It often happens that, according to analyzes, healthy couples who want to have children, but lose faith, lose hope. A woman carefully monitors the state of her body: she discovers that there is ovulation, but pregnancy does not occur. Why it happens?

Natural process

Ovulation is the release of an egg from the ovary. This occurs before the onset of menstruation (at any cycle length) in 12-16 days. On a 28-day cycle, ovulation is usually in the middle. With a shorter or longer cycle, the duration of the first phase, that is, the pre-ovulation period, changes.

So, pregnancy occurs if intercourse occurred from the 3-4th day before ovulation (since sperm cells are able to live for 3-4 days) and ending on the last days after ovulation (after all, the egg cell is viable up to 24 hours).

Bad signal

If a woman does not succeed in getting pregnant, despite the presence of ovulation, other causes of infertility should be looked for. In other words, ovulation is an indicator of a woman's health, and if it is not there, therefore, there are some disorders in the body.

In addition, it should be borne in mind that it is on these days that the egg meets the sperm. For example, if a man has abnormalities in the spermogram: sedentary spermatozoa and there are very few of them. Then it is highly desirable that sexual intercourse occurs a day or two before ovulation, but one should abstain 3 days before that (in this case, the concentration of sperm and the chances that one of them will be able to reach the egg increases).

How to recognize ovulation

Signs of ovulation are quite subjective, but they cannot be overlooked. In particular, during ovulation, many of Eve's daughters report increased libido. In parallel with this, in the middle of the cycle, tingling sensations or pulling pain are possible in the lower abdomen. Streaks of blood may appear in the discharge.

In addition, the consistency of vaginal mucus changes: it is more viscous and viscous, its amount increases. Then, after ovulation, the volume of mucus is much reduced.

In addition, you can judge the presence of ovulation by observing the menstrual cycle. As a rule, if the cycle is regular, then, accordingly, ovulation is constant. If the cycle is irregular, then it is either absent altogether, or happens every other time. On the other hand, a regular cycle does not at all guarantee the presence of ovulation, while an irregular cycle does not indicate 100% of its absence.

In addition, the presence of premenstrual syndrome (PMS) - engorgement of the mammary glands, small weight gain in the second phase of the cycle - is also observed during ovulation.

Non-medical problems

It is believed that in order for pregnancy to occur, one should take care of the baby during ovulation, nurse him, change his diapers, swing on the arms, then the body seems to be tuned to the desired wave. The most striking confirmation is the example of the Ukrainian Olympic champion L. Podkopayeva, who soon became pregnant after adopting a child from an orphanage.

Or, for example, you need to drink something from a mug of a pregnant woman or eat something from her plate.

In addition, there is such a term as psychological infertility, when problems with the onset of pregnancy are possible even with regular ovulation. It is not for nothing that they say that in order for a pregnancy to occur, parents must really want a child.

In some families, a situation arises in which a couple cannot get pregnant. In fact, a huge number of women around the world are anxious because they cannot conceive for 2, 3 or more months. For some, the ordeal lasts for years. You need to know that 7 out of 10 women manage to solve this problem and have a child. The question is how much effort will have to be made in your particular case, because each situation is individual.

When a woman passes the threshold of 35 years, the level of fertility drops sharply, which affects her ability to conceive and bear a fetus. But this does not mean that women who are older than this mark can forget about pregnancy. According to experts, for about 10 more years, you can try to solve this problem in your favor. Therefore, for a successful conception, you can use everything that modern medicine offers for this.

Reasons for failure

"I can't get pregnant for 4-5 months, what should I do?" - this is a question gynecologists hear very often. The reasons for unsuccessful attempts can be very different. At first, it is worth noting that the most suitable age for conception by specialists is the period from 20 to 30 years. The body of a woman at this age is most able to cope with the stress caused by pregnancy.

However, some even at this age cannot get pregnant for 2, 3 or 4 months, and sometimes even in the period of 8-10 months. Let's take a look at the common reasons that prevent successful conception.

