What To Do If You Can't Conceive Naturally

For many couples, the road to conceiving can be distressing and fraught. Despite trying your best, month after month of negative pregnancy tests can feel discouraging. However much it feels like it though you are not alone as there are many treatment options and support out there. 

In this article, I will look at the options available to you and the steps you can take if you are unable to conceive naturally.

Step 1 - Understand Fertility Basics

couple

Before worrying unnecessarily, it’s important to understand that conception can take time. The NHS advises that a couple should see a GP if they cannot conceive within a year of trying. To have the best chance they advise having sex every 2-3 days and trying to have sex around the time you are ovulating – this is usually 12 to 16 days before your period starts.

After this time a doctor can help do tests and help assess your fertility.

Step 2 - Evaluate Your Lifestyle

Before you go to a doctor it is important to look at health and lifestyle factors that could prevent you from conceiving. This goes for both the female who is producing the egg and the male (or sperm donor)

Maintaining or getting to a healthy weight, and not smoking or drinking can be extremely beneficial for your chances of conceiving. Reducing stress is also a great idea as stress can affect your hormones and menstrual cycle.

Monitoring your cycle is useful. Use ovulation predictor kits or apps to track your fertility, ensuring that you’re timing intercourse optimally.

Step 3 - Seek Professional Advice

woman in hospital

Healthy reproduction relies on many factors including regular ovulation, healthy sperm quality, and the correct timing. Any disruption in these elements can affect your chances of conception. 

If you’ve been trying to conceive without success, consulting a fertility specialist is the next step. Your doctor may conduct a series of tests to determine the cause of infertility. These may include

For Women - Blood tests can check hormone levels, an ultrasound will examine ovaries and uterus, and an HSG ( an X-ray procedure) can assess for any blockages in the fallopian tubes. 

For Men - A semen analysis to evaluate sperm count, the percentage of sperm that are moving and the size and shape of the sperm 

Sometimes, the issue may be straightforward—like irregular ovulation or low sperm count—and easily treated. Other times, it may require more in-depth exploration.

Step 4 - Understand Treatment Options

There are a range of fertility treatments.  Here are some common options below.

  • Medication
Ovulation-inducing drugs like clomiphene citrate (Clomid) or letrozole (Femara) can stimulate egg production in women with irregular cycles. Hormonal treatments may address underlying imbalances.

  • Intrauterine Insemination (IUI)
In this procedure, sperm is collected, washed, and directly placed into the uterus during ovulation. It’s less invasive and often used for mild fertility issues.

  • In Vitro Fertilization (IVF)
IVF involves fertilising eggs with sperm in a laboratory setting and transferring the resulting embryo(s) into the uterus. While more costly and invasive, IVF offers higher success rates and is effective for various infertility causes. There are also IVF finance plans out there to help spread the cost.

  • Surgical Interventions
Conditions like endometriosis, fibroids, or blocked fallopian tubes may require surgical treatment to improve fertility.

  • Third-Party Reproduction
If traditional methods aren’t successful, options like egg donation, sperm donation, or surrogacy can help you become a family. These however can come with an added financial cost and can be, unfortunately 
out of the means of many people.

  • Adoption
For those who feel ready to expand their family through non-biological options, adoption is a way that can be very fulfilling. You are giving a child a life of security and love, they may never experience otherwise. 

Step 5 - Seek Emotional Support

couple counselling

The journey to parenthood can be very emotional. Feelings of frustration, guilt, or sadness are normal. To cope with these challenges, consider counselling and look for local support groups, or support groups online.  

It's also important to be open and honest with your partner as going through issues of fertility can put a strain on a relationship. 

Fertility challenges can feel overwhelming, but it’s important to practice self-compassion. Remember that building a family looks different for everyone, and there is no “right” timeline. Give yourself grace and acknowledge the steps you’re taking to fulfil your dreams.

*Collaborative post

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