What could be the reasons for having a hard time getting pregnant?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Difficulty getting pregnant, known as infertility, can result from a variety of factors. Common causes include hormonal imbalances, ovulation disorders, blocked fallopian tubes, endometriosis, low sperm count, and age-related decline in fertility. Underlying health conditions—such as polycystic ovary syndrome (PCOS), thyroid disorders, and autoimmune diseases like lupus or antiphospholipid syndrome—can also interfere with conception. Lifestyle factors, stress, and certain medications may play a role as well.

Because the causes of infertility are so varied, identifying what's specifically affecting you is the essential first step toward the right treatment. Rather than guessing or waiting, take a free, instant, online symptom check to gain clarity on possible causes and confidently navigate your next steps with your healthcare provider.

Reviewed for medical accuracy: 07/15/2026

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Explanation

There are several reasons why someone may have a hard time getting pregnant.

1. Health Conditions: Some health issues can affect fertility. Women with autoimmune diseases, for example, may face more challenges because their immune system can affect the reproductive organs.

2. Age: As women get older, it can be harder to get pregnant. This is because the number and quality of eggs decrease with age.

3. Lifestyle Factors: Things like stress, diet, alcohol use and exercise can also play a role in fertility.

Understanding these factors can help in addressing fertility issues. If you are concerned about infertility, it's important to talk to a healthcare provider who can offer guidance and support. You can start by using a free AI symptom checker to better understand any symptoms you may be experiencing.

(References)

Vander Borght M, & Wyns C. (2018). Fertility and infertility: Definition and epidemiology. Clinical biochemistry, 29555319.
Simionescu G, Doroftei B, Maftei R, Obreja BE, Anton E, Grab D, et al. (2021). The complex relationship between infertility and .... Experimental and therapeutic medicine, 33717249.
Khizroeva J, Nalli C, Bitsadze V, Lojacono A, Zatti S, Andreoli L, et al. (2019). Infertility in women with systemic autoimmune diseases. Best practice & research. Clinical endocrinology & metabolism, 31837981.

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