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Failure to Conceive and sub-fertility. Things Every Couple Must Know.

Failure to Conceive and sub-fertility

The world is changing with time, and people’s lifestyle is changing. Changing lifestyles, and these are affecting our physical and mental health. A picture of change is also emerging in reproductive health care. Many people are familiar with the term sub-fertility these days. Such sub-fertility is affecting some families so much that many are gasping for marriage. Failure to conceive and sub-fertility are the first things to know. Today we will learn about its causes and the relation of reproductive health with daily lifestyle.

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Failure to conceive and sub-fertility

A couple is considered to be suffering from sub-fertility if the wife has not used any form of birth control for 1 year or more to conceive but the wife fails to conceive. Already, the term fruitlessness was broadly utilized rather than sub-ripeness, however presently it is summed up as sub-richness, because the individual experiencing this issue might not be able to duplicate for reasons unknown, yet will want to have youngsters whenever given extra treatment.

Types of sub-fertility

Primary sub-fertility

A couple who has never produced a live child after marriage is said to be suffering from primary sub-fertility.

Secondary sub-fertility

If a couple fails to conceive a second child after having one child, it is called secondary sub-fertility.

We will now go into details about failure to conceive and sub-fertility. Certain things are important to be sure to be able to conceive a child. Every couple should know about this. Especially those who are planning to have a baby or have tried repeatedly but are not successful, I hope they will benefit from today’s article.

The following are essential for successful fertilization

  • Sperm capable of fertilization in sufficient quantity
  • Oversized healthy eggs
  • Regular ovulation process
  • Intercourse at the right time, at regular intervals
  • The health of ovaries, fallopian tubes, and uterus
  • Hormonal balance of both husband and wife etc.

The absence of any of the above may lead to sub-fertility.

Either spouse can be responsible for sub-fertility. Our society still, even in this 21st century, blames women unilaterally for not having children. It is very sad. It is inappropriate to act like this without testing and being sure. Moreover, if there is any health problem, every family member must help the patient with treatment and keep the victim mentally cheerful.

It causes failure to conceive and sub-fertility

Male factor/factors which may be responsible for-

About sperm


A prerequisite for successful fertilization is the presence of a sufficient number of properly shaped motile spermatozoa. Only then will it be able to fertilize the mature egg.

Hormonal balance

Male sex hormones include testosterone and some androgen hormones. If the amount of testosterone and androgen hormones in the body is not correct, the normal reproductive process is disrupted.

Nervous disease

Nervous disease

If a man suffers from a neurological disorder that impairs fertility (e.g., erectile dysfunction) this can also be a cause of sub-fertility.

Female factors or factors that can be attributed to women-

Age is a factor in conception failure and sub-fertility

Age is a significant calculation of ladies’ regenerative well-being. A woman is born with a certain number of eggs at birth. One egg is released on the 14th day of every menstrual cycle. A woman releases an average of about 450 eggs in her lifetime. With increasing age, the size and quality of these eggs decrease. Analyzing various research papers, it can be seen that a woman releases her healthiest eggs at the age of 20-30. So, age must be kept in mind.

We may think that the career is not ready, but we will bring the child into the world only after ensuring economic and social security for the child!! The thought isn’t self-evident, yet it ought to likewise be remembered. Not only this, with increasing age, the risk of high blood pressure, diabetes, obesity, and hormonal imbalance also increases, which indirectly affects reproductive health.



Individuals who have never known about the polycystic ovarian disorder are difficult to come by nowadays! In this syndrome, very small cysts or watery blister-like cysts are formed in the female ovary. It is accompanied by irregular menstruation and an increased amount of unwanted hair in different parts of the body, along with uncontrollable weight gain. As a result, the release of one egg every month is delayed. So PCOS is one of the main causes of sub-fertility.

Ovarian or fallopian tube blockage

Ovarian or fallopian tube blockage

In some cases, the fallopian cylinder can become hindered, which keeps the egg from arriving at the uterus after ovulation. Tuberculosis or a tumor can block the inner passage of this duct. Or if the tube has ruptured due to a previous ectopic pregnancy or a baby in the tube, the duct may be damaged for surgical intervention. We can get an idea about these things from the history of whether the patient had such problems before.

Uterine health

Uterine health

After treatment, the undeveloped organism inserts itself in the uterine wall, similar to sowing a seed, a cycle called implantation. The health of the uterus is very important for successful implantation. A common tumor of the uterus is a fibroid. It has one or more tumors, small or large, inside or outside the uterus. Due to this, the fertilized embryo may not implant properly in the uterine wall or it may abort even if it implants. Symptoms of fibroid tumors include:

  • Excessive menstruation
  • Lower abdominal pain
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • Feeling the presence of a wheel in the lower abdomen, etc

There are likewise different illnesses of the uterus, including endometriosis, adenomyosis, and birth abandons, which can antagonistically influence pregnancy.

