By Dr. Juan Solarte – Fertility and Human Reproduction Specialist, Reprotec Fertility Center
Throughout my experience as a fertility specialist at Reprotec, one of the questions I hear the most is:
“Doctor, why do some couples get pregnant so quickly and others have to wait so long or seek medical help?”
It is a very valid question and, above all, very human.
Fertility does not depend on a single factor: it is the result of a complex interaction between the biological, the hormonal, the environmental and, also, the emotional. In each consultation, I find different stories, but with something in common: the deep desire to understand and find answers.
In this article I explain, with a scientific basis and from clinical experience, why some couples conceive easily while others need medical accompaniment, and what steps you can take if that long-awaited pregnancy does not yet arrive.
Infertility is more common than we imagine
According to theWorld Health Organization (WHO), ,1 in 6 people of reproductive ageYou experience infertility at some point in your life.
That means that millions of people in the world are experiencing this same situation—although they often don’t talk about it.
And something that I always emphasize to my patients is this:Infertility is not a personal failure.
It is a medical condition, and in most cases,It has a solution with the right accompaniment and treatment.
In general, the30% of casesThey are due to female factors.Another 30% to male factors, and the rest to mixed or unknown causes.
main factors that influence the ability to conceive
- Age and ovarian reserve
Age is one of the most determining factors, especially in women.
from the30 years, the eggs begin to decrease in quantity and quality, and after35 years, that process speeds up.
In men, although fertility can be maintained for a longer period,sperm qualityIt can also be affected by age, stress or lifestyle habits.
- female factors
Among the most common causes of female infertility are:
- ovulation disorders such asPolycystic ovary syndrome (SOP).
- obstruction or damage to the fallopian tubes.
- Endometriosis, which can make it difficult to implant the embryo.
- hormonal alterations(such as thyroid or metabolic).
- Uterine factorssuch as fibroids or malformations.
Each case is different, that’s why I always recommend aPersonalized medical evaluationbefore starting any treatment.
- MALE FACTORS
in more of the30% of cases, the male factor plays an important role.
The most common causes are:
- Low spermatic count.
- reduced mobility.
- alterations in the shape of sperm.
- Harmful habits such as tobacco, alcohol or obesity.
Recent studies indicate that male infertility affectsMore than 56 million men in the world, and its incidence has been increasing.
- Genetic, immunological or unknown factors
In some cases, we did not find an obvious cause.
We call thisUnexplained infertilityand may have genetic, immunological or microenvironmental origin.
Thanks to medical advances, today it is possible to detect and treat many of these cases with greater precision.
- General health and lifestyle
Our physical and emotional well-being directly influences fertility.
Tobacco, alcohol, chronic stress, obesity, or exposure to contaminants can affect both ovulation and sperm quality.
How I usually say to my patients:
“It’s not just about achieving a pregnancy, but about preparing the body and the mind to receive it.”
Why do some couples manage to get pregnant easily?
When a couple manages to conceive without difficulty, there is usually a favorable combination of conditions:
- optimal fertile age.
- Good ovarian and sperm function.
- healthy tubes and uterus.
- balanced lifestyle.
- Absence of reproductive diseases.
Still, every story is different. fertilityIt is not an exact formula, and therefore, comparing yourself with others only generates frustration.
And why others need medical help?
When one or more of these factors are compromised, pregnancy may take longer or not.
Some common causes are:
- decrease in ovarian reserve.
- hormonal alterations.
- blocked tubes.
- low sperm quality.
- Unexplained infertility.
The good news is that today there are treatments ofassisted reproductionwith very encouraging results.
At Reprotec we carry out procedures such as theIntrauterine insemination (IIU), theIn vitro fertilization (IVF)and theegg donation, always adapted to the needs of each couple.
When to go to a fertility specialist
I recommend you check if:
- You have more than12 monthsTrying to get pregnant (or 6 months if you are over 35 years old).
- Yourmenstrual cycles are irregular.
- you have hadRepeated gestational losses.
- You have a history ofEndometriosis, infections or pelvic surgeries.
A complete evaluation isfirst stepTo find the most suitable treatment for you.
During my years accompanying families, I have learned that fertility is not just about biology:
Also of hope, empathy and science at the service of dreams.
OnReprotec Fertility Center, we have a team committed to your comprehensive well-being, combining diagnosis, treatment and emotional accompaniment to accompany you at each stage of this process.