No results for more than six months

For those who cannot get pregnant for a month, 2, 3, 4 and even in a period of more than 6 months, friends and experts safely advise not to worry and not think that the reason for this is infertility. There are many factors that can affect failed attempts in such a short period of time, so you should not worry too much about this.

However, more and more often women turn to clinics with the words: "I have not been able to get pregnant for more than six months, what should I do?" In fact, if a couple is making efforts to conceive, but it has not been possible to do this for 6, 8, 10 months or more than a year, then it is worth considering how to test for the ability to become pregnant. If during the first months of the intensified efforts of a man and a woman, failure can be justified by the incorrect calculation of the "favorable" days for conception, stress or other factors affecting the process, then when attempts to conceive fail for the 6th month in a row, then in such a situation we can talk about any deviations that need to be identified and eliminated.

But before you go to a specialist, it is important to remember some notes that can prevent pregnancy for 4, 6, 8, 10 months or more. For example, some women are not always able to correctly determine the onset of ovulation. As you know, the most favorable days for conception are 6 days before it. On the other hand, the very fact of the onset of that "X day" can be stressful for a couple, especially if they are very passionate about getting pregnant for a long time. Often these are couples who have been married for three to four years.

In this regard, experts give advice that can help and has already helped a lot. If a woman's menstrual cycle goes as it should, then you just need to increase the frequency of intercourse. Regular sex once a day or every 2 days will allow couples not to feel the pressure associated with this “perfect day”, but to have fun and increase the chances of getting pregnant.

The need for examination

If, despite all the tips listed above, you cannot get pregnant for 5, 6, 8, 10 months or more, you should contact a specialist for an examination that can identify possible deviations that interfere with conception. Such a survey can last a month or more, and includes the following points:

examination of both partners for the presence of sexually transmitted infections. Among the problems of this kind, the three most common ones can be noted - genital herpes, chlamydia, mycoplasmosis, and many others;

sperm analysis of a man, which reveals the quantity and quality of sperm;
study of the hormonal background of a woman. A blood test will help determine if a hormonal imbalance is the reason for unsuccessful attempts to get pregnant for 6 months or more;
An ultrasound examination that a woman undergoes helps to determine the condition of the ovaries, and also indicates the presence or absence of diseases that interfere with conception and bearing of a fetus, such as uterine fibroids, adenomyosis and the like;
postcoital analysis allows you to determine if a woman's body is producing antibodies that block the functions of her partner's sperm. To carry out such an analysis, you need to take a sample of mucus from the vagina immediately after the end of intercourse.

Conception after 30

As mentioned above, the chances of getting pregnant are much higher in women under the age of 30. Often 4–5 months are enough for them to conceive successfully. However, older women sometimes have to wait 8-10 months for those very coveted 2 strips on the test, or even longer. Therefore, specialists have developed a special scheme that will tell you what to do and will help a woman seek help on time if conception does not occur within the expected period of time:

between the ages of 30 and 35, there is no reason to worry if pregnancy does not occur within 4–5 months of increased effort. A step towards examination should be done only after 6–8 months of failure;
if a woman's age is 35–40 years old, then it is worth starting to worry after 4–5 months of unsuccessful efforts. At the same time, the survey will help determine what prevents the couple from becoming parents for a month already;
women over the age of 40 should take decisive steps after 3 months of not being pregnant. Such a quick response will help to correct the situation and achieve results in the next 4-5 months.

The importance of preparing for pregnancy

If you are just starting to think about getting pregnant, you need to plan a number of activities that will help you avoid unnecessary anxiety due to unsuccessful attempts. Some of the actions described should be taken 6 months or more in order for the body to be optimally tuned for conception and gestation. What do we have to do?

Such sound advice will help couples get pregnant while avoiding the frustration of failed attempts. All this is also important to do if you cannot conceive for 5–6 months or longer. The main thing is that you do not need to drive yourself into the framework of established standards and concepts, but remember that your body is unique!

pregnancy does not occur

Common mistakes due to which pregnancy does not occur

Having decided to conceive a child, the couple begins to try to achieve pregnancy. But it is not enough to know on what day of the menstrual cycle unprotected sexual intercourse should take place.

