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  • 5 Most Common Reasons You’re Struggling to Get Pregnant (And What to Do About It)

5 Most Common Reasons You’re Struggling to Get Pregnant (And What to Do About It)

5 Most Common Reasons You’re Struggling to Get Pregnant
In This Article, You’ll Learn:

✅ The most overlooked reasons why conception might not be happening.

✅ How stress, nutrition, and hormonal balance impact fertility.

✅ Practical, science-backed strategies to improve your chances of conceiving naturally.

Trying to Get Pregnant but Still Not Seeing Results? Here’s Why

For many women, getting pregnant doesn’t happen as quickly as they expected. You’re tracking your cycle, eating well, and taking your prenatal vitamins—but still no positive test. Why?

In an ideal world, conception should happen easily when two healthy partners try at the right time. But in reality, many factors influence fertility, and even if everything seems to be in place, pregnancy may not occur right away.

Many women focus entirely on their bodies when trying to conceive, but fertility is a two-person process. Male factor fertility plays a key role, and in some cases, the issue might not lie with the woman at all. This is why it’s essential to consider both partners when working toward conception.

So if you’ve been trying for a while without success, the answer isn’t always “just relax” or “try harder”—instead, the key is understanding and addressing the root causes that might be preventing conception.
Let’s break down the five most common reasons why pregnancy isn’t happening and what you can do to naturally optimize your fertility.

1. Trying to Conceive on the Wrong Days—Why Timing Is Everything

One of the most common reasons couples struggle to conceive is mistiming intercourse during the cycle. If you’re not trying on the right days, your chances of getting pregnant are 0%—no matter how healthy you are or how long you’ve been trying.

Many couples go through years of fertility treatments, hormone therapies, and invasive procedures, only to realize later that they were simply missing their fertile window. When they finally adjusted their timing, pregnancy often followed within just a few cycles.

Understanding Your Fertile Window:

🔹 You have only 6 days per cycle when conception is possible—the 5 days leading up to ovulation and the day of ovulation itself.

🔹 Sperm can survive up to 5 days in the reproductive tract, but the egg only lives for 12-24 hours after ovulation.

🔹 If you are trying on the wrong days—even just slightly off—your chances of conceiving drop to zero.

Why Apps Can Be Misleading

Most women rely on period-tracking apps to predict ovulation, but the truth is, that ovulation does not always happen on day 14. The luteal phase (the time between ovulation and your next period) varies between women—so assuming a standard cycle length can easily lead to mistimed attempts at conception.

What to do:

Track your ovulation symptoms manually—use basal body temperature (BBT) tracking and cervical mucus observations.

Do NOT rely solely on apps—they use past data and averages, which may not be accurate for you.

✔ Consider using ovulation predictor kits (OPKs) to confirm hormonal surges before ovulation.

✔ Have intercourse a few days before and on the day of ovulation—not just on one specific day.

If you’re not sure how to track ovulation properly, learning the Fertility Awareness Method (FAM) can be a game-changer. This scientifically backed approach has up to 98% accuracy in identifying fertile days. By learning your body’s natural signals, you can drastically improve your chances of conceiving without medical intervention.

2. Thyroid Problems: The Silent Fertility Blocker

Your thyroid plays a crucial role in fertility, yet many women are unaware that even mild thyroid imbalances can make conception difficult. Thyroid hormones regulate metabolism, cellular function, and ovulation, all of which are essential for a healthy pregnancy.

Without optimal thyroid function, ovulation may be irregular or absent, and the body may struggle to sustain a pregnancy. Even a slight hypothyroidism (underactive thyroid) can lower fertility and increase the risk of miscarriage.

🔹 Your eggs need thyroid hormones! Egg cells are metabolically active, meaning they require a healthy thyroid to function properly.

🔹 Low thyroid function can delay ovulation or make it unpredictable, reducing the chances of conception.

🔹 Unrecognized thyroid issues may cause fatigue, slow metabolism, and poor progesterone levels—making implantation difficult.

