The couple is unable to get pregnant. Why it’s not always possible to get pregnant with a second child. Early autumn is the best time to conceive

When a man and a woman try to conceive a child for a long time, and their attempts are not crowned with success, it makes sense to talk about infertility. This condition can be completely correctable, so you shouldn’t immediately give up on dreams of children, it’s better to understand the prerequisites for the disease and try to eliminate them.

Infertility is usually called a complex of certain symptoms and pathologies that negatively affect the reproductive function of one or both partners. Note that a condition where it was not possible to get pregnant the first time cannot be considered infertility. It makes sense to talk about the disease only when conception does not occur for a long period. There can be many reasons for this pathology, let’s consider them in more detail:

1. One of the common causes of infertility is disruption of the endocrine system. Approximately 40% of women who are unable to conceive a child suffer from so-called endocrine infertility, which is characterized by a complete or partial absence of ovulation. If you can’t get pregnant for a long period, you should get tested for hormones, and do this first. Anovulation can occur due to disturbances in the functioning of the genital organs, thyroid gland, adrenal glands, and brain.
2. Polycystic ovary syndrome is another pathology that can lead to infertility. The exact causes of this syndrome have not yet been established, but it is believed that the disease may be congenital. Fortunately, this cause is treatable, but requires long-term therapy and following all medical prescriptions. Polycystic ovary syndrome is caused by excessive production of male hormones, and therefore numerous cysts constantly form in a woman’s reproductive system. Cysts look like water bubbles of various sizes and are detected by ultrasound. The consequence of the pathology is improper functioning of the ovaries and lack of ovulation.
3. If a woman cannot get pregnant for a month, two, or even six months, she should be examined for the presence of endometriosis. With this disease, endometrial cells - the inner uterine lining - spread throughout the body, take root and grow in various organs. The causes of endometriosis are inflammation in the internal genital organs, as well as hormonal disorders. Endometriosis in an advanced stage often leads to the fact that the egg cannot attach to the wall of the uterus, which becomes the cause of infertility. The disease can be cured with hormonal therapy or surgery. It is worth noting that the earlier the disease was detected, the higher the chances of a successful treatment result.
4. The cause of infertility can be obstruction of the fallopian tubes, which can be complete or partial. Obstruction can be caused by a narrowing of the lumen in the fallopian tubes or the presence of adhesions in them. Sperm cannot penetrate the narrow opening and fertilize the egg. There may be several prerequisites for such a pathology; the main ones include inflammation in the reproductive organs and infectious diseases that lead to the appearance of adhesions. The obstruction can be eliminated through surgery or through artificial insemination. If the process is not too advanced, then adjusting your lifestyle and eliminating inflammation will help get rid of the problem.
5. Pathologies of the uterus of various origins also often cause the impossibility of conception. Such diseases include hypoplasia, intrauterine septum, fibroids, adenomyosis, and endometrial diseases. To eliminate such problems, they first conduct an examination, identify pathology and prescribe treatment. As therapy, medications, physiotherapeutic procedures are used, hormonal drugs are prescribed, or surgery is performed. Pathologies of the uterus can be congenital or acquired as a result of some previous illness.
6. If a woman is unable to get pregnant even during the period of ovulation, and examinations and tests do not reveal any visible reason, the problem may be in the functioning of the immune system. Sometimes the body’s defense system works with excessive “diligence,” protecting a woman not only from pathogenic viruses and microbes, but also from pregnancy. The immune system causes the body to reject sperm or fertilized egg, perceiving them as a foreign organism. As a rule, with this pathology, cervical mucus contains too many antibodies. This condition can be corrected with drug therapy or other methods, such as insemination.
7. Many women who have undergone all the necessary examinations, but who still cannot get pregnant, are wondering: what to do? If doctors were unable to identify any pathologies in the body that could theoretically lead to infertility, it is worth paying attention to psychological factors. Sometimes a woman cannot get pregnant because she is fixated on certain problems, is depressed or experiences stress every day, is afraid of responsibility or childbirth, etc.

How to get pregnant if you can't

If a couple has been unable to conceive a child for a long period of time, you should think about your health and consult a doctor. You should not be afraid that a specialist will prescribe a huge number of tests and examinations, because in order to accurately identify the problem, you need to examine each of the partners as thoroughly as possible. The reason can lie anywhere: from the state of the psyche to the presence of congenital or old diseases.

Fortunately, many prerequisites can be eliminated, especially if the problem is identified in a timely manner. It is worth noting that it is better to be examined by a doctor not even when suspicions of infertility arise, but earlier, even at the stage of pregnancy planning. For example, if a woman suffers from obstruction of the fallopian tubes, but does not suspect it, conception can still occur, but the fertilized egg will not be fixed in the uterus, as it should be, but in the tube. The result is an ectopic pregnancy, rupture of the tube, its complete removal. An ectopic pregnancy is also scary because, in the absence of adequate treatment, re-conception can lead to the same result, and removal of both tubes destroys all chances of getting pregnant naturally.

