There was ovulation, but pregnancy does not occur: causes, necessary diagnostics, correction

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Most couples tend to try on the role of parents. However, not everyone manages to conceive a child the first time. Even the fact that a woman ovulates is not a guarantee of a mandatory pregnancy. Where should you look for the source of the problem? There is nothing to worry about in this matter. If there is ovulation, but pregnancy does not occur, the reasons may be hidden not only in physiological disorders in the body. Quite often they are psychological in nature.

Ovulation detection

Ovulation is the time when a mature egg is released from the ovary, which is a confirmation of the body's readiness for a future pregnancy.

After birth, a girl's body contains more than a million eggs. Each of them has its own shell or follicle. The eggs remain in them until puberty.girls. Then they wait for their time to exit. Many of them do not mature and die. During the period of the reproductive function in the body of a woman, only 400-500 mature and ready for ovulation eggs remain.

Ovulation occurs around the 14th day of the menstrual cycle. How long does pregnancy take after it? It lasts only a few minutes. However, the egg released from the follicle can be fertilized within a day. If at this time she "meets" sperm, conception will occur. The cell then travels down the fallopian tube and attaches itself to the wall of the uterus. This is how pregnancy begins. When a fertilized egg cannot, for some reason, enter the uterine cavity, after a while menstruation occurs, and the cell itself leaves the body.

An important question for many is whether pregnancy can occur before ovulation. If sexual intercourse happened before the egg left the follicle, the possibility of pregnancy is not excluded. However, conception occurs after. The presence of an alkaline environment in the vagina has a positive effect on the preservation of spermatozoa in it. They can wait for the egg to be released.

Problems conceiving

Before you seek help from specialists, you need to make sure that there are no problems with ovulation. There are several ways to determine if an egg is maturing:

1. Create a basal curve. The method is based on daily measurement of rectal temperatureover several cycles. At the time of the release of the egg, under the influence of hormones on the graph, the temperature will rise to peak values.
2. Listen to your own feelings. As the day of ovulation approaches, the nature of vaginal discharge changes. They become more transparent and at the same time viscous. Many women experience discomfort in the lower abdomen, breast swelling.
3. Use special test strips. They are sold in pharmacies and are ideal for determining the day of ovulation at home.
4. Monitoring with ultrasound. This is the most reliable option for identifying the date of release of a mature egg from the follicle.

It should be understood that approximately 2-3 cycles per year in an absolutely he althy woman can be anovulatory. With age, their number increases.

When the listed methods have shown that there is ovulation, but pregnancy does not occur, you can start looking for the causes of the violation. They can be from both a woman and a man.

Gynecological diseases

To female infertility can lead to a long absence of the first pregnancy. The lack of demand for the reproductive system provokes such violations.

However, it is most common not to get pregnant after ovulation when the following he alth problems exist:

1. Inflammation or polycystic ovaries. In this case, the process of maturation of the follicle is disrupted.
2. Obstruction of the fallopian tubes. As a result of the adhesive process, the spermatozoa and the egg cannot get into the uterus through them.
3. Congenital or acquired pathologies of the reproductive organ (bicornuate uterus, polyps, endometriosis, fibroids).
4. Infection of the uterus due to abortion, miscarriage or ectopic pregnancy.

In order for the menstrual cycle and ovulation itself to proceed without disturbances, the body of the expectant mother needs a normal hormonal balance. For example, as a result of estrogen deficiency, the follicle may not rupture. Due to the lack of progesterone in the proper amount, the fetal egg will not be able to gain a foothold in the uterine cavity. Failure of the hormonal system usually occurs due to frequent hypothermia or regular stress.

Disorders of the endocrine system

If there was ovulation, but pregnancy does not occur, perhaps the reasons for its absence should be sought in the endocrine system. It is she who is responsible for the production of hormones necessary for conception and successful development of the fetus.

The following diseases have a negative effect on the reproductive function:

1. Hypothyroidism. The disease is characterized by a long latent course. It is especially dangerous for a growing organism, as it slows down the development of the reproductive system.
2. Endemic goiter. This pathology negatively affects the menstrual cycle, as a result, significantly reduces the chances of successful conception. It can also turn into cancer if left untreated.
3. Hyperthyroidism. It provokes an increased release of hormones into the body, which completely disrupt the menstrual cycle. In women with similardiagnosed with excessively long periods or prolonged menopause.

Immunological conflict

Can a perfectly he althy couple get pregnant after ovulation? It is not possible to answer this question unambiguously. The absence of diseases is not a guarantee of successful conception, for example, due to the immunological incompatibility of partners.

In this case, the female body perceives sperm as a foreign protein. He begins to produce antibodies, which makes conception impossible. Spermatozoa cannot overcome the main barrier - cervical mucus. It is she who contains antibodies to spermatozoa, as a result of which they die.

A second pregnancy may not occur if the mother and fetus are Rh-conflict after the first successful conception. Women with negative Rh blood are at risk. It may happen that even after inducing ovulation, pregnancy does not occur.

Psychological factor

Many couples, after going through various specialists and taking tests, still do not find the reason why ovulation was, but pregnancy does not occur. As a rule, in such cases, psychological infertility is observed. There may be several reasons for its occurrence:

• pregnancy mania;
• not ready to conceive from a psychological point of view;
• fear of the upcoming birth;
• fear of having an unhe althy baby;
• concerns about changing appearance;
• reluctance to change habitual way of life.

