One of the most natural things in life may not be as simple as you think. Women across the world have asked themselves the same question: Why can’t I get pregnant? Well, your answer depends on your body and your lifestyle. Instead of asking yourself this question, see what’s causing your infertility and address it the right way. There are several reasons why a woman cannot get pregnant.

Some of the most common causes of infertility in women and failed pregnancy attempts are from…

• Lack of ovulation
• High stress
• Weight problems
• Blocked fallopian tubes
Polycystic Ovarian Syndrome
• Uterine fibroids, polyps
Your partner

Since these eight causes of infertility are so common, fertility specialists investigate the underlying etiology of infertility and provide the proper treatment. As fertility ovarian reserve, the chance of conception declines rapidly with age and the risk of spontaneous abortions increases with age it is essential to seek the proper treatment.

Lack of Ovulation

Most women with a regular 28-30 days cycle will likely ovulate. About 30% of women who have a menstrual cycle may not ovulate. The best method to detect ovulation is by using an ovulation predictor kit between cycles day 10-18 with the first day of heavy menses count as day one. The ovulation predictor kit may also be falsely positive in women who have Polycystic Ovarian Syndrome as they may already produce excess LH (luteinizing hormone) which is the hormone used to detect ovulation.

High Stress

Studies have shown that about stress may contribute to 30% of infertility. Stress leads to weight gain, hair loss, thyroid problems and excess cortisol, which may affect the hormones that regulate ovulation. Body and mind programs, which include meditation, yoga and acupuncture have shown to improve the impact of stress and increase the pregnancy rates.

Weight Problems

Studies have shown that ideal weight with BMI (Basal Metabolic Index) 20-25 is ideal. Women with high BMI may produce excess estrogen which can inhibit ovulation decrease fertility and increase the risk of diabetes. Being underweight may also inhibit ovulation and may decrease the frequency of the menstrual cycle and conception. Diets like the Mediterranean diet have shown to improve the chance of conception as well as a moderate amount of exercise to maintain the right BMI.


There are some chronic disorders that may cause exaggerated pain during the menstrual cycle, pain during intercourse may contribute to 40% of women who are seeking fertility treatment. Endometriosis affects a woman’s reproductive system when cells from the endometrium lining of the uterus usually travel outside the fallopian tube. In women with endometriosis, the body will attack those endometrial cells by creating scars and inflammation, ovarian chocolate cysts or Endometriomas as well as blocking the fallopian tubes. Women with endometriosis may also experience pelvic pain as well as have associated symptoms of bowel disorders. The treatments for endometriosis include surgery like laparoscopy as well as the process of In Vitro Fertilization to bypass the pelvic inflammation around the fallopian tubes.

Blocked Fallopian Tubes

Even if a woman has healthy eggs and a healthy uterus, the sperm will not be able to fertilize her eggs if the fallopian tubes are blocked. The pregnancy is initiated in the middle (ampullary) segment of the fallopian tubes and then travels down into the uterus for further growth and development. Blocked fallopian tubes can be diagnosed with a test called the hysterosalpingogram where a dye is injected into the uterus and flow is inspected. A fertility specialist will discuss your options and perhaps unblock your fallopian tubes or utilize a procedure called In Vitro Fertilization which can bypass the fallopian tubes.

Polycystic Ovarian Syndrome

This syndrome may affect 6-10 % of women and one of the most common causes of infertility. In this syndrome, the ovary may produce an excess hormone called testosterone, which may affect ovulation, irregular menstrual cycle, facial and body hair as well as infertility. This syndrome can also lead to insulin resistance weight gain and difficulty losing weight. One of the cardinal features is the ultrasound view of enlarged ovaries with a higher than normal amount of follicles which are the actual egg in both ovaries. Your doctor can diagnose this syndrome with a pelvic ultrasound and hormonal testing. Wellness programs like the one at Advanced Fertility Center of Texas can assist you with weight reduction which can lower your insulin, testosterone and improve ovulation.

Uterine fibroids and Polyps

In order for conception to occur the interior of the uterine cavity must be free of pathology. Uterine fibroids are a benign growth of the muscle layer of the uterus, as well as the benign growth of the lining of the uterus may be associated with infertility. Uterine fibroids in the inside cavity of the uterus are called submucosal fibroids, may lead to blockage of the fallopian tube decrease the chance of pregnancy implantation and increase the risk of spontaneous abortions. Both uterine fibroids and uterine polyps can cause irregular bleeding and they can be diagnosed with a uterine ultrasound or a sonohysterogram where saline is infused into the uterine cavity. Your fertility doctor can explore the option of surgically removing these fibroids or polyps and increasing your chances of conception.

Your Partner

About 40% of infertility is due to the male partner. Evaluation of your partner even if he has had previous children is essential with a test called a semen analysis. This test will measure the quantity movement and morphology of the sperm. Conception is optimal with at least 7-10 million motile normal morphology sperm and any lower values may require another form of therapy like intrauterine insemination or the process of In Vitro Fertilization. There are several factors which can lead to abnormal semen values including obesity, a chronic medical disease like diabetes excess exposure to heat and men who use testosterone supplementation.

A Step Closer to Pregnancy

After a thorough diagnosis of your infertility should include hormonal evaluation, fallopian, and uterine cavity testing as well as the male semen analysis. The next step is individualizing your fertility treatment with an experienced fertility physician. Advanced Fertility Center of Texas is one of the leading fertility clinics in Texas. We are also one of the few centers in the country, which can offer all infertility evaluation in one center including a wellness program as well as an online body and mind program. Our fertility specialists have over 150 years of combined experience. Call Advanced Fertility Center of Texas at (713) 467-4488 if you want to speak with a fertility doctor about your chances of getting pregnant. Call today!