How to get pregnant quickly if you can't? Here are some useful tips in this regard:

1. The simplest thing is to eliminate stress factors. Pay attention to your lifestyle. If you are constantly upset about something, are nervous at work, are in a depressed state, perhaps your body reacts to it in this way.
2. It is worth giving up bad habits. Many women cannot get pregnant due to addiction to alcohol, drugs and even smoking. It is especially important for the fairer sex not to have such harmful habits, since each girl is born with a certain set of eggs, which remain with her for the rest of her life and are not renewed. Any drugs, including alcohol, damage eggs, and if during the ovulation process one of these cells was fertilized, the baby may be born with abnormalities or die immediately after birth. In addition, nicotine promotes the production of large amounts of androgens and reduces the concentration of estradiol, preventing conception. In men, narcotic substances cause other problems - their sperm become inactive and lose the ability to move through the fallopian tubes.
3. You need to pay attention to your diet. Lack of vitamins also significantly affects the functioning of the systems and organs of our body. Human nutrition must be balanced and contain three vital components: proteins, fats and carbohydrates. If ovulation is poor, women are advised to add more nuts and legumes, whole milk, full-fat cottage cheese, and natural yogurts to their diet. For men, the healthiest foods are meat, fish and nuts.
4. If you can't get pregnant for six months, a year, or even longer, pay attention to your weight. Obesity, as well as excessive thinness, often lead to the fact that fertilization of the egg does not occur. Even if you do not suffer from excess weight or anorexia, frequent fluctuations in kilograms in one direction or the other do not have the best effect on your ability to conceive. In this case, weight parameters are important not only for women, but also for men, since they directly affect the number of sperm produced.
5. If you have been on drug therapy for a long time, infertility may be a consequence of this very factor. Antibiotics and antihistamines have a particularly negative effect on the ability to become pregnant. Consult with your doctor if there is any alternative to the medications, perhaps they can be replaced at least temporarily.

How to get pregnant if you can’t: folk methods

If you cannot conceive a child, but have not yet consulted a doctor with a similar problem, first try to solve it yourself using proven folk methods:

1. Change your sex schedule. For example, if you are used to doing it only at night, try making love in the early morning. Increase the frequency of episodes to increase your chances of success.
2. Try not to force yourself. In this matter, the main thing is a positive attitude, because psychological factors affect the ability to conceive no less than physiological ones.
3. How else can you get pregnant if you can’t? For example, change your usual poses to others. Perhaps in some position the sperm will be able to reach their goal faster.
4. Another way to get pregnant, if you don’t succeed, is to abstain from intimacy for a while, and this applies primarily to men. It is believed that after abstinence, sperm is produced in greater quantities and the concentration of sperm in it will be higher, which will increase the chances of conception.
5. Ask the man to stop the friction immediately after ejaculation so that the sperm does not spread throughout the vagina, but remains in one place. This way the sperm will have a better chance of reaching their goal.
6. Traditional medicine also suggests douching with soda about 20 minutes before sexual intercourse. This method not only helps to cope with candidiasis, but also creates favorable conditions for sperm.
7. You can resort to herbal medicine and take a special herbal decoction. For this, plants such as sage, hogweed, and red brush are used.

If you are unable to get pregnant with your first, second, or third child, do not rush to despair. First, try to implement the recommendations we described, contact the clinic for help. Don’t give up on your health, because in many cases the problem of infertility is solvable. If conservative treatment methods do not help, there is a chance to use in vitro fertilization, insemination, or methods of transferring zygotes or gametes into the fallopian tubes.

How to get pregnant if you can't. Video

Just yesterday, when you were dating a guy, you were terribly afraid of getting knocked up - and now you are already one family, and you want a little one, and condoms have long been thrown away - but the stork still won’t fly.

Doctors assure that you and your loved one have no health problems. So what's the deal?

Why do you still have one stripe?

Having tried to conceive a child for a month, a second and a third, and not achieving the desired result, a woman begins to think: maybe there is something wrong with me? Similar thoughts torment her husband. But you shouldn’t sit in the corners and glance sideways at your significant other (this won’t help anyway) - you need to consult with doctors.

The problem can nest in both the body of a woman and the body of a man. The culprit is pathology, or an illness suffered at a young age.

