Why Cant I Get Pregnant
Why Cant I Get Pregnant – According to the Indian Society of Assisted Reproduction, infertility affects around 10-14% of the Indian population.
Radha Jain (27) and her husband Raghavan Jain (29) had been trying to conceive for some time and wondered what could be the possible reason for not conceiving when everything was normal.
Why Cant I Get Pregnant
After months of negative pregnancy outcomes, the couple slowly lost hope. Now after 8 months of trying, he found it difficult to meet his friends who had children.
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On the recommendation of close friends, the couple decided to consult infertility specialist dr. Approaching Preeti Arora Dhamija at Sitaram Bharatiya Hospital in South Delhi.
Dr. Preeti listened to their concerns and took a detailed medical history. He also asked them about their lifestyle, working hours and whether they could spend enough time together.
After answering the questions, Radha hesitantly asked the doctor, “Why am I not getting pregnant? Is it normal not to get pregnant right away?”
The doctor calmed her down and replied, “It takes up to a year for even a healthy couple to conceive, so don’t let failed attempts discourage you.”
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“Conception depends on many factors such as age, general health, reproductive health and how long you have been trying to conceive.”
According to the American College of Obstetricians and Gynecologists (ACOG), here are some situations when you should consider an infertility diagnosis:
Radha’s periods were regular, both partners were young, energetic and had been trying to conceive regularly for the past 8 months without any complications. He felt very relieved to know that there was no cause for concern.
When everything was normal, Radha was still curious about the possible reasons why she was not getting pregnant and asked the doctor about it.
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“Unhealthy lifestyle, weight problems, high stress and confusion about fertility period can be the possible reasons for not getting pregnant,” explained Dr Preeti.
“If you have disturbed sleep, unhealthy eating habits or no way to manage stress, this can affect your chances of getting pregnant,” emphasizes the doctor.
Radha was always aware that she and her husband were not leading the healthiest of lifestyles, but knowing that their chances of conceiving was a real struggle for her. It was a wake-up call.
She continues, “It’s ideal for women to fall into the appropriate BMI range and maintain the right waist-to-hip ratio. Men should also maintain a healthy weight, as this also affects the quality of their sperm .
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Try to exercise at least 3-4 times a week for 30 minutes to maintain a healthy weight.
Stress levels, anxiety and depression affect your fertility and menstrual cycle. In men, stress is also known to be a major contributing factor to low sperm count or poor sperm motility.
Dr. Preeti advises: “De-stressing, like excessive stress, can negatively affect your libido and fertility levels. Try activities such as couples spa and massage, deep breathing exercises, meditation and yoga.”
Hearing this, Radha’s decision to sign them up for couples yoga becomes even stronger. She was determined to book their sessions as soon as she got out of the hospital.
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Dr. Preeti further informs the couple, “Ovulation is when your mature egg is released into the fallopian tubes for possible fertilization. Make sure you calculate your ovulation period correctly and try accordingly as this is an important step when trying to conceive.
Ask your doctor to help you calculate your ovulation period based on your average menstrual cycle or get an ovulation test kit.
You can also learn how to calculate ovulation here: How to get pregnant: How to get pregnant in 5 quick steps
Lubricants can adversely affect the motility and quality of male sperm and thus hinder the fertilization process. It is advisable to give up lubricants or try a fertility-friendly diet.
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The couple was advised to keep trying for another 6 months considering their young age and the absence of any obvious symptoms or concerns.
Unfortunately, she still couldn’t get pregnant and decided to see dr. Preeti to follow up. During their consultation, she reviewed the possible causes and explained that they could only determine the cause through a basic fertility evaluation.
During the consultation, Dr. Preeti discusses the most common reasons for not getting pregnant after trying for a while.
Dr. Preeti explains, “A woman’s ovulation may be reduced due to a poor hormonal environment or impaired ovarian reserve. This may or may not lead to subtle menstrual irregularities. Normal egg development or It may interfere with its eruption.”