Many factors affect the likelihood of conception. If pregnancy does not occur, you may be doing something wrong.

Let's take a look at some of the common mistakes couples can make when planning a pregnancy.

Low calorie diet

The body perceives a lack of calories as a threat to existence. There is not enough energy and plastic material for the production of hormones, the normal functioning of the genitals and the maturation of the germ cells.

A prolonged calorie deficit is the easiest path to anovulation (no ovulation) and the inability to conceive a child.

In men, the normal process of spermatogenesis is disrupted. The amount of ejaculate and the normal forms of sperm contained in it decreases.

Therefore, instead of diets with a calorie deficit, it is worth making a complete diet, the calorie content of which covers the need for energy. At the same time, it is worth remembering that proteins, fats and carbohydrates must be present in sufficient quantities.

Vegetarianism

The structure of the body is based on protein. It is best absorbed from meat and meat products. In addition, the body receives the largest amount of iron from food of animal origin.

Vegetarianism, although it is considered one of the options for a healthy diet, the body's need for proteins may not always be covered. Vegetable protein has a deficient amino acid composition.

Therefore, if pregnancy does not occur, the reasons for this may lie in vegetarianism. When planning a family, you should temporarily abandon such a diet. The same should be done during pregnancy if you do not wish to harm your baby.

Sauna

Sauna improves blood circulation, which is very beneficial for any person, but not for the future father. After all, the male sex glands that produce gametes are located outside the body for a reason.

Spermatozoa are very sensitive to high temperatures, so nature has made sure that the testes of men are in temperature conditions no higher than 34 degrees.

If your spouse does not get pregnant, you can increase your chances of conceiving by avoiding this pleasant wellness procedure while planning your pregnancy. After receiving the long-awaited result, he will be able to reward himself with a trip to the sauna, and it will be even more pleasant after a long break.

Shower after intimacy

You have conscientiously calculated the most favorable day for conception. We did everything to make the pregnancy test positive this time. But it turned out to be negative again. What is the reason?

One of the most common mistakes is to shower or take a bath immediately after making love. Wait at least two hours, or even longer, for the male reproductive cells to arrive at their destination. They can be "helped" if, immediately after contact, the woman assumes a position in which the pelvis is slightly raised. To do this, you can put a roller under the buttocks.

Incorrect frequency of sexual intercourse

The maturation of both male and female germ cells takes a certain amount of time. Everyone knows that it takes about 14 days for an egg to mature.

But only a few know that spermatozoa, previously going through the stages of spermatogenesis, “overgrow” with flagella and acrosome in the lumen of the seminiferous tubule for another 3-4 days.

These organelles are very important in fertilization: the flagellum determines the motility of the sperm and their ability to reach the oocyte. The acrosome contains an enzyme that dissolves the protective shell of the egg, which is why fertilization occurs.

When planning a pregnancy, take a break between episodes of intimacy. 3-4 days is quite enough - at long intervals stagnation and sperm thickening occur, which negatively affects the viability and fertility of sperm.

With too frequent contact (for example, daily), the semen may not be enough or it will be too thin. Which also greatly reduces the chance of conception.

It is also important to consider the days of the menstrual cycle that are most favorable for conception. Most often this is from about the 10th to the 16th day of the cycle.

Fruitless attempts for over a year

It is not so scary if the couple, who cannot conceive on their own for a year, are young. But often problems with conception lie in wait for spouses who are in an older reproductive age. And here it is important not to waste precious time.

With infertility, there is always a certain reason why conception is impossible. By postponing the search for this reason, spouses only exacerbate the current situation.

Why pregnancy does not occur: reasons and what to do

There are many reasons for preventing conception. Why pregnancy does not occur, they often ask, but how much you need to worry about it and what you need to do if there are still reasons for anxiety - we will figure it out.

