Conception

The causes of difficult conception

At some point, almost every woman feels the desire to have a child, but not in all cases it works out right away. Getting pregnant can take a long time and can put a huge strain on women with an existing desire to have children. In some cases, the failure to conceive is due to low hormone levels, wrong lifestyle or simple problems that are easy to solve.

The question of whether the reason for infertility lies with the man or the woman cannot be answered with any tendency, because in 50% of cases the failure to conceive lies with the man and in 50% of cases with the woman. The main problem for men is temporary or permanent infertility due to a lack of sperm production. In women, the underlying problem is often due to hormone levels.

The sooner you consult a specialist if you do not wish to have a child, the quicker a remedy can be found. In most cases, as an affected woman, you can assess for yourself fairly quickly whether a hormonal disorder is present, because the signs are quite clear. An irregular cycle with fluctuating menstruation is in most cases a first indication.

If such a hormonal disorder is present, it is usually due to a low progesterone level. If the female body lacks progesterone (so-called corpus luteum hormone), a fertilised egg is unable to implant itself in the uterus – it is then rejected like an unfertilised egg. The progesterone deficiency is usually due to a disturbed follicle maturation (follicle maturation) and can be remedied with drugs that stimulate the maturation of the egg cells (for example clomiphene).

Another option is the direct administration of progesterone. An increased prolactin level may also be responsible for this if pregnancy is delayed. Another symptom of too much prolactin is an irregular cycle with partial absence of menstruation.

During pregnancy, prolactin is responsible for the development of the mammary glands and the production of breast milk. If the female body is oversupplied with prolactin, the production of other hormones is reduced. These hormones include the follicle-stimulating hormone FSH and the ovulation-triggering (luteinizing) hormone LH, both of which are essential for the successful “initiation” of pregnancy.

In some cases, however, the reason for not conceiving is also a disease called polycystic ovary syndrome (PCO syndrome). In this syndrome, follicles grow in the ovary, but they do not mature fully and atrophy. Clinical studies have shown that polycystic ovary syndrome is often associated with insulin resistance.

This means that overweight women suffer from this disease particularly often. In the case of an existing desire for children and difficult reception, a specialist can help the affected couples quickly and specifically. This help should therefore be sought as soon as possible. How do I get pregnant? Learn more about this topic.