Why Can’t I Get Pregnant?

Doubtless, it may seem like you and your partner have been trying for a very long time to conceive, without result. But there are many possible reasons for your distressing lack of success.

First of all: have you really been trying long enough? Conception can take some time, but generally, around 80% of couples having unguarded sex will conceive after six months of trying; while 90% will conceive after 12 months of trying. So don’t despair if nothing has happened yet. Dim the lights and keep rehearsing Romeo and Juliet!

Sad couple and negative pregnancy test.

Continuing failure to conceive however may be due to the following:

  • Lack of Ovulation: if you’re not ovulating you can’t get pregnant. This is a common reason for female infertility and can be caused by (PCOS) Polycystic Ovarian Syndrome, being over- or under-weight, age-related ovarian insufficiency, or an underlying medical condition.
  • Male Infertility: it might be your partner’s problem. 20 to 30% of infertility problems are due to the male, who may have a low- or zero-sperm count, unhealthy semen, an underlying medical problem or simply an unhealthy lifestyle.
  • Blocked Fallopian Tubes: if these are blocked, sperm cannot reach and fertilise the eggs.
  • Endometriosis: this occurs when the lining of the uterus grows outside of the uterus and causes difficulty with conception.
  • Underlying Medical/Psychological problems: such as an STD, an autoimmune disease or depression.
Negative pregnancy test

What Options Do I Have and Which Treatments Are Available?

Adoption is still a popular solution for childless couples. Though it must be remembered that it’s not the answer to an infertility problem and the adopted child will have no genetic connection with either parent. Apart from adoption, there are a number of other solutions and treatments such as:

  • Fertility Drugs: these may be prescribed by a fertility specialist and can stimulate ovulation, improve the uterine lining, and, for the male, increase sperm count.
  • In Vitro Fertilisation:  this is the most widely-used treatment for infertility problems and, globally, has a very significant success rate. It’s a quite complex series of treatments, but at its core is the retrieval of eggs from the uterus, the woman’s own eggs or donated eggs, which are then fertilised with sperm – either from the partner or a sperm donor – in a laboratory. The fertilised egg, now an embryo, is transferred back to the uterus where it’s left to grow normally.
  • Embryo Adoption: during IVF treatment a woman may produce extra embryos which she and her partner may have frozen for their own or someone else’s use. That is, they can donate their embryos to couples struggling to conceive.
  • Such egg donation is an increasingly popular way for infertile couples to have a baby, particularly if their own IVF treatment has not been a success. The main reason for its popularity is that it allows the woman to grow the adopted embryo in her own womb.

IVF and its various related treatments should of course only be followed at a clinic which is utterly reliable, which fulfills all governmental or intergovernmental health standards, and is manned by fully experienced and fully accredited staff. Located in Prague, Central Europe, the Gynem Clinic, which specializes in IVF, has an outstanding reputation, not only for IVF and related treatments but for pre- and after-treatment care of its patients.

Advances and developments in IVF and other fertility treatments are increasingly rapid and the Gynem Clinic keeps abreast of them all. Laser-assisted egg hatching, preimplantation genetic screening (which allows the healthiest eggs for uterine implantation), vitrification (an ultra-quick method of freezing eggs) are all a part of the clinic’s ongoing response to the problem of infertility.