Struggling to get pregnant can feel overwhelming, especially when your reports look normal and you don’t know what’s going wrong. Many couples in Ravet and PCMC experience delays in pregnancy due to hidden medical, hormonal or lifestyle issues. The good news is that most fertility problems can be identified and treated with the right guidance. Infertility does not mean you can never conceive—it simply means your body needs support at the right time.
In this blog, we explain the common reasons for not getting pregnant, early signs of fertility issues, and when to meet a fertility specialist in Ravet, Pune. With expert care from Dr. Dipak S. Kolte at Kolte Hospital, many couples achieve pregnancy safely and confidently.
What Does Infertility Mean?
Infertility means you are trying for pregnancy but not able to conceive even after:
- 12 months of trying (if you are under 35)
- 6 months of trying (if you are above 35)
It does not mean you will never get pregnant.
It only means your body needs some support, treatment, or guidance.
Many couples conceive naturally after simple lifestyle changes, medicines, or basic fertility treatments offered at Kolte Hospital Ravet, PCMC.
How Pregnancy Happens?
For pregnancy to happen naturally:
- Your ovary must release an egg (ovulation).
- Sperm must reach the egg through the fallopian tube.
- The egg gets fertilized.
- The fertilised egg must settle inside the uterus (implantation).
If any one of these steps has a problem, pregnancy may get delayed.
Common Reasons You're Not Getting Pregnant:
Below are the most common medical and lifestyle causes of infertility.
1. Irregular or No Ovulation:
This is the most common reason for women not conceiving. If your ovulation is irregular, your fertile window becomes unpredictable. Without ovulation, there is no egg for fertilisation.
Common causes:
- Hormonal imbalance
- Thyroid issues
- Stress
- Underweight or overweight
- PCOS
What helps:
Blood tests and an ultrasound with a gynecologist in Ravet, PCMC, can confirm ovulation. Medicines and lifestyle changes often restore regular cycles.
2. Age-Related Fertility Decline:
Fertility decreases naturally after 35 and declines sharply after 40. Egg quantity and quality reduce over time.
Women above 35 trying for pregnancy should meet a fertility specialist within 6 months.
At Kolte Hospital Ravet, early testing like AMH helps plan the best fertility strategy, including IVF if needed.
3. PCOS (Polycystic Ovary Syndrome):
PCOS is very common in young women today.
It causes:
- Irregular periods
- No ovulation
- Weight gain
- Acne or facial hair
When ovulation is irregular, conceiving becomes difficult.
Good news:
PCOS is treatable. With diet, exercise, and medicines, many women conceive naturally.
4. Endometriosis:
Endometriosis causes tissue to grow outside the uterus.
It leads to:
- Severe period pain
- Heavy flow
- Pain during sex
- Blocked tubes
- Poor egg quality
This condition makes a natural pregnancy difficult.
Help available:
Laparoscopic treatment at Kolte Hospital can remove the problem areas and improve fertility.
Blocked Fallopian Tubes
If tubes are blocked, sperm cannot reach the egg.
Causes:
- Infection
- Endometriosis
- Previous surgery
- Past ectopic pregnancy
Tests:
HSG (dye test) or ultrasound.
Treatment:
Laparoscopic correction or direct IVF treatment at Kolte Hospital Ravet when tubes cannot be reopened.
5. Low AMH or Poor Egg Quality:
AMH tells how many eggs are left in your ovaries.
Low AMH means low egg reserve.
This can happen at any age, though more common after 35.
Treatment:
Early planning, IVF, or egg-support medicines based on your condition.
6. Uterine Problems:
The uterus is where the baby grows.
Issues like:
- Fibroids
- Polyps
- Adenomyosis
- Abnormal uterus shape
Can stop the embryo from implanting.
Treatment:
Minor procedures like hysteroscopy or laparoscopy can correct the problem.
Male Factor Infertility
Almost 40% of infertility cases come from the male side.
Common problems:
- Low sperm count
- Slow sperm
- Abnormal sperm shape
- Erectile issues
Test:
A simple semen analysis.
Treatment:
Lifestyle changes, medicines, IUI, or IVF with ICSI depending on sperm quality.
7. Hormonal Imbalances:
Hormones control your cycle, ovulation, and implantation.
Problems may include:
- Thyroid disorder
- High prolactin
- Low progesterone
These can be easily diagnosed with blood tests.
