I’m not getting pregnant. Why not? What can I do about it?

I’m not getting pregnant. Why not? What can I do about it?

If you have been trying to get pregnant for a year or more without success, it’s time to search for an expert’s advice.

Possible causes

Family history or associated diseases.

Should there be a similar medical history in your family or associated medical issues, you should put yourself in the hands of a specialist without delay and avoid postponing a consultation.


Nowadays, age is one of the factors that affects fertility the most. Modern-day lifestyles have women delaying motherhood and searching for the most suitable time to get pregnant. This can often end up coinciding with a decline in their fertility.


Patients with endometriosis should not delay seeking advice, either. Turning to a fertility clinic that specialises in this pathology is the best way forward because it will help improve the prognosis.

Irregular menstrual cycles.

The same applies if the patient has begun having irregular menstrual cycles since this could be a sign of premature menopause or poor ovarian reserve. Placing one’s trust in specialist gynaecologists can help optimise egg quality.

Endocrinological problems or weight changes.

Patients with a background of endocrine disorders such as obesity, thyroid issues, polycystic ovary syndrome or insufficient body weight are advised to try for a baby with the support of a fertility clinic that has an endocrinology unit where fertility treatment can be coordinated with patients’ needs from an endocrinology perspective.

Couple with family ties.

Consanguinity can prove to be an issue if the couple is unable to get pregnant. Couples with this characteristic should always seek genetic guidance and cases of genetic abnormalities such as cystic fibrosis are equally as important because the future child’s health could be put at risk.

Diseases linked to infertility problems.

If patients have had an illness (mumps in male patients, sexually transmitted diseases, etc.), this can also be a cause. The same is true of pathologies in the uterus and in the fallopian tubes or andrology-related diseases in male patients.

Toxic chemicals.

Exposure to toxins  (tobacco, alcohol, drugs, harmful substances in the environment, etc.) can also lead to an inability to get pregnant.

Do not delay fertility consultation

Should you have any of the aforementioned pathologies or if you have tried to get pregnant for more than a year and have been unsuccessful (6 months if the female partner is 35 or over). You should turn to a specialist clinic that will find the specific treatment that is suited to your needs. At Instituto Bernabeu, for example, we use personalised courses of treatment for each patient because each case is different. We have a Poor Ovarian Response unit that improves the prognosis in women who, for various reasons, have a very small quantity of eggs. Another of the significant areas for support focuses on patients who have suffered recurrent pregnancy loss or who, following several courses of assisted reproduction treatment, have not managed to get pregnant. This is done in our unit that treats implantation failure, amongst other lines of medical attention.

Turning to clinics that have their own genetics laboratories also helps to improve a couple’s chances of getting pregnant. Nowadays, genetics is particularly important in the field of reproductive medicine. It provides an explanation for many of the issues that impede pregnancy, as well as providing solutions for them.

It is important that couples put themselves in the hands of experts and avoid placing their trust in low-cost clinics. That have idyllic advertisements that guarantee pregnancies using sales tactics that end up being far less efficient than they were made out to be. It is also important to avoid foregoing any resource and to confide in a health clinic that provides every guarantee. A clinic where you know that they will care for essential aspects such as the baby’s health right from the very first few days of its life as an embryo.

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