Why a second pregnancy does not occur: main factors

Many couples are seen by different doctors for years, but they still fail to get pregnant. This problem is familiar to many, although the reasons are different for everyone. Why you can’t conceive a child, what to do in such a situation and which specialist to contact. Why do some spouses conceive without problems, while others cannot get the desired result for a long time?

During planning, you need to eat right, avoid alcohol, and quit smoking.

Why pregnancy doesn't occur the first time

To conceive a child, it is necessary that an egg meets a sperm inside the female genital tract. As a result, the sperm penetrates inside the egg, where an embryo is formed, which is implanted into the uterine wall and continues to develop as a fetus. But this is only so simple in theory; in practice, the process is much more complicated. With each orgasm, a man releases some of the sperm that are continuously produced in the testicles. That is, representatives of the stronger half are always ready to conceive.

In women, maturation occurs once per cycle, and only one cell is formed, in rare cases several. This cell lives only 1-1.5 days. If fertilization does not occur during this time, the cell dies. The next chance of conception will be in about a month, when the next ovulation occurs. It is precisely this short fertile period that explains why fertilization is so rarely successful the first time. Therefore, if you are unable to conceive a child, it is recommended to have sex at least every other day in order to be sure to ovulate.

But there are also the opposite situations, when a woman keeps basal charts and knows exactly on which days the probability of pregnancy is highest, it is on these days that the spouses have sex, but something still interferes with conceiving a child, because it is impossible to get pregnant.

Why it is possible to get pregnant the first time: calculating the ovulation period

The success of pregnancy after the first unprotected sexual intercourse depends on whether sexual intercourse occurs during this period or not. How to calculate the ovulation period? There are a variety of methods for this. But first of all, a woman should be aware of her own physiology, what ovulation is and how it happens.

The egg, ready for the process of fertilization, leaves the ovary and waits for its meeting with the sperm - this day is usually called ovulation. The maximum time during which an egg can actively exist is forty-eight hours, however, in most cases this period is twenty-four hours. A woman can track ovulation by observing her own body. During this period, the discharge becomes thicker and mucous than usual. This can be considered the first sign.

On average, the egg matures in the middle of the monthly cycle. However, the duration of such a cycle is different for each woman, hence difficulties arise in calculating ovulation and the period most favorable for pregnancy. With a cycle length of twenty-eight days, ovulation occurs approximately on the fourteenth to fifteenth days of the cycle.

Expert opinion All women need to be aware of such a period as early ovulation. This is a phenomenon in which the egg is released before the middle of the cycle. The reasons for this phenomenon are different. In addition, the favorable period for pregnancy is

Reasons for long absence of conception

If for a long time the spouses have not been able to acquire offspring, then it is necessary to identify the cause of childlessness. To do this, it is recommended that both partners undergo a comprehensive examination.

• Quite often, hormonal failure or pathology can prevent fertilization. For example, it is not surprising if conception does not occur against the background of hormonal diseases such as fibroids or endometriosis. But only a specialist can identify such a factor. For fibroids, surgical treatment is usually prescribed, and for endometriosis, hormonal medications are prescribed to correct the background.
• Also, the reasons for the childlessness of spouses may be the presence of unhealthy habits such as nicotine addiction, use of drugs or alcohol. These dependencies lead to pituitary disorders, which provoke disruptions in the functioning of the whole organism. The endometrial layer of a potential mother becomes thinner, a man develops erectile problems and the quality of seminal material decreases, the production and maturation of germ cells in both partners is disrupted.
• Adhesive processes in the pelvic area can also interfere with conception. The cell simply cannot get to the sperm due to the presence of barriers in the form of adhesive strands.
• Menstrual irregularities are also sometimes a significant factor interfering with fertilization. If the patient’s female cycle is irregular, then it is imperative to establish menstruation. To do this, doctors may recommend certain medications, or you can use the recommendations of herbalists.
• Also, the reasons for the absence of children can be determined by male pathologies, which is why in the absence of children it is recommended that both spouses be examined. Moreover, it is advisable to start with a man, because it is quite simple to detect or exclude the possibility of male pathology, whereas a woman can be examined for a long time. If a pathology is detected in a potential father, it is necessary to contact a specialist in the field of andrology. Maybe the man simply lacks vitamins or needs serious therapy. In any case, after the necessary treatment, the man’s fertility returns to normal.
• Stress is considered one of the leading factors preventing a woman from getting pregnant. Therefore, a potential mother needs to learn how to relax with the help of auto-training, aroma baths and massages, aromatherapy, etc. Calming herbs are also good for avoiding stressful conditions. Even minor nervous tension can negatively affect fertilization. Especially if your loved ones constantly remind you when you will have children, etc. The human psyche is structured in an unusual way, so if there is such pressure from relatives, it is better for the spouses to go somewhere for a week, about 4-5 days before ovulation.
• Weight for conception is also important. Girls who are too plump, like girls who are too thin, may encounter problems with fertilization. Husbands also need to think about their body weight, because when men’s weight fluctuates, spermatogenesis is disrupted.

