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Trying to conceive: Why am I not falling pregnant, and when to seek help?

Trying to conceive: Why am I not falling pregnant, and when to seek help? 


Embarking on the journey of trying to conceive is an exciting chapter in many people’ lives. However, it can also be a journey filled with complexities and challenges that bring about a range of emotions too. The path to parenthood is not always straightforward, and understanding the reasons behind difficulties in conceiving is vital. In this article, we will explore the various factors that might be hindering your efforts to fall pregnant and when it's appropriate to seek professional help.


Reasons You May Not Be Falling Pregnant 

Timing Intercourse in Your Fertile Window 

One of the fundamental aspects of increasing your chances of conception is timing intercourse during your fertile window. This window typically occurs around ovulation, which is the release of a mature egg from the ovary. The egg has a limited lifespan of about 12 to 24 hours, during which it can be fertilised by sperm. To optimise your chances, tracking ovulation is key. Methods such as monitoring basal body temperature, cervical mucus changes, and ovulation predictor kits can help you identify this fertile window.

Ovulation Issues 

Ovulation plays a central role in the conception process as well. Irregular ovulation patterns can significantly impact your ability to get pregnant. Signs of irregular ovulation include inconsistent menstrual cycles or a lack of clear ovulation indicators. If you suspect irregular ovulation, consulting a healthcare provider is advisable. They can assess your hormonal levels and recommend treatments or lifestyle changes to regulate your ovulation.

Underlying Fertility Issues 

Conditions such as Polycystic Ovary Syndrome (PCOS) can be an underlying cause of fertility struggles too. PCOS is characterised by hormonal imbalances that can disrupt ovulation. Women with PCOS may experience irregular periods, excess hair growth, and cysts on the ovaries. Addressing such conditions often involves a combination of lifestyle modifications, medications or supplements, and medical guidance to enhance fertility.

Male Factor Infertility 

Conception is not solely dependent on the woman's reproductive health. Male factor infertility, stemming from issues related to sperm quality and quantity, can also play a significant role. Factors like low sperm count, poor sperm motility, or abnormal sperm shape can hinder successful fertilisation. Adopting a healthy lifestyle, including a balanced diet, regular exercise, and avoiding excessive alcohol and smoking, can positively impact sperm health.

Lifestyle Factors and Stress 

Modern lifestyle choices can impact fertility as well. Smoking and excessive alcohol consumption have been linked to reduced fertility in both men and women. Stress, often an unavoidable aspect of life, can also take a toll on reproductive health. Chronic stress may disrupt hormonal balance, affecting ovulation and sperm production. Exploring stress-reduction techniques such as yoga, meditation, or counseling can help mitigate these effects.

Structural Issues 

Structural issues within the reproductive system can pose challenges to conception. Blocked fallopian tubes, for instance, can prevent the egg from meeting the sperm, leading to fertilisation difficulties. Diagnostic tests such as hysterosalpingography can identify tubal blockages. Depending on the severity of the blockage, medical procedures or surgery may be recommended to address this issue.

Age-Related Issues 

Age is an important factor in fertility. As women age, the quality and quantity of eggs decline, making conception more challenging. In your early 20s, the chances of getting pregnant are relatively higher, with about a 25-30% chance per menstrual cycle. However, by the late 30s, this chance drops to around 15%, and it further decreases as you reach your early 40s. Men also experience age-related declines in fertility, including reduced sperm quality. Understanding these age-related changes is crucial for informed family planning.


Average Timeline to Fall Pregnant 

The timeline for falling pregnant can vary significantly based on age. In your early 20s, your body is generally more fertile, with higher chances of conception per cycle. Around 86% of couples in this age group (20Y – 24 Y) can expect to conceive within a year of trying. As you move into your late 20s and early 30s (Age ranging from 25Y – 29Y), the likelihood of conception within a year drops to around 78%. From the age range of 31Y – 34Y however, the success rate falls to approximately 63%, and in your late 30s (Age range 35Y – 39Y), it's around 52%.

These statistics emphasise the importance of taking proactive steps if you're facing difficulties, especially as you age.

When to Seek Professional Help

While the journey to conception can be accompanied by some waiting, seeking professional help is advisable under certain circumstances for sure. If you're under 35 and have been trying for a year without success, or if you're over 35 and have been trying for six months, it's a good idea to consult a healthcare provider or professional. If you have known fertility issues, recurrent miscarriages, or concerns about your reproductive health, don't hesitate to seek expert guidance. Fertility specialists can conduct thorough evaluations, offer tailored advice, and recommend appropriate interventions.


Final Words

The path to parenthood is uniquely personal and often met with unexpected challenges. Understanding the reasons behind difficulties in conceiving empowers couples to make informed decisions. From tracking ovulation and addressing lifestyle factors to recognising age-related changes, knowledge is key. Remember that you're not alone on this journey. Seeking professional help when needed can provide invaluable insights and support as you navigate the complexities of fertility. Stay informed, stay proactive, and stay hopeful – the journey may have its ups and downs, but the destination is worth every step.


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