What to do when you’re struggling to get pregnant

It’s the million-dollar question: Why can’t I get pregnant? Every woman and couple are different, and there are a variety of things that can contribute to or cause infertility. And that’s where a fertility specialist—also called a reproductive endocrinologist or RE—comes in. REs are doctors who specialize in helping people conceive, and that includes finding out why people may be struggling to get pregnant.

So—when should you see an RE?
If you're:

Younger than 35

having unprotected sex for

1 year

Older than 35

having unprotected sex for

6 months

You are not alone

Every woman’s fertility journey is unique, but it’s important to remember that you are not alone. Join a community of women who also struggle with fertility and can offer support or insight.

Join the conversation on Facebook

Common causes of fertility issues


Fertility declines naturally as women age.

A healthy 30-year-old woman has about a 25-30% chance of getting pregnant naturally each month.

A healthy 40-year-old woman
has a
10% or lower chance of getting
pregnant naturally each month.

Health conditions

Certain health conditions can affect

  • Infrequent or irregular periods
  • Two or more miscarriages
  • Ovulation disorders or hormone
    imbalances like polycystic ovary
    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 always a cause of fertility
issues, lifestyle can sometimes 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.

If you’re struggling to get pregnant, you have options.

Learn about the basics of fertility treatments
A fertility specialist, or RE, can be your best resource on your fertility journey.

After working with your OB/GYN, she or he may recommend that you see an RE, a doctor who specializes in helping people conceive. And the sooner you meet with an RE, the sooner you can find out what’s contributing to your fertility challenges and what your next steps should be.

What keeps women from seeing an RE earlier in their fertility journey?
Read about the 4 reasons why women wait to see a specialist

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, and more.

Sign up for My Fertility Navigator