How to support your thyroid for better fertility:

Monitor your basal body temperature. Low temperatures upon waking (consistently below 97.8°F / 36.5°C) could indicate an underactive thyroid.

Get comprehensive thyroid testing. Don’t just check TSH—also test Free T3, Free T4, anti-TPO, and anti-TG antibodies to rule out autoimmune thyroid disease.

Ensure proper iodine, selenium, and zinc intake. These nutrients are crucial for thyroid hormone production and conversion.

If you have a family history of thyroid disorders, discuss additional testing with a healthcare provider to rule out conditions like Hashimoto’s thyroiditis or Graves’ disease.

If you’re struggling to get pregnant, checking your thyroid health is a must. Many women only test TSH, but deeper thyroid imbalances can go unnoticed without a full panel. If your ovulation is irregular, your temperatures are consistently low, or you have other thyroid symptoms, this could be a key piece of the fertility puzzle.

3. Low Levels of Key Vitamins and Minerals

One of the most overlooked factors in fertility struggles is nutrient deficiencies. Many women undergo extensive fertility treatments without ever checking their vitamin and mineral levels. This is a huge missed opportunity, as pregnancy is one of the most nutritionally demanding states for the body.

Without sufficient nutrient stores, both conception and pregnancy can become more difficult. Your body prioritizes survival first—if it senses a lack of essential nutrients, it may delay or prevent pregnancy altogether.

Which Nutrients Matter Most for Fertility?

🔹 Vitamin D – Crucial for hormone regulation and immune function. Low levels are linked to reduced fertility.

🔹 Folate (NOT folic acid) – Supports proper fetal development and cell division. A deficiency can impact implantation and early pregnancy.

🔹 Vitamin B12 – Essential for ovulation, energy production, and preventing neural tube defects.

🔹 Zinc and Selenium – Support egg quality, thyroid function, and hormone synthesis.

🔹 Iodine – Plays a key role in thyroid hormone production, which directly impacts ovulation.

🔹 Copper & Ceruloplasmin – Needed for iron metabolism, cellular energy, and proper progesterone levels.

Why Is This So Important?

🚨 Many modern diets lack these key nutrients due to processed foods, restrictive eating habits, and soil depletion.

🚨 Women who have been on hormonal birth control may have lingering deficiencies, as the pill depletes B vitamins, zinc, and magnesium.

🚨 Many fertility issues stem from chronic undernutrition, even in women who appear to be eating “healthy.” A diet focused only on restriction rather than nourishment can set the stage for hormonal imbalances.

What to do:

Test, don’t guess. Before taking random supplements, check your nutrient levels—including vitamin D, B12, folate, iodine, zinc, and magnesium.

Focus on a nutrient-dense diet. Prioritize whole foods like pasture-raised eggs, dairy, organ meats, seafood, nuts, and root vegetables to naturally replenish vitamins and minerals.

Don’t fear healthy fats. Hormones are made from cholesterol, so avoiding dietary fat can contribute to hormone imbalances. Include sources like butter, ghee, olive oil, and fatty fish.

Many women struggling to conceive have undiagnosed nutrient deficiencies, which can impact ovulation, egg quality, and pregnancy viability. Optimizing your nutrient levels before pregnancy can not only increase fertility but also lead to a healthier, smoother pregnancy.

4. Undiagnosed Parasites Can Interfere with Fertility

Parasites might not be the first thing that comes to mind when thinking about fertility, but their impact on hormonal balance and overall health can be significant. Many women struggling to conceive unknowingly carry parasitic infections that contribute to chronic inflammation, hormone imbalances, and even recurrent pregnancy loss.

While parasites don’t always directly prevent pregnancy, they often lead to elevated prolactin levels, which can disrupt ovulation and cycle regularity.

How Parasites Can Affect Your Fertility

🔹 Increased Prolactin Levels – Even slightly elevated prolactin can interfere with ovulation and make conception more difficult.
🔹 Nervous System Disruptions – Symptoms like anxiety, depression, chronic fatigue, and high cortisol are commonly linked to undiagnosed parasitic infections.
🔹 Digestive Issues – While not always present, symptoms like bloating, constipation, diarrhea, or mucus in stool may signal a parasitic imbalance.
🔹 Recurrent Pregnancy Loss – Some women experience repeated miscarriages without realizing that parasites could be a contributing factor.

