5 Reasons You’re Not Getting Pregnant

By | March 5, 2020

Infertility affects approximately 6.7 million women in the United States and if you’re trying to get pregnant, you know how disappointing it can be every month to get a negative pregnancy test. But before assuming that in vitro fertilization (IVF) may be your only option, it’s important to rule out some of the very common—and often treatable—causes of infertility.

Here, read on for five possible reasons why you might be struggling with infertility and what you can do about it.

1. You don’t ovulate.
Polycystic ovary syndrome, which can cause irregular menstrual cycles and an increase in male hormones, affects about 5 to 10 percent of women and is one of the most common reasons women don’t ovulate. In addition, being overweight, obese or underweight, as well as having a thyroid imbalance, can affect ovulation.

What to do: One of the best ways to improve your fertility is to have a healthy weight, according to Dr. Jennifer Hirshfeld-Cytron, a reproductive endocrinologist with Fertility Centers of Illinois.

It’s also important to be screened for polycystic ovary syndrome and rule out other medical conditions. If you already know you don’t ovulate, talk to your doctor as soon as possible about treatment.

2. It’s his problem.
Male factor infertility is responsible for up to a third of infertility cases. If your guy is overweight, obese or a smoker, it could be affecting your chances of getting pregnant. An infection or inflammation of the prostate glands might also be the cause, according to Dr. Mark Surrey, co-founder of the Southern California Reproductive Center.

What to do: Losing weight and quitting smoking are key, but it’s also important for your guy to see his doctor for a physical and a semen analysis. Medication, Intrauterine insemination (IUI) or IVF are options depending on the problem.

5 Reasons You're Not Getting Pregnant