Check out various reasons why you are not getting pregnant yet. Learn about the most common problems with conception even when ovulating. Also, find out about fertility tests and treatment that can be done for both men and women.
The number of childless couples in the world is increasing every year. Someone does not hurry with the birth of a child because they are focused on a career. Someone wants to start when they get their own housing and not depend on their parents. However, there are quite a few couples who, dreaming of children, cannot wait for the coveted two stripes on the test. So, what if you are trying and not getting there. There can be a number of reasons why you are not getting pregnant as we will understand here along with their treatment methods.
Statistical Reason of Failed Conception
There is no need to panic even if within a few months of a regular sexual life you could not conceive a child.
The probability of conception of a perfectly healthy woman from a perfectly healthy man is only 25% per menstrual cycle.
This is also due to the fact that this event can occur only in a certain period, which is called fertile.
Its maximum duration for a couple is not more than six days. Therefore, the simplest answer to the question of why it is not possible to get pregnant if both partners are healthy, is the choice of “wrong” days.
According to statistics, every second couple tries to conceive a child in unfavorable days of the women’s cycle.
This happens either through ignorance, either through inattention or because of unsaturated sex life. The better you study your body, the closer you are to the desired goal.
However, the answer to the question of why it is not possible to get pregnant during the period of ovulation is not so obvious.
To give an answer to it, you will need to pass many analyzes, go through hardware research. However, those are advised only if the couple has not been able to achieve the desired result within a year.
General Reasons for Problems with Conception
If it is a question of a couple of months of unsuccessful attempts to become pregnant, then you should not worry. Perhaps it is the causes and factors that are not a serious obstacle to conception. There can be various reasons why you are not getting pregnant yet as mentioned below.
However, these are for the couple trying for some months and not for years.
- Irregular or too frequent sexual acts that do not coincide with fertile days.
- Age of partners. Over the years, the ability of the ovaries to fertilize is reduced in women, and ovulation does not occur in every menstrual cycle. In men, the number, and motility of spermatozoa decreases.
- Acceptance of certain medicines. Analgesics, antibiotics, antidepressants and some other drugs negatively affect fertility.
- Harmful habits: smoking, drinking alcohol, drugs, and even caffeine reduces the chances of becoming pregnant and producing healthy offspring.
- Weakened immunity and lack of vitamins.
Ways to Accelerate the Process of Conception
There are various things one can do to help the body to conceive faster. Here are some tips for the same.
- Maintain a Regular Sex Life
It is desirable to take a break between the sexual acts in 3 days.
On the one hand, this will allow you to accumulate the right amount of sperm to each attempt.
On the other, it is to normalize qualitative indicators of sperm and to remove stagnant phenomena in the reproductive organs of men.
- Track Ovulation and Favorable Days for Conception
Fertility is controlled by natural hormones. So, before ovulation in the woman’s body, a luteinizing hormone (LH) is released.
Measuring its content, it is possible with a high degree of probability to determine the onset of ovulation. Therefore, it makes sense to purchase a test to measure the level of hormones in fertility at home.
Other methods of determining the best time for conception are not bad like a calendar method, a basal temperature measurement or the definition of ovulation by saliva.
- Healthy Diet
The food should be regular and balanced.
Be sure to include in your diet slow carbohydrates, proteins (meat, eggs, and legumes), dairy products, fats (olive oil, fat marine fish, nuts), vegetables and fruits.
Take folic acid, vitamins E and C. The probability of becoming pregnant increases if the body is provided with the necessary vitamins and minerals.
Strong immunity is able to maintain a normal balance of hormones.
Drink at least two liters of water a day.
The best drink in preparation for conception is water.
It accelerates all metabolic processes and saturates the cells with moisture.
- Visit a Psychologist or Psychotherapist
Individual or family counseling with a specialist will help to find psychological reasons preventing the occurrence of pregnancy.
Often it is the installation of partners or fears that provoke physical problems.
