Why don't I get pregnant?

Why don't I get pregnant?

Irregular ovulation, poor nutrition and male factor are the main causes of infertility in the couple. Reproductive specialists encourage you to do all the necessary analysis, both you and your partner, to find out the cause for which you do not become pregnant. Accurate diagnosis of the problems you face is the first step in solving fertility problems.

The male factor

Specialized studies have shown that approximately 40% of infertility cases in couples are due to the male factor. Infertility in men can be caused by varicocele (varicose dilation of spermatic veins), obstruction of sperm elimination pathways, hormonal imbalances, infections or genetic disorders. Such problems can occur at any age, but only 10% of men who suffer from infertility come to the doctor for detailed investigations before 30 years.

Modern techniques for diagnosing male infertility include spermogram and spermocytogram. The spermogram measures the volume of sperm, the number of sperm and their shape, their ability to move - measured in percentages, as well as the number of leukocytes present in the sperm. The spermocytogram, on the other hand, is a very accurate analysis, which evaluates the male sex cell from the point of view of the normality of form and structure.

If the man has poor sperm quality, he can either use in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), the procedure by which a single sperm is injected into an egg.


Endometriosis is a chronic disease of the reproductive system and is defined by the growth of uterine mucosal cells (endometrium) outside the uterus. This abnormal process can lead to obstruction of the fallopian tubes, thus preventing the fertilization of the egg by the sperm. In other cases, fertilization takes place, but the fertilized egg does not reach the uterus, but remains stuck in the uterus, causing an ectopic pregnancy.

Symptoms of endometriosis include heavy and painful menstruation, intestinal cramps and pain during intercourse. The only way a doctor can detect if you really suffer from endometriosis is laparoscopy. This surgical procedure involves the insertion of a lighted tube into the abdomen, in order to detect and remove any cysts.

In some cases, women suffering from endometriosis become pregnant 6-8 months after the removal of abnormal endometrial tissue. Those who cannot become naturally pregnant can call for ovarian stimulation, artificial insemination or in vitro fertilization.

Ovulation disorders

Irregular ovulation is the main cause of infertility in women. About 20% to 40% of women who cannot become pregnant suffer from ovulation disorders. Some women do not ovulate at all, indicating early menopause, while others ovulate every three months. The main causes of ovarian function disorder are hormonal imbalances, physical overload, abnormal weight loss, obesity and chronic stress. In other words, any excess is harmful to the female reproductive system.

Certain ovulation disorders can be treated by ovarian stimulation therapy. In other cases, artificial insemination is required to obtain a pregnancy. Specialists recommend ovarian stimulation with progesterones (Utrogestan, Duphaston) or anti-estrogens (Clomid) for 3-4 months, before moving to intrauterine insemination, associated with the administration of hormone injections. However, this method entails many health risks. The chances of getting pregnant increase significantly with in vitro fertilization.

Polycystic ovary syndrome (PCOS)

This ovarian dysfunction is still an enigma for specialists. It is not a disease in itself, but a complex of symptoms that seem to be unrelated to one another. Polycystic ovary syndrome is associated with lack of ovulation, abnormal menstrual cycles, fattening tendency, acne, excessive hairiness, increased risk of diabetes and infertility. The best therapeutic approach includes diet and exercise.

Tags Fertility problems Women fertility