Taking Too Long to Conceive? When to Act

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How long is too long when TTC (trying to conceive), and what are the ways of initial management of infertility. Read below to know more.

Medically reviewed by iCliniq medical review team
Published At December 20, 2017
Reviewed At October 8, 2024

Education:

MBBS

Professional Bio:

Dr. Prerna Gupta is an Obstetrics and Gynaecologist with 20 years of clinical experience. She completed her MBBS from AIIMS in 2004 and her MD in Obstetrics and Gynaecology from AIIMS in 2007. She has high critical-thinking skills, strong communication skills, and active listening skills to listen intently to what other people say. She is able to assess her own performance and that of others as she wants to give good medical care to the patients who address her. Her fields of interest are Andrology and Infertility. She is currently practicing in Delhi.

This doctor is not available for online consultations on the platform anymore.

Taking Too Long to Conceive? When to Act
Table of Contents

Introduction

In urban life, all processes must have a time limit, and we tend to get easily irritated. Most couples base their family planning on having children in their thirties, and with the workforce distribution, it can be tough to squeeze in a child as you are still on the progression ladder, and a lot of sacrifice is needed for that. Therefore, when you have timed everything, such as your work and finances, to the support of a child, and the strip continues to ignore the two bold lines, it can lead to very high levels of stress and disappointment. This can even rupture the relationship badly. However, be aware that even in couples going to the clinic for infertility, only ten percent will need such invasive services. For the other 90 percent, some basic therapies do the trick.

74 percent of the doctors privately claim that some patients intentionally underplay their symptoms to get the medicated attention they desire; it may lead to abuse.

When to See an Infertility Specialist?

For women aged 35 and below, you should have actively tried for eight to twelve months before seeking the help of a doctor. This trying entails coital activity about two to three times a week or, if during the cycle, at least two to three in the fertile days (from day ten to day 17 for women with regular cycles). For women above 35, speed up the consult, perhaps after trying for about a maximum of six months. The medical professional has to be specifically one who specializes in treating infertility and not just a gynecologist.

If you have symptoms like irregular cycles, endometriosis, or reproductive organ surgery in either of your partners, you may consider visiting the specialist early and not late. Your fitness level and lifestyle also determine how soon you will conceive. People with diabetes, celiac disease, or some autoimmune disorders go straight to a specialist.

What Are Some Early Signs That Fertility Problems Might Occur?

Fertility problems can arise in several ways, and being able to spot the symptoms in time can enable couples to determine the right time to seek expert help. In women, one of the earliest warning signs is often the presence of pains during their monthly cycle or the absence of some cycles altogether. There is proof that during a regular menstrual flow, ovulation is taking place, and this is important in the ‘baby-making’ process. If cycles are irregular, it could result in problems with ovulation, such as polycystic ovary disease, thyroid disease, or other hormonal illnesses. Further outward signs include looking for warning signs of endometriosis or uterine fibroids, as unbearably painful or excessive periods can be signs of these conditions. This situation lowers the fertility outcome since the health status of the reproductive organs is interfered with.

In the case of male fertility problems, more often than not, the symptoms will only become apparent when the couple is doing their best to conceive. Low sperm count or poor sperm quality, common and usually not very noticeable, is one of the causes of infertility management that requires therapeutic intervention.

It is worth saying that such physical symptoms as swelling or pain in the testicles or problems with ejaculation may indicate such conditions as varicocele, infections, or blockages. Still, they can be more difficult to identify without specially designed tests. Men may also face fertility issues with a traumatic history surrounding testes or a substantial history of alcohol or drug use.

Learning these early warning signs in advance and consulting a doctor will help detect such conditions sooner and, thus, offer a better solution or treatment that increases the likelihood of becoming pregnant.

How Can Lifestyle Factors Affect Fertility?

Lifestyle factors are important for fertility in both sexes. Unhealthy behavior, that is, the use of cigarettes, alcohol, and drugs, adversely affects reproductive health. For instance, cigarette smoking diminishes egg quantity in women while depleting sperm volume in men. Likewise, overindulgence in alcohol consumption has been shown to interrupt balance in hormonal chemicals, hence interfering with women’s ovulatory cycles and men’s sperm count and production, respectively.

Obesity or underweight are some other factors that can affect childbearing potential. For example, excess weight in females may lead to hormonal changes that prevent ovulation, while being thin causes some women to have missing periods. Being overweight in men is associated with reduced male hormone testosterone and defects in the quality of the sperm.

