Why am I not getting pregnant even though pregnancy is confirmed?
Jan 23, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, situations where pregnancy is suspected but not actually present may be caused by pseudocyesis (false pregnancy), improper or inaccurate testing methods, biochemical pregnancy, abnormal hormone levels, or ectopic pregnancy. It is recommended to seek timely medical consultation and undergo treatment under a physician's guidance. In daily life, maintaining a healthy lifestyle and regular作息 (作息 should be translated as "作息" refers to daily routines or作息 habits in Chinese, but there is no direct equivalent in English. It can be translated as "daily routines" or "regular作息 habits". However, since the original request asked to keep the translation natural and professional, "regular daily routines" may be more appropriate.)作息 habits can help the body return to a normal condition.
Generally speaking, pregnancy refers to gestation. A false confirmation of pregnancy when there is none may be caused by improper testing methods, pseudocyesis, abnormal hormone levels, biochemical pregnancy, or ectopic pregnancy. It is recommended to seek timely medical attention and receive treatment under the guidance of a physician. A detailed explanation is as follows:
1. Improper Testing Methods
When using a home pregnancy test or blood test, incorrect operation, expired test strips, or blood sample contamination may lead to inaccurate results, causing a false diagnosis of pregnancy. Retesting should be conducted following the instructions carefully, or alternatively, undergo professional blood testing at a qualified hospital.
2. Pseudocyesis (False Pregnancy)
In cases of strong desire for pregnancy or prolonged unsuccessful attempts to conceive, women may experience symptoms similar to those of pregnancy, such as amenorrhea, breast tenderness, nausea, and others, even though they are not actually pregnant. It is recommended to seek assistance from a professional psychological counselor to adjust one's mental state.
3. Abnormal Hormone Levels
Ovarian dysfunction can cause abnormal elevations in progesterone and estrogen levels, leading to symptoms resembling those of pregnancy, such as amenorrhea and breast tenderness. These symptoms may be accompanied by menstrual irregularities and mood swings. Treatment under a physician's guidance may include medications such as progesterone capsules, dydrogesterone tablets, or estradiol valerate tablets.
4. Biochemical Pregnancy
Biochemical pregnancy is usually associated with poor embryo quality, an unfavorable uterine environment, or other related factors. In such cases, physiological changes associated with pregnancy occur in the woman's body, but the fertilized egg fails to implant successfully, so a true pregnancy does not develop. It is recommended that women undergo comprehensive physical examinations to rule out underlying diseases and prepare for future pregnancies.
5. Ectopic Pregnancy
Ectopic pregnancy may occur due to fallopian tube inflammation, which obstructs the transport of the fertilized egg, causing it to implant and develop outside the uterus. Symptoms may include abdominal pain and vaginal bleeding. Treatment under medical guidance may involve laparoscopic surgery, which is performed under a pneumoperitoneum condition using specialized instruments inserted through small incisions on the abdominal wall to remove the gestational sac.
In daily life, maintaining a healthy lifestyle and regular sleep patterns can help the body return to its normal condition.