A woman's fertility can be affected by:

• Obstruction of the fallopian tubes (pathology). That's why your mother forbade you to sit on a cold bench in your youth! Untreated or advanced inflammation of the female organ system “clogs” the tube, and the egg cannot reach the uterus through it. By the way, in addition to infertility, this situation also threatens!
• Over/underweight. Step on the scale. Ideal weight is calculated using the formula: height – 110 (plus or minus another 10).
• Ovarian dysfunction: they cannot produce a healthy egg. This pathology can be both hereditary and acquired - for example, after an abortion, illness, disordered intimate life.
• Incompatibility of the couple. You probably knew women who underwent treatment for ten years, and after divorce and remarriage, became pregnant literally in a month? This is just such a case.
• . This may be evidenced by the absence or very rapid, almost bloodless menstruation, body hair following the example of a man (for example, a noticeable mustache), and obesity. skin pigmentation, etc.
• Psychological problem. For example, constant stress (sometimes even against the background of frequent and unsuccessful attempts to get pregnant).

According to statistics, in almost half of the cases the man is to blame for a couple’s childlessness (no matter what your mother-in-law says). So don’t rush to blame yourself for everything - let your loved one also undergo diagnostics first.

Enemies of male reproduction:

• An infection transmitted during sexual intercourse.
• Lack or deficiency of sperm.
• Weakness, immobility of the “livelings”.

Almost all of the above is an inheritance from childhood. The highest risk group is boys who have had mumps.

So what to do now?

Go to a doctor who will prescribe tests and examinations for both of you. Having received the data in hand, he will draw conclusions about your health.

For example, a problem may “settle” in the genitourinary system - until it is treated, you should not wait for a stork. For example, obstruction of the fallopian tubes is solved by laparoscopy (an operation that will return the tubes to passability).

In addition, the doctor may advise you to change your lifestyle for the better.

• Remove stress from life. It is difficult for a woman who is nervous to the last degree to become pregnant.
• Say a strict “No” to alcohol, smoking, and drugs. Every woman has a “golden reserve” of eggs. Every month one ovulates and receives a “dose” of your bad habits. And if this egg is suddenly fertilized, the unborn child may be born with a pathology, or even die. Although it is not a fact that tobacco will not stop the very ability to get pregnant: in male smokers, the “little ones” lose mobility, in women there is a “distortion” of genes.
• Normalize nutrition. Lack of vitamins directly affects a woman's fertility. Do you eat in a hurry and eat sandwiches? In vain! The following must be present on your table: greens, vegetables, vegetable oil, cereals, bread, milk (preferably richer). Need to normalize ovulation? Eat legumes and nuts. As for your loved one, cook him fish, meat, and give him nuts.
• Lose weight/gain weight. If your weight constantly and dramatically changes, you urgently need to stabilize it. By the way, a man’s weight is also important – the number of sperm depends on it.
• Try to live without medications. Especially without antihistamines and antibiotics.

You can also help yourself in any way. But before that, it is better to get the blessing of your gynecologist.

If you can't get pregnant for a long time

Have you been trying to conceive a baby for a long time, but less than a year? It's not scary - it's within the normal range. Why is the stork not in a hurry? The first year of marriage (even if your relationship actually lasts longer) is the time of official grinding in of habits and characters. There are a lot of quarrels, arguments, nerves, sometimes screams - what kind of conception can we be talking about?

Well, when partners finally understand that in marriage they should not pull the blanket, but try to cover themselves with it together, and harmony comes to the relationship - this is often marked by two lines on the test.

But if your attempts are already 1.5 years or more, it’s time to turn to specialists.

Is your health normal? You can try:

• Bring innovation into your intimate life. “Working” on conceiving a new life in the evenings? Move this “work” to the morning.
• Don't do it forcefully, just because you "have to."
• Change your usual posture. A good option to start with is missionary, but with a pillow under the butt.
• Keep an ovulation schedule.
• There is no need to make love too often (for example, take a break during the day to allow the sperm to accumulate). However, don’t give yourself too much “vacation” - the more ejaculations a man has, the more active his “lives”.
• Ask your husband/lover to freeze immediately after ejaculation. If he continues to move, the sperm will spread throughout the vagina and may not reach the “X” point. Well, in a calm environment, sperm will quickly reach their cherished goal.

It is important to remember: if you have physiological problems (say, a viral disease), changing positions in bed will not change anything. We need to improve our health.

At a certain period in her life, a woman begins to dream of a child, this is how nature works. Children save us from loneliness, form a full-fledged family, and make life interesting. And from this moment problems can begin. Everyone gets pregnant, everyone gives birth, but it doesn’t work out for you. Numerous attempts to conceive a baby end in fiasco. And the situation is especially worrying when the doctor says that everything is fine. Why can't I get pregnant? Sometimes it is enough to reconsider your lifestyle, nutrition, and here is the long-awaited pregnancy. And it happens that long-term treatment does not bring the desired result.