If, after eliminating such factors, conception does not occur, then there is a high probability that the couple is faced with infertility. But today, such a problem can be successfully treated, and in case of incurability, you can use the help of reproductive specialists and alternative methods of ICSI or IVF.

Recommendations from experts

Regular periods are an excellent indicator

If a woman thinks that she is healthy, but after repeated attempts she has not become pregnant, then she still needs to consult a specialist. If conception does not occur, it means that there are still some health problems. Moreover, the health of both parents matters, and not just the potential mother. Because the germ cells of both spouses take part in the fertilization process. That is why, having decided on an heir, it is necessary first of all to check the condition of the reproductive and other important organs.

It is necessary to contact a gynecologist who will prescribe the necessary tests and diagnostic procedures. Typically, diagnostic tests include blood tests for HIV and hepatitis, syphilis, smears and urine tests for sexually transmitted infections, including those transmitted through sexual intercourse. These tests must be done by both spouses. It is also necessary to undergo an ultrasound examination of the pelvic organs. If the tests are normal, you can begin to conceive, and if abnormalities are detected, you will need to undergo treatment.

What to do to increase the success of conception? Of course, calculate the favorable period in the cycle when the egg matures and leaves the follicle. The simplest method is the calendar method for determining ovulation. This method is ideal for patients who have a regular female cycle. To do this, you need to subtract 14 days from the first day of your period, which will result in the day of ovulation. It is necessary to count exactly from the first day of menstruation. You should start trying to conceive approximately 5 days before the egg matures and a couple of days after it. It is on these days that the greatest fertility is observed. Just a sperm can live in the genital tract for about 5 days. In general, to be sure to get pregnant, you need to make love every day from 10 to 18 days.

The quality of the sperm is no less important, because it is the sperm that fertilize the egg, and if they are of poor quality, they will not have enough strength to reach their destination. Male sperm is completely renewed in two months. This is exactly how long before conception a man needs to maintain a healthy lifestyle, not drink alcohol or smoke, and walk daily. Also, the stronger half will have to give up gatherings with friends in the bathhouse.

Also important is the frequency of sexual intercourse. Previously, there was a myth that it was possible to get pregnant only with long-term, almost month-long abstinence. Scientists have successfully debunked this statement, proving that the most correct decision would be to have sex once every 2-3 days. This frequency of PA will be the most optimal if their target is children.

tips on how to get pregnant if you can't

Hi all! I'll try to write my first post. :))) I want to make it as useful as possible and based on my own experience, I am writing it out of love for each of you, so that each of you’s dreams come true!

I, too, did not get pregnant right away (it didn’t work out for more than 2 years), but naturally (without IVF or any stimulation), so I had to sift through a lot of information, I even had to study esotericism. And now I would like to help people a little, let them think a little, perhaps look differently. Don't take what I said personally, because... my goal is not to judge, but simply to help. You can read it and say that this is all nonsense, or you can take it into account.

I have long wanted to comment on the steps to getting pregnant that I found on the website Can Get Pregnant.ru. I agree with many of them, but I consider some of them unnecessary. Here they are, and below read my comments, everything is based on personal experience.

