Why Can't I Get Pregnant? 5 Main Causes

If pregnancy does not occur despite a year of regular attempts (six months for women over 35), it is time to start an evaluation. Infertility is not a verdict — it is a medical condition whose cause must be found. Once the cause is found, the way forward becomes visible.

1. Absence of ovulation

Hormonal disorders and polycystic ovary syndrome (PCOS) prevent the egg from maturing. Signs: irregular or infrequent periods. The diagnosis is made with a hormonal panel and follicle tracking; in many cases medication can correct it.

2. Blocked tubes

Past infections and inflammation can create adhesions in the fallopian tubes. This is checked with a special examination; depending on the degree, surgical repair or the IVF route is chosen.

3. Endometriosis

Growth of the uterine lining outside the uterus — it can present with painful periods and infertility. It is one of the diseases that goes undiagnosed for years; laparoscopy offers both diagnosis and treatment.

4. Male factor

Involved in a significant share of cases. A semen analysis is simple, painless and inexpensive — which is why a couple's evaluation should always include the man from the start. The "let only the woman be examined" approach is the mistake that wastes the most time.

5. Uterine factors

Submucosal fibroids, polyps and adhesions can prevent embryo implantation. They are detected with ultrasound and, when needed, hysteroscopy; most are resolved surgically.

First step: come to the consultation as a couple
For the woman: hormonal panel, ultrasound, tubal check
For the man: semen analysis
Based on the results: a treatment plan or IVF preparation