In addition, many women are affected by past unsuccessful pregnancy attempts. In these situations, you need to seek help from a psychologist who will help the couple deal with problems.

Some gynecologists offer their patients not to dwell on the date of release of the egg from the follicle. On what day after ovulation does pregnancy occur? Usually the whole process takes place within a day. However, intimacy 2-3 days before ovulation increases the chances of getting pregnant. The thing is that spermatozoa can live in the female body for several days. Therefore, you can not wait for the onset of ovulation. The sperm will continue to function for a few more days, conception will come.

Male source of the problem

Trying to figure out the problem of why there is ovulation, but pregnancy does not occur, many ladies blame themselves. However, today male infertility is detected no less frequently than female infertility. That is why, in the process of conception, it is often necessary to check the he alth of a partner.

Male infertility can be caused by:

1. Congenital malformations and diseases of the genital organs (cryptorchidism, absence of one or two testicles).
2. Hormonal imbalance due to tumors, cystic formations.
3. Taking steroids.
4. Urological and andrological ailments of a chronic course (prostatitis, testicular varicose veins).
5. Transferred infectious diseasesdiseases (gonorrhea, syphilis, chlamydia, mumps).

Another common cause of male infertility is poor sperm quality. The genetic material must contain a sufficient number of active spermatozoa capable of fertilizing an egg.

Other reasons

If pregnancy does not occur at the time of ovulation, the inability to conceive may be due to common causes.

One of the common factors influencing this process is physical overload. They can provoke a violation of the menstrual cycle, as a result, there will be a failure in ovulation. Therefore, at the stage of pregnancy planning, doctors recommend ladies to prefer moderate exercise (hiking, yoga gymnastics). Men, on the other hand, should exercise. Regular exercise contributes to enhanced sperm production.

Taking combined oral medications prevents unwanted conception. As soon as the partners decide that they are ready for children, the woman stops taking oral contraceptives. But pregnancy does not occur, but ovulation was. The thing is that such drugs inhibit the development of the follicle and the maturation of the egg.

In some cases, pregnancy does not occur due to long-term medication. We are talking about analgesics, antidepressants, antibiotics. Even the usual "ascorbic" can lead to a decrease in the volume of cervical mucus, if consumed in large quantities. If it is not enough, survivalspermatozoa decreases, fertilization does not occur.

Bad habits have a negative impact on the work of the whole organism, including the reproductive system. Therefore, a few months before conception, doctors advise to exclude smoking and drinking alcohol in order to avoid intoxication. Even small doses of alcoholic beverages in the early stages can provoke a miscarriage or anomalies in the development of the fetus.

The age of the partners also affects the possibility of conception. Pregnancy occurs after ovulation, when the couple is absolutely he althy. However, after 35-40 years, the female body begins to produce fewer hormones, and the quality of male genetic material deteriorates after 50 years. People who smoke and drink and who have chronic illnesses are less likely to conceive much sooner.

The process of sperm maturation is about two months. Therefore, it is necessary for future parents to start monitoring the daily diet in advance. Mono-diets deplete the body, and systematic overeating reduces the likelihood of pregnancy. Preservatives, fast food and other harmful products contain hormones that affect the successful conception. To increase its likelihood, you need to eat right and balanced.

Diagnostic Methods

How many days after ovulation pregnancy occurs, the gynecologist at the appointment should tell in detail. The same specialist should be contacted in case of unsuccessful attempts at conception. The doctor, if infertility is suspected, prescribes a comprehensive examination. It includes the diagnosis of hormonal levels,microflora of the vagina for dysbacteriosis and the presence of infections, ultrasound of the pelvic organs. Additionally, you may need to consult narrow specialists, for example, an endocrinologist.

Men's he alth examination is also obligatory. Representatives of the stronger sex pass the spermogram. It allows you to evaluate spermatozoa according to the following parameters:

• quantity;
• mobility;
• ejaculate viscosity;
• liquefaction time;
• acidity;
• types and number of immature cells.

Based on its results, tests for hormones, scrapings for flora or infections are sometimes additionally prescribed.

Correction options for the problem

Whether pregnancy occurred on the day of ovulation, a woman can understand only after taking an hCG test or using a standard pregnancy test. However, not always an attempt to conceive ends with a positive result.

If, according to the results of the examination, inflammatory or organic diseases were detected in a woman, an obstetrician-gynecologist is engaged in their treatment. His competence includes endometriosis, obstruction of the fallopian tubes, erosion of the cervix. With hormonal abnormalities, the help of a gynecologist-endocrinologist will be required. Andrologist is engaged in treatment and consultation of men. Therapy is selected individually and depends on the identified deviations in the spermogram.

One of the most effective methods of fertilization is recognized as artificial insemination. It involves the introduction of processed male sperm into the uterine cavity through a catheter. A similar technique is now used to treat certain types of infertility.

When there is nothing to worry about?

If you have ovulated and pregnancy does not occur, do not immediately suspect infertility. The absence of the cherished two strips on the test can be due to quite harmless reasons. Among them it is worth highlighting:

• Mismatch between protected intercourse and a woman's fertility period;
• an attempt fell on an anovulatory cycle;
• in the past few months, a woman or a man was sick, which provoked a decrease in immunity;
• an elementary failure occurred at one of the difficult stages of conception.

When the body is weakened by external factors, fertilization may not occur. If both partners, according to the results of the examination, are completely he althy, do not despair. Better try next cycle. It is worth noting that from a medical point of view, infertility is usually understood as a condition in which pregnancy does not occur within 12 months.