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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271 Responses

  1. tiffany says:

    I had gotten pregnant at di age of 17 an abort it in 2008 an In 2010 I had abdominal pain an I went to di doctor for a abdominal ultra sound an they told me they did see nothing wrong with deh guess da gas they gave me medication for it.then few days while taking di medications my period came down an notice I was passing lone clogs of blood.that I Neva pass yet in my life I told my mom an she said I could have been that I was pregnant an had a miscarriage an from den up to now I am trying to get pregnant an isn’t conceiving.I don’t really drink.but now an again I would take a Lee drink but I don’t smoke either.only my boy friend smoke an drink.but I notice he is not the problem because he had a baby before getting with me

  2. Janet says:

    I got pregnant when I was 15 had my kiddo at 16 now I’m 37 me n hubby been trying 1.5 yrs and nothing I haven’t been able to get pregnant since my daughter n it’s been 21 yes I really want a baby with my husband my periods or every 29/31 days last normal 4 days it’s just not happening

  3. nikki says:

    OK so I had 2 abortions one in 2011 and 2012 now I can’t get pregnant been trying for 5 months NOTHING.
    Not on drugs anymore, eating better, not much of stress but still sum, I am manic depression and really bad aneixty attacks. I always had these though but I am wondering how come now I can’t get pregnant. Maybe it’s my boyfriend he does smoke a lot of cigarettes but I wonder if the abortion did anything to me?

  4. Candiace says:

    Hello my name is Candiace. Three years ago when I was nineteen I got pregnant conceived March 16th 2012 automatically I was having problems in the beginning because I was bleeding on and off. Naturally I had a miscarriage. Every since then I have not gotten pregnant since. I have irregular periods also I’ve been off of drugs for eight months I am now going to a suboxin doctor. I’m 22 years old now me and my fiance have tried getting pregnant for two years I use to not have a period at all now I have one every month. Usually on the same day last month I was seven days late. I also drink a lot of mountain dew/ caffeine I also smoke but I don’t drink or do drugs anymore except for subs. What is going on I’m getting older so are my eggs I want a baby so bad please help me what do I do

  5. Nandini says:

    I am 31 yrs old. I had been identified & treated for pcod and tubes blocked last year. Have reduced weight nearly 10 kg. have undergone 2 iui in last 2 months. I’m tired of trying. Dr found as unexplained infertility as me and partner has no infertility issues. Pls suggest

  6. Claire says:

    Hi im 32 , suffered with a miscarraige nearly 2 years ago . Havent been in any contraception, and havrnt had any period since . Ive had bloods , and scans and nothing everythibgs notmal . i exercise i dont smoke i eat relatively healthy. Im noy even stressed or on any tablets atall . Why have i stopped having periods? Someone please help x

  7. Mara says:

    My fiancé and I are willing to have a baby. We see off and on , because we leave two countries apart. (Work) I had my period on the 14th of July and it was due to the 14th of August. But I had sex from the 9th to the 13th. Three times a day. But on the 14th I felt sick with heavy cramps and later the afternoon , my period arrived. But not heavily. I’m not pregnant and I don’t know why. I’ve have a miscarriage last year.( ectopic pregnancy) We want kids but I don’t know what’s the matter. He got kids by another mother. I need help please!!

  8. marilyn says:

    Hi iam 45 and I been trying to get pregnant for the last three yrs but nothing has happen I am in good health but I do drink a lot of coffee and do smoke do u think if I stop smoking cigs n drinking coffee I will have more chances of getting pregnant also I do have a cyst in my right ovarie pl tell me what can I do

  9. karen says:

    hi! i have been to trying to get pregnant for the last 10 years but it seems that i dont have any luck.
    My period is consistent. I had an ultrasound before and the doctor told me that i have a very small
    cyst in my ovary? does it affect me getting pregnant?

  10. vicky says:

    I am 27 I have got a daughter that is 8 years old I had her when I was 19 I took heroin for 5 years after she was born I also had the implant which should of been taken out 3 years ago I have been clean of drugs for 1 year My fiancé is 52 he has got kids a 22 yr old and a 28 yr old I know I should give my body time to adjust but I am beating myself up What if god is punishing me all the things I have done wrong Someone help im going out of my mind

  11. 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.

  12. 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.

  13. 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!

  14. 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

  15. 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

  16. 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.

  17. abc says:

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

  18. 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.


  19. 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?

  20. 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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