Struggling to Get Pregnant? Here Are the Real Reasons Why

November 20, 2025

Trying to start a family is an exciting time. However, when getting pregnant feels hard, it can also bring stress and worry. Many couples face challenges with fertility. In fact, about 1 in 8 couples experience trouble getting pregnant, according to the CDC. But you are not alone. Understanding the reasons behind fertility struggles can help you take the next steps. Let’s explore why getting pregnant can be difficult and what you can do about it.

Common Reasons for Difficulty Getting Pregnant

There are many reasons why some people find it hard to conceive. Sometimes, it’s a mix of factors. But knowing the common causes can help you understand what might be happening.

Ovulation problems: If eggs are not released regularly, pregnancy is less likely.

Blocked fallopian tubes: These tubes carry eggs to the womb. Blockages can stop this process.

Low sperm count or poor sperm health: Sperm problems can make it harder for fertilization to happen.

Age: Fertility drops as you get older, especially after age 35 for women.

Health conditions: Issues like polycystic ovary syndrome (PCOS), endometriosis, or thyroid problems can affect fertility.

Lifestyle factors: Smoking, heavy drinking, stress, and being overweight or underweight can all play a role.

Recognizing the Signs of Fertility Issues

Sometimes, it’s not easy to spot fertility problems. Still, there are signs you can watch for. Early awareness can help you seek help sooner.

Irregular or missed periods

Painful periods or pelvic pain

No pregnancy after 12 months of trying (or 6 months if over age 35)

History of miscarriages

Changes in sex drive or function

However, many people have no clear symptoms. That’s why regular check-ups are important.

How Doctors Diagnose Fertility Problems

If you’re having trouble getting pregnant, doctors can help find the cause. They use several tests and questions to guide their search. First, they ask about your health history and lifestyle. Then, they may suggest:

Blood tests to check hormone levels

Ultrasound scans to look at the ovaries and uterus

Semen analysis to check sperm count and quality

Special X-rays to see if fallopian tubes are open

With these tests, doctors can often find the reason for fertility struggles.

Treatment Options for Infertility

Thankfully, many treatments can help couples have a baby. The right option depends on the cause. Sometimes, simple changes are enough. Other times, medical help is needed. Common treatments include:

Medicines to help with ovulation

Surgery to fix blockages or remove growths

Intrauterine insemination (IUI), where sperm is placed directly in the womb

In vitro fertilization (IVF), where eggs and sperm are combined outside the body

Doctors will guide you to the best choice for your situation.

Lifestyle Tips to Support Fertility

While some causes of infertility need medical care, healthy habits can also make a difference. Here are some tips to support your fertility:

Eat a balanced diet rich in fruits, vegetables, and whole grains

Maintain a healthy weight

Exercise regularly, but avoid overdoing it

Quit smoking and limit alcohol

Manage stress with relaxation techniques

Get enough sleep each night

Even small changes can improve your chances of getting pregnant.

When to Seek Professional Help

It’s normal to have questions when getting pregnant feels hard. But you don’t have to face this alone. Consider seeing a doctor if:

You’re under 35 and haven’t conceived after 12 months of trying

You’re over 35 and haven’t conceived after 6 months

You have irregular periods or known health issues

You or your partner have a history of fertility problems

Early help can make a big difference. Doctors can offer advice, tests, and treatments to support your journey.

If you’re struggling to get pregnant, consult a fertility specialist for personalized advice. You deserve support and answers on your path to parenthood.