A woman's menstrual cycle is divided into 2 halves. In the first, the development of the egg in the follicle occurs. In the second, the body prepares for the implantation of a fertilized egg or for menstruation. Around days 12–16 of the menstrual cycle, the egg leaves the follicle in search of sperm. If the meeting takes place, conception has occurred. Ovulation lasts 2 days. If you have sexual intercourse on these days, the probability of pregnancy is 100%. However, the week before ovulation is considered favorable days. This is because sperm remain in a woman’s genitals for about 7 days. Every day their activity weakens. But the likelihood of conception when meeting a sperm remains. Moreover, the sex of the unborn child depends on the strength and activity of sperm. Weak sperm give rise to life for girls, strong sperm for boys.

The whole complexity of the process lies in accurately determining the moment of ovulation. 12–16 days – average value. This happens to most women. But ovulation can occur at the beginning of the cycle and towards the end. And in some cycles it is not there at all. Women under 30 years old have 2 anovulatory cycles per year, women over 35 years old have about 6. Absence is the main reason why it is not possible to get pregnant.

Signs of lack of ovulation in a woman’s body

• scanty discharge during menstruation;
• long delay of menstruation, irregular cycle;
• body hair growth according to the male type - mustache, beard, belly;
• age spots on the face, rashes;
• thick daily discharge, no transparent, viscous discharge in the middle of the cycle.

Unable to get pregnant for physiological reasons

One of the main reasons for the inability to conceive is obstruction of the fallopian tubes. After fertilization, the egg moves through the tubes into the uterine cavity. If the fallopian tubes are obstructed, there are a large number of adhesions in them, which interfere with this movement. Then the egg dies or attaches to other places - the ovaries, uterine tubes, cervix, and continues its development there. Doctors call this phenomenon ectopic pregnancy, which is dangerous for the genital organs and a woman’s life. If assistance is not provided in a timely manner, it is necessary to remove part of the tube, the ovary, and make other sacrifices in order to save the woman’s life.

The situation with adhesions and ectopic pregnancy can happen due to:

The last reason is associated to a greater extent with sexually transmitted diseases in men, which are present in the body and occur hidden. Weak sperm due to illness, physical fatigue, and psychological stress are the main reasons why you cannot get pregnant during ovulation.

The second common reason in this category for not getting pregnant is dysfunction of the ovaries. The genitals produce an inferior egg that is not able to connect with a sperm. The situation arises as a result of previous gynecological diseases, after abortions, as a hereditary factor.

To help a couple conceive a child, they both need to be examined. However, you have to worry even more about infertility if both are healthy.

Why can't a healthy couple get pregnant?

When all tests are normal, you should pay attention to lifestyle, habits, and nutrition.

First of all, it is necessary to take into account the psychological factor. Often a young couple lives with their parents for the first time. Then, during intimacy, a woman controls her emotions and cannot completely relax. A psychological barrier interferes with full-fledged physiological processes. A woman's body is simply not ready for pregnancy. An unfavorable psycho-emotional environment prevents a couple from conceiving a child. Often this is facilitated by the hostility of the daughter-in-law and mother-in-law. A young woman is under constant stress, which negatively affects the reproductive function of the body.

The second point is that after numerous unsuccessful attempts to conceive a child, during intimacy, a woman directs her thoughts to the fact that there will be failure again. And only when she can forget past troubles and just have fun will pregnancy occur. In addition, a man’s nervous tension affects the quality of sperm. Weak sperm are unable to fertilize an egg.

Another reason why you can’t get pregnant is the woman’s lack of orgasm during intimacy. At this moment, the cervix opens slightly, the genital organ prepares to receive sperm. Where they will meet with the egg.

Physical fatigue is another reason why you can’t get pregnant. The body simply has no time for pregnancy; it is already exhausted without it. In this state, conception does not occur.

The rarest reason why you can’t get pregnant is the woman’s body does not accept sperm. In general, the female body almost always perceives the sperm of a new partner as a foreign substance and tries to reject it. Over time, a woman gets used to her partner’s sperm. The chances of a married couple getting pregnant increase repeatedly after a year of marriage. And only in rare cases is the female body unable to accept a man’s sperm after repeated intimacy. With another man you can conceive a child almost the first time.

The next reason why you can’t get pregnant is a disturbed vaginal microflora. Normally it should be sour. Spermatozoa carry with them an alkaline environment. They slightly change the condition of the vagina and promote rapid movement into the uterus. The acidity of the vagina increases due to the proliferation of pathogens. Then there is thrush, candidiasis and other diseases that change the vaginal microflora. However, it also happens that there is increased acidity in the vagina, which does not entail negative consequences for the woman’s body. In general, everything is fine, but conception does not occur.

The next situation why you can’t get pregnant is overweight or excessive thinness. In the first case, the menstrual cycle is disrupted, the load on all internal organs increases, and the course of natural processes changes. In the second case, there is a lack of nutrients in the body, which causes a malfunction of the reproductive system. But the main reason for menstrual irregularities and problems of not being able to get pregnant is an imbalance of hormones. They tend to accumulate in fat cells. If you are overweight, there is too much progesterone, and if there is not enough of it, there is a deficiency of the sex hormone.

