Why can’t I get pregnant?

womann reading HPTOne of the most common questions we get in the Pregnancy and Newborn Health Education Center is about conception. Women want to know when they will get pregnant and why it is taking longer than they thought it would. Often they wonder if something may be wrong and they should seek out a reproductive specialist.

If you’ve been trying to get pregnant for 3 to 4 months, don’t panic, and keep trying. The good news is that most couples will conceive on their own, although it may take longer than expected. Nearly 9 out of 10 couples who try to get pregnant do so within one year.

But if you have been trying to get pregnant for over a year or longer than six months if you are over 35, then you may want to talk to your health care provider. Infertility means that the body’s ability to perform the basic function of reproduction is impaired. According to the Center for Disease Control and Prevention (CDC), approximately 1 in 8 couples of childbearing age have difficulty conceiving or carrying a pregnancy to term.

There are many possible causes of infertility. If your provider does refer you to a specialist, it is important to know that both you and your partner will most likely need to undergo testing. Infertility affects men and women equally. And 25% of infertile couples have more than one factor that contributes to their infertility.

Some lifestyle factors that contribute to infertility are a woman’s weight and whether she or her partner smoke. Women who weigh too much or too little can have difficulty conceiving. Getting to a healthy weight and maintaining it may help to reverse some infertility.

Smoking also reduces fertility for both men and women.  According to the American Society for Reproductive Medicine (ASRM), up to 13% of female infertility is caused by cigarette smoking and women who smoke have an increased risk of miscarriage.

The majority of couples (85-90%) who experience infertility can be treated with surgery or medications. Only a small percentage of couples (less than 3%) will need to undergo advanced procedures, such as in vitro fertilization, to conceive.

Insurance coverage for infertility treatments varies from company to company and state to state. Because treatment can be very costly, be sure to learn more about the costs and your insurance coverage while you are still thinking about treatment options.

If you are concerned about your ability to get pregnant, make sure you talk to your provider. She can guide you and help you determine what the next step is for you and your partner.

Questions?  Send them to AskUs@marchofdimes.org.

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