What to do when you’re struggling to get pregnant

It’s the million-dollar question: Why can’t I get pregnant? Every woman is different, and there are a variety of things that can contribute to or cause infertility.

Common causes of fertility issues


Fertility declines naturally as women age.

A healthy 30-year-old woman
has about a 20% chance of getting
pregnant naturally each month

A healthy 40-year-old woman
has about a 5% chance of getting
pregnant naturally each month

Health conditions

Certain health conditions
can affect fertility.

  • Infrequent or irregular periods
  • Two or more miscarriages
  • Ovulation disorders or hormone
    imbalances like polycystic ovarian
    syndrome (PCOS)
  • Endometriosis
  • Uterine growths (like fibroids or polyps)
  • Blocked fallopian tubes or uterine
  • Diminished ovarian reserve and/or
    poor egg quality

Lifestyle factors

While not a guaranteed cause of fertility
issues, lifestyle can also play a role.

  • Weight (being significantly under or overweight)
  • Male partner’s drug use
  • Smoking
  • Excessive physical or emotional stress

Did you know?

1 in 8 couples struggle to get and stay pregnant.

Get some guidance

Not sure what to do next? We get it—
and we’ve got you covered. Our Fertility Navigators can answer questions and offer guidance on next steps.

Connect me with a Navigator

When to see a specialist

Reproductive endocrinologists (also known as REs) are doctors that specialize in helping people conceive. In other words, they’re the best kind of doctor to have on your side as you tackle your fertility challenges.

If you’re:

Younger than 35

having unprotected sex for

1 year

Older than 35

having unprotected sex for

6 months

Or if you have any of the health conditions or lifestyle factors listed above and you haven’t gotten pregnant, it’s time to talk to a specialist.

Find a specialist

Not sure what to do next?

My Fertility Navigator was made for you. 

My Fertility Navigator is a program designed to help women navigate the rocky road of fertility. Sign up, and you'll get information on next steps (whatever yours may be!), a guide to working with a reproductive endocrinologist (RE), and 1-on-1 guidance from our trained fertility navigators.

Sign up for My Fertility Navigator