Why am I not getting pregnant? Advice on fertility

MIf you’ve been trying to conceive without success, it can be both frustrating and worrying. However, fertility challenges are common and in many cases, treatable.

When should you seek advice?

  • After 12 months of trying (under 35)
  • After 6 months if over 35
  • Earlier if you have known conditions (e.g. Pcos, irregular periods)

Common causes

  • Irregular ovulation
  • Pcos
  • Endometriosis
  • Blocked fallopian tubes
  • Male factor fertility

What should you do first?

A fertility assessment typically includes:

  • Hormone blood tests
  • Ultrasound scan
  • Ovulation tracking
  • Semen analysis (partner)

Treatment options

Depending on the cause, treatment may include:

  • Ovulation induction medication
  • Lifestyle changes (weight, smoking, alcohol)
  • Surgical treatment (e.g. For endometriosis)
  • Assisted reproduction such as ivf

Final thoughts

Seeking advice early can make a significant difference. Many fertility issues can be successfully treated with the right support.

Faqs

Does stress cause infertility?
It can contribute, but is rarely the sole cause.

Should both partners be tested?
Yes, fertility is a shared issue.

If you would like to discuss any concerns you have on this subject, please contact the London Gynaecologist to book an appointment