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“To understand the process of egg formation in your body, your doctor may prescribe an ultrasound to monitor the follicle, which takes place on different days of your menstrual cycle.”
“Subtle abnormalities in semen such as low sperm count and/or motility can lead to failure to conceive,” emphasizes the infertility specialist.
The doctor continues, “In women who have undergone pelvic surgery or appendectomy, there may be silent blockage of the tubes. In such cases, in order to conceive, the tubes must be open and functional.
Tests such as hysterosalpingogram (HSG), which is an OPD procedure, may be advised to determine the health of the tubes and uterus.
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Sometimes a woman may have defects in her uterine cavity that can interfere with the embryo’s ability to implant and grow.
Dr. Preeti explains, “Abnormalities in the uterine cavity such as scar tissue, presence of micro-polyps or the shape of the cavity can affect pregnancy. Sometimes there can be irregularities in the formation and secretion of the inner lining during menstruation, which can lead to a smooth pregnancy can be harmful for
A pelvic ultrasound may be needed to diagnose the condition, and some of these uterine structural problems may require a minor daycare procedure called a hysteroscopy.
Sometimes there may be undiagnosed medical conditions such as endometriosis, which may appear later in life or be considered “normal”.
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“In these cases, women may experience severe pain before or during menstruation that may worsen overtime. This may be a sign of underlying endometriosis and requires proper management,” emphasizes Dr. Preeti.
Once the test results were revealed as normal, Radha and Raghavan were advised to do some more advanced tests. Advanced fertility evaluation showed no cause for concern and this is suspected to be a case of unexplained infertility.
“Sometimes couples can have undiagnosed fertility problems and many times there may be no fixed reason behind it.”
Dr. Preeti replied, “When there is no obvious reason for a couple not to conceive, it is called unexplained infertility. In such cases, the couple’s fertility tests also come out normal.”
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The doctor recommended a conservative procedure called IUI, which improves the number or quality of eggs available with prescribed medication and uses purified semen, which can help solve some of the problems.
Looking forward to her date, Radha says: “I’m not going to lie – it wasn’t easy, but the fact that my husband was with me and we were in this together made us stronger than ever! We didn’t no. lost hope thanks to the team of doctors who were very helpful and accommodating.”
In the end, Raghavan said, “We had to be more patient and persevere despite many obstacles.”
This article was written with input from dr. Preeti Arora Dhamija, who has over 16 years of experience as a fertility specialist and gynecologist. He has trained in Assisted Reproductive Technologies and Fertility Enhancement Laparoscopy from the Indian Fertility Society.
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MBBS, Maulana Azad Medical College, Delhi (1999); MD, Lady Hardinge Medical College (2004); DNB Obstetrics and Gynecology (2004); Diploma in Pelvic Endoscopy, Kiel, Germany (2014)
Are you interested in Dr. Preeti to consult for your preconception journey? Fill out the form below or call us at +91 9871001458 to schedule a personal consultation with Dr. Preeti at Sitaram Bharatiya Institute of Science and Research, Delhi. According to a recent survey of 1,000 people commissioned by Healthily, there are still a few. There is some confusion about how lifestyle factors such as smoking and weight can affect your fertility, when you can get pregnant in the menstrual cycle and whether or not men have a biological clock.
More than a third (36%) of the 1,000 men and women surveyed believed that men do not have a biological clock and 30% of women mistakenly believed that they could not conceive during a period . Another 57.8% mistakenly believed that there is a 2-day window after an egg is released (it’s only 24 hours).
There are many important effects on fertility in both male and female partners, so this is a lifestyle change to consider if you are trying for a baby.
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Another study found that men who smoke are less likely to get their partner pregnant with assisted reproductive techniques, such as
When it comes to the effects of smoking on female fertility, there is evidence that it can affect ovarian reserve – the medical term for the number and quality of eggs in the ovary.
Liar. Yes they do. While it is true that men can remain fertile throughout their lives and father children into their 70s and beyond, their fertility declines with age.
This was confirmed in a 2015 review of 90 studies of 94,000 men, which found that aging men were linked.
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