Why is it difficult for you to get pregnant?

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You've been trying to get pregnant for a while but haven't been able to. Difficulty getting pregnant can be due to irregular ovulation, structural problems in the reproductive system, low sperm count, or you may have an underlying medical condition.

1. What is infertility?

If you are trying to get pregnant and have been trying to have sex without using any contraception for a year without any results, you may have a medical problem related to infertility. . In case you are a woman over 35 years old, this period will be shortened to only 6 months of trying, you should consult a reproductive health professional for advice.
A woman who has never been pregnant will be diagnosed with primary infertility. A woman who has had at least one successful pregnancy will be diagnosed with secondary infertility. Infertility is not just a woman's problem. Men can also be infertile. In fact, men and women are equally at risk of fertility problems. The remaining one-third of cases may be due to combined male and female infertility, or of unknown cause.

2. Reasons why it's hard for you to get pregnant

Although some causes of infertility can have symptoms such as irregular periods or severe menstrual pain, the truth is that most causes of infertility are silent. Male infertility is rarely symptomatic. Here are 8 possible reasons why it might be difficult for you to get pregnant:
2.1 Insufficient sex frequency The first thing to consider is how long you've been trying to get pregnant. About 80% of couples conceive after 6 months of trying, 90% will get pregnant after 12 months of trying and having sex with the right frequency.
You should see your fertility doctor if:
Are 35 years of age or older and have been trying to have sex for at least 6 months; Are under 35 years old and have been trying to have sex for at least 1 year; 2.2 No ovulation The human process of conception requires eggs and sperm. If you don't ovulate, you won't be able to get pregnant.
Failure to ovulate is a common cause of female infertility and it can be triggered by many medical conditions.
PCOS is one of the possible causes of not ovulating. Other possible causes include being overweight or underweight, primary ovarian insufficiency, thyroid dysfunction, hyperprolactinemia, and excessive exercise.
Most women who are having problems with ovulation have irregular periods. However, regular menstrual cycles will not guarantee that a woman's ovulation is taking place normally. If you have irregular periods, talk to your doctor, even if you haven't tried for a year.
2.3 The problem is in men About 20-30% of infertile couples detect fertility on the man's part. Another 40% found infertility factors on both sides.
Male infertility rarely has observable symptoms that require a semen analysis, which is a test that measures the health of semen and sperm. When you visit your doctor, mention that you'll be tested for both.

2.4 Age-related infertility For women after age 35 and men after age 40, it can take longer to get pregnant. Some women think that if they still have regular periods, fertility is fine, but this is not true. Age also affects the quality and quantity of eggs. Also, if your partner is 5 years or older than you, this can further increase your risk of fertility problems after age 35
2.5 Fallopian tube blockage Obstructive infertility causes Fallopian tubes account for about 25% of female infertility cases. The rest may have problems with blocked fallopian tubes, problems with the structure of the uterus, or endometriosis.
Fallopian tubes are the passage between the ovaries and the uterus. Fallopian tubes do not connect directly to a woman's ovaries. Sperm must travel upstream from the cervix, through the uterus, and into the fallopian tubes.
When the egg is released from the ovary, the tubules from the fallopian tube will suck the egg inside. Conception takes place inside the fallopian tube, where the sperm and egg eventually meet.
If anything prevents the fallopian tubes from working properly or if scarring prevents sperm or egg from meeting, you will not be able to get pregnant.
There are many possible causes of blocked fallopian tubes. While some women with blocked fallopian tubes experience pelvic pain, many others have no symptoms. Only fertility testing can determine if your fallopian tubes are open. An HSG is a specialized X-ray used to determine if your fallopian tubes are open. This may be required by your OB/GYN.
2.5 Endometriosis Endometriosis is when endometrial-like tissue (which is the tissue lining the uterus) grows in locations outside the uterus. It is estimated that up to 50% of women with endometriosis will have difficulty getting pregnant.
The most common symptoms of endometriosis include painful menstruation and pelvic pain outside of menstruation. However, not all women with endometriosis experience these symptoms. Some women find out they have endometriosis as part of infertility treatment.

2.6 Other Underlying Medical Conditions Underlying medical conditions can lead to infertility in both men and women. For example, a thyroid imbalance or undiagnosed diabetes can lead to infertility. Although poorly understood, depression is associated with infertility. Certain autoimmune diseases, such as lupus and undiagnosed sexually transmitted diseases, can also cause infertility.
In addition, there are prescription drugs that can affect fertility. But never stop taking your medication without first talking to your doctor.
2.7 Unexplained Infertility Between 10-30% of infertile couples never figure out why they can't get pregnant. Infertility of unknown cause is almost always seen as an equivocal diagnosis. A diagnosis of unexplained infertility can have undetected or undiagnosed problems.
However, the reality is that many couples still cannot find the cause of infertility. However, just because you can't find a cause doesn't mean you can't treat it. You can continue infertility treatment even if your diagnosis is unexplained infertility.

3. What should you do if it is difficult to get pregnant?

If you're having trouble getting pregnant, know there's always help. Many couples put off testing and treatment, waiting for a miracle, or thinking they should just "try a little harder" first. This is a mistake. There are a number of reasons why infertility gets worse over time. Therefore, the sooner help is received, the more effective fertility treatments will be.
Another reason couples sometimes delay getting tested is that they feel and appear to be in perfect health. It's true that you and your partner may not have signs or symptoms of fertility problems. You may have a 28-day cycle, but that doesn't mean you'll be able to have a normal, fertility-free pregnancy. The reasons for infertility are not always observable. So if you've been trying to conceive for 1 year (or 6 months if you're 35 or older), see your doctor for help.

Currently, you can go to the Center for Reproductive Support - Vinmec International General Hospital. This is the leading center in Vietnam, which has developed and applied a comprehensive medical examination and treatment process, combining both gynecology and obstetrics and gynecology to provide the optimal method for each patient's case.
Advantages when customers choose Vinmec fertility center:
Equipped with modern equipment, clean air system according to international standards to ensure lab quality, single cabinet system to optimize quality embryo, improving the success rate for each cycle of artificial insemination. Implement most advanced assisted reproductive techniques in the world: ICSI (injection of sperm into the oocyte cytoplasm); support embryo escape membrane; Reproductive reserve: embryo freezing, sperm freezing, oocyte freezing to help customers take the initiative in giving birth at will, transferring embryos on day 5, minimizing pregnancy; male infertility techniques (PESA, MESA, TEFNA, TESE) Besides advanced reproductive support methods, a team of excellent doctors in the country and the world, with prestige and long-term experience in the field of infertility .

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

References: cdc.gov, verywellfamily.com,hopkinsmedicine.org