Why you can’t get pregnant is the main reason for failure

All reasons for an unsuccessful pregnancy come down to hormonal imbalance. In the first half of the cycle, estrogen is present in increased quantities. Under his guidance, the egg develops, the endometrial layer is formed for future pregnancy, and ovulation occurs. In the second phase, the amount of progesterone increases. This hormone is responsible for the full development of the fertilized egg, ensures the formation of the endometrial layer, and supports pregnancy if it occurs during the first 3 months. If the quantity of one of them is insufficient, the functions of the reproductive system are disrupted.

Affect hormonal balance:

Doctors prescribe hormone therapy to help you get pregnant. Numerous observations, ultrasound examinations and other expensive procedures are carried out. However, such attempts by doctors do not always give full results. Why can’t I get pregnant even if my hormonal levels are normal?

Mystical reasons for lack of pregnancy

When doctors throw up their hands and cannot find the reasons for failures, we have to think about higher matter. Children are a blessing from God. If He does not allow pregnancy to happen, it means sin is interfering. And it is not always the woman who is guilty of something. Serious sins are expiated by relatives up to the 7th generation. Perhaps one of the old relatives whom she did not know was at fault. Or the relatives of the spouse deserved heavenly punishment. Some girls beg for sins in the temple, others go to magicians and sorcerers to remove damage. And why pretend – it helps!

There are also many known cases where pregnancy occurred after the decision was made to adopt someone else’s child. These are moments for which doctors have no answers. Pregnancy occurs miraculously. There are a huge number of such stories. The surest way to deal with a hopeless pregnancy is to ask God for the baby. For some, he gives a child right away at the first request, for others, he begs for years, but gets it! Nothing is impossible for him. There are cases when, after a strong verdict from many doctors about infertility, it was possible to give birth to a healthy child.

Often married couples who conceived their first without any problems are faced with the fact that they cannot get pregnant with a second child. There are many reasons for the lack of repeat pregnancy. Some of them do not pose a threat to health, while others require medical intervention. The first thing to do on the path to pregnancy is to cast aside doubts and sensibly assess your situation. If you have any health problems, consult a doctor.

If everything is in order with your health, then a second pregnancy will definitely occur.

If you can’t get pregnant with your second child for just a few months, then you shouldn’t panic. Typically, women believe that after a long period of contraception, conception will occur at the first unprotected contact. However, the body is a complex system. All processes in it depend on external and internal factors. Not being pregnant for several months is not a cause for concern. It is necessary to continue attempts, which, with the natural functioning of the reproductive organs, will soon lead to conception.

There is no need to worry about not getting pregnant again if the partners do not have sexual intercourse regularly. The modern pace of people's lives leaves little free time. Business trips, departures, long hours of work - all this does not allow you to have regular sex, which is an essential condition for conception.

If, after 12 months of regular sexual activity without the use of contraceptives, conception has not occurred, you should be concerned. Often women decide to have a second baby after 35 years. Being in this age group, it is necessary to become puzzled by the absence of pregnancy after 6 months.

Why can't I get pregnant with my second child?

The number of married couples who want a second child, but are unable to do so, is growing every year. The reasons for the lack of pregnancy can be the most unexpected. It is quite difficult to find out about them on your own. Some conditions are asymptomatic and do not cause any inconvenience to the woman, other than the absence of pregnancy. You can find out about problems after a comprehensive examination. Sometimes it is enough to take just a few tests, and the reason for the inability to realize reproductive function will become clear.

Psychological factor

The psychological state of a woman is extremely important for a successful conception. Stress, anxiety and emotional instability lead to disruption of the production of certain hormones: cortisol, serotonin, endorphin, adrenaline, norepinephrine. All hormonal processes in the body are interconnected. For conception to occur, the functioning of the ovaries, adrenal glands, and the hypothalamic-pituitary system must be stable.

Being fixated on a single goal often fails to become pregnant with a second child. This type of infertility is called psychological. It cannot be treated with medication. To achieve the desired goal, a woman must let go of the obsessive desire and trust nature, and this can be the most difficult thing to do.

Husband's reproductive health problems

It may not be possible to get pregnant a second time due to the male factor. If a woman has a new partner, then his reproductive health can be doubted. Problems can also begin in a man having his first child. The main causes of violations are:

• wrong lifestyle;
• poor nutrition;
• bad habits;
• abuse of thermal procedures (baths, saunas);
• sexual infections;
• tumors of the pelvic organs;
• decrease in the level of male hormones.

Testing a man for fertility is much easier than diagnosing female infertility. A spermogram provides a clear picture of the functioning of the body.

