Struggling to conceive? You’re not alone. Infertility affects millions of couples worldwide, and for many women, the inability to get pregnant can be emotionally and physically challenging. If you’re actively trying to conceive but facing repeated disappointments, it’s time to understand why pregnancy might not be happening, even when everything seems “normal.”
At this stage, consulting a fertility expert like Dr. Prajakta Sabale, a renowned gynecologist and fertility specialist in Hinjewadi, can help you identify the root cause and guide you on the right path to parenthood.
In this blog, we’ll cover the most common reasons you may not be getting pregnant, along with expert tips and when to consult a fertility specialist.
1. Irregular Ovulation or No Ovulation (Anovulation)
One of the leading causes of female infertility is ovulatory dysfunction. If you’re not ovulating regularly, the chances of releasing an egg for fertilization drop significantly.
Common causes of ovulation problems:
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Polycystic Ovary Syndrome (PCOS)
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Thyroid disorders (hypothyroidism or hyperthyroidism)
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Elevated prolactin levels
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Excessive exercise or weight loss
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Stress
2. Hormonal Imbalance
Hormones play a key role in regulating your reproductive cycle. Imbalances in estrogen, progesterone, FSH, or LH can interfere with egg maturation and release.
Signs of hormonal imbalance:
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Mood swings
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Weight changes
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Acne or excessive hair growth
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Missed periods
3. Blocked Fallopian Tubes
Even if you’re ovulating, blocked or damaged fallopian tubes can prevent the sperm from reaching the egg or stop a fertilized egg from reaching the uterus.
Causes may include:
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Pelvic inflammatory disease (PID)
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History of sexually transmitted infections
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Previous abdominal or pelvic surgery
4. Age-Related Fertility Decline
Fertility naturally declines with age, especially after 35. The quality and quantity of eggs reduce, and risks of miscarriage or genetic abnormalities increase.
Age and fertility decline stats:
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At 30, you have a 20% chance of conceiving each cycle.
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By 40, that drops to around 5%.
5. Male Factor Infertility
It’s not always about the woman. Up to 40% of infertility cases are due to male reproductive issues like low sperm count, poor motility, or abnormal sperm shape.
Reasons may include:
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Varicocele
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Hormonal issues
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Exposure to toxins or heat
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Lifestyle factors (smoking, alcohol, stress)
6. Lifestyle & Environmental Factors
Modern lifestyle habits can negatively impact your chances of conceiving:
Things that may reduce fertility:
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Smoking
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Excessive caffeine or alcohol
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Being overweight or underweight
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High-stress levels
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Exposure to environmental toxins
7. Underlying Medical Conditions
Certain health conditions can silently interfere with conception:
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Endometriosis
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Uterine fibroids or polyps
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Autoimmune disorders
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Diabetes or insulin resistance
If you’ve been trying for 12 months (or 6 months if over 35) without success, it’s time to see a fertility doctor in Hinjewadi.
When Should You See a Fertility Specialist?
If you’re under 35 and have been trying to conceive for over a year, or over 35 and trying for 6 months, it’s time to consult an infertility specialist. An expert will assess both partners, run fertility tests, and recommend the best course of action—whether it’s lifestyle changes, medication, IUI, or IVF.
Final Thoughts: Hope Is Not Lost
Not getting pregnant despite trying can feel disheartening, but you are not alone. Modern fertility treatments have made it possible for millions of couples to conceive. The first step is understanding the cause—and seeking the right guidance at the right time.
Request A Callback!
If you’re in Hinjewadi, Pune, visit Dr. Prajakta Sabale Clinic and consult our experienced gynecologist and IVF, fertility specialist. We provide personalized fertility evaluations and treatment plans to help you achieve your dream of parenthood. Visit Today!