Why haven’t I got pregnant after 5 years?

If you’ve been unsuccessfully trying to get pregnant for five years, you may be wondering, “Why haven’t I gotten pregnant after five years?” You may be thinking you probably never will, but please stay optimistic. Some couples have conceived after ten years of trying also, with proper diagnosis, treatments, therapy, counselling, donor help and lifestyle changes. One has to understand why you aren’t conceiving, including ovulation irregularities, structural problems in the reproductive system, low sperm count, underlying medical problems, or simply not trying at the correct time.

If female infertility is involved, it manifests as irregular periods, severe menstrual cramps, and missed ovulation cycle. Male infertility is more silent and rarely shows symptoms. However, improper erection, ejaculation issues, and low sex drive could be associated with male infertility. 

Possible reasons why you haven’t got pregnant after five years?

  • Ovulation issues.
  • Male partner infertility.
  • Age-related infertility.
  • Blocked fallopian tubes.
  • Endometriosis.
  • Undetected underlying medical problems.
  • Medications that impact fertility.
  • Lifestyle factors that impact fertility.
  • Unexplained fertility.
  • Not receiving the right fertility treatments.

Ovulation Issues

Human conception requires the fertilisation of the egg and the sperm. Ovulation is the process of releasing a matured egg. Ovulation happens in the middle of the menstruation cycle. So, if ovulation does not occur, you won’t be able to get pregnant. Many conditions can trigger anovulation, and PCOS is one possible cause. Women with other conditions, such as being overweight or underweight, primary ovarian insufficiency, thyroid dysfunction, hyperprolactinemia, and excessive exercise, can also lead to anovulation.

Ovulation problems often lead to irregular periods. But regular menstrual cycles are also not a guarantee of pregnancy. 

Male Infertility

Pregnancy requires both partners to be healthy unless you are using donor eggs or donor sperm. Fertility issues do not just happen to the person intending to carry the baby. Statistics show that the male partner has a fertility problem in 20% to 30% of infertile couples, and 40% of couples have infertility factors in both partners.

Male infertility can be diagnosed by semen analysis, which measures the quantity, quality, motility, and shape of the sperm. So, if you haven’t got pregnant after five years, make sure that both of you are tested for fertility issues.

Age-Related Infertility

If the woman’s age is more than 35, it takes longer to get pregnant. Age has a significant impact on egg quality as well as quantity. Interestingly, men above the age of 40 also face problems in impregnating their partners.

Blocked Fallopian Tubes

Fallopian tubes are the transportation system between the ovaries and the uterus. The hair-like projections from the fallopian tube draw the egg inside when an egg is released from the ovaries. During intercourse, the sperm must swim up from the cervix, through the uterus, and into the fallopian tubes. So, the final conception place is inside the fallopian tube, where the sperm and egg finally meet. So, due to certain conditions like scarring, blockages, and surgery in the tubes, the sperm or egg cannot meet, which prevents conception. There are many possible causes of blocked fallopian tubes. With the help of a specialised X-ray called the hysterosalpingogram (HSG), fertility specialists can determine if the fallopian tubes are open. 


Endometriosis, which is the tissue that lines the uterus, grows outside the uterus. Around 50% of people with endometriosis have difficulty getting pregnant.

The most common symptoms of endometriosis are painful periods and pelvic pain. Most of the time, this condition is discovered only as part of an infertility work-up. It is estimated that 10% to 15% of women have endometriosis, and it requires diagnostic laparoscopic surgery. 

Underlying Medical Problems

Underlying medical conditions such as thyroid imbalance or undiagnosed diabetes and autoimmune diseases can cause infertility. Some mental health conditions like anxiety and depression are also associated with infertility.

If either of the partners has an undiagnosed sexually transmitted infection (STI), it can seriously affect the chances of pregnancy.

Certain Medications

Some prescription medications, like antidepressants, make it harder to get pregnant. But do not stop the medication without talking to your doctor first. They will shift you to another medication or try a different type of treatment.

Lifestyle Factors

Smoking tobacco, excessive alcohol use, and illicit drug use, such as cocaine, ecstasy, ketamine, and amphetamines, impair fertility. Couples living with extreme or chronic stress, experiencing trauma, or having sleep issues may reduce fertility.

Both being overweight or underweight disrupts fertility. Surprisingly, too much of a workout can also cause problems getting pregnant. 

Unexplained Infertility

In modern times, around 10% and 30% of infertile cases can never find out why they are infertile. Many doctors say that unexplained infertility means undiagnosed problems. The fact remains that though there are no answers, you can still receive infertility treatment.

We at ZIVA fertility clinics have found that couples delay testing since they feel and seem to be in perfect health. However, not all infertility issues have outward signs or symptoms of a fertility problem. Women may have a perfect 28-day menstrual cycle, but that doesn’t mean they will get pregnant smoothly. If you haven’t been getting pregnant even after five years, please consult us today at +91-9100002737, +91-9392834024, Info@zivafertility.com or visit our website https://zivafertility.com/