- Additional Tips
Some additional tips to get pregnant fast are as follows.
- Eliminate stress and abandon bad habits.
- Normalize the mode.
- Change the intensive physical activity to moderate.
- Abandon Certain Drugs, medicines.
Diagnosis of Problems with Conception
If the above recommendations did not help, and the number of months of infertile attempts approached 12. Then, it’s time to see a doctor who is likely to send you for diagnosis. Some of the expected diagnosis processes are as follows.
Defects of sperm are the most common cause of infertility in men.
The analysis allows you to evaluate the most important parameters of this biological fluid.
This includes volume, consistency, the color of ejaculate, amount and concentration of spermatozoa, their structure and general mobility.
In addition, the spermogram often includes a test for the presence in the sperm of bacteria, fungi and other microorganisms.
- Determination of Level of Hormones
The standard list of tests for women are as follows.
- Cortisol, thyroid-stimulating hormone (TSH).
- Follicle-stimulating hormone (FSH).
- Luteinizing hormone (LH).
- Prolactin (and macroprolactin).
- Estradiol (E2).
There are also certain tests for both partners which are as shown below.
- Dehydroepiandrosterone sulfate (DEA-S04) in the serum, or 17-ketosteroids (17-CS) – in the urine.
- Globulin, binding sex hormones (SHGG).
- 17-OH progesterone (17-OP).
- Identification of Infections
In some cases, the cause of infertility lies in the inflammatory processes of the appendages, cervix or uterine cavity, the presence of which the woman often does not even suspect.
Sexually transmitted infections are often asymptomatic in men.
Therefore, tests are always conducted for the presence of DNA of microorganisms (or antibodies to them).
- Chlamydia trachomatis (chlamydia).
- Mycoplasma hominis and Mycoplasma genitalium (mycoplasma).
- Ureaplasma urealyticum and Ureaplasma parvum (ureaplasma).
- Neisseria gonorrhoeae (gonococci).
- Trichomonas vaginalis (Trichomonas).
- Immunological Tests and Compatibility Tests
According to statistics, up to 1/5 of all cases of infertility are due to immunological reasons.
When in primary studies doctors cannot find the cause of infertility, an analysis of blood serum and sperm on the detection of antibodies to spermatozoa is performed.
Antisperm antibodies can be contained in the mucus of the cervix, seminal plasma, on the surface of spermatozoa.
Normally, the female body should not produce such antibodies, and the male body should not contain more than 55-60 U / ml (titer 1: 200) antibodies to the antigens of the spermatozoa in the ejaculate.
- Research of Genetic Factors of Male and Female Infertility
The frequency of chromosomal abnormalities, according to statistics, averages 2.4 cases per 1000 people. Blood is taken for examination.
In addition to the above types of laboratory research, a woman needs to do the following tests as well.
- Ultrasound of the pelvic organs with assessment of blood flow.
- Ultrasound of the thyroid and mammary glands.
- X-ray of the skull in the region of the Turkish saddle, where the pituitary gland is located.
- Hysteroscopy or laparoscopy, to conclude that the fallopian tubes are passable.
It should be noted that the choice of tests for diagnosis in each case is based on the individual. The examination often takes several months. The duration is explained, among other things, by the fact that many analyzes can be carried out only in certain phases of the menstrual cycle.
Causes of Problems with Conception
If the result of the study was diagnosed as “infertility”, then too there is no need to despair. Of the total number of infertile couples, 40-60% may in the long term have their children as a result of proper treatment.
However, why exactly did the couple become a victim of this diagnosis and what factors could provoke problems?
Conditionally, all causes of infertility can be divided into three groups especially feminine. This is due to the peculiarity of the structure and functioning of the female body, especially masculine and generic, not having a gender identity.
- Causes of Female Infertility
To begin with, let us consider the main causes leading to female infertility:
- Obstruction or absence of fallopian tubes. Obstruction is usually the result of an adhesion process. Spikes impede the movement of spermatozoa, and also do not allow the fertilized oocyte to descend into the uterine cavity. An absence of fallopian tubes occurs as a result of surgical intervention, associated, for example, with ectopic pregnancy.