How to Test for Parasites

Most standard lab tests do not effectively detect parasites, which is why functional testing is crucial.

Steps to Identify a Possible Infection:

Check your blood work. Elevated eosinophils, monocytes, or basophils on a complete blood count (CBC) panel may indicate a parasitic infection.

Stool testing. The most accurate results come from testing three stool samples collected over different days (e.g., Monday, Wednesday, Friday).

Use specialized labs.

What to Do If You Test Positive

If a parasitic infection is confirmed, the key is proper treatment and preparation.

✔ Work with a professional to choose between natural treatments, pharmaceuticals, or a combination of both.

✔ Ensure gut healing protocols are in place to prevent reinfection.

✔ If planning for pregnancy, addressing parasites before conception ensures a healthier start for both you and your baby.

If you’re struggling to conceive or experiencing unexplained fertility challenges, testing for parasites is a crucial step. These hidden infections can disrupt hormones, weaken immunity, and lead to pregnancy complications—making parasite testing a valuable part of preconception care.

5. A Disrupted Circadian Rhythm Is Wrecking Your Hormones

For many women, fertility becomes another “goal” on their to-do list—something to plan, control, and achieve within a set timeline. But the truth is, pregnancy is not just about timing—it’s about creating the right internal environment for your body to feel safe enough to conceive.

Your body needs to feel safe, supported, and nourished to prioritize pregnancy. If your daily routine is ruled by stress, late nights, and constant pressure, your body may delay conception as a protective mechanism.

How Living “Out of Sync” with Your Body Affects Fertility

🔹 Ignoring Natural Cycles – Many women push through exhaustion, overwork themselves, and disregard their body’s natural rhythms.

🔹 Poor Sleep Habits – Going to bed too late, using screens before sleep, or not getting enough sunlight exposure in the morning disrupts melatonin and cortisol balance, which affects reproductive hormones.

🔹 Constant High-Stress Mode – The body perceives chronic stress as a threat to survival, making conception more difficult.

Your Body Needs to Feel Safe Before It Can Support a Pregnancy

Conception isn’t just about ovulation—it’s about your body’s readiness to sustain a pregnancy. Your reproductive system is deeply connected to your nervous system, which means that if you’re constantly in a “fight or flight” state, your body may not prioritize fertility.

What to do:

Prioritize rest. Aim for consistent sleep schedules, exposure to natural light in the morning, and reduced screen time before bed.

Listen to your body. If your body signals that you need more rest, nourishment, or relaxation, honor those needs.

Reduce pressure on yourself. Fertility is a process, not a switch you can turn on and off. Creating a healthy environment is just as important as tracking ovulation.

Remember: Pregnancy is not just about deciding you’re ready—it’s about your body feeling safe and supported enough to sustain new life. If you’re struggling to conceive, it’s worth looking beyond timing and considering how your stress levels, lifestyle, and sleep patterns may be affecting your journey.

Fertility challenges can feel frustrating and overwhelming, but understanding the root causes gives you the power to take action.

Instead of focusing only on hormones, take a holistic approach—support your cycle, your thyroid, your gut, and your overall well-being. Small changes can make a huge difference in your ability to conceive naturally.

If you’re ready to take control of your fertility journey, start implementing these strategies today—and don’t hesitate to reach out for expert guidance. 

Want expert guidance on optimizing your fertility?

If you’re struggling to get pregnant and want a personalized plan tailored to your body’s needs, our 1:1 fertility consultations can help. We’ll dive deep into your cycle, lab results, and overall health to uncover what’s really holding you back—and create a clear action plan to move forward.

👉 [Book Your Consultation Here] and take the next step toward your fertility goals! 

Disclaimer: This website does not provide medical advice. The information, including but not limited to, text, graphics, images, and other material contained on this website is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new healthcare regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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