• Step 1 - Understand that the reason is you!
• Step 2 - Take your time.
• Step 3 - Love your period.
• Step 4 - Get rid of fears.
• Step 5 - Trust the flow of life
• Step 6 - Understand the children of the new age.
• Step 7 - Do everything in reverse.
• Step 8 - Infertility is a necessary experience.
• Step 9 - Getting rid of female diseases.
• Step 10 - Getting Rid of STDs
• Step11 - Don't be afraid to give birth!
• Step 12 - Attitude towards sex life
• Step13 - What a woman should be like
• Step14 - No pregnancy envy.
• Step 15 - How to treat men
• Step16 - Talk to your child.
• Step17 - How to treat your child?
• Step 18 - Ready to become a mother

Step 1. Regarding understanding that the reason is you. I think this is really necessary. Because people are ready to blame anyone. No, I don’t encourage you to blame yourself, you shouldn’t do that. You need to love yourself for who you are, knowing that everything will definitely change for the better! But also be ready to make changes.

Step2. There is no need to rush time. Many people who want to get pregnant can’t wait, they want the long-awaited pregnancy to come sooner, but the Universe has its own laws.

Step3. Fall in love with critical days - this step is, of course, not necessary, but if you do not like critical days, then you are showing negativity towards your feminine nature. Be glad that you are a WOMAN, love yourself as a woman, be feminine.

Step4. Any fears prevent conception, here, of course, is the fear of giving birth, and the fear of change, many fears. And all this creates psychological blocks.

Step5. Trusting the flow of life is very important for your peace of mind, harmony, and allowing everything to be!

Step6. Children of the new era would like to live in love; they more often need parents in whose family there is love, peace and understanding, and not financial fixation, for example.

Step 7. For example, buying a huge pack of pads when you really want to get pregnant is a good step. Will allow you to relax before the long-awaited pregnancy.

Step 8. Perceive infertility as something necessary, which is necessary for example for the development of your soul.

Step 9. Women's diseases are also often of a psychosomatic nature, so you need to try to get rid of them using psychosomatic methods, but traditional medicine is also needed. Don't put off visiting your gynecologist. I support traditional medicine, although I believe in psychosomatics.

Step 10. Same as step 9.

Step 11. Fear of giving birth is a huge pregnancy blocker.

Step 12. Sexual life should not only be for conception, but also for loving your spouse, in this way we give him love.

Step 13. A woman should be feminine and loving. There should be LOVE in all her actions, then she has fewer blocks that prevent her from getting pregnant.

Step 14. Envy is a negative emotion that leads to illness and other negativity in the soul; you should not envy anyone. It is also generally useful to free yourself from any negative emotions: condemnation, anger, fear, hatred.

Step 15. Men need to be treated as people to whom you need to give your love. This is not a breadwinner or a wallet with money, and also not an object for brainwashing :))) A man is always a loved one!

Step 16. Communication with an unborn child is of course possible, but not everyone will succeed, so you can skip this step.

Step 17. We need a child first of all for love, so we already need to love our unborn child!!!

Step 18. We need to be ready for motherhood, when we are not ready to become a mother, having some “BUTs”, the Universe listens to us flawlessly and does not contribute to pregnancy.

And to summarize everything, I want to add that there is nothing more important than LOVE, every action will be filled with love, don’t give up, don’t cry, trust life and love more, pregnancy will definitely come.

With great love to each of you, Elena

How to treat infertility

But what can help if the problem is infertility. This is already a serious obstacle to successful conception. You need to see a doctor, today infertility can be successfully treated. Most often, the cause of infertility is factors such as menstrual irregularities, tubal obstruction, endometriosis, etc. If ovulatory insufficiency occurs, the girl is prescribed hormones and stimulant medications. In difficult cases, the opportunity to become pregnant is realized through artificial insemination, which is carried out in several ways:

1. Artificial insemination with donor or spouse sperm;
2. In vitro fertilization, when a female cell is surgically removed, and after successful fertilization it is implanted into the uterine cavity (IVF);
3. A cocktail of sperm and eggs is placed into the fallopian tubes, and then fertilization occurs;
4. Already fertilized cells are placed in the tubes.