Hormonal imbalance

Hormonal imbalance

Hormonal balance is very important for women during pregnancy. If estrogen, progesterone, prolactin, luteinizing chemicals, and follicular animating chemical are absent in ordinary levels in the blood, the pregnancy cycle can be upset.

Long-term disease

The pervasiveness of long haul or constant non-transferable (non-transmittable) sicknesses, for example, diabetes, hypertension, and hypothyroidism has expanded enormously nowadays. Of course, our unhealthy lifestyle, adulterated food, consumption of highly processed food, etc. are responsible for this. While these diseases delay conception, uncontrolled diabetes, and hypertension increase the incidence of miscarriage and birth defects.

Auto-immune disease

In simple terms, sometimes it happens that some antibodies are produced inside the human body which identify the normal human cells as foreign particles and destroy them through the immune mechanism. Because these antibodies are produced in the body without any external stimulus and destroy the body’s cells, such diseases are called autoimmune diseases, such as anti-phospholipid antibody syndrome, systemic lupus erythematosus, etc. Patients with this syndrome may experience recurrent miscarriages or abortions.

Cervical incompetence

Many people may have heard that a mother is conceiving, but in the first three months or the second three months, repeated abortions are happening! One reason for this may be the incompetence of the cervix. However, there is treatment, if the problem is understood, under the supervision of a gynecologist, the birth of a healthy baby can be ensured by treating the expectant mother with great care and caution.

How can you say whether you are experiencing sub-richness?

As mentioned earlier, if a couple fails to conceive after a year or more of trying to conceive without birth control, then the couple is considered to be suffering from sub-fertility. Their subsequent stage in such manner ought to be to look for the counsel of an expert specialist.

In addition, women experiencing irregular menstruation, excessive bleeding during menstruation, unbearable pain during menstruation, and pain during intercourse often indicate the cause of sub-fertility. So do not ignore these symptoms and consult a doctor.

Can pregnancy failure and sub-fertility be prevented?

Only nature can fully explain the secret of the creation of all living beings in this world. Man has only been able to uncover some of his unknowns. From so many studies on sub-fertility, medical scientists have found some causes that we can avoid, some causes are curable with proper treatment, and some causes and their treatments are still unknown. We will try to give a little idea about all the reasons that we can avoid to some extent if we want-

Complete the family at the right time

When a woman becomes a mother for the first time, they are called primi gravida or pregnant for the first time, the age of this primi gravida is very important. If you become a mother under 18 years of age, there are many health risks for the mother and baby (low birth weight, premature birth, neonatal jaundice, sepsis, etc.), similarly if you become a mother for the first time at the age of 30 years, gestational diabetes, hypertension, convulsions, malpresentation (inside the abdomen) malposition of the baby), genetic disorders, repeated abortions or intra-uterine fetal death rates are greatly increased.

Pelvic elasticity in women also decreases with age, resulting in a proportional increase in the number and proportion of malpositions, obstructed labor, and cesarean sections. Therefore, one should try to have the first child before the age of 30 years and it is wise to complete the family with the next child at proper intervals as advised by the doctor.

Lifestyle modification

Lifestyle modification

Today’s lifestyle will undoubtedly affect your future life. Therefore, healthy living habits should be developed from a very young age. Instead of thinking about the time that has passed, add fresh vegetables and fruits to your diet today, walk regularly, and exercise gradually. Avoid junk food from the outside and food with excess oil and spices. By doing this, the possibility of long-term diseases like excess weight, diabetes, hypertension, etc. can be reduced many times. Following a healthy lifestyle is even more important for those suffering from polycystic ovarian syndrome, as the disease is already associated with hormonally induced weight gain.

Being cheerful

Mental tranquility can relieve us from thousands of physical problems. So, if there are complications related to child adoption, discuss it openly with your spouse without worrying. Tell him about your problems and listen to him carefully. Give time and emotional support to each other. If you feel very bored, you can quickly change the air.


Be sure to be under a doctor’s care. If both husband and wife undergo the necessary tests to find out the cause of failure to conceive and sub-fertility, the treatment path will be easier. In many families in our country, the responsibility of infertility is placed on the shoulders of the wife unilaterally without any investigation of the male partner, which is unfair. On the one hand, this increases family discord, on the other hand, because the correct diagnosis remains hidden, the correct treatment becomes impossible. So, help your partner by maintaining mutual respect.

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