Is it normal to not get pregnant after four months of trying to conceive?

Preparing for pregnancy is not an easy task. During the pregnancy preparation period, if the measures are not taken properly, it will be easy to fail to get pregnant. Many women have been preparing for pregnancy for four months, but have not conceived a baby. They are very anxious and wonder if they have infertility, so they want to get checked. So what should you check if you haven’t gotten pregnant after four months of preparation? What are the reasons why you can’t get pregnant after one year of preparation?

What to check if you haven't gotten pregnant in 4 months of pregnancy preparation

Generally, female infertility is mainly caused by two problems: fallopian tube blockage and ovulation disorder. You can go to a reliable tertiary hospital to do a uterine ultrasound examination to see if there are mature follicles, and then do angiography to see if there is fallopian tube blockage, and then receive targeted treatment. Generally, couples only consider the diagnosis of infertility after they have regular sex and have not used contraceptive measures for more than a year. So you have only been trying to get pregnant for four months, so there is no need to rush.

Reasons for not getting pregnant after one year of trying to conceive

1. The egg cells cannot be produced normally

If there are some health problems in the female body, it may cause the egg cells to not be produced normally, and the woman will naturally be infertile if she does not ovulate. For example, if a woman has malnutrition, excessive obesity, hyperthyroidism, adrenal dysfunction and other diseases, or if there is a direct problem with the uterus and ovaries of a woman, it will affect the normal ovulation period of the woman, thus causing female infertility.

2. Sperm-egg fusion is blocked

If a woman can ovulate normally but still cannot get pregnant successfully, it is likely that the payment process is blocked. For example, when there are problems such as vaginal malformations, cervical diseases, fallopian tube diseases, etc., the sperm and egg cannot be successfully combined into a sperm-egg combination, making it difficult to become pregnant.

3. Embryo implantation failure

The egg cell can discharge egg cells and sperm normally, and fertilization can be successful normally. If pregnancy is still not possible, then there is a problem in the embryo implantation stage. Embryo implantation failure is mainly affected by ovarian luteal insufficiency and uterine factors. If the ovarian corpus luteum does not function properly, it will cause insufficient progesterone secretion, which will affect the implantation of the embryo combined with sperm and egg. If the uterus is underdeveloped, it will affect the implantation of the embryo, leading to female infertility.

4. Immune factors cause infertility

If a woman's body has immune factors, it may also cause infertility. Immunity includes immune response and autoimmunity. Immune response means that the egg and sperm cannot successfully combine, or the sperm and egg cannot successfully implant the embryo. Autoimmunity is the presence of a unique antigen in female blood cells that blocks the fusion of sperm and egg.

The article explains in detail what to check if you haven't gotten pregnant after four months of preparation, and also explains in detail the reasons why you haven't gotten pregnant after a year of preparation. As a woman who is preparing for pregnancy, it is best to understand that it is normal not to get pregnant after four months of preparation. There is no need to be anxious or impatient. It is best to take effective measures if you still haven't gotten pregnant after one year of preparation.