Unexplained Infertility: What To Do When You Don’t Know Why You Can’t Get Pregnant

Exhaust all Options

For most people, getting pregnant takes time. Even for couples that do not experience any fertility challenges, there is only a 20% chance that they will get pregnant in any given month. Hormones, timing, stress, lifestyle… all of these factors come into play when trying to conceive. So even if you feel like you have tried everything you can to get pregnant, it is important to exhaust all of your options.


Damage to the reproductive system, diseases like polycystic ovary syndrome or endometriosis, or even the shape of the uterus can prevent conception. Most of these issues can be diagnosed and treated by hysteroscopy or minimally invasive laparoscopy.

  • Hysteroscopy involves inserting a small endoscope through the cervix and into the uterus to check for and resolve any abnormalities – like polyps or uterine malformation – which may be preventing pregnancy.
  • Laparoscopy is an outpatient, minor surgery where small incisions are made in the abdomen and a camera is inserted. This provides a detailed view of the abdominal cavity that can’t be seen with ultrasound and is most often used to diagnosis tubal blockages, endometriosis, or pelvic scarring.

It’s possible that a simple surgical procedure will resolve your fertility issues.

IVF with PGS or PGD

Sometimes conception doesn’t take place or the pregnancy does not progress because of abnormalities in the embryo. If you are using in vitro fertilization, there is an opportunity to screen for known genetic abnormalities and for the correct number of chromosomes in each embryo. Consider this extra step that may increase your chances of getting (and staying!) pregnant.

Consider Lifestyle Changes

Lifestyle has more of an effect on fertility than many people realize. Some of the most common factors that may be contributing to your fertility challenges are:

  • Weight
  • Age (of either partner)
  • Smoking
  • Alcohol consumption

While not all of these factors may be entirely under your control, a proactive approach to managing your unexplained infertility may be to address the lifestyle components that you can.

Keep Trying

One of the most frustrating aspects of unexplained infertility is the lack of answers. When you’ve exhausted all possible tests and have tried every recommended procedure (maybe more than once) it’s hard to know what to do.And unfortunately, when fertility is unexplained there may be nothing to do except keep trying. By the time you’ve reached a diagnosis of unexplained infertility you have likely become very familiar with all the possible causes as well as all the things you can do to increase your chances of getting pregnant. Keep trying, and keep working with your fertility specialist.

A diagnosis of any type of infertility, explained or unexplained, does not mean that you will never get pregnant, and with our expert guidance and results driven treatment, we will do everything we can to create the family of your dreams. Contact us today!