- Adhesive process in a small pelvis. It is the result of operations, inflammatory process, endometriosis. Spikes prevent the egg from entering the tube.
- Various pathologies or absence of the uterus. The pathology of the uterus can be congenital (intrauterine partition, bicornic uterus, doubling of the uterus, etc.) and acquired (removal or scars on the uterus after surgery, uterine fibroids, endometritis, adenomyosis, polyps, cysts, endometrial hyperplasia).
- Prolonged absence of the first pregnancy. Due to the lack of demand for reproductive organs, microcirculation is disturbed in them, hormonal regulation becomes imperfect, which is a good reason for the fact that pregnancy does not occur for a long time.
- Causes of Male Infertility
The causes of male infertility are usually the following:
- Ejaculatory disorders, it is the lack of sperm. In addition, there may be a weak sperm motility or retrograde ejaculation.
- Erectile dysfunction.
- Anatomical changes in the genital organs of men. For example, hypospadias, in which the opening of the urethra opens not in the head of the penis, but at the root of the scrotum, as a result of which the sperm does not enter the woman’s vagina. Another option of anatomical infertility is an obstruction or congenital absence of the vas deferens.
- Damage to the spermatogenic epithelium. This can happen, for example, as a result of irradiation, chemotherapy, exposure to toxic substances or high temperatures, infection, scrotal injury, dropsy testicles. As a result, in the testicles, the production of spermatozoa decreases or ceases.
- General Causes of Infertility
The third group includes reasons of a general nature as we discussed them in detail earlier:
- Hormonal disorders.
- Genetic, chromosomal abnormalities.
- Inflammatory processes and infections.
In most cases, the problem can be solved by the administration of hormonal, anti-inflammatory or antiviral therapy, as well as by laparoscopic surgery. However, in a number of cases, auxiliary reproductive technologies (ART) are chosen.
Treatment Plans for Infertility Problems
When there is a problem, there is always a solution. Assisted reproductive technologies may as well be the solution here.
The term “ART” combines methods of treating infertility, in the application of which individual or all stages of conception and early development of embryos are carried out outside the mother’s body.
The auxiliary reproductive technologies include the following.
- Artificial Insemination
This is done using the sperm of a husband or donor.
This method is used if the woman does not have problems with ovulation.
However, spermatozoa for some reason cannot reach the egg and fertilize it.
In this case, spermatozoa are inserted directly into the uterine cavity with the help of a catheter.
Thereby increasing the chances of conceiving a child.
- In Vitro Fertilization (IVF)
This is one of the most effective and common methods, which is shown with low quality of sperm or physical barriers preventing natural conception.
The scheme of classical IVF includes stimulation of the ovaries, their puncture, preparation of eggs and spermatozoa, fertilization in vitro and transfer of the embryo into the uterine cavity.
- Injection of Spermatozoon into Cytoplasm of the oocyte (ICSI)
This method is used if the sperm needs help in fertilizing an egg.
The doctor selects the most healthy sexual cell of the partner and uses the microneedle to insert it into the female cell.
- Cryopreservation of Germ Cells and Embryos
This method allows you to delay the fact of pregnancy by keeping healthy cells for a long period of time.
Also, the methods of ART include the use of donor oocytes, sperm, and even embryos.
Sometimes the cause of infertility is the pathology of the parental sex cells.
A sperm or egg bank helps to overcome this problem.
- Surrogate Motherhood
This is the only way out when a woman is physically incapable of pregnancy and childbirth.
For example, she has a uterus removed or a history of severe chronic illness.
Undoubtedly, ART procedures are expensive and not always give positive results from the first attempt. However, for many infertile couples, this is the only opportunity to become parents. So, don’t be worried for every problem there is always a possible solution. Don’t give up hope, be patient and you will have what you truly desire.