Why haven't you become pregnant after three years of marriage

Three years of marriage without pregnancy may be related to ovulation disorders, blocked fallopian tubes, sperm quality issues, endometriosis, psychological stress, and other factors. It is recommended that both husband and wife seek medical attention together to check their reproductive system function, identify specific causes, and receive targeted treatment.

1. Ovulation disorders

Abnormal ovulation in women is a common cause of infertility, and polycystic ovary syndrome, thyroid dysfunction, or excessive dieting may all affect follicular development. Basal body temperature monitoring and ultrasound examination can help determine ovulation status. Doctors may recommend using ovulation inducing drugs to assist in fertility, but caution should be taken against the risk of ovarian hyperstimulation.

2. Blockage of fallopian tubes

Pelvic inflammation or previous surgery may cause adhesions and blockages in the fallopian tubes, hindering sperm egg fusion. The degree of patency can be determined through hysterosalpingography, mild adhesions can be cleared through laparoscopic surgery, and severe blockages require consideration of in vitro fertilization technology for assisted conception.

3. Sperm quality issues

Male oligozoospermia and asthenozoospermia can significantly reduce the probability of conception, which is related to varicocele, endocrine disorders, or unhealthy lifestyle habits. Semen analysis can evaluate sperm count and vitality, improve lifestyle, and enhance sperm quality through drug therapy. In severe cases, single sperm injection technology may be necessary.

4. Endometriosis

Ectopic endometrial tissue can cause pelvic adhesions and ovarian cysts, altering the uterine environment. Dysmenorrhea aggravation and sexual pain are typical symptoms. Laparoscopic surgery can clear the lesion, and postoperative medication control can improve the chance of natural conception.

5. Psychological stress

Long term anxiety and tension can affect sex hormone secretion through the hypothalamic pituitary axis, leading to pseudoamenorrhea in women and erectile dysfunction in men. Psychological counseling combined with relaxation training can relieve stress, and if necessary, temporary separation can reduce the negative impact of fertility anxiety on marital relationships.

During pregnancy preparation, it is recommended to maintain a regular daily routine, avoid smoking, alcohol, and high temperature environments. Women can supplement folic acid to prevent fetal abnormalities. Regular sexual intercourse 2-3 times a week is scheduled before and after ovulation, and lying flat for half an hour after intercourse helps sperm penetration. If no organic problems are found during the examination, you can try monitoring basal body temperature and using ovulation test strips to grasp the timing of conception. If you have not been pregnant for more than a year, you should promptly go to a reproductive medicine center for a systematic evaluation. Women over 35 years old are recommended to seek medical attention six months in advance. Traditional Chinese medicine treatment should choose formal medical institutions to avoid blindly taking folk remedies and delaying treatment opportunities.