Unable to conceive after three months of preparation

Failing to conceive for three months is a normal phenomenon and usually does not require excessive anxiety. The main factors that affect fertility include abnormal ovulation, poor sperm quality, endocrine disorders, blocked fallopian tubes, and excessive mental stress. It is recommended that both husband and wife maintain a regular daily routine, have a balanced diet, avoid smoking and drinking, and seek medical examination if necessary.

1. Abnormal ovulation

Irregular ovulation or underdeveloped follicles in women can reduce the probability of conception. Diseases such as polycystic ovary syndrome and thyroid dysfunction may lead to ovulation disorders. Ovulation can be confirmed through basal body temperature monitoring, ovulation test strips, or ultrasound examination. If there are disease factors, ovulation inducing drugs such as clomiphene citrate and letrozole should be used according to medical advice to regulate ovulation function.

2. Poor sperm quality

A low sperm count, low motility, or high deformity rate in males can affect fertilization. Varicocele, reproductive system infections, and long-term high temperature environments may damage sperm quality. It is recommended that men avoid prolonged sitting, wear tight pants, and reduce sauna baths. Severe cases can follow the doctor's advice to take levocarnitine, vitamin E, or spermatogenic tablets to improve sperm parameters. Endocrine disorders such as luteal insufficiency and hyperprolactinemia can interfere with embryo implantation. Long term staying up late, excessive weight loss, or obesity can all disrupt hormone levels. The condition needs to be evaluated through six tests of sex hormones, and if necessary, medication such as progesterone capsules and bromocriptine should be used for adjustment, while maintaining a reasonable weight range.

4. Blockage of fallopian tubes

Pelvic inflammation, endometriosis, or previous surgical history may lead to blocked fallopian tubes. Manifesting as lower abdominal pain, abnormal secretions, and other symptoms. Diagnosis should be confirmed through hysterosalpingography or laparoscopy. Mild adhesions can be treated with fluid therapy, while severe blockages may require assisted reproductive technology through in vitro fertilization.

5. Excessive mental stress

Anxiety can suppress hypothalamic function, affecting ovulation and sexual desire. It is recommended to relieve stress through yoga, meditation, and other methods to avoid excessive focus on sexual intercourse during ovulation. Couples can participate in the learning of pregnancy preparation knowledge together, maintain a regular frequency of 2-3 sexual intercourse per week, and avoid making sexual life a task.

During pregnancy preparation, it is recommended to supplement folic acid every day. Women can eat more foods rich in phytoestrogen such as black beans and soybean milk, and men should appropriately increase zinc containing foods such as oysters and nuts. Both parties should avoid exposure to radiation and chemical toxins, and maintain moderate exercise such as brisk walking, swimming, and other aerobic activities. If you are still trying to conceive after 6-12 months, it is recommended to go to a reproductive center for a systematic examination, including semen analysis, hormone testing, ultrasound monitoring, etc. Based on the results, a personalized pregnancy assistance plan should be developed.