Why, if both are healthy, there is no pregnancy?
There is ovulation, but pregnancy does not occur: reasons
Other reasons
If it doesn't work, what to do?
Why doesn't pregnancy happen the first time?
After stimulating ovulation
After laparoscopy

Why doesn't pregnancy occur if both are healthy?

For the onset of pregnancy, in addition to the health of both spouses, several more conditions are necessary:

Sexual intercourse on the correct days for conception. In a woman, the fertile period depends on the duration of the menstrual cycle. The release of a mature oocyte from the dominant follicle occurs 14 days before the onset of menstruation, both with regular and irregular periods. Optimal - two days before and after the release of the oocyte, in the so-called.
The presence of an egg (oocyte). During ovulation, it is easier to "catch" an oocyte if the cycle is regular, but even if the period, like a clock, occurs exactly on schedule, the presence of an egg ready for fertilization must be confirmed (for example, using tests). Sometimes it happens when hormones are normal, menstruation occurs regularly, tests are also good, but eggs are not. In these cases, pregnancy does not occur. They are considered physiological if they occur no more than two or three times a year, no more. But this is only the tip of the iceberg.

There is ovulation, but pregnancy does not occur: reasons

The reasons for which there is ovulation, but pregnancy does not occur:

poor quality oocyte,
bad spermogram;
genetic inferiority of the zygote.

Conditions that are necessary for pregnancy, with preserved ovulation:

The oocyte must be mature and ready to fuse with the sperm. Unfortunately, as a result, the quality of the genetic material of the germ cell suffers. The window during which the oocyte can be fertilized, on average, lasts 24-48 hours. The period can vary in one direction or another for several hours, depending on the characteristics of the woman's body.
Mature, motile spermatozoa, i.e. spermogram is normal. The conditions of modern life negatively affect the quality of sperm, although men mostly do not accept this fact and insist that everything is fine with them. If there is no pregnancy for six months, it is worth carefully examining not only the woman, but also her spouse.
"Meeting" is not just a male and female reproductive cell, but genetically complete sperm and egg cells. If there are breakages in the genetic code of a fertilized egg, the embryo most often dies on the fourth day and leaves with menstrual flow, and the girl does not even suspect that in fact there was a pregnancy, but implantation did not occur. In the human population, this occurs in 30% of cases. This is the main reason why pregnancy does not occur if all possible tests, including hormones, are normal, both partners are healthy, the tubes are passable and the spermogram is normal.

If there is ovulation, but pregnancy does not occur, this is not yet a cause for concern. It is not always possible to conceive a baby the first time, but more on that later.

Other reasons why pregnancy does not occur

The reasons why pregnancy does not occur (first or second) should be systematized and divided into groups according to the effect on the stages of fertilization and implantation:

Fallopian tubes are absent or they are soldered (). Adhesions impede the movement of sperm to the egg, but even if the sperm manages to get through the holes between the adhesions and fertilize the oocyte, the egg will not be able to descend into the uterine cavity due to its size and develops. The oocyte is the largest cell in the body. The sacrament of fertilization is carried out in the fallopian tube, or rather in its ampulla, the widest part facing the ovary.
One tube is missing, and ovulation is constantly on the opposite side. The opinion that it is wrong.
The presence of b, adhesions and deformities (after abortion, frozen pregnancy, cesarean section). They interfere, therefore, there are no conditions for the onset of pregnancy. Often, the diagnosis of these diseases occurs after the partners have not been able to get a pregnancy for a long time. Sometimes the path to the doctor is delayed for a year or more, because the symptoms are not always clearly manifested.

