
If the wife’s reports are normal but there’s still difficulty in conceiving, there could be several underlying reasons. Here’s a breakdown:
🔍 Possible Reasons Despite Normal Reports
- Male Factor Infertility
- Low sperm count or motility
- Abnormal sperm shape (morphology)
➤ Semen analysis is essential.
- Ovulation Timing Issues
- Irregular ovulation that isn’t detected in basic reports
➤ Use ovulation kits or follicular scans.
- Irregular ovulation that isn’t detected in basic reports
- Luteal Phase Defect
- Inadequate hormone support after ovulation, even if ovulation occurs
- Unexplained Infertility
- Sometimes, despite all normal results, conception doesn’t occur
➤ Might need IUI or IVF after 1 year of trying
- Sometimes, despite all normal results, conception doesn’t occur
- Tubal Function or Adhesions
- Tubes may be open but not functioning well
➤ Check via laparoscopy
- Tubes may be open but not functioning well
- Endometriosis
- Often missed in basic tests
➤ Diagnosed only through laparoscopy
- Often missed in basic tests
- Lifestyle Factors
- Stress, poor diet, smoking/alcohol, obesity, or being underweight
✅ Next Steps
- Get husband’s semen analysis
- Track ovulation more accurately
- Consult a fertility specialist
- Consider advanced tests: AMH, laparoscopy, etc.