8. Lifestyle Factors:
Several daily habits can delay pregnancy:
- Smoking
- Alcohol
- High caffeine
- Junk food
- Stress
- Less sleep
- Obesity
- No exercise
Improving lifestyle boosts fertility for both men and women.
9. Unexplained Infertility:
- Sometimes, all reports are normal, but pregnancy still doesn’t happen.
- This happens in about 15% of couples.
- In such cases, IVF is usually the most successful treatment.
10. Past Medical Conditions or Surgeries:
These can also affect fertility:
- Thyroid problems
- Diabetes
- Pelvic infections
- Appendicitis surgery
- Ovarian cyst surgery
- Miscarriage D&C
- Cancer treatment
Early evaluation helps plan the right treatment.
Signs You May Have Fertility Problems:
You should meet a fertility specialist Dr. Dipak S. Kolte, if you notice any of these signs:
- Irregular periods – cycles too short, too long, or unpredictable
- Very painful periods – pain that stops your routine
- Heavy bleeding – soaking pads every 1–2 hours
- No periods at all – even for a few months
- Pain during intercourse – unusual discomfort
- Abnormal vaginal discharge – foul smell or unusual colour
- Repeated miscarriages – two or more losses
- Not getting pregnant after months of trying – despite regular unprotected intercourse
How Fertility Is Tested ?
At Kolte Hospital, Ravet, Pune, testing is simple and accurate.
For Women:
- Hormone tests
- AMH
- Pelvic ultrasound
- Tube test (HSG)
- Ovulation tracking
For Men:
- Semen analysis
- Hormonal tests (if needed)
All tests are available at Kolte Hospital Ravet, PCMC.
Treatments for the Reasons You're Not Getting Pregnant:
Once your exact fertility problem is diagnosed, the right treatment becomes easier to choose. At Kolte Hospital, Ravet, PCMC, Dr Dipak S. Kolte offers all major infertility treatments, including IVF, IUI, and laparoscopic surgery.
- Irregular Ovulation / PCOS: Medicines like clomiphene or letrozole help trigger ovulation; weight control and lifestyle changes also improve fertility.
- Blocked Fallopian Tubes: Laparoscopic surgery can open the tubes; if the tubes are badly damaged, IVF is the safest option.
- Endometriosis: Laparoscopic removal of endometriosis tissue improves chances; many women benefit from IUI or IVF after surgery.
- Low AMH or Poor Egg Quality: IVF is recommended; some women may need donor egg IVF for better success.
- Uterine Fibroids / Polyps: Hysteroscopic surgery removes growths that block implantation and improve pregnancy chances.
- Adenomyosis: Laparoscopic-assisted treatment or IVF helps improve conception rates and reduce pain.
- Male Factor Infertility: Medicines, lifestyle correction, IUI, or IVF-ICSI (single sperm injection), depending on sperm reports.
- Hormonal Imbalances: Thyroid, prolactin, and progesterone levels are corrected with medicines to support ovulation and implantation.
- Unexplained Infertility: IVF is often recommended since it bypasses hidden issues and offers better success.
When to See a Fertility Specialist?
Visit a fertility specialist in Ravet, Pune, like Dr Dipak S. Kolte, if:
- You’re under 35 and trying for 1 year
- You’re over 35 and trying for 6 months
- Your cycles are irregular
- You have PCOS, endometriosis, and fibroids
- You had two or more miscarriages
- Your partner has sperm issues
- Early help gives better success rates.
Natural Tips to Improve Fertility:
Even if you haven’t been diagnosed with infertility, these steps boost fertility:
For Women:
- Maintain a healthy weight
- Eat fresh home food
- Exercise 30 minutes daily
- Reduce stress
- Sleep well
- Avoid smoking & alcohol
- Track ovulation
For Men:
- Avoid heat exposure
- Reduce smoking & alcohol
- Eat antioxidant-rich foods
Maintain a healthy weight
Conclusion:
Infertility is common, but it is treatable. Understanding the reason behind the delay in pregnancy is the first step toward becoming parents. At Kolte Hospital Ravet, PCMC, Pune, Dr. Dipak S. Kolte provides complete fertility care including evaluation, IUI, IVF, gyne-laparoscopy, and advanced reproductive treatments.
If you’re facing difficulty conceiving, the right time to seek help is now. Your dream of parenthood is possible—with expert guidance and the right treatment.
If you’re struggling to conceive, don’t give up. Reach out to 8042755821 / 7768072072 a fertility specialist today. Your family is waiting. Trust Kolte Hospital Ravet, Pune — Your Partner in Fertility and Motherhood.
