Sex in the period of ovulation
So, to get pregnant, First of all, you need to have regular sex without contraceptives. It should be done on favorable days, that is, on the days of ovulation. These days are usually called the fertile period (that is, favorable for conception). Ovulation is the release of the ovum from the ovary and its readiness for fertilization. When does it come? With a 28-day stable cycle, women ovulate on day 14 from the beginning of menstruation. If the cycle is not regular (29-31 days), then it can be 16-18 days. To accurately determine the onset of ovulation in pharmacies are sold special tests for ovulation. When the test gives a positive result, it means that the fertile period has come, and you can get pregnant. Given that the average activity of the spermatozoon is 2-3 days (maximum 5-7 days), and the egg is active up to 48 hours, the fertile period lasts 7-9 days. I.e, 6-7 days before ovulation and 1-2 days after it.
The fertilized egg is implanted (attached) to the uterine cavity - and pregnancy develops.
If there is no ovulation
In the absence of ovulation, the egg simply can not ripen and leave the follicle, the sperm has nothing to fertilize and, of course, there can be no talk of pregnancy. This is the first possible reason that you can not become pregnant. The absence of ovulation can also be determined by a test, and then this is already a weighty reason for going to the doctor. If ovulation is absent for 3 months, then the cause of the anomaly should be sought in the hospital. Here we do not need advice, but medical treatment.
Possible reasons for the absence of ovulation may be metabolic disorders, diabetes, diseases of the thyroid gland, polycystic ovary syndrome. The absence of ovulation is treated with hormonal stimulation of the ovaries. If after this pregnancy does not occur, then use of intrauterine insemination, in vitro fertilization (IVF) is possible.
Other physical causes of infertility
When there is no problem with ovulation, the possible obstruction to conception is obstruction of the fallopian tubes. The cause of this phenomenon are inflammatory diseases, formed adhesions, pathology of the uterus. The last deviation may be congenital or acquired. Diagnosis of the pathology of the uterus can be done with ultrasound, and they need to be treated with reconstructive surgery or hysteroscopy.
Check the husband
Often, women are accused of being unable to become pregnant only with themselves. They forget or simply do not know that the cause of infertility can be a partner. In the process of fertilization, an important function is laid on spermatozoa. And they may not be able to fertilize. To know this for sure, a man must pass a spermogram. The analysis will determine the fertility of spermatozoa based on their number and mobility. In practice, very often the low activity of spermatozoa is the reason for the non-occurrence of pregnancy in a healthy woman.
Sometimes an increase in the activity of spermatozoa does not require a special medication approach. The absence of bad habits, a healthy and active lifestyle, wearing loose clothing that does not squeeze the pelvic organs, are the basis of normal sperm motility.
So, before you panic about not having a conception, carefully check with your doctor and check your husband. By the way, according to WHO, the woman who does not become pregnant during the year with a regular sexual life is considered sterile.