Hormonal problems interfere with the maturation of the oocyte and. - a disease in which it is possible to become pregnant, but treatment is necessary (surgical or therapeutic). Depending on the extent of the lesion, the gynecologist prescribes drugs that "turn off" the menstrual function for a period of 3 to 6 months or - to remove the lesions and confirm.
With (hypofunction of the thyroid gland) maturation and release of the oocyte does not occur at all. To exclude thyroid dysfunction, you need to donate blood for the determination of thyroid hormones Т₃, Т₄,.
The long absence of the first pregnancy in the fertile period makes the organs of the reproductive system unclaimed. Microcirculation is disturbed in them, hormonal regulation becomes imperfect, which is a good reason that pregnancy does not occur for a long time.
Lactation period.

Cancellation of oral contraceptives (OC) - does not pass without leaving a trace for the body. It is not possible to get pregnant right away. It will take time to restore ovulatory function and your own hormonal background. The duration of the recovery period directly depends on the duration of the OK intake. On average, it lasts from 1 to 4 months.

Nature is very intelligent and the mechanisms that prevent the onset of "low-quality" pregnancy, allow avoiding the transmission of hereditary pathologies, miscarriages and abortions.

The reasons why pregnancy does not occur the first time:

Sexual intercourse did not coincide with. For the most part, the release of the oocyte is not felt, so it is difficult to guess the moment of ovulation. Pregnancy is possible if PA occurs 6-7 days before the release of the oocyte (this is the maximum period of sperm life in the organs of the female reproductive tract) and 2 days after it. It is believed that the egg can fuse with the sperm within 2 days after ovulation. But there is an opinion that the oocyte is "capable" until the moment of menstruation, until it leaves the body along with menstrual flow.
Poor endometrium prevents implantation. Conversely, high-quality uterine lining blocks the production of vital substances in a poor-quality embryo, which prevents it from implanting. These mechanisms are aimed at maintaining the health of the human population.

The chances of pregnancy the first time are 5%, provided that the parents are completely healthy. A large number of embryos formed during conception have genetic abnormalities. In 30 cases out of 100, the endometrium prevents their attachment. The same number can attach, and be torn away after a few days. In 10% of cases, miscarriages occur.

... This hormone - promotes the consolidation and "engraftment" of the embryo in the uterus. It is secreted by the corpus luteum. With its lack, the gynecologist prescribes Utrozhestan, with the threat of miscarriage as a result of luteal insufficiency - Duphaston.

Pregnancy does not come, what should I do?

If pregnancy does not occur, you need to do the following:

Review the diet, normalize the regime, forget.
Make an appointment with a gynecologist, undergo examination, ultrasound and hormones and with a partner.
Observe the break between sexual intercourse - 3 days. During this time, the required amount of sperm is accumulated. Regular ejaculation allows you to normalize the quality indicators of sperm and remove congestion in the male reproductive organs.
Change intense physical activity to moderate.
Start taking folic acid, if indicated, vitamins E and C.

To identify diseases or pathological conditions after a miscarriage or abortion, laparoscopy is recommended.

Laparoscopy does not guarantee immediate pregnancy. Since during surgery, diseases can be excluded or treated, but other factors that prevent pregnancy remain. According to statistics, in 20% of women, conception after laparoscopy occurs in the first month after it. In 15 women out of 100, pregnancy after laparoscopy does not occur within a year. Laparoscopy for the syndrome and, also does not guarantee "instant" conception.

Pregnancy did not occur after ovulation stimulation

In the absence of ovulation and pathological anovulatory cycles, hormonal drugs are used to induce ovulation. Depending on the indications, different schemes and drugs are used.

If the ovaries are responsive to therapy, ovulation occurs. At the same time, the likelihood of pregnancy is increasing. But the systemic effect of stimulation is not well understood. It is believed that stimulation can negatively affect the quality of the endometrium. After stimulation, pregnancy does not occur if the ovaries are insensitive to hormone therapy. The efficiency of oocyte maturation induction is only 10-15%. Pregnancy occurs in a total of 4 stimulation cycles in 20-38% of cases.

Perhaps you are planning to conceive a child for a rather long period of time, while you do not have any infectious diseases, ovulation and hormones are in order, and the long-awaited pregnancy still does not come? If this situation is close to you, then most likely you need to carefully check your body. It's time to be examined by other specialists, not just a gynecologist. Here you can find 10 relevant tips for yourself that will help you understand the question: why does pregnancy not occur?

