7 Reasons You Are Not Getting Pregnant Naturally

by | May 6, 2023 | Pregnancy


For some, the natural process of conceiving may prove to be more challenging than anticipated, leading to frustration, stress, and countless questions. In this article, we delve into the multifaceted world of fertility and uncover seven common reasons why you may not be getting pregnant naturally. From age and ovulation issues to male infertility and unhealthy lifestyles, we explore the various factors that can impact conception. Furthermore, we discuss the importance of understanding structural issues, the intricacies of timing and frequency of intercourse, and the potential consequences of undiagnosed medical conditions. By shedding light on these common roadblocks to conception, we aim to empower you with knowledge and provide guidance on your path toward parenthood.

7 Reasons You Are Not Getting Pregnant Naturally:

1. Age: A Major Factor in Fertility

  • The Inevitable Decline in Fertility with Age: As you grow older, your fertility declines. It’s a natural process, but one that can be frustrating for couples trying to conceive. Women’s fertility starts to decrease in their late 20s, with a more significant decline after age 35. Men also experience a decline in fertility, but it’s generally more gradual.
  • Egg Quality and Quantity: The quality and quantity of a woman’s eggs are crucial factors in achieving pregnancy. As age increases, both the quality and quantity of eggs decline, making it harder to conceive. Additionally, chromosomal abnormalities in eggs become more common, increasing the risk of miscarriage or birth defects.
  • When to Seek Help Based on Age: If you’re under 35 and have been trying to conceive for over a year without success, it’s time to consult a fertility specialist. For those 35 or older, seeking help after six months of trying is recommended. Remember, seeking help early increases your chances of success!


2. Ovulation Issues: 

  • Polycystic Ovary Syndrome (PCOS): PCOS affects approximately 10% of women of reproductive age, making it one of the most common reasons for ovulation issues. Women with PCOS often have irregular periods and difficulty getting pregnant due to hormonal imbalances that interfere with ovulation.
  • Hypothalamic Amenorrhea: Sometimes, the brain and body don’t communicate effectively, leading to hypothalamic amenorrhea. This condition occurs when the hypothalamus stops sending the necessary signals for ovulation, often due to stress, excessive exercise, or low body weight. As a result, regular periods cease, and pregnancy becomes difficult.
  • Premature Ovarian Failure: Premature ovarian failure, or early menopause, occurs when a woman’s ovaries stop functioning before age 40. This leads to a rapid decline in egg quantity and quality, making natural conception challenging or impossible.
  • Regular Periods, but Still Not Getting Pregnant: Having regular periods doesn’t always guarantee successful conception. Factors like fallopian tube blockages, uterine abnormalities, or sperm issues can prevent pregnancy even when ovulation occurs normally.
  • Ovulating, but Not Getting Pregnant: Sometimes, women ovulate regularly but still struggle to conceive. In these cases, additional factors like male infertility, lifestyle choices, or undiagnosed medical conditions may be at play.


3. Male Factor Infertility:

  • Low Sperm Count: Low sperm count is a common cause of male infertility, affecting approximately 15% of men. If there aren’t enough swimmers in the race, the chances of one reaching the finish line – the egg – decrease significantly. Factors like genetics, hormonal imbalances, and certain medications can contribute to a low sperm count.
  • Poor Sperm Motility and Morphology: Sperm motility and morphology play crucial roles in successful fertilization. Poor motility means sperm struggle to swim effectively, while abnormal morphology indicates an irregular shape that may hinder their ability to penetrate the egg. Lifestyle choices, exposure to environmental toxins, and genetic factors can all contribute to these issues.
  • Varicocele and Other Medical Conditions: A varicocele is a swelling of veins within the scrotum that can lead to reduced sperm quality and quantity. It affects about 15% of men and is the most common reversible cause of male infertility. Other medical conditions, like infections and hormonal imbalances, can also negatively impact male fertility.


4. Unhealthy Lifestyle:

  • Poor Diet and Nutrition: You are what you eat, and so is your fertility. A well-balanced diet rich in vitamins, minerals, and antioxidants is essential for both male and female fertility. Conversely, a poor diet can lead to hormonal imbalances, weight gain, and reduced sperm quality, making it harder to conceive.
  • Stress and Its Impact on Fertility: We all know that stress can take a toll on our overall health, but did you know it can also affect fertility? Chronic stress can lead to hormonal imbalances that disrupt ovulation and sperm production. Finding healthy ways to cope with stress, such as meditation or exercise, can improve your chances of conceiving.
  • Smoking, Alcohol, and Drug Use: Smoking, alcohol consumption, and drug use can all have detrimental effects on fertility. Smoking is linked to lower sperm count and motility, while excessive alcohol intake can lead to hormonal imbalances and reduced sperm quality. Drug use, whether recreational or prescription, can also negatively impact fertility.