Infertility is often caused by the removal of tonsils, which are the body's defense against various infections. Usually, if there is severe inflammation, they are removed. Doctors believe that such an operation will protect the patient from joint pathologies, kidney or heart diseases. But after removal, a natural weakening of the immune barrier occurs, and the production of immunoglobulin substances that protect the body from viral and bacterial attacks decreases. There is also a decrease in the production of substances necessary for the maturation of eggs and sperm, which leads to infertility.

How to know if you can't get pregnant

Research on the subject of infertility should begin when you have not been able to get pregnant for a whole year. Of course, you should have regular sex without contraception. The study begins with a gynecological examination. You need to do an ultrasound to rule out problems with the uterus or ovaries. You will also need to take a Pap smear.

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At the same time, the man’s sperm needs to be taken for analysis to determine the concentration of sperm and their motility. If any factors indicating infertility are identified, the study should be repeated until a final accurate diagnosis is established.

You will need to have your blood tested for hormones. In addition, you need to check the fallopian tubes to see if there are any obstacles for sperm. This test is done in the first phase of the menstrual cycle.

In addition, endometrial biopsies and basal body temperature measurements are often taken for three months to determine whether ovulation is occurring regularly. This will allow the couple to more accurately know the time when to have sex. Some doctors also suggest doing laparoscopy.

With the help of these tests, doctors will find out why you cannot get pregnant and give recommendations to help you get pregnant. In some cases, you will have to resort to IVF.

10 tips to get pregnant

Here are 10 tips from a gynecologist to help you get pregnant:

1. Visit your doctor before you try to get pregnant. Your doctor will do a complete examination and give you tips to help you have a healthy pregnancy. Your doctor will tell you to take folic acid to help prevent spina bifida in your child. You also need to take iodine supplements as it is a vital mineral during pregnancy.
2. Take conception easier. Having sex with only one thought - getting pregnant, is not a good idea. This can harm your sex life. Remember that stress is one of the answers to the question of why you cannot get pregnant. Obligation kills desire.
3. Find out which days you are most likely to get pregnant. Remember that on average, ovulation occurs 14 days before the start of your period. In addition, sperm can remain in a woman’s body for 3-4 days.
4. Orgasm helps conception. During orgasm, spasms occur, which can help sperm move towards the fallopian tubes.
5. Having sex several times a day is not a good idea if you want to get pregnant. The reason lies in the fact that the concentration of sperm in semen becomes low.
6. It is recommended to make love at least three times between the 11th and 18th day of the menstrual cycle.
7. Watch your diet. You need to eat fruits and vegetables regularly. This applies to both men and women. Try to eat foods without pesticides or fertilizers. Always wash them before using.
8. Smoking during pregnancy is unacceptable. Just 10 cigarettes for women and 20 cigarettes for men significantly reduces the likelihood of conception. If you don't smoke, try to avoid places where others smoke.
9. Avoid obesity and anorexia. Both of these problems are usually associated with hormonal imbalances and may be the reason why you are unable to get pregnant.
10. Play sports. Regular exercise helps prepare the body for pregnancy, protects against obesity and stress.

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If the cause is hypothyroidism

A blood test will help identify pathology

For some couples, problems with conception may arise due to thyroid pathologies. This organ is located at the bottom of the front of the neck, on both sides of the larynx, is small in size and weighs only about 40 grams. Under the influence of iodine, which enters the body as part of food, the gland produces thyroxine and other hormonal components necessary for the regulation of metabolic processes, mental and sexual, digestive and cardiovascular activity.

The activity of the thyroid gland itself is regulated by the pituitary gland and its hormones. With hypothyroidism, the patient experiences insufficient thyroid function, menstrual irregularities and infertility, and if pregnancy does occur, it can be complicated by miscarriage, placental abruption or postpartum hemorrhage. If hypothyroidism has a pronounced form, then due to hormonal deficiency there is a disruption of ovulatory processes, transportation, synthesis and metabolism of eggs, as a result of which infertility develops.