Breast-feeding

Often pregnancy does not occur due to breastfeeding

Wanting to give birth the same age, the couple begins to conceive at the moment when the first baby is barely six months old. They often fail to get pregnant. The reason is breastfeeding the first child.

During breastfeeding, a woman actively produces the hormone prolactin. It is necessary for the formation of milk. Prolactin blocks the functioning of the ovaries and suppresses ovulation. Even if the menstrual cycle has already resumed, but the woman continues to lactate, the likelihood of pregnancy will be low. To increase your chances of conceiving, you should first stop breastfeeding. In addition, doctors do not recommend breastfeeding during pregnancy, as this process can negatively affect gestation.

Medical women's problems

It would seem that the birth of the first child confirms a woman's fertility. However, problems in the reproductive system can begin after childbirth. The most common are:

• cysts, ovarian tumors;
• hormonal imbalance;
• lack of ovulation;
• adhesions in the pelvis;
• inflammatory processes in the uterus;
• changes in vaginal microflora;
• diseases of the cervix.

If you can’t get pregnant with your second child, you should definitely get examined. A detailed diagnosis will make it possible to reliably determine why a woman has secondary infertility. Usually, after treatment, a second pregnancy occurs without difficulty within six months.

How to speed up conception?

When planning a second child, you should lead a healthy lifestyle. Sometimes giving up bad habits already brings the moment of conception closer. Cigarettes and alcohol will be banned during this period. Food should be as natural and healthy as possible.

Folk remedies are actively used by women. Hogweed, redbrush and sage are considered effective herbal remedies for infertility. You shouldn’t rely too much on them, but you can try it in consultation with your doctor.

To conceive a second child quickly, you need to set your fertile days. To determine favorable periods, you can use the following methods:

• measure temperature and keep a graph;
• use ovulation tests;
• observe the position of the cervix and vaginal discharge;
• sign up for folliculometry.

You can quickly become pregnant with a second child if you have sexual intercourse shortly before the egg leaves the ovary. To improve the quality of seminal fluid, it is recommended to refrain from intercourse for 2-3 days. Sexual intercourse performed one day before the release of the egg and the day after ovulation increases the chances of pregnancy.

It is also recommended to take special vitamin complexes during pregnancy planning. Folic acid plays an important role in the formation and division of cells. Vitamin E supports the function of the corpus luteum in the second phase, which also has a beneficial effect on conception.

Examinations and treatment

If after a year attempts to conceive a second woman are unsuccessful, then you should contact an antenatal clinic or any gynecologist. The gynecologist will listen to complaints and collect an obstetric history. Which will help you choose the right direction for subsequent examination. It is advisable to start the diagnosis with your partner. For men, the only fertility test is a spermogram. If abnormalities are detected, more detailed examinations may be recommended: a smear for infections, a MAP test. If the partner is healthy and sperm counts are good, then the cause must be sought in the female body.

Women's health is much more difficult to check. Diagnosis is time consuming and sometimes comes with financial costs. The first thing that is recommended for the patient is to undergo a gynecological examination and an ultrasound. Based on the results, one can indirectly judge the dysfunction of the reproductive organs.

It is important to conduct laboratory diagnostics. Analyzes include not only the study of vaginal secretions. For women over 30 years of age, it is important to determine their hormonal status. After 35, the likelihood of becoming a mother becomes lower due to a decrease in the efficiency of the ovaries. Closer to 40 years of age, ovulation occurs about 3 times within 12 months. It will be difficult to conceive a baby in such a future.

If you cannot get pregnant within a year, you should consult a doctor.

If the diagnostics did not reveal any abnormalities, the woman may be prescribed instrumental examinations:

• hysteroscopy - study of the surface layer of the uterus;
• hysterosalpingography – determination of fallopian tube patency;
• colposcopy - examination of the condition of the cervix;
• laparoscopy – endoscopic examination of the pelvic organs.

Treatment is carried out in accordance with the detected pathology. If non-functional ovarian tumors are identified, surgical intervention is performed. If infections are established, antibiotic therapy is prescribed, providing systemic and local action. In case of hormonal imbalances, it is recommended to undergo appropriate treatment.

You can increase the likelihood of conception by using oral contraceptives. Gynecologists prescribe the use of such drugs only after examination. The type of hormonal agent is selected taking into account the individual characteristics of the body. Oral contraceptives suppress ovarian activity. After discontinuation of the drug, the sex glands begin to work with double force, reproducing eggs.

If the attempted results are not successful, then you can always use assisted reproductive technologies: IVF, ICSI and others.

If a couple has been trying to conceive a baby for a long time, but all attempts are unsuccessful, the reason may be infertility. Fortunately, this condition is not hopeless. So don’t give up on your dream of having children right away. Instead, it is better to understand the preconditions that led to problems with conception and try to eliminate them.

