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4 Reasons Why You Aren't Getting Pregnant

By Dr Jane Chapple



A couple is considered to be “infertile” after they have been trying to conceive for a period of 12 months. This is because 90% of couples will conceive in that time frame. Listed below are four main areas where things can go wrong, along with the appropriate diagnostic investigation.


  1. The sperm quality is not good – diagnosed by semen analysis/MAR/Halosperm.
  2. The woman is not ovulating (releasing an egg) – diagnosed by tracking blood tests and vaginal ultrasound
  3. The woman’s fallopian tubes are blocked, so the egg and sperm can’t get together. This can be diagnosed by an hysterosalpingogram (HSG) or by a “dye test” at laparoscopy.
  4. There is an abnormality of the woman’s pelvic anatomy which interferes with conception, such as an abnormally shaped uterus, or more commonly, endometriosis. These can be diagnosed by laparoscopy and hysteroscopy.


When you are seen for assessment we address each of these areas, as well as checking for some other rarer abnormalities by blood testing. If you suspect that you have a problem in any of these areas (eg. your menstrual cycle is irregular, or you have a history of testicular problems) please feel free to contact us, regardless of how long you have been trying to conceive.