Why Can’t I Get Pregnant

Infertility can be caused by many different factors, such as

diseases (e.g. venereal disease, diabetes, etc.), psychological

issues, and environmental and industrial contaminants. These

risk factors can affect both male and female reproductive

systems and, in particular, do harm to spermatogenic cells,

leading to deterioration in both sperm counts and quality.

Besides, long-time exposure to high-level radiation may cause

infertility as well. Normally, if you have been married for over one

year but still haven’t got pregnant, you should be alerted and go

to hospital for infertility tests.

Female infertility has been on the rise in recent years. According

to statistics, of all infertility cases, about 45% are caused by

female infertility, 25% by male infertility, 22% by infertility on

both sides, and 8% by unknown reasons.

If you are struggling with infertility and wondering “why can’t I

get pregnant”, read these possible reasons for not conceiving a

baby.

���� Causes of Female Infertility

1. Ovulatory Dysfunction

A prerequisite for fertility is normal and regular ovulation that

requires a fully functional hypothalamic-pituitary-ovary axis.

Any factors that may affect the function of this system or lead to

organic changes can influence ovulation. Ovulatory dysfunction

is a major cause for female infertility.

2. Pelvic Factors

Pelvic factors, which are among primary causes of female

infertility, include endometriosis and pelvic inflammatory

disease (PID) that may trigger anatomic changes in oviducts

and ovaries, and other pelvic factors.

3. Uterine Factors

Uterine factors that can lead to infertility include uterine

malformations, uterine hypoplasia, submucous myoma,

intrauterine adhesions, endometrial adenoma, etc. These

factors can affect the implantation and development of embryos,

thus leading to infertility.

4. Cervical Factors

Cervical factors for infertility include cervical abnormalities,

cervical stenosis and adhesions, and cervical erosion.

5. Cervical Mucus Abnormalities

Cervical mucus abnormalities occur when cervical mucus

changes in amount, consistency or PH value, or contains

antisperm antibodies.

6. Immune Factors

Antisperm antibodies contained in female serum, cervical

mucus or follicular fluid can cause infertility.

7. Excessive Smoking and Drinking

Cigarette smoking can have harmful effects on ovarian function,

and result in irregular menstruation, premature menopause and

infertility. Drinking alcohol can cause ovulatory dysfunction and

also trigger endometriosis, menstrual disorders and

dysmenorrheal.

8. Obesity

Causes of infertility in obese women include central nervous

system factors (such as mood disorders and hypothalamic

dysfunction) and ovarian factors.

���� Causes of Male Infertility

Primary causes of male infertility include low sperm count,

malformed sperms, reduced sperm motility, ejaculatory

dysfunction and ejaculatory duct obstruction

1. Disease

I. Factors affecting sperm production and semen quality

include:

Varicocele, infection, sperm antibodies, cancer, cryptorchidism,

endocrine disorders, chromosomal abnormalities, abdominal or

pelvic disease, and certain drugs.

II: Factors affecting sperm injection include:

Vas deferens disease, abdominal or pelvic diseases, certain

drugs, loss of libido, erectile dysfunction, and ejaculatory

dysfunction.

2. Environmental Factors

Contact with pesticides, exposure to heavy metals, X-ray or

radiations, and high testicular temperature.

3. Life Styles

Drug addiction, excessive drinking, smoking, mental stress,

vitamin deficiency, obesity, and aging.

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