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Why have not I conceived after two years of marriage?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 30-year-old woman with a weight of 165 lbs, height of 5 feet 5 inches, and my husband's age is 34. We got married two years ago and still have no child. I have been trying to conceive for the past one year. My cycle days average between 32 to 34. Last year, I missed my periods, but my urine test was negative. I had lower backache, tender breasts, and feelings of vomiting, but later on, I got my periods after 43 days. Currently, this month also, I had the same symptoms. At the start of this month, my urine pregnancy test at home was negative. I am tracking basal temperature for ovulation days, cycle days, and BBT graph with corresponding days. The temperature image is also attached below. Please guide what could be the probable cause of these happenings. Should I approach an infertility specialist or a gynecologist for my symptoms?

Answered by Dr. Purushottam Sah

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

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

Hello,

Welcome to icliniq.com.

If you are having sex based on the BBT (basal body temperature) chart, stop this practice; though the fertile period has a maximum chance of pregnancy, pregnancy can often occur on nonfertile days. So, have sex throughout the month. If you have not done any tests, you should do blood tests, sugar tests both PP (postprandial) and fasting, TSH (thyroid-stimulating hormone), prolactin, testosterone, and ultrasound of the pelvis and husband's semen analysis. Depending on these reports, treatment will be decided upon.

I recommend seeing a gynecologist.

Medically reviewed by Dr. Lekshmipriya. B
Published At January 5, 2018
Reviewed At August 13, 2025

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

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

Education:

BDS

Professional Bio:

Dr. Lekshmipriya B is an experienced Dentist with strong clinical expertise in providing comprehensive dental care. She is skilled in diagnosing and treating various oral health problems while ensuring patient comfort and satisfaction. Her areas of expertise include restorative and preventive dentistry, cosmetic dental procedures, and management of gum and tooth-related conditions to promote long-term oral health and hygiene.

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Purushottam Sah is an experienced Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and the management of gynecological disorders. His expertise spans antenatal and postnatal care, high-risk pregnancy management, infertility evaluation, and advanced gynecological surgeries. He is proficient in both preventive and curative aspects of women’s health, ensuring safe deliveries, accurate diagnoses, and effective treatments. With a compassionate and patient-centered approach, he is committed to supporting women at every stage of life, promoting wellness, and improving overall quality of care.

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

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