Typically, such a pathology is manifested by frequent colds and constipation, lack of appetite, anemic pathologies, etc. Serious changes occur in the patient’s appearance, her nail plates begin to peel, her hair becomes dull and brittle, and her skin turns pale. The patient is constantly cold, she wants to sleep, she is worried about hearing and heart rhythm disturbances, and her weight begins to increase. Residents of iodine-deficient areas are at risk of developing hypothyroidism.

Why can't I get pregnant with my second child?

It is advisable for the body to rest

It is not possible to conceive a child for 3 months or even six months due to physiological or pathological problems. It is difficult for a woman to cope with emotions and grievances, to “soberly” recognize the source and eliminate it. It is recommended to start realizing your dream with a visit to the gynecologist and a comprehensive examination.[1]

Age-related changes in women

The older she gets, the more difficult it is for her to conceive a child. The optimal age for the joy of motherhood for the second time is 35 years old.

Later dates are fraught with difficulties in fertilizing the egg for several reasons:

• the efficiency of ovulation gradually decreases;
• the number of mature eggs decreases;
• adhesions and lumen of the walls are observed in the fallopian tubes;
• every third cycle after 40 years is considered anovulatory;
• Fertility decreases.

After 45 years, the probability of successful egg fertilization is observed in only 5% of all clinical cases. The rest of the women experience mental anguish and complete disappointment.

Psychological factor

The hormonal background is inextricably linked with her psycho-emotional state. If it was not possible to conceive a baby for two, three or more months, panic arises in the mind of the expectant mother that from now on she is infertile and is no longer capable of bearing children.

The main thing is not to get hung up on this spicy topic, otherwise psychological infertility will progress.

Advice: worry less and be nervous, it is important to avoid psycho-emotional stress and stress. As soon as the shattered nervous system returns to normal, the chances of successful fertilization of the egg increase significantly.

Why can't I get pregnant with a second child from another man?

Successful conception depends on both sexual partners. The problem may lie in the man’s body, especially if the next child is planned from another member of the stronger sex.

Among the provoking factors:

• presence of bad habits;
• power supply errors;
• chronic fatigue, insomnia;
• wrong lifestyle;
• infectious inflammation;
• tumors of the pelvic organs;
• frequent visits to the bathhouse, sauna;
• hormonal imbalance;
• previous operations.

To assess the condition of the male body, an examination is necessary. Mandatory techniques include performing a spermogram.

Breast-feeding

If a woman decides to immediately give birth to a second child, while she is on breastfeeding, problems may arise. During lactation, the body produces a high concentration of the hormone prolactin, which suppresses ovulation and ovarian function.

A woman's chances of becoming pregnant again are slim. If the desire to again experience the joy of motherhood “covers with renewed vigor,” it is first recommended to stop breastfeeding the first child, and then begin planning a second pregnancy.[2]

Diseases and infections that appeared after the first pregnancy

We should not exclude cases where a couple cannot conceive again for medical reasons. This happens with infectious inflammation in the uterus and not only.

Other potential pathologies include:

• violation of vaginal microflora;
• cervical erosion;
• hormonal imbalance caused not only by the first pregnancy;
• adhesions in the peritoneum and pelvis;
• lack of ovulation of unknown etiology;
• oncological processes or benign tumors in women.

Without an examination, it will not be possible to make a final diagnosis. The patient will have to undergo medication treatment.

Unable to get pregnant with a second child after cesarean

This clinical picture is extremely rare in practice. There is still a possibility of problems with a second pregnancy after the first cesarean section.

The danger lies in the high risk of developing adhesions, which can be localized in the fallopian tubes and ovaries. The result is obstruction of biological material into the uterine cavity.

Why am I not pregnant with my second child after the IUD?

Just like after oral contraception, the body needs recovery. Any IUD contains hormonal components that slow down or suppress ovulation and prevent the development of pregnancy.[3]

Expert review Olga Borovikova Another danger is endometritis. When removing the spiral, the doctor may injure the mucous membrane. In such cases, inflammation develops, which, in the absence of timely treatment, transforms into endometriosis. The latter diagnosis is one of the common causes of diagnosed infertility.

I can't get pregnant with my second child after an abortion

After such an operation, conceiving is very problematic, even if you already have your first child. During instrumental cleaning, the gynecologist can injure the uterine mucosa and provoke inflammation and serious female illnesses.