The physiology of a woman is such that even a completely healthy woman will not be able to become pregnant for quite a long time, even without any protection at all. Why does this happen? The thing is that a woman can become pregnant only on strictly certain days - during ovulation. On average, there is a very high chance of getting pregnant in just one or two days of the menstrual cycle, during which ovulation occurs. When planning a pregnancy, you need to take into account that approximately every fifth or sixth ovulation is infertile. It is believed that a healthy couple will be able to conceive a child within one year, and if this fails, there is a good reason to consult a doctor.

Reasons that prevent you from getting pregnant

Infertility is a whole complex of symptoms and diseases that negatively affect the reproductive function of one of the partners or both. If you fail to conceive the first time, it is too early to talk about infertility. Such a disease can only be suspected if it is not possible to get pregnant for a long time. The reasons can be very different, the most common of them are the following:

1. Very often, dysfunction of the endocrine system leads to infertility. About 40% of women who cannot get pregnant suffer from endocrine infertility - this is a condition when ovulation is completely or partially absent. If you cannot conceive for a long time, the first thing you need to do is get tested for hormones. Lack of ovulation may also be associated with dysfunction of the genital organs, thyroid gland, brain, and adrenal glands. Lack of ovulation is the most common reason for failure when trying to get pregnant. Doctors should understand the reasons for ovulation, but before contacting them, you should make sure that attempts to conceive were made at the right time - during ovulation. In order to calculate the time of ovulation, there are various, including very accurate, methods.
2. Polycystic ovary syndrome is also among the pathologies that often lead to infertility. The exact causes of the disease are still unknown to science, but experts are of the opinion that it is congenital. In any case, polycystic ovary syndrome can be successfully treated in our time, although it requires long-term therapy with strict adherence to all doctor’s prescriptions. The disease is provoked by excessive production of male hormones, which is why numerous cysts constantly form in the female reproductive system. Externally, these are water bubbles of different sizes, and they are detected only through ultrasound. The consequence of the pathology is a disruption of the ovaries with the absence of ovulation.
3. Another possible cause of female infertility is complete or partial obstruction of the fallopian tubes. It occurs due to a narrowing of the lumen in the fallopian tubes or the formation of adhesions in them. The hole becomes narrow, so sperm cannot penetrate it to fertilize the egg. This pathology can occur under the influence of various factors, including inflammation in the reproductive system, infectious diseases that cause adhesions to form. Surgery may be required to correct blocked fallopian tubes, and artificial insemination is also a solution for many. If the process is not yet too advanced, lifestyle changes and treatment of existing inflammation will help cope with the problem.
4. If pregnancy does not occur within one, two months, or six months, you should be examined for the presence of endometriosis. This is a disease in which endometrial cells (the inner lining of the uterus) begin to spread throughout the body, taking root and beginning to grow in other organs. The probable causes of the pathology are inflammation of the internal genital organs and disturbances in the production of hormones. The consequence of advanced endometriosis is often the inability of the egg to attach to the uterine wall, which causes infertility. Treatment involves taking hormonal drugs or surgery. The earlier the disease is detected, the greater the chances of coping with the disease and conceiving a long-awaited child.
5. Pathologies of the uterus of various origins also often lead to the inability to get pregnant. These diseases include: fibroids, endometrial diseases, intrauterine septum, hypoplasia, adenomyosis. First, you need to undergo an examination to identify the pathology, and based on its results, the doctor will select the appropriate treatment. It includes taking hormonal medications, physiotherapy, medications, and surgery may also be required. Pathologies of the uterus are divided into congenital and acquired, that is, arising as a result of previous diseases.
6. If you cannot conceive even during ovulation, and examinations and tests do not reveal any visible reasons, the problem may lie in the functioning of the immune system. The immune system is sometimes “overzealous” and tries to protect a woman not only from pathogenic viruses and microbes, but even from pregnancy. Immunity forces the body to reject sperm or fertilized egg, perceiving them as foreign organisms. Typically, with such disorders, the cervical mucus contains an increased amount of antibodies, which is detected by test results. This condition can be corrected with certain medications or other means, including insemination.
7. Even if the doctor could not determine the reason why a woman cannot get pregnant, perhaps this is due not to physical pathologies, but to psychological factors. Some people fail to conceive because they become fixated on certain problems, suffer from depression, are constantly under stress, are nervous a lot, are afraid of responsibility, childbirth, etc.
8. Individual characteristics of the physiology of partners. In simple terms, the incompatibility of a particular couple. For example, each of the partners individually is able to conceive a child, but together they are unable to do this. The reasons for this can be very different - from the rejection of sperm by the vaginal microflora to the characteristics of the woman’s immunity. The situation can be clarified using a special analysis - the Shuvarsky-Huner test.
9. Male infertility. This also happens, although somewhat less frequently than female infertility. Non-viability of sperm can be associated with diseases such as varicocele, hydrocele, cryptorchidism, mumps, and tuberculosis. If a man is interested in bodybuilding, the cause of his infertility may be the use of steroids.

