Why pregnancy does not occur: reasons and what to do

There are many reasons for preventing conception. Why pregnancy does not occur, they often ask, but how much you need to worry about it and what you need to do if there are still reasons for alarm - we will figure it out.

• Why, if both are healthy, pregnancy does not occur?
• There is ovulation, but pregnancy does not occur: causes
• Other reasons
• If it doesn't work, what should you do?
• Why don't you get pregnant the first time?
• After ovulation stimulation
• After laparoscopy

Why does pregnancy not occur if both are healthy?

For the onset of pregnancy, in addition to the health of both spouses, several more conditions are necessary:

• Sexual intercourse on the right days for conception. In a woman, the fertile period depends on the length of the menstrual cycle. The release of a mature oocyte from the dominant follicle occurs 14 days before the onset of menstruation, both with regular and irregular periods. Optimal - two days before and after the release of the oocyte, in the so-called.
• The presence of an egg (oocyte). During ovulation, it is easier to “catch” an oocyte if the cycle is regular, but even if menstruation, like clockwork, occurs exactly on schedule, the presence of an egg ready for fertilization must be confirmed (for example, using tests). Sometimes they occur when hormones are normal, menstruation is regular, tests are also good, but eggs are not. In these cases, pregnancy does not occur. They are considered physiological if they occur no more than two or three times a year, no more. But this is still just the tip of the iceberg.

There is ovulation, but pregnancy does not occur: causes

Reasons for ovulation, but pregnancy does not occur:

• poor quality oocyte
• bad spermogram;
• genetic inferiority of the zygote.

Conditions that are necessary for pregnancy, with preserved ovulation:

• The oocyte must be mature and ready to fuse with the spermatozoon. Unfortunately, as a result, the quality of the genetic material of the germ cell suffers. The window during which an oocyte can be fertilized lasts on average 24-48 hours. The period can change in one direction or another for several hours, depending on the characteristics of the woman's body.
• Mature, mobile spermatozoa, i.e., the spermogram is normal. The conditions of modern life negatively affect the quality of sperm, although men mostly do not accept this fact and insist that everything is fine with them. If there is no pregnancy for six months, it is worth carefully examining not only the woman, but also her spouse.
• The “meeting” is not just a male and female germ cell, but a genetically complete sperm and egg. If there are breakdowns in the genetic code of a fertilized egg, the embryo most often dies on the fourth day and comes out with menstrual flow, and the girl does not even suspect that in fact there was a pregnancy, and implantation did not occur. In the human population, this occurs in 30% of cases. This is the main reason why pregnancy does not occur if all possible tests, including hormones, are normal, both partners are healthy, the tubes are passable and the spermogram is normal.

If there is ovulation, but pregnancy does not occur, this is not a cause for concern. It is not always possible to conceive a baby the first time, but more on that later.

Other reasons why pregnancy does not occur

The reasons why pregnancy does not occur (first or second), systematize and divide into groups according to the effect on the stages of fertilization and implantation:

• There are no fallopian tubes or they are soldered (). Spikes prevent the movement of sperm to the egg, but even if the spermatozoon manages to get through the holes between the spikes and fertilize the oocyte, the egg will not be able to descend into the uterine cavity due to its size and develops. The oocyte is the largest cell in the body. The sacrament of fertilization is carried out in the fallopian tube, or rather in its ampoule, the widest part facing the ovary.
• One tube is missing, and ovulation is constantly on the opposite side. The opinion that is wrong.
• The presence of adhesions and deformities (after abortion, missed pregnancy, caesarean section). They interfere, therefore, there are no conditions for pregnancy. Often the diagnosis of these diseases occurs after the partners cannot get pregnant for a long time. Sometimes the path to the doctor is delayed for a year or more, because the symptoms are not always pronounced.

• Hormonal problems interfere with the maturation of the oocyte and. - a disease in which it is possible to become pregnant, but treatment (surgical or therapeutic) is necessary. Depending on the extent of the lesion, the gynecologist prescribes drugs that “turn off” menstrual function for a period of 3 to 6 months or to remove foci and confirm.
• With (hypofunction of the thyroid gland), maturation and release of the oocyte does not occur at all. To rule out thyroid dysfunction, you need to donate blood to determine the "thyroid" hormones T₃, T₄,.
• The long absence of the first pregnancy in the fertile period makes the organs of the reproductive system unclaimed. Microcirculation is disturbed in them, hormonal regulation becomes imperfect, which is a good reason that pregnancy does not occur for a long time.
• lactation period.

Cancellation of oral contraceptives (OC) - does not pass without a trace for the body. It is not possible to get pregnant right away. It will take time to restore ovulatory function and your own hormonal levels. The duration of the recovery period directly depends on the duration of taking OK. On average, it lasts from 1 to 4 months.

Nature is very reasonable and the mechanisms that prevent the onset of "poor-quality" pregnancy allow avoiding the transmission of hereditary pathologies, miscarriages and abortions.

Reasons why pregnancy does not occur the first time:

• Sexual intercourse did not coincide with. Most of the oocyte release is not felt, so it is difficult to predict the moment of ovulation. Pregnancy is possible if PA occurs 6-7 days before the release of the oocyte (this is the maximum period of spermatozoa life in the organs of the female reproductive tract) and 2 days after it. It is believed that the egg can fuse with the sperm within 2 days after ovulation. But there is an opinion that the oocyte is “capable” until the moment of menstruation, until it leaves the body along with menstrual flow.
• Poor quality endometrium prevents implantation. Conversely, a high-quality uterine mucosa blocks the production of vital substances for a low-quality embryo, which prevents it from implanting. These mechanisms are aimed at maintaining the health of the human population.