5. Structural or Anatomical Issues:

  • Blocked Fallopian Tubes: Blocked fallopian tubes can significantly hinder your chances of getting pregnant. These tubes act as a pathway for the egg and sperm to meet, but if they’re blocked or damaged, fertilization may not occur. Pelvic inflammatory disease, sexually transmitted infections, and previous surgeries can all contribute to this issue.
  • Uterine Fibroids or Polyps: Uterine fibroids and polyps are noncancerous growths that can develop within the uterus. While they don’t always cause infertility, they can interfere with implantation or disrupt the uterine environment, making it difficult for an embryo to grow. Women with fibroids or polyps may experience irregular periods, heavy bleeding, and pelvic pain.
  • Endometriosis: Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, often causing pain, inflammation, and scarring. This rogue tissue can impact fertility by causing damage to the fallopian tubes, ovaries, and surrounding structures. Endometriosis affects up to 10% of women of reproductive age and is a leading cause of infertility.


6. Timing and Frequency of Intercourse:

  • Understanding the Fertile Window: The fertile window is a crucial concept to grasp when trying to conceive. It refers to the period in your menstrual cycle when you’re most likely to get pregnant, usually spanning six days, including the five days before ovulation and the day of ovulation itself. Knowing your fertile window can help you time intercourse to maximize your chances of conception.
  • Frequency of Intercourse for Optimal Conception Chances: How often should you have intercourse to maximize your chances of getting pregnant? While there’s no one-size-fits-all answer, experts generally recommend having intercourse every one to two days during your fertile window. This frequency ensures that sperm are present in the reproductive tract when the egg is released, increasing the likelihood of fertilization.
  • Tracking Ovulation to Improve Timing: Accurately tracking ovulation can significantly improve your chances of getting pregnant. Several methods can help you pinpoint when you’re ovulating, such as tracking your basal body temperature, monitoring cervical mucus, or using ovulation predictor kits. Armed with this information, you can better time intercourse to coincide with your most fertile days.


7. Undiagnosed Medical Conditions:

  • Thyroid Disorders: Thyroid disorders, such as hypothyroidism and hyperthyroidism, can have a significant impact on fertility. These conditions affect the balance of hormones in your body, which can disrupt menstrual cycles, ovulation, and sperm production. Symptoms of thyroid disorders include fatigue, weight gain or loss, and sensitivity to temperature changes. If you suspect a thyroid issue, consult your healthcare provider for testing and appropriate treatment.
  • Autoimmune Diseases: Autoimmune diseases, like lupus and rheumatoid arthritis, occur when your immune system mistakenly attacks healthy cells in your body. These conditions can cause inflammation and damage to various organs, including the reproductive system. Autoimmune diseases can lead to irregular menstrual cycles, reduced sperm quality, and even early menopause. Managing these conditions with the help of a healthcare professional can help improve fertility outcomes.
  • Diabetes and Other Endocrine Disorders: Diabetes and other endocrine disorders can also impact fertility. High blood sugar levels in women with diabetes can lead to hormonal imbalances and irregular periods, making it more difficult to conceive. Men with diabetes may experience erectile dysfunction or low sperm count. Maintaining proper blood sugar levels and seeking appropriate treatment can help improve fertility chances for those with diabetes.

 Also Read: How to Get Pregnant Fast?

What Are the Signs You Can’t Get Pregnant?

While there’s no definitive list of signs that indicate you can’t get pregnant, some red flags may suggest fertility issues. These include:

  1. Irregular or absent menstrual cycles
  2. Painful periods or pelvic pain
  3. Multiple miscarriages
  4. A history of sexually transmitted infections or pelvic inflammatory disease
  5. Difficulty achieving or maintaining an erection (for men)
  6. Low sperm count or poor sperm quality (for men)

If you’re experiencing any of these symptoms, it’s important to consult a healthcare professional for a thorough evaluation and personalized advice.


Why Not Getting Pregnant After HCG Injection?

Human chorionic gonadotropin (HCG) injections are often used in fertility treatments to trigger ovulation or support the early stages of pregnancy. However, not getting pregnant after an HCG injection can be due to several reasons:

  1. Timing of intercourse: It’s essential to time intercourse correctly after an HCG injection to maximize the chances of conception.
  2. Sperm issues: Male fertility factors, such as low sperm count or poor sperm quality, can reduce the likelihood of successful fertilization.
  3. Structural or anatomical problems: Issues, like blocked fallopian tubes or uterine fibroids, can hinder the chances of conception, even with an HCG injection.
  4. Underlying medical conditions: As discussed earlier, undiagnosed medical conditions can also impact fertility.

If you’re not getting pregnant after HCG injections, it’s crucial to work closely with your healthcare provider to identify and address any potential issues.



