Trying to conceive and facing delays can be emotionally exhausting. While it’s normal for conception to take a few months, ongoing difficulties might indicate an underlying fertility issue.
Infertility affects both men and women, and understanding the potential reasons behind it can help you take the right steps toward treatment and hope.
Here are some of the most common reasons couples struggle to conceive:
1. Not Ovulating
Ovulation is the release of an egg from the ovary, and it’s essential for natural conception. If you’re not ovulating regularly, pregnancy becomes difficult.
Common causes of ovulation problems include:
- Polycystic Ovary Syndrome (PCOS)
- Thyroid disorders
- Excessive stress or weight fluctuations
Signs of irregular ovulation include inconsistent periods or missed periods altogether.
2. Male Infertility
Male infertility contributes to around 40–50% of infertility cases. It often stems from issues such as:
- Low sperm count
- Poor sperm motility (movement)
- Abnormal sperm shape
Factors like smoking, alcohol use, exposure to heat or toxins, and certain health conditions can all play a role. A semen analysis is the first step in evaluating male fertility.
3. Age-Related Infertility
As women age, the number and quality of their eggs decline, especially after the age of 35. This can reduce the chances of conception and increase the risk of miscarriage.
Age can also affect male fertility, though typically at a slower rate. For both partners, age impacts hormonal levels and reproductive potential.
4. Blocked Fallopian Tubes
If the fallopian tubes are blocked or damaged, the egg cannot meet the sperm for fertilization. This condition can result from:
- Pelvic inflammatory disease (PID)
- Endometriosis
- Previous surgeries or infections
Most women with blocked tubes may not show symptoms until they try to conceive. Tests like HSG (hysterosalpingogram) can help detect this issue.
5. Endometriosis
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, often affecting the ovaries and fallopian tubes.
This condition can:
- Cause inflammation and scarring
- Disrupt ovulation
- Block the fallopian tubes
Painful periods, pelvic pain, or pain during intercourse are often symptoms of endometriosis.
6. Underlying Medical Problems
Various undiagnosed medical issues can affect fertility in both men and women, such as:
- Diabetes
- Thyroid disorders
- Autoimmune diseases
- Hormonal imbalances
Even seemingly unrelated conditions can affect hormone levels, ovulation, or sperm production.
Final Thoughts
Infertility can feel isolating, but it’s more common than many realize—and help is available. Identifying the root cause early on is key to finding a solution that works for you.
Still wondering why you’re not conceiving?
Schedule a consultation with our fertility specialists to uncover the reason and explore the best treatment options tailored to your journey.