How to get pregnant after unsuccessful attempts?

If attempts to conceive a baby for a long time are unsuccessful, this is a reason to seriously think about your health and go to the doctor. Some may be intimidated by the prospect, but there is no need to be afraid of it. A thorough examination of both partners is necessary, because the causes of infertility can be anything - from psychological problems to congenital pathologies and chronic diseases.

Many problems, fortunately, can be eliminated, especially if you consult a doctor in a timely manner. It is worth noting that it is better to be examined not when the couple begins to suspect infertility, but already at the stage of pregnancy planning. For example, if a woman has obstruction of the fallopian tubes, but she herself does not know about it, she will still be able to conceive, only the fertilized egg will be fixed in the tube, and not in the uterus, as it should be. In such cases, an ectopic pregnancy occurs, which ends with the rupture of the tube and its removal. An ectopic pregnancy is also dangerous because without adequate treatment, subsequent attempts to conceive a baby will lead to a similar result, and removal of both tubes eliminates the possibility of getting pregnant naturally.

Note to moms!

Hello girls) I didn’t think that the problem of stretch marks would affect me too, and I’ll also write about it))) But there’s nowhere to go, so I’m writing here: How did I get rid of stretch marks after childbirth? I will be very glad if my method helps you too...

How to get pregnant quickly if all attempts are unsuccessful? In this case, there are several recommendations:

1. Avoid stressful factors. Evaluate the lifestyle you lead. If you are often nervous at work and at home, upset, worried about something, or suffer from depression, it is quite possible that unsuccessful attempts to get pregnant are the body’s reaction to stress.
2. Give up bad habits. Very often it is alcohol and drugs that interfere with conceiving a child. Addictions cause irreparable harm to women's health. The fact is that each girl is given a certain set of eggs at birth, which remains this way throughout her life, without being renewed. Alcohol and any drugs damage eggs - if one of them is fertilized during ovulation, this creates a risk of having a child with abnormalities or death immediately after birth. Nicotine increases the production of androgens and reduces estradiol levels, which interferes with conception. Men who use drugs expose themselves to another risk: their sperm become inactive and simply cannot move through the fallopian tubes.
3. Adjust your daily menu. Lack of vitamins negatively affects the functioning of all organs and systems. It is important that the diet is balanced and includes sufficient amounts of proteins, fats and carbohydrates. For women with problems with ovulation, it is useful to eat nuts and beans, whole milk, natural yogurt, and full-fat cottage cheese. Men are recommended to include more meat, fish and nuts in their diet.
4. If pregnancy does not occur for more than six months, a year or even longer, evaluate your weight. Both obesity and excessive thinness often lead to problems with egg fertilization. Even if there is no disease, frequent alternations of losing weight and gaining extra pounds negatively affect the ability to conceive. A stable weight is important not only for women, but also for men, since it directly affects the number of sperm produced.
5. Long-term drug treatment can lead to infertility, especially when taking antibiotics and antihistamines. In this case, it is worth discussing with your doctor the possibility of at least temporarily replacing the drugs with their safer analogues.

Traditional methods to help you get pregnant

If you have been unable to conceive a child for a long time, but you still can’t find time to go to the doctor, try proven folk methods to solve this problem:

• Change your usual lovemaking schedule. For example, if you usually only have sex at night, try having it early in the morning as well. Try more often - and this will certainly increase your chances of getting pregnant.
• Try new poses. It is possible that in some position the sperm will reach their goal faster.
• Don't force yourself to have sex. A positive attitude is very important, since problems with conception often cause not only physiological, but also psychological problems.
• Ask your man to stop thrusting immediately after ejaculation. In this case, the sperm will remain in one place and will not spread throughout the vagina. Therefore, the sperm will have an increased chance of achieving its goal.
• Another way that can help you get pregnant is to temporarily abstain from intimacy. This primarily applies to men. It is believed that after abstinence, they begin to produce more sperm, and with an increased concentration of sperm in it. This, of course, increases the likelihood of conception.
• There is also a method of douching with soda for 20 minutes. before sexual intercourse. This creates a favorable environment for sperm, and at the same time you can cure thrush.
• Herbal medicine can also be useful for those who cannot get pregnant. Try drinking special decoctions based on medicinal herbs – sage, red brush, hogweed.

If you are unable to conceive your first child or second or third child, do not despair ahead of time. First, try to use our recommendations, go to the doctor, undergo a comprehensive examination, and take all the necessary tests. In many cases, the problem of infertility can be solved. Even if conservative therapy does not help, it is still possible to become pregnant using IVF, insemination, or by transferring zygotes or gametes into the fallopian tubes.