Why can't I get pregnant after trying for several months?

The desire to start a family is deep and genuine, which is why when pregnancy doesn't happen, questions, uncertainty, and the need to understand what is happening arise. Infertility affects both women and men, and understanding its causes is the first step toward finding solutions. In this blog, we explain which factors influence fertility, what medical studies can help you, and what treatments are available at Fertilidad Integral, where we support every story with cutting-edge science and human warmth.

What is infertility and what are its types?

Infertility is defined as the inability to achieve pregnancy after 12 months of unprotected intercourse (6 months for women over 35). There are two main types:

a) Primary infertility: when a pregnancy has never been achieved.

b) Secondary infertility: when, after having had a previous pregnancy, the couple is unable to conceive again.

Both situations require medical attention, as they may be related to ovulation problems, sperm quality, blocked fallopian tubes, or lifestyle-related factors.

Main causes of female and male infertility

Ovulation problems

Ovulation is fundamental for a pregnancy to occur. Conditions such as polycystic ovary syndrome (PCOS), hormonal imbalances, or low levels of anti-Müllerian hormone can affect ovarian reserve and egg quality. The failure to release eggs also limits the likelihood of pregnancy.

Uterine and fallopian tube abnormalities

Blocked fallopian tubes, the presence of fibroids, endometriosis, or previous infections like chlamydia or gonorrhea can make it difficult for the fertilized egg to reach the uterus. A hysterosalpingography, a study that evaluates the patency of the tubes, is key to the diagnosis.

Lifestyle-related factors

Excessive alcohol consumption, excessive caffeine intake, smoking, stress, and lack of sleep can increase the risk of infertility. Maintaining a healthy lifestyle (a balanced diet, moderate exercise, and stress management) promotes fertility in both women and men.

Male infertility

Sperm quality can be affected by infections (chlamydia, gonorrhea), anatomical abnormalities such as varicocele, exposure to toxins, or poor habits. This impacts the motility, count, and morphology of the sperm.

Emotional and psychological impact of fertility issues

Infertility is not only a medical challenge but also an emotional one. Social pressure, frustration with failed attempts, and potential miscarriages can lead to anxiety or depression.

At Fertilidad Integral, we understand that every story is unique, which is why we integrate psychological care and complementary therapies such as nutrition and acupuncture, creating an assisted reproduction space that cares for both the body and the mind.

Medical exams to diagnose infertility

When there are potential fertility issues, the first step is a comprehensive medical evaluation. The most common studies include:

- Hysterosalpingography: allows for checking if there is an obstruction of the fallopian tubes.

- Hormonal studies: measure hormone levels such as FSH, LH, and prolactin.

- Anti-Müllerian hormone (AMH): measures ovarian reserve and helps evaluate egg quality.

- Semen analysis: analyzes sperm quality.

- Gynecological ultrasound: detects fibroids, endometriosis, and other uterine abnormalities.

Treatments available when you are unable to conceive

At Fertilidad Integral, we know that every case is unique and that the causes of infertility can range from ovulation problems to factors such as sperm quality, age, or the presence of conditions like endometriosis or polycystic ovary syndrome (PCOS). For this reason, we offer different assisted reproduction options tailored to each situation.

Timed intercourse

This treatment consists of synchronizing your fertile days to have sexual intercourse at the exact moment ovulation occurs. It is recommended when there are ovulation problems or irregular menstrual cycles that make it difficult to identify fertile days. Although it is a simple procedure supervised by a gynecologist, it can be the first step toward improving the chances of pregnancy in cases of mild female infertility.

Intrauterine insemination (IUI)

Theintrauterine insemination is a low-complexity treatment that consists of introducing sperm directly into the uterus during the most fertile days. It is especially useful when there are issues with cervical mucus, low sperm quality, or after several months of unsuccessful attempts. It is also an alternative for women over 35 who still have a good ovarian reserve and wish for extra support.