Other risks:

• development of a tumor that causes infertility;
• hormonal imbalance, menstrual cycle;
• the likelihood of subsequent miscarriages;
• scars on the uterus or cervix that prevent successful conception;
• disturbances in the functioning of the genitourinary system.

Vitamins and microelements for a successful flight

To avoid difficulties with pregnancy, it is necessary to provide the body with a sufficient amount of microelements and vitamins. How to conceive a child if it doesn’t work out?

• Experts say that first of all, you need to supply the body with a sufficient amount of zinc, which normalizes reproductive functions in both parents. And in men, this microelement is extremely important for full spermatogenesis, because it ensures uninterrupted production of testosterone hormone.
• Selenium is also important for male reproduction, which also normalizes cholesterol and prevents liver pathologies.
• It is important for women to ensure a sufficient level of potassium, a deficiency of which often leads to erosive processes in the uterine cervix, infertility and miscarriage. A lack of potassium can be caused by pathologies of the intestines and kidneys, disorders in the endocrine system, uncontrolled use of hormones, diuretics or laxatives, as well as excessive consumption of foods rich in sodium.
• Gold is also necessary for full fertility, especially for women in whom the element improves ovarian function and the production of sex hormones. Gold preparations are even recommended during pregnancy and breastfeeding.
• Copper, which takes an active part in the synthesis of sex hormonal substances, will also help you get pregnant quickly.

Vitamin components are also necessary for successful fertilization. In order for the sex glands to function smoothly, they need retinol. Vitamin A deficiency causes infertility in men, and cycle disorders in women. Tocopherol deficiency also becomes a common cause of infertility in both spouses and causes menstrual irregularities. Vitamin E is needed for the normal functionality of the male reproductive system. Parents also need to ensure adequate levels of vitamin B12, which is necessary for metabolic processes. Cyanocobalamin deficiency is dangerous for anemia and other hematopoietic disorders. If a woman has been taking hormonal contraceptives for a long time, she runs the risk of developing a similar deficiency.

Why can't a man conceive a child?

If men have problems conceiving a child, the first thing to do is to urgently check the state of their reproductive health. A man's problems conceiving may indicate that he has certain sexual health problems. Some of them can be solved with the help of intensive vitamin intake, while others will have to be solved only by surgery.

If a man is over forty years old, you need to think about a visit to a special family planning clinic. The fact is that at this age the quality and quantity of sperm inexorably decreases. Moreover, this must be done as soon as possible, since in the future you may completely lose your ability to reproduce.

The second problem is problems with sexual intercourse. A man sometimes fails to conceive a child because he has problems engaging in sexual intercourse. When planning a pregnancy, it is worth increasing the frequency of sexual contacts. However, you should not overdo it, since a man needs time to, so to speak, accumulate the proper sperm reserve. That is why it is worth observing an interval of three days. That is the ideal gap time. It is interesting to note that in women ovulation is able to normalize, and in men the quality of sperm returns to normal.

The third point is related to the normalization of male nutrition.

Expert opinion If a husband has problems conceiving, then very often the long-awaited pregnancy does not occur due to the fact that the man’s body does not receive enough vitamins and minerals. Particular attention should be paid to the intake of food rich in protein. Carbohydrates, on the contrary, should be limited, especially for men with extra pounds.

Osina Ekaterina Aleksandrovna Reproductologist, obstetrician-gynecologist Experience more than 20 years

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What traditional medicine advises

There are many traditional medicine recipes that make conception easier.
Herbalists recommend drinking a decoction of plantain seeds, an infusion of sage (drink after menstruation and before ovulation) and sorrel, linden blossom and ginger. But such methods of increasing fertility must be approached with extreme caution. Therefore, you must first consult with a herbalist. If pregnancy does not occur the first time, then there is no point in despairing. There are a lot of happy parents who have previously tried for a long time unsuccessfully to conceive a child. Everything has its time. And if irreversible infertility is revealed, then the possibilities of modern reproductology are incredible. Even couples doomed to childlessness were able to become parents with the help of artificial insemination, and more than once.