The inability to get pregnant can be due to various causes, primarily related to problems with ovulation, fallopian tubes, uterus, or other reproductive system factors. Some common reasons include:
- Ovulation disorders: These affect the release of eggs from the ovaries due to hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid problems, excessive exercise, or stress. Without ovulation, pregnancy is not possible.
- Fallopian tube damage or blockage: This can prevent the egg and sperm from meeting, often caused by pelvic inflammatory disease (PID), infections, or previous surgeries.
- Uterine conditions: Issues such as fibroids, uterine polyps, abnormal uterus shape, or endometriosis can block implantation or affect fertility.
- Age-related factors: The quality and quantity of eggs decline with age, especially after 35, decreasing the chances of conception.
- Other factors: Primary ovarian insufficiency, pelvic adhesions, cervical mucus problems, or certain cancers and their treatments can also play a role.
Additionally, even if ovulation occurs regularly, factors like poor egg or sperm quality, thin or unresponsive uterine lining, or blocked fallopian tubes can prevent pregnancy. A combination of female and male factors often contributes to infertility. If pregnancy is not happening after trying for over a year (or six months if over 35), consulting a healthcare provider for evaluation and diagnosis is recommended.
