Why Can't I Get Pregnant?

Generally, the inability to conceive is often caused by irregular ovulation, improper timing of sexual intercourse, fallopian tube obstruction, polycystic ovary syndrome, endometrial polyps, and other factors. It is recommended to seek timely medical consultation to identify the underlying cause and receive appropriate treatment under a physician's guidance. Detailed analysis is as follows:

1. Irregular ovulation: Stress and irregular sleep patterns can affect hormone levels, leading to inconsistent or absent ovulation, thus making it difficult for sperm to meet the egg. This can be alleviated by maintaining regular sleep patterns, managing emotional stress, and using ovulation test strips to monitor ovulation, thereby appropriately scheduling sexual activity during the ovulation period.

2. Improper timing of sexual intercourse: If sexual activity does not occur during the ovulation period, sperm cannot meet the egg, making conception unlikely. The ovulation period can be estimated by tracking the menstrual cycle or using ultrasound to monitor follicular development, thus scheduling sexual activity around the time of follicular maturity to increase the chances of conception.

3. Fallopian tube obstruction: Often caused by pelvic inflammatory disease or endometriosis, fallopian tube blockage can hinder the meeting of sperm and egg and prevent the transport of the fertilized egg. Patients may follow medical advice to use medications such as ceftriaxone sodium for injection, metronidazole injection, and doxycycline hydrochloride tablets to control inflammation. In severe cases, fallopian tube irrigation may be necessary to restore tubal patency.

4. Polycystic ovary syndrome (PCOS): Hormonal imbalances cause abnormal ovulation from the ovaries, often accompanied by elevated androgen levels and infrequent menstruation. Patients may follow medical advice to use medications such as ethinylestradiol/cyproterone acetate tablets, drospirenone/ethinylestradiol tablets, and spironolactone tablets to regulate hormones and improve ovulation.

5. Endometrial polyps: Localized excessive growth of the endometrium forms polyps, which may interfere with embryo implantation. Patients may follow medical advice to use medications such as dydrogesterone tablets, progesterone capsules, and levonorgestrel-releasing intrauterine systems to inhibit polyp growth. When necessary, hysteroscopic endometrial polypectomy may be performed to remove the polyps and improve the implantation environment.

Maintaining a healthy lifestyle is important, including avoiding excessive dieting or overeating, and engaging in appropriate physical exercise to enhance physical condition. Additionally, minimizing exposure to harmful substances such as chemical agents and radiation sources can create favorable physical conditions for conception.