Six Reasons Why You May Be Struggling To Get Pregnant

Approximately 3.5 million people will struggle to conceive naturally. It is not an insignificant figure, equal to one in seven couples, which means that someone you know may very well be having difficulty trying to have a baby. It may even be a situation that you are very familiar with personally.

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Women are well aware of what factors can cause fertility problems. We are told, among other things, not to leave it too late. But it remains that many of these factors are beyond our control. Dr. Anne Poliness of the City of Melbourne Fertility Center spoke with Mamamia about the six main reasons why women can not get pregnant right away.

Blocked Fallopian Tubes

Sperm can be prevented from reaching the ovum if the fallopian tubes are blocked. According to Dr. Poliness, the reasons behind blocked fallopian tubes may be endometriosis or previous pelvic infections. One possible solution is surgery that removes the outer scar to unlock the tubes. IVF treatment can also prevent damaged or blocked tubes.

Irregular Cycles

Although irregular menstrual cycles can lead to problems with ovulation, and are not always dangerous, it is important to look at what is causing the irregularity. To treat irregular cycles – especially for those who are trying to conceive, Dr. Poliness suggests the use of medications like Clomid or a follicle stimulating hormone.


Non-cancerous masses located in the uterus or cervix, the amount of fibroids affecting fertility depends on its size and location. Most fibroids do not need surgery. Dr. Poliness emphasizes that not all gynecologists would say, with certainty, whether fibroids cause infertility. However, it also points out that it is useful to have an understanding of the damages they cause. While surgery is not always necessary, there is a small risk that the uterus has to be removed, in which case the surgery should be given some serious thought.


Dr. Poliness says that although another cause of infertility could be endometriosis, there is not necessarily any correlation between how serious your condition is and your chances of conceiving.

“It does not have to be severe endo to change the parts of the body that make it difficult to conceive,” he explains. To experience difficulty conceiving naturally, endometriosis can be in the ovaries, tubes or even behind the uterus.

A laparoscopy to eliminate endometriosis can improve the chances of natural conception. Polycystic ovary syndrome With PCOS, the ovaries secrete large amounts of testosterone that interfere with ovulation, which in turn leads to fertility problems.

Not only this, but women who have PCOS have enlarged ovaries that contain multiple small cysts. “For women with polycystic ovarian syndrome the main problem is the frequency of the periods are.If someone has a cycle every four or five weeks, it is not always necessary to be in hormone suppressants. However, if the cycles are every three Or six weeks may be necessary, “says Dr. Poliness.

In terms of treatment, ovulation can also be induced with a drug called clomiphene. There is a high success rate with this drug, resulting in pregnancy rates comparable to that of the general population. Otherwise, in vitro fertilization (IVF) is another option for women who can not conceive after other options have not worked.


The one we are all hyper-aware of. Dr. Poliness believes that the best conception rates for normal healthy couples are 20 to 25 percent per menstrual cycle. However, when we are 40, the natural conception rate for a woman is only five to eight percent per month for the first six months. At the age of 43, it is believed that this rate will drop to three percent a month. In order to increase your chances, Dr. Poliness recommends that couples under the age of 35 who have been struggling to get pregnant for 12 months should seek help from a fertility specialist.

Those over 35 who have been treating for six months should also seek help.