In vitro fertilization (IVF)

Thein vitro fertilization (IVF) is the most advanced treatment for addressing high-complexity fertility issues. In this procedure, fertilization occurs in the laboratory, and the fertilized egg is subsequently transferred to the uterus. IVF is recommended in cases of fallopian tube obstruction, severe endometriosis, significant male infertility, recurrent miscarriages, or low egg quality. Additionally, it allows for the application of complementary techniques such as hysterosalpingography to assess the condition of the tubes or the measurement of anti-Müllerian hormone to evaluate ovarian reserve.

A necessary first step: the assessment appointment

Before deciding on any treatment, at Fertilidad Integral we always recommend scheduling an initial consultation. This meeting allows us to review your medical history, evaluate hormone levels, and detect potential fertility issues to offer you the best personalized option.

You can check the price of the assessment appointment at our locations:

- CDMX

- Guadalajara

- Metepec

Take the first step with specialized medical care and find the answers to your questions about fertility.

Preventing and detecting infertility early

Regular gynecological check-ups, maintaining healthy habits, and timely treatment of infections like chlamydia or gonorrhea are key measures to reduce the risk of infertility. Recognizing changes in menstrual cycles and seeking early medical attention for potential causes of infertility increases the chances of pregnancy.

Why choose Fertilidad Integral?

At Fertilidad Integral, we don't just offer medical treatments; we offer comprehensive support. Our clinic in Guadalajara features state-of-the-art technology such as PharmaWatch (real-time environmental monitoring) and RI Witness (a radio-frequency identification system that secures every sample).

Beyond the science, we care for your emotional well-being. Psychologists, nutritionists, and wellness specialists work with you so that every step is taken with confidence and peace of mind. Everyone who comes to our clinics finds a human, approachable space free of taboos.

Frequently asked questions about infertility

1.- When should I see a gynecologist if I am having trouble getting pregnant?
If you are under 35 and have been trying for more than 12 months, or over 6 months if you are over 35, it is best to consult with an assisted reproduction specialist.2.-

2.- What are the main causes of female infertility?
Ovulation problems, fallopian tube issues, fibroids, endometriosis, and low ovarian reserve are the most common.

3.- What tests do I need to start fertility treatment?
These may include hormonal tests, a hysterosalpingogram, a semen analysis, and an anti-Müllerian hormone test.

4.- Is male infertility common?
Yes. It is estimated that in about 40% of infertility cases, the male factor is present (WHO, 2023).

5.- What is the success rate of IVF?
It depends on age and egg quality, but it can reach 50–55% in women under 35.

6.- What role does lifestyle play?
Factors such as excessive alcohol consumption, smoking, high caffeine intake, and stress can affect fertility in both men and women.

7.- What is the difference between insemination and IVF?
Theintrauterine insemination is less invasive and lower in cost, but with lower success rates (15–20%). The IVF is more complex but has higher success rates (50–55%).

8.- Can I freeze my eggs if I don't want to get pregnant yet?
Yes, it is an increasingly recommended option, especially for women over 30, to preserve egg quality.

9.- What is a hysterosalpingogram and why is it performed?
It is a contrast study that evaluates the patency of the fallopian tubes. It is essential for detecting obstructions.

10.- Why choose Fertilidad Integral for my treatment?
Because we combine world-class science, unique safety protocols in Mexico, and human support at every step.

Schedule your initial consultation at Fertilidad Integral and take the first step toward your fertility journey with the confidence of being supported by specialists and cutting-edge technology.

References

• World Health Organization (WHO). (2023).Infertility definitions and challenges.https://www.who.int
• American Society for Reproductive Medicine (ASRM). (2022). Reproductive facts and treatments.https://www.asrm.org
• Latin American Network of Assisted Reproduction (REDLARA). (2023). Assisted fertilization success reports.https://www.redlara.comSchedule your initial consultation at Fertilidad Integral and take the first step toward your fertility journey with the confidence of being supported by specialists and cutting-edge technology.