Reasons You Can’t Get Pregnant – A Fertility Checklist

Here’s a list of the most common reasons women can’t get pregnant, plus a fertility checklist. The reasons for not getting pregnant range from azoospermia (no sperm) to irregular periods. These male and female fertility checklists will help you decide if you should see a doctor or infertility specialist.

Reasons You Can’t Get PregnantDo you track your ovulation? The Clearblue Fertility Monitor is the most advanced way of tracking your fertility. It’s a non-invasive way to detect both LH and estrogen hormones, and it gives you comprehensive, personal information about your cycle to help you map out your fertility calendar.

Think about making lifestyle changes if you can’t get pregnant. “Couples who have sought specialist help and have been diagnosed with ‘unexplained fertility’ may find that making certain lifestyle changes can assist in conception,” writes Michael Dooley in Fit for Fertility. “These fertility checklists might be useful.”

Why Can’t You Get Pregnant?

The Fit for Fertility Checklist is made up of four individual checklists, for the egg, the sperm, conception, and general male and female fertility problems.



Fertility Checklist #1: The Egg (Female Fertility)

Answer yes or no to the following questions:

  1. Are you having irregular, short (less than 21 days) or long (greater than 34 days) periods?
  2. Do you bleed between your periods?
  3. Are you overweight (with a body mass index greater than 25)?
  4. Are you underweight (with a body mass index under 18.5)?
  5. Do you exercise excessively?
  6. Have you had treatment for cancer?
  7. Are you being treated for depression?
  8. Do you have diabetes?
  9. Have you ever had thyroid problems?
  10. Have you stopped having periods?

If your periods aren’t regular, read How to Know If You’re Ovulating – 3 Signs of Fertility.

Fertility Checklist #2: The Sperm (Male Fertility)

Answer yes or no to the following questions:

  1. Have you had an operation on your testicles?
  2. Have you had a hernia repair?
  3. Is there blood in your ejaculate?
  4. Have you had mumps?
  5. Have you had an injury to your testicles?
  6. Do you have any family members with cystic fibrosis?
  7. Have you had a vasectomy?
  8. Are you overweight (with a body mass index greater than 25)?
  9. Are you taking medication for a peptic ulcer?
  10. Do you have diabetes?

If you think you can’t get pregnant because of sperm problems, read How to Increase Male Fertility and Improve Sperm Count.

Fertility Checklist #3: Getting Pregnant

Answer yes or no to the following questions:

  1. Do you have intercourse less than twice a week?
  2. Do you have a problem with intercourse?
  3. Do you have pain with intercourse?
  4. Does your partner have problems with erection?
  5. Does your partner have premature ejaculation?
  6. Have you had pelvic inflammatory disease?
  7. Have you had an operation on your abdomen (eg, a burst appendix)?
  8. Do you have discharge?
  9. Have you had an ectopic pregnancy?

Make sure you have intercourse at the right time (when you’re ovulating)! That’s one of the best tips for getting pregnant without taking fertility drugs.

Fertility Checklist #4: Male and Female Fertility Problems

Answer yes or no to the following questions:

Fertility Checklist

“Reasons You Can’t Get Pregnant – A Fertility Checklist” image by Life_takers_crayons via DeviantArt

  1. Do you have a good, healthy diet?
  2. Do you smoke or drink excessive amounts of alcohol?
  3. Have you been exposed to environmental hazards?
  4. Have you tried to conceive before without success?
  5. Are you under significant stress?
  6. Do you spend a lot of time apart?
  7. Do you drink excessive amounts of caffeine?
  8. Do you take regular medications?
  9. Do you use recreational drugs?
  10. Do you have a history of a genetic problem?

If you answered “yes” to one or more of these questions, you need to talk to a doctor about why you can’t get pregnant.  Make an appointment with your family physician doctor, and consider talking to a fertility specialist.

Are you charting your ovulation and most fertile days? Read Clearblue Digital Ovulation Test vs. the Calendar Method.

If you have any thoughts on why you can’t get pregnant, please comment below. Please note that I can’t offer medical advice! I can only offer support, general education, and tips.

The internet is a fantastic source of tips about fertility checklists, getting pregnant, and infertility information, but it’s not so good at offering personal health advice. If you can’t get pregnant, talk to at least three fertility specialists. Get tested for fertility – and make sure your partner gets tested, too.


I wish you all the best as you check into the reasons you can’t get pregnant. May you be blessed with a healthy pregnancy!



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Laurie Pawlik-Kienlen
Welcome - I'm glad you're here! I can't give advice, but you're welcome to share your experience below. I'm a writer in Vancouver; my degrees are in Psychology, Education, and Social Work. I live with my husband, two dogs, and cat. We are childless, & have made peace with it. It helps to love Jesus :-)

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261 Responses

  1. kay says:

    Hi I am 33 years off age i hav le normal periods every 24 days and have had my thyriod removed as due 2 having a multi nodules and hav been on thyriod tablets for the past for years 75mg . Would you give advice i have been trying for a baby more then 8 months know..would my thyriod be problem concerving..Please would you email me.

  2. Nicole says:

    I am 26yrs old been tring to get pregnant for 2 yrs, i always had regular period.. But still cant get pregnant so frustrating.

  3. Smit Shah says:

    Appreciate a list! Although, this says some of the common reasons, many a times some women are completely unaware of them. Given reasons sound a pretty good awareness. Male fertility points are perfectly a value as they usually may seem to have been greatly neglected. Thanks!

  4. portia says:

    Hi I had my last period day on 22 may then had sex on 2june now on 15june I tested positive but thers a faint line very lite and the other 1 very dark

  5. Mbalie says:

    I’ve been using triphasil for so many years and i decided to stop in January this year due to my eager to conceive but since then i haven’t seen my periods. Please help I’m so desperate to conceive. Thanks

  6. Christian says:

    Hi. There is a lot of focus on female fertility, however the male is equally important and could be a reason you can’t get pregnant. Just like woman, mens sperm and fertility decline with age, so after age 35, its recommended that couples seek help after just 6 month of trying. If you want to test your partners fertility, you can preorder the first reliable home test and learn more about male fertility.

  7. abc says:

    I bleed once in 15 days and I want to conceive now. How quick can that happen

  8. Laurie Pawlik-Kienlen says:

    Answering the “why can’t I get pregnant?” question can’t be done over the internet! I know it would be so easy and awesome to find out why you’re not conceiving a baby, but the internet is not the place to get answers about your body. The internet is fantastic for general information, not for specific advice that pertains to your health.

    Talk to a doctor. Don’t lose hope! Talk to a gynecologist or your family doctor, and get tested for fertility issues. And don’t let your partner get away with doing nothing. Men are just as liable to have fertility issues as women are. Your partner could easily have a sperm health problem that is the reason why you can’t get pregnant. So both of you need to go to a doctor for fertility tests.

    Blessings,
    Laurie

  9. wumi says:

    Trying to conceive for 2 years i am 26 years old, had ectopic pregnancy at age 18. The doctors think i’m ovulating but could my tubes be blocked?

  10. shree says:

    Hi… For last 6 month me and my husbnd try for a baby but i am not get pregnent… I dont know why now we r become hopeless

  1. November 26, 2013

    […] Not getting pregnant or inability to conceive is extremely stressful for women who want to have a family. This notion is shown by a study published in the Human Reproduction journal on patients in four countries with the highest number of cases of assisted reproduction cycles (infertility treatments) in Europe: France, Germany, Italy and Spain. If you’re having trouble conceiving a baby, read 4 Most Common Reasons You Can’t Get Pregnant. […]

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