The pregnancy test does not show the long-awaited two strips in any way, and one after another doubts begin to creep in and questions bother… What’s wrong with me and why can’t I get pregnant? By itself, the absence of pregnancy for several months does not mean that there are problems with conception. In most healthy women, pregnancy occurs, as a rule, within a year after the decision on motherhood, complete rejection of any means of contraception and on condition of regular sexual activity. And only if pregnancy has not occurred during this period, the couple has a reason to consult a doctor.
What obstacles can arise on the way to the desired pregnancy? The causes of infertility can be physiological and psychological, and in special situations, mixed forms of infertility and infertility of unclear genesis can be observed. In about 30% of cases, the cause of physiological infertility in women is disorders in the endocrine system. The main symptom of this type of infertility is a persistent absence of ovulation or its irregularity. The cause of this disorder may be pathology of the central nervous system, thyroid gland and adrenal glands. With a correctly determined cause of hormonal imbalance in the body and unmistakably prescribed medication, the treatment of infertility caused by hormonal factors has a good prognosis.
Another common consequence of physiological infertility is a violation of the patency of the fallopian tubes. The cause of this problem may be inflammatory diseases in the pelvis, endometriosis or abortions. In this situation, the prognosis of the success of treatment and the onset of pregnancy depends on the degree of damage to the fallopian tubes and the severity of the process. Much less often, in about 5-10% of cases, the cause of infertility is uterine disorders – abnormal position of the uterus, various malformations of its development, adenomyosis, uterine fibroids, cervical pathology. The effectiveness of treatment in this case directly depends on the degree of complexity of each individual situation.
If, after all the studies conducted, the results show that the woman is healthy, but pregnancy still does not occur, a reproductive therapist can diagnose “infertility of unclear genesis”, which will be followed by further studies by related specialists. In addition, sometimes the reason for the inability to get pregnant is not a physiological factor, but the psychological state of the expectant mother. In this case, it is necessary to contact not only a reproductologist, but also a psychologist who will help a woman identify the strongest sources of chronic stress and safely get rid of them.
Do not forget that 40% of couples infertility is associated with the male factor. Male infertility is a decrease in the fertilizing ability of spermatozoa, which occurs for various reasons: testicular abnormalities, chromosomal abnormalities, toxic effects of polluted environment, exposure to high temperatures, trauma. Male infertility is easier to diagnose than female infertility: it is enough to do a sperm analysis (spermogram) to give a correct assessment of the fertilizing ability of spermatozoa. There are situations when doctors have to name both male and female factors among the causes of infertility. In this case, both spouses must undergo treatment.
In order to get pregnant as soon as possible and avoid difficult situations, you should not delay a visit to the doctor – the earlier you start treatment, the higher its effectiveness will be. If, after the examinations and the prescribed treatment, you do not get pregnant, do not worry, because modern assisted reproductive technologies have enough tools and methods to help couples experiencing difficulties with conception to realize the dream of a long-awaited child. In anticipation of a miracle, the most important thing is not to despair, because most couples who persistently strive to get pregnant, sooner or later become parents.