Why Can’t I Get Pregnant?

Having a baby sounds easy enough, but for many couples, the reality is quite different.

The belief that if you just keep trying, eventually you’ll get pregnant, is sometimes untrue. For one of every eight couples, infertility is an unexpected hurdle encountered in the journey towards family building.

It can be confusing and frustrating to realize you aren’t getting pregnant as quickly as you had hoped.

But there is good news: fertility care has expanded and advanced considerably over the last thirty years, and deciding whether it’s time to see a fertility specialist is relatively simple.
There is more reason to be hopeful now than ever before.

Boston IVF – The Albany Center is committed to educating and empowering patients to take control of their fertility, and that begins with knowing when it’s time to connect with a fertility specialist. The sooner we can identify the causes in your challenges becoming pregnant, the better the chance of achieving your dream of parenthood.


One of the world’s most successful fertility networks meets expert local care at Boston IVF – The Albany Center.

Our fertility center brings together a team of fertility specialists, embryologists, scientists, researchers, doctors, and nurses who collaboratively work to optimize your fertility success. Our team will work with you to help you achieve fertility on the shortest timeline possible.

  • Our network has supported over 90,000 success stories, and counting
  • Our fertility network performs 4,000+ cycles per year
  • We analyze 30+ years of treatment cycle data to help each patient find success
  • We utilize a library of resources and technologies that allow us to take on difficult and rare infertility cases
  • We offer direct access to clinical studies that can help reduce financial burden
  • Our Albany office utilizes the technologies that have made Boston IVF one of the most successful IVF centers in the world
  • Boston IVF doctors educate the next generation of reproductive endocrinologists through our Harvard Medical School affiliation



In order to best understand why you might be having a hard time becoming pregnant, let’s start with the basics. It’s helpful to understand the factors involved in creating a healthy pregnancy, before beginning to look at the possible reasons you may be facing fertility challenges.

  • first, a woman yields one healthy egg
  • at the same time, a man yields healthy sperm
  • a woman’s fallopian tubes are open in order for sperm to make its way to the egg
  • healthy sperm travels through open fallopian tubes to fertilize the egg
  • the fertilized egg develops into a healthy embryo
  • a healthy embryo implants to the uterus, where it continues to grow



Sorrow, anxiety, bitterness, and detachment are some common emotional symptoms for men and women experiencing infertility. Although painful to deal with, they are all completely valid and normal — there is nothing wrong with you for feeling these painful emotions.

Navigating infertility is an emotionally exhausting process, but it is one shared by many— both men and women, at a rate of 1 in 8 couples in the US. It can feel like a lonely road at times, but you are never alone in your struggle.

At Boston IVF – The Albany Center, our goal is to offer you informed guidance along your path to fertility as we help you identify causes that may be affecting your success. Our team aims to nurture your sense of hope as you overcome the difficult emotions associated with infertility.


Although we can easily categorize most causes of infertility as problems within either the male or the female reproductive system, it’s important to remember that a mix of the two, as well as outside factors, can also contribute.

Because there is always more than one potential source for infertility, it is necessary to perform diagnostic testing on both partners in order to find all possible causes of infertility.


Male fertility is tested and diagnosed via semen analysis testing. Causes of male infertility may include:

  • Weight-related issues, especially obesity
  • Medical obstacles, including cancer-related damage
  • Stress
  • Sexually transmitted diseases (STD’s)
  • Low quantity and/or quality sperm
  • Hormonal obstacles and disorders
  • Smoking
  • Varicocele – an enlargement of the veins within the scrotum



Your reproductive endocrinologist will test and diagnose any possible female-factor infertility through blood testing, ultrasound, and hysterosalpingogram (a localized x-ray, also called HSG).

  • Ovulation obstacles
  • Miscarriage
  • Hormonal disorders or obstacles
  • Medical issues, including cancer-related damage
  • Age-related causes
  • Ovulation issues
  • Uterine cysts, polyps, or adhesions
  • Stress
  • Sexually transmitted diseases
  • Endometriosis
  • Polycystic ovary syndrome (PCOS)
  • Obstacles within the fallopian tubes
  • Chromosomal issues, including genetic abnormalities, in embryos



For 20% of all infertility cases, a specific cause of infertility cannot be determined. In these situations, one possibility is that multiple minor infertility factors are present in one or a combination of both partners.

Although this is a particularly frustrating diagnosis to handle, all hope is not lost. Your reproductive endocrinologist may still suggest treatment options to move your closer towards building your family.


Whether you would like to schedule a consultation with a fertility doctor, or would just like some advice on your specific fertility case, you are welcome to call or email us for advice at 518-434-9759 o