What are the main reasons to suspect when you can’t get pregnant?

It may be hard to believe, but it’s not that easy to get pregnant right away. The monthly chance of achieving pregnancy per month having intercourse at the time of ovulation is only 20 percent per month. Fifty percent of women will be pregnant after three months of timed intercourse, 75 percent of women will be pregnant after six months of timed intercourse, and 85 percent of women will be pregnant after 12 months of timed intercourse. Approximately 10 to 15 percent of women less than 35 years old will face infertility. And for those of us more than 35 years old, 1 in 3 may face infertility.

So what are the major causes of infertility?

  • 35% Male factor: Something is not quite right with the sperm. This is easily figured out by sperm analysis.
  •  35% Tubal factor: The fallopian tube(s) are blocked and the sperm cannot get to the egg. This can be determined by a liquid dye test performed in the radiology department called the hysterosalpingogram or HSG for short.
  • 15% Anovulation: The egg is not released from the ovary.
  • 15% Unexplained infertility: We don’t know why you can’t achieve pregnancy.

If you’re unable to achieve pregnancy after one year of trying, it’s time to do studies to figure out which of the above factors may be causing you difficulties in getting pregnant. Your doctor may refer you to an Infertility specialist for treatment.

How can you afford treatments for fertility when insurance doesn’t cover them?

A: And yes, fertility doctors are expensive and often not covered by insurance. But check with your insurance company as you may be pleasantly surprised that there is some coverage. Some infertility specialists may have special deals or payment plans. Also, many of the fertility offices conduct various research studies so that limited cycles of IVF can be done for free in exchange for participating in the study. So do some research and you may be able to get some deals.