What if you can't get pregnant straight away?

When you decide to start a family, you naturally hope to get pregnant quickly. For some women, it happens within a few months, while for others it can take longer. If you are not pregnant after several months, it can cause uncertainty and frustration. But what does it mean if you cannot get pregnant straight away? And when is it time to seek medical help? In this article you will discover the possible causes and steps you can take if you are having trouble getting pregnant.

How long does it take on average to get pregnant?

Most healthy couples get pregnant within a year. Approximately 80% of women under the age of 35 become pregnant within twelve months if they have unprotected sex on a regular basis. This means having sex approximately every two to three days during the fertile period. For women between the ages of 35 and 40, it takes a little longer on average because fertility decreases with age.

If you have not become pregnant after a year, it may be wise to consult a doctor. Women over the age of 35 are advised to contact a specialist after six months. A fertility test can provide insight into possible causes and treatment options.

Possible causes of reduced fertility

There are various reasons why a pregnancy may take longer to occur. Sometimes it is due to irregular ovulation, reduced sperm quality or other underlying factors. In some cases, there is no clear medical reason and it simply takes longer for fertilisation to occur.

Hormonal imbalance can play a major role in fertility problems. An irregular cycle, failure to ovulate or a condition such as PCOS (polycystic ovarian syndrome) can prevent pregnancy from occurring naturally. Thyroid problems can also affect the hormonal balance and thus fertility.

In addition, the quality of the sperm can be an important factor. A low sperm count, reduced motility or abnormal sperm shape can reduce the chance of successful fertilisation. Factors such as smoking, alcohol consumption, stress and being overweight can negatively affect sperm quality.

Lifestyle and fertility: what can you do yourself?

A healthy lifestyle can promote fertility and increase the chance of pregnancy. Diet plays an important role in this. A varied diet with sufficient vitamins and minerals, such as folic acid, vitamin D and omega-3 fatty acids, supports hormonal balance and egg quality. Avoiding highly processed foods and sugary products can also contribute to a more stable hormonal system.

Exercise and a healthy weight are also important. Being overweight can lead to disruptions in ovulation and an irregular cycle, while being underweight can reduce hormone production. Regular, moderate exercise, such as walking or yoga, can help keep the body in balance without putting too much strain on it.

Reducing stress is another important aspect. Prolonged stress can disrupt the hormonal balance and affect ovulation. Relaxation techniques such as meditation, breathing exercises and mindfulness can help reduce stress. Getting enough sleep is also essential for a well-functioning hormonal system.

When to see a doctor?

If you have been trying to get pregnant for more than a year without success, or if you are over 35 and have not become pregnant after six months, it is wise to consult a doctor. A fertility test can be used to examine both egg and sperm quality. In some cases, additional tests are done, such as a hormone analysis, an ultrasound or a semen analysis.

For women with a known medical condition, such as PCOS, endometriosis or thyroid problems, it may be useful to contact a doctor beforehand. It is also advisable to discuss a highly irregular menstrual cycle or a complete absence of menstruation with a specialist.

Possible treatments and next steps

Depending on the cause of the reduced fertility, there are various treatment options available. For some women, hormonal stimulation can help to regulate ovulation, while in other cases fertility treatment such as intrauterine insemination (IUI) or in vitro fertilisation (IVF) is recommended. In some cases, small adjustments to lifestyle and nutrition can make a big difference. Approximately 10-15% of couples experience unexplained fertility problems, where medical examinations reveal no abnormalities. In these situations, it is also important to consult a doctor about the possible next steps.

Conclusion: stay hopeful and seek support

Becoming pregnant can sometimes take longer than expected, but that does not automatically mean there is a fertility problem. By gaining insight into your cycle, maintaining a healthy lifestyle and seeking medical advice in time when in doubt, you increase your chances of getting pregnant. If getting pregnant takes longer, it is important to seek support from your partner, family or a professional. You are not alone, and there are always options to support or investigate your fertility.