1. Be sure to send your partner to an andrologist. He will take a spermogram, and then discuss the results of the examination with a doctor. Along with impaired motility of spermatozoa, their insufficient number for conception and poor morphology, sometimes there is a disease such as polyspermia. A high concentration of sperm is also a pathology that can affect conception.

2. Check your thyroid function. To do this, you will need to pass a special blood test and visit an endocrinologist who will do you an ultrasound examination of the thyroid gland.

3. Take an analysis for the karyotype, which will help to identify abnormalities at the chromosome level. In order to decipher it, you need to turn to geneticists.

4. Pass a blood clotting test. Very high blood clotting can lead to the formation of thrombosis at the site of attachment of the fertilized egg to the uterus. Another consequence of high clotting is a malnutrition of the embryo, which often leads to miscarriages, and sometimes even before menstruation is delayed.

5. It is very important to do a post-coital test., which will reveal the interaction of cervical mucus and sperm. It is most likely that the nature of your cervical fluid is preventing semen from entering your uterus and tubes.

6. Immunological examination will exclude the individual incompatibility of partners. In rare cases, women are found to have antibodies to the man's seminal fluid.

7. Laparoscopy will help you learn about adhesions in the fallopian tubes, which interfere with the normal fertilization of the egg. This is the most common cause of infertility, which is caused by previous inflammatory processes or surgery.

8. Anomalies in the structure of the uterus lead to the impossibility of conception such as fibroids or septa. Moreover, contrary to popular belief, they may not be visible during ultrasound examination. In this case, a hysteroscopy procedure is prescribed.

9. It is likely that you are not sure of your gynecologist. Please note that local doctors do not specialize in infertility treatment. In this case, the most optimal solution would be to contact another physician, more qualified. Moreover, now there are a large number of clinics specializing in the treatment of infertility, reviews of which can be read on the Internet or inquired about them from friends whose treatment ended in a long-awaited pregnancy.

10. Very often the reason for infertility in women is precisely their psychological attitude. In this case, there are no ready-made tips. It would be best to turn to a psychotherapist who will help you understand yourself and bring the long-awaited moment of conception closer.

jane crystal 16.06 00:53

Sometimes it happens that a married couple seems to be healthy, but pregnancy does not occur. I had just such a situation. I wanted the child so much that I couldn't think of anything else. In my head every now and then the thoughts about "favorable" days were spinning, in general, I was busy with calculations. So month after month passed, and pregnancy still did not come. I started thinking about the worst. I went to the doctor so that she prescribed me an examination. In the field of conversation with her, I heard good advice, they say, you shouldn't bother, and you need to stop counting, but just enjoy the process. It was hard, but I was able to get distracted and as soon as I did it, the pregnancy came instantly.

Ekaterina Sergeeva 24.08 16:00

You know, my husband and I had just "psychological infertility." And this is, literally, a sign of our time. We did not have children for 7 years, we were just examined up and down, sorry for such words. Everything that was possible with us was checked and examined: we both turned out to be healthy. And imagine, as soon as I quit my emotionally difficult job, where I could not even take a vacation, then a month later the long-awaited pregnancy came. This is real happiness! Now the child is already 2, 5 years old!
Learn to relax, tune in to the positive, wait for a miracle - it works very well! And let children's laughter sound in your house!

Eva 10.09 14:52

If a healthy couple cannot get pregnant, I can personally advise the methods I have tried, the result is a boy of ten and a girl for a year or three. Try to diversify sex, engage in places where you have not been before, you can go travel. And yet, there are frequent exceptions to the rules when pregnancy occurs, when intercourse occurs during menstruation. There is another way, but I do not recommend it - changing your partner. After changing a partner (cheating on her husband), pregnancy can occur quite quickly.

Why pregnancy does not occur a. Can't get pregnant for two months or more: reasons. What can interfere with conception