Unexplained infertility occurs when a couple is unable to conceive despite undergoing fertility tests and the results showing no apparent cause for their inability to conceive. Various treatments, such as intrauterine insemination (IUI) and in vitro fertilization (IVF), may be suggested by a fertility specialist for this condition. Here are some possible causes for not getting pregnant after fertility test results show no apparent causes:
Underlying Condition
While fertility tests may show no direct cause for infertility, there could be an underlying condition that has not been diagnosed. Conditions such as thyroid disorders, celiac disease, gluten allergies, and diabetes have all been linked to unexplained infertility. Hormonal imbalances are another potential factor that might escape detection in routine fertility tests. A comprehensive hormonal assessment can help identify these issues, which may be subtly affecting fertility. Consult with a healthcare provider who specializes in reproductive health to explore potential underlying conditions.
Endometriosis
Endometriosis is a medical condition characterized by the growth of tissue similar to the interior lining of the uterus on the outside of the organ. This abnormal tissue growth often leads to pain and inflammation, impacting the overall well-being of those affected. Aside from being associated with menstrual irregularities and painful intercourse, endometriosis can also impede fertility by affecting egg quality. This condition may not be evident during routine fertility tests and may require further examination using a laparoscopy for diagnosis. Treating endometriosis can help address unexplained fertility issues when done by an experienced professional.
Uterine Lining
During pregnancy, the fertilized egg implants and grows into a fetus in the uterine lining. Any abnormality in the thickness, shape, or texture of the uterine lining can affect fertility but may not be apparent through routine testing. A thin uterine lining can make it difficult for an embryo to implant, while a thick lining may hinder fertilization. Uterine fibroids or polyps are growths that can also interfere with conception. They do this by altering the shape of the uterine cavity or blocking the fallopian tubes.
Cervical Mucus Issues
Some women may have issues with their cervical mucus production or quality. This can make it difficult for sperm to survive or travel effectively. These issues can be due to various reasons, such as hormonal imbalances, certain medications, or cervical infections. A postcoital test can be done to evaluate the quality of cervical mucus and determine any potential issues.
Egg and Sperm Quality
Age, lifestyle habits, and certain medical conditions can affect the quality of male and female reproductive cells. Women over 35 may experience a decline in their egg quality due to age-related changes in hormone levels and other factors. Eggs with fewer chromosomal abnormalities have a higher chance of leading to a healthy pregnancy. Men with unhealthy lifestyles or underlying health issues may have poor sperm quality, resulting in difficulties conceiving.
How To Treat Unexplained Infertility
When traditional causes of infertility have been ruled out, a diagnosis of unexplained infertility may be given to individuals or couples. This condition can be managed through various treatments, like hormone therapy, laparoscopy, and IVF. Hormone therapy may be used to regulate ovulation and improve uterine lining thickness or cervical mucus quality. A laparoscopy may be recommended to check for hidden issues in the reproductive organs, like endometriosis. IVF can be used to fertilize eggs if a woman has uterine lining issues or if the couple needs donor eggs or sperm.
Get Professional Help
Unexplained infertility can occur due to factors like abnormalities in ovulation, uterine lining, cervical mucus, and egg and sperm quality. Age, lifestyle habits, and certain medical conditions can also impact fertility. These issues may not be apparent through routine fertility testing and may require further evaluation. If you and your partner have been trying to conceive for a year or more without success, seek help from a fertility specialist. They can evaluate both partners’ reproductive health and provide personalized treatment options based on the underlying cause. Contact a fertility specialist today to learn more about unexplained fertility issues.