The journey to parenthood can be a complex and emotional process. Understanding the potential reasons for not getting pregnant naturally, such as timing, sperm quality, anatomical issues, and undiagnosed medical conditions, can help you take proactive steps to improve your fertility. Remember, it’s essential to be patient and maintain a healthy lifestyle while trying to conceive. However, if you continue to experience difficulty getting pregnant, don’t hesitate to seek professional guidance and support. By staying informed and working closely with your healthcare provider, you can increase your chances of successfully starting or expanding your family.



Q. What is the main reason for not getting pregnant?
A. There isn’t a single main reason for not getting pregnant, as several factors can contribute to fertility struggles. These factors can include issues with ovulation, sperm quality, anatomical issues, timing and frequency of intercourse, and underlying medical conditions.
Q. Why is it taking me so long to get pregnant?
A. Conception can take time, even for healthy couples. If it’s taking longer than expected, it could be due to factors such as age, stress, lifestyle choices, or underlying medical issues. It’s important to be patient and consult a healthcare professional if you’re concerned about your fertility.
Q. Why didn’t I get pregnant on the first try?
A. Even when conditions are optimal, the chances of conceiving in any given cycle are around 20-30%. It’s normal for conception to take several months or more. Patience, consistency, and understanding of your fertile window can improve your chances of getting pregnant.
Q. How do I deal with not getting pregnant?
A. Coping with fertility struggles can be emotionally challenging. To deal with not getting pregnant, focus on maintaining a healthy lifestyle, communicating openly with your partner, seeking support from friends or support groups, and considering professional counseling if needed.
Q. What is the fastest way to get pregnant?
A. To increase your chances of getting pregnant quickly, track your ovulation to identify your fertile window, have regular intercourse (every day or every other day) during this time, maintain a healthy lifestyle, and address any underlying medical issues that may affect fertility.
Q. How to conceive naturally?
A. To conceive naturally, focus on understanding your menstrual cycle and tracking ovulation, having well-timed and frequent intercourse, maintaining a healthy lifestyle (including diet, exercise, and stress management), and addressing any potential underlying medical conditions that could impact fertility.
Q. When is it hardest to get pregnant?
A. It’s generally hardest to get pregnant as you age, particularly after 35, due to the natural decline in fertility, egg quality, and quantity. Other factors, such as underlying medical conditions or lifestyle choices, can also make it more challenging to conceive.
Q. Why am I not getting pregnant after so many tries?
A. Multiple factors can contribute to fertility issues, including ovulation problems, sperm quality, anatomical issues, and underlying medical conditions. If you’ve been trying for over a year (or six months if you’re over 35), consider consulting a fertility specialist for guidance.
Q. How long does a normal couple take to get pregnant?
A. A healthy couple under 35 has about a 20-30% chance of conceiving in any given cycle. About 80-90% of couples will conceive within one year of trying, while others may take longer. If you’re over 35 and have been trying for six months without success, consult a healthcare professional.
Q. What can I take to get pregnant?
A. While there’s no magic pill for getting pregnant, maintaining a healthy lifestyle, taking prenatal vitamins, and addressing any underlying medical issues can improve your chances. Consult your healthcare provider for personalized advice.
Q. Why am I ovulating but not getting pregnant?
A. Even with regular ovulation, factors like sperm quality, anatomical issues, and timing of intercourse can impact conception. Continue to track your fertile window, have regular intercourse, and consult a healthcare professional if you’re concerned about your fertility.
Q. How do I know if I’m a fertile female?
A. Regular menstrual cycles, positive ovulation test results, and the absence of any known reproductive issues are indicators of fertility. However, if you have concerns or are struggling to conceive, consult a healthcare professional for a fertility evaluation.
Q. How can I enjoy trying to conceive?
A. Focus on maintaining a strong emotional connection with your partner, avoiding putting too much pressure on yourself, practicing self-care, and staying positive. Remember, the journey to parenthood is a shared experience, and maintaining open communication can help keep the process enjoyable.
Q. What are the warning signs of infertility?
A. Some warning signs of infertility include irregular menstrual cycles, painful periods, pelvic pain, absent periods, and a history of multiple miscarriages. For men, signs can include hormonal imbalances, erectile dysfunction, and low sperm count. If you’re concerned, consult a healthcare professional.
Q. Should I be worried if I can’t get pregnant?
A. It’s normal to feel concerned if you’re having trouble conceiving. However, remember that it can take time, even for healthy couples. If you’ve been trying for over a year (or six months if you’re over 35), consider seeking professional guidance.
Q. What can I take to help me get pregnant?
A. Adopt a healthy lifestyle, manage stress, and take prenatal vitamins to improve your overall health and fertility. If you’re struggling to conceive, consult a healthcare professional who can help you identify any underlying issues and recommend appropriate treatments or interventions.


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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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