Why can't I get pregnant?

Generally, the main reasons for difficulty in conceiving include irregular ovulation, unhealthy lifestyle habits, polycystic ovary syndrome (PCOS), blocked fallopian tubes, and endometriosis. If pregnancy does not occur after prolonged attempts, it is recommended to seek timely medical evaluation at a reputable hospital. Detailed explanations are as follows:

1. Irregular Ovulation

Chronic late-night habits, excessive dieting, or significant emotional fluctuations can disrupt the function of the hypothalamic-pituitary-ovarian axis, leading to abnormal follicular development, inconsistent ovulation timing, or anovulation, thereby affecting fertility. It is important to maintain regular daily routines, ensure 7–8 hours of sleep per night, eat a balanced diet to avoid extreme dieting, and manage emotions through exercise, listening to music, and other relaxation techniques.

2. Unhealthy Lifestyle Habits

Long-term smoking damages egg and sperm quality, excessive alcohol consumption affects hormone secretion, and prolonged sitting leads to poor pelvic blood circulation—all of which may reduce the chances of conception. It is essential to quit smoking and drinking immediately, minimize sedentary time by standing up and moving for 5–10 minutes every hour, and engage in aerobic exercises such as brisk walking or yoga 3–4 times per week to improve pelvic conditions and reproductive cell quality.

3. Polycystic Ovary Syndrome (PCOS)

Elevated levels of androgens in the body can inhibit follicle maturation, causing the ovaries to develop multiple small cysts and resulting in absent or infrequent ovulation, often accompanied by menstrual irregularities. Under medical guidance, medications such as ethinylestradiol/cyproterone acetate tablets, drospirenone/ethinylestradiol tablets, or spironolactone tablets may be prescribed to regulate hormone levels.

4. Blocked Fallopian Tubes

Inflammations such as pelvic inflammatory disease or endometritis may spread to the fallopian tubes, causing adhesions of the tube lining, narrowing, or blockage of the lumen, which prevents sperm and egg from meeting. Under medical supervision, antibiotics like doxycycline hydrochloride tablets, metronidazole tablets, or cefixime capsules may be used to control infection. When necessary, procedures such as tubal flushing or hysteroscopic tubal cannulation may be performed to restore patency.

5. Endometriosis

This condition occurs when endometrial tissue grows outside the uterus—such as on the ovaries or pelvic peritoneum—and can impair ovarian function and the pelvic environment, potentially leading to fallopian tube adhesions and reduced fertility. Under medical guidance, medications such as gestrinone capsules, danazol capsules, or leuprorelin acetate for injection (microspheres) may be used to suppress the growth of ectopic endometrial tissue. In severe cases, laparoscopic excision of endometriotic lesions may be recommended to improve pelvic health.

In daily life, it is important to maintain good hygiene to prevent infections of the reproductive system, avoid exposure to toxic chemicals and radiation during preconception, and undergo regular reproductive health checkups to identify and address issues early, thereby increasing the likelihood of successful conception.