Problems Getting Pregnant and Possible Causes


1. Problems Getting Pregnant

If you have problems getting pregnant, be assured, you are not alone in your struggle. As many as one in six couples face fertility issues at some point, and up to ten percent of all women have some sort of fertility related problem.


Fertility issues are becoming more and more commonplace these days, and more and more people are open to talking about them. Read on as we discuss the most common causes of fertility related issues.

2. Female Related Fertility Issues

Endometriosis – Endometriosis is one of the most common causes of female fertility problems. Endometriosis is when uterine tissue grows in an area outside of the uterus.


Endometriosis can cause painful sexual intercourse or menstrual periods, heavy bleeding, unusual spotting, or pelvic pain. It can also make getting pregnant very difficult.

PCOS – PCOS, or Polycystic Ovarian Syndrome, is a common female reproductive issue. Women with PCOS have poor ovulation patterns and hormonal imbalance issues.


Symptoms can be many and varied, including things like irregular periods, excessive hair growth, acne and obesity. PCOS can be hard to treat, but treatment options include things like Lifestyle modifications (like diet and exercise), fertility drugs and IVF, or adoption.

Ovulation Problems – Many women have trouble conceiving because of ovulation problems. There are many causes of ovulation problems, which occur when a mature egg does not develop in the ovaries.


Women with ovulation problems might have missed or infrequent periods, or abnormally heavy or light bleeding. For women who do not ovulate properly, fertility drugs along with IVF might be helpful, or adoption is always an option

Egg Problems – Some women have trouble getting pregnant because of trouble with their eggs, like low egg counts or poor egg quality. Unfortunately, these problems are more serious than other female fertility problems.


This is because after a woman’s eggs are gone, there is no way to get more. It is also very difficult to improve egg quality in women who might not have very many eggs left.

There are no symptoms of poor egg quality or low egg count. Women who have poor egg quality or low egg count are usually only able to conceive if they are using IVF coupled with donor eggs, or they also always have adoption as an option.

3. Male Related Fertility Issues

Sperm Related Problems – One of the most common causes of male fertility issues is problems with the sperm. For example, some men have a low sperm count, and others have poor sperm motility.


This means that the sperm do not swim very well, which causes fertility problems. Still other men have sperm that are misshapen, damaged or irregular.

Delivery Related Problems – In men, a blockage in the vas deferens can keep the sperm from getting where they need to be. This is similar to what happens when a man gets a vasectomy, but of course, a blockage from a fertility issue is not caused on purpose. Most sperm blockages in the vas deferens can be reversed through surgery, however, so that is good news.


Unknown Problems – Unfortunately, a large number of fertility related issues are due to fertility problems that can not be pinpointed. That is referred to as unexplained infertility. Unexplained fertility issues can plague both men and women, and can make it very hard to conceive, since doctors do not know what issue needs to be treated.

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Dr. Karen Leham is double board-certified in Obstetrics and Gynecology and in Reproductive Endocronology and Infertility. Dr. Leham completed her residency at Loyola University, followed by a fellowship at UCLA.

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