What are the reasons for being unable to conceive?

Generally, difficulty in conceiving may be caused by insufficient pre-pregnancy preparation time, advancing age, endocrine disorders, endometriosis, polycystic ovary syndrome (PCOS), and other factors. If the above situations occur, it is recommended to seek timely medical treatment. Specific analysis is as follows:

1. Insufficient Pre-pregnancy Preparation Time

Successful conception requires a certain amount of time. Failure to conceive within a short period may be due to insufficient attempts at conception. Increasing the frequency of intercourse, particularly during the ovulation period, may help improve chances.

2. Advancing Age

With increasing age, both male and female fertility gradually decline. After passing the optimal reproductive years, women experience diminished ovarian function, while men face reduced sperm quantity and quality, thereby lowering the likelihood of conception. It is advisable to plan for pregnancy earlier. Assisted reproductive technologies such as in vitro fertilization (IVF), or the use of donor eggs or sperm, may also be considered.

3. Endocrine Disorders

Long-term mental stress, anxiety, or excessive fatigue may lead to endocrine imbalances and abnormal hormone levels, such as thyroid dysfunction, which can interfere with ovulation and embryo implantation, potentially resulting in infertility. Symptoms may include irregular menstruation or amenorrhea. Treatment under medical guidance may include medications such as levothyroxine sodium tablets, Wuji Baifeng Pills, or Guizhi Fuling Pills.

4. Endometriosis

This condition occurs when endometrial tissue grows outside the uterus, such as on the ovaries or pelvic cavity. Endometriosis may cause pelvic adhesions, blocked fallopian tubes, or ovarian dysfunction, leading to infertility. It is often accompanied by symptoms such as dysmenorrhea (painful periods) and menstrual irregularities. Treatment should follow medical advice and may include medications such as indomethacin tablets, dienogest tablets, or gestrinone capsules.

5. Polycystic Ovary Syndrome (PCOS)

PCOS is a complex disorder involving endocrine and metabolic abnormalities, characterized by hyperandrogenism and ovulatory dysfunction. It can lead to impaired ovulation and reduced egg quality, resulting in infertility. Common accompanying symptoms include menstrual irregularities and hirsutism (excessive hair growth). Under a doctor’s supervision, medications such as clomiphene citrate, letrozole tablets, or spironolactone tablets may be used for treatment.

In daily life, it is also important to maintain healthy lifestyle habits, stay emotionally positive, and minimize psychological stress, all of which help maintain hormonal balance and enhance fertility.