quality and quantity.

age related infertility in female

UNDERLYING MEDICAL PROBLEMS COULD BE THE CAUSE

Underlying medical conditions can lead to infertility in both men and women; thyroid, uncontrolled undiagnosed diabetes, some autoimmune diseases like lupus or celiac disease can cause infertility.

UNEXPLAINED INFERTILITY

25-30% percent of infertile couples never find out why they can’t get pregnant. But not finding the reason doesn’t mean you cannot be treated or that you cannot conceive.

POOR LIFESTYLE CHOICES

You could be making poor lifestyle choices. Common lifestyle factors such as smoking, drinking, drug abuse, and caffeine affect your fertility. In men, factors like these reduce the sperm count and motility and in Women, it causes irregular ovulation. So quit these habits and switch to healthier life choices.

If you are having difficulty getting pregnant, know that you are not alone and that there is help available. Many couples delay getting tests and treatment, thinking that they should try a little longer or that some miracle might occur. But this is a big mistake as some causes of infertility worsen with time. The sooner you start treatment its more likely fertility treatments will work for you.

You could be making poor lifestyle choices. Common lifestyle factors such as smoking, drinking, drug abuse, and caffeine affect your fertility. In men, factors like these reduce the sperm count and motility and in Women, it causes irregular ovulation. So quit these habits and switch to healthier life choices.

The reasons for infertility are not obvious to the couples themselves. For this reason, if you have been trying to conceive for one year (six months if you are 35 years or older) or earlier if you have irregular period or any pre-existing disease, please get help. You can contact us at Chaitanya IVF for any fertility related problems.

If You need any help feels free to contact Us at Chaitanya IVF.