Stress is another factor that alters the hormones and thus enhances or normalizes ovulation. Stress through yoga and meditation or even regular rest has been thought to improve general health in most individuals, which has a good influence on reproductive health.

How to Get Pregnant Faster?

If time is on your side, then doctors recommend a more relaxed approach to trying to conceive, as the stress and planning involved can exhaust you and work against you. But, in general, these are some tips to follow:

  • Ensure both you and your partner are in prime health. If you have not had the recommended tests within three months, do so now.
  • Exercise regularly and eat healthy, antioxidant-rich foods. Lifestyle changes are usually all that is necessary.
  • Having frequent unprotected sex is the basic prerequisite. Try to maintain a frequency of having sex every two to three days.
  • Track your fertile days in the menstrual cycle and increase the frequency of intercourse during this phase.
  • You may also use an ovulation kit to know exactly when you are ovulating rather than depend solely on your bodily changes. You can then have timed intercourse, which increases your chances substantially.
  • If you get too anxious about the wait, try to focus your time and attention on more relaxing tasks. Diverting your mind can help take the stress off the wait.

The world of fertility does look daunting, but simple tricks like a balanced diet, reduced stress, and taking those short breaks in between go a long way toward a happy family life.

Conclusion

Irregular periods, painful symptoms, or lifestyle factors can affect reproductive health. Understanding and addressing such related factors, even if they are not diagnostically apparent, can steer you toward the right treatment and changes in lifestyle management. Do not miss the chance to step forward, even about seeing a doctor or changing your habits.

Frequently Asked Questions

How Long Is Too Long While Trying to Conceive?

For a woman 35 years or below, should have tried actively for at least eight to 12 months before consulting a doctor. And trying means a coital frequency of two to three times a week or at least two to three times during the fertile period (day 10 to day 17 in women having regular cycles). For women over 35, consult a specialist sooner, maybe after trying for a maximum of six months. The doctor needs to be an infertility specialist, and not a general gynecologist.

Why Am I Ovulating but Not Conceiving?

There are many factors that can affect conception,even though the female is ovulating. Mentioned below are a few of them.
- Obesity.
- Polycystic ovary syndrome.
- Abnormal shape of the reproductive system.
- Low sperm count in males.
- Poor quality of the egg.
- Stress.
- Low body weight.
- Imbalance in the hormones.
- Excessive exercise.

What Is the Fastest Way to Get Pregnant?

 
- Ensure that both partners are in prime health. Take the recommended tests if they were not already done within the last three months.
- Exercise regularly and eat healthy, antioxidant-rich foods. Most of the time, lifestyle changes are all that are necessary.
- Having frequent unprotected sex is the basic prerequisite. Try to maintain a frequency of having sex every two to three days.
- Track fertile days in the menstrual cycle and increase the frequency of intercourse during this phase.

What Are the Causes of Female Infertility?

 
- Fertility drops rapidly after the age of 40.
- Being overweight or obese.
- An excessive habit of smoking.
- Being extremely malnourished and underweight.
- Chronic use of tobacco products.
- Alcohol addiction.

How Do We Know if Sperm Has Entered or Not?

A delayed period is one of the pivotal points which send the message that the sperm has entered. In addition to this, to make sure, the female can stay flat on the bed for around 20 minutes to allow the sperm to pool around the vagina. Females can even bend their knees towards the stomach to accentuate the movement of the sperms, according to experts.

What Should We Avoid When Trying to Conceive?

 
- Smoking.
- Alcohol.
- Substance abuse.
- Excessive exercise.
- Lose excessive amounts of weight.

What Are the Symptoms of Poor Egg Quality?

 
- Absence of periods.
- Late periods.
- Muscle cramps during periods.
- Heavy period flow.
- Extremely light period flow.
- Scanty periods.
- Miscarriage episodes in the past.

Which Vitamins Improve the Egg Quality?

Vitamins play a crucial part in fertility, along with menstruation and ovulation. Thyroid function, immune functions, and the oocyte or the egg quality, along with its maturation, are vital factors as well. Antioxidants are the primary reasons for diminishing oxidative stress and help in shielding the egg. Vitamin C and vitamin E are among the most efficient vitamins that may help in improving the quality of the egg.

How Can I Make Eggs More Fertile?

 
- Eating a healthy and well-balanced diet.
- Regular exercise.
- Maintaining an ideal weight.
- Learning how to deal with stress.
- Tracking body mass index.
- Quitting the habit of smoking and alcoholism.
- Adding fertility supplements to the diet.
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