Why am I still having trouble getting pregnant, even though I have many times

Almost every couple yearns to have a child. However, not all couples can get pregnant immediately after marriage. There are various things that make them, maybe you, have to wait a long time. One in five couples will face fertility problems of unexplained causes.

Why am I still having trouble getting pregnant even though I have tried many times?

Knock the hammer for the diagnosis of infertility cannot be done carelessly. So when you are consulted about difficult pregnancy problems, the doctor will plan a series of physical examinations to be absolutely sure about your real condition.

There are several things that will be evaluated, namely:

• The period of female ovulation, whether regular or not
• The resulting reserve of egg cells is seen from the results of evaluation of blood and / or the number of follicles in the body.
• There were no infertility problems with the uterine wall, evaluated by hysteropy
• Fallopian tubes are open and healthy, can be evaluated with Hysterosalpingogra (HSG)
• Results of analysis of sperm in normal male semen (including in terms of sperm count, shape, and speed of movement of sperm)

If an abnormality is found in one of the results of the above examinations, then that is strongly suspected as the causative factor. For example, the results of a male sperm analysis show that the sperm is abnormally shaped and that it moves slowly. This of course can affect the success of conception. Or, after a woman's ovulation period is checked and the results are irregular menstruation, this can also affect female fertility.

However, if all these things are checked and the results are fine, but you and your partner still find it difficult to get pregnant, then the doctor can determine a diagnosis of infertility - although once again the exact cause cannot be ascertained.

Is it true that the cause of my infertility is absolutely impossible to determine?

It's not like that. Fertility problems are not something that happens suddenly for no reason. There must be a reason why you do not get pregnant after many attempts and all the above test results are normal, but there may not be a way to measure or evaluate the condition. This is what makes some cases of fertility problems so difficult to diagnose.

Here are some things that are strongly suspected to make it difficult for couples to get pregnant:

Undiagnosed non-reproductive medical problems

A number of certain diseases that you or your partner may have but are not known for can be a risk factor for why the causes of your fertility problems are difficult to explain. One of them is celiac disease that is not handled properly.

Various studies have found that people who have celiac disease are 2-6 times more likely to have difficulty conceiving than people who don't. Even so, it is not certain what the direct link between celiac disease and infertility is.

The interaction between the vaginal environment and the condition of the incoming sperm

After ejaculation, sperm will go to the cervix. Furthermore, the sperm will swim from the vagina into the cervix and continue up into the uterus.

Well, sometimes, problems can occur at this phase. For example, there are antibodies in cervical mucus that attack sperm. This is what ultimately makes conception impossible. However, this condition also cannot be measured by an examination method.

Poor quality eggs

Unlike sperm quality that can be measured by sperm analysis, egg quality cannot be checked. Decrease in egg quality may occur due to age, the presence of other medical conditions, or other unknown causes.

Bad sperm DNA

The shape, movement speed and sperm count can be checked. The better shape, fast movement, and lots of numbers, the higher your chances of getting pregnant successfully. The presence of one defect in these three factors can decrease the odds, although in most cases it is not so obvious.

However, there is actually something else in sperm that can also affect fertility, namely sperm DNA. Poor sperm DNA quality can affect male fertility. Unfortunately, this cannot be measured yet.

There is a problem in the uterine wall

After being examined, the couple could have a healthy cervix, healthy eggs, good sperm condition. All of these are ideal for creating a pregnancy. However, it could be that the condition of the woman's uterus is not supportive. Reporting from Verywell, a study found that the presence of a viral infection in the uterus can affect the smoothness of the conception process.

Can I still attempt a pregnancy at a later date?

Even though the cause for it is difficult for you and your partner to get pregnant cannot be explained with certainty, that does not mean you will not be able to get pregnant in the future and it happens forever.

With regular consultation with the doctor and healthier lifestyle changes, some couples can get pregnant successfully without the help of medication.

x