The chances of pregnancy from the first time are 5%, provided that the parents are absolutely healthy. A large number of embryos formed at conception have genetic abnormalities. In 30 cases out of 100, the endometrium prevents their attachment. The same amount can attach, and be torn off in a few days. In 10% of cases, miscarriages occur.

• . This hormone contributes to the fixation and "engraftment" of the embryo in the uterus. It is secreted by the corpus luteum. With its lack, the gynecologist prescribes Utrozhestan, with the threat of miscarriage as a result of luteal insufficiency - Duphaston.

Pregnancy does not occur, what to do?

If pregnancy does not occur, you must do the following:

• Review the diet, normalize the regimen, forget.
• Sign up for a visit to the gynecologist, undergo an examination, ultrasound and, hormones and with a partner.
• Observe a break between sexual intercourse - 3 days. During this time, the required amount of sperm accumulates. Regular ejaculation allows you to normalize the quality of sperm and remove congestion in the reproductive organs of a man.
• Change intense physical activity to moderate.
• Start taking folic acid, as indicated by vitamins E and C.

To identify diseases or pathological conditions after a miscarriage or abortion, laparoscopy is recommended.

Carrying out laparoscopy does not guarantee the onset of pregnancy immediately. Since during surgery, diseases can be excluded or treated, but other factors that prevent pregnancy remain. According to statistics, in 20% of women, conception after laparoscopy occurs in the first month after it. In 15 women out of 100, pregnancy after laparoscopy does not occur within a year. Laparoscopy for syndrome and also does not guarantee "instant" conception.

Not getting pregnant after ovulation induction

In the absence of ovulation and abnormal anovulatory cycles, hormonal drugs are used to induce ovulation. Depending on the indications, different schemes and preparations are used.

If the ovaries are sensitive to therapy, ovulation occurs. At the same time, the likelihood of pregnancy increases. But the systemic effect of stimulation is not well understood. It is believed that stimulation can adversely affect the quality of the endometrium. After stimulation, pregnancy does not occur if the ovaries are not sensitive to hormone therapy. The efficiency of oocyte maturation induction is only 10-15%. Pregnancy occurs in total for 4 cycles of stimulation in 20-38% of cases.

Some get pregnant on the first try, while others try for years, but everything turns out to be unsuccessful. What is the reason?

If you want to improve your chances of having a baby, don't make the common mistakes that we will tell you about.

1. Worry too often

Stress is one of the main factors that reduce the likelihood of conception. If the level of cortisol, the stress hormone, rises in a woman's body, this can negatively affect her fertility. American scientists observed 400 couples who were trying to become parents and came to the following conclusions: if a woman has a high level of alpha-amylase (a stress indicator), her chances of getting pregnant are reduced by 29% compared to those who have this indicator within the normal range. Experts believe that under the influence of chronic stress, the production of hormones that ensure a stable cycle decreases.

If you're having trouble getting pregnant, try to relax and let go of the situation for a while. Try meditation, yoga - it has asanas that improve blood flow to the pelvis and thus stimulate the synthesis of necessary hormones. This has a positive effect on the ability to conceive. Stop constantly planning a pregnancy. Instead, just remind yourself daily that this is a miracle that happens very often.

2. Don't do too much or too little

A large number of couples are convinced that the chances of conceiving a baby will greatly increase if they do not have sex for a week, “saving” sperm. It's a delusion. After a week of abstinence, spermatozoa become much less mobile. Therefore, doctors advise having sex daily or every other day during the week before ovulation and the day it occurs. More frequent intimacy can negatively affect the ability of sperm to fertilize, and more rare creates a risk of missing the conception window.

It has been scientifically proven that regular sex life helps to stabilize the cycle: the male body releases hormones that affect the female reproductive system. Therefore, with regular sex, more estrogen is produced.

3. Use dubious methods

Although we live in the 21st century, many women continue to douche, believing in the miracle of this method. It seems that there is logic in this: from infections, malnutrition, bad habits, the environment in the vagina becomes acidic, and the sperm in it dies and cannot fertilize the egg. Therefore, many begin to introduce a weak soda solution so that the environment becomes alkaline and favorable for conception.

Doctors do not support douching: along with harmful microorganisms, baking soda destroys beneficial ones, violating the natural pH of the vagina. There is still a risk of exacerbation of inflammatory processes, due to which damage and erosion of the cervix can develop, which can often be identified only on examination by a gynecologist.

4. Make mistakes in calculations

The most common mistake is the incorrect determination of the day of ovulation. In most women, it occurs in the middle of the cycle, but this applies to women with a 28-32 day cycle. Ovulation usually occurs 14 days before your period starts. Therefore, if you have a 24-day cycle, then ovulation will occur on day 10. If your cycle is noticeably longer, say 42 days, then it can be assumed that you are ovulating less often, not in every cycle. In this case, and also if you have an irregular cycle (in this case, ovulation can be either on day 6 or on day 21), or you do not remember the last time you had your period, forget these rules. Here you can not do without an ovulation test, with which you can easily find out when you have a conception window.

Often women make another mistake - they count the beginning of the cycle not from the first day of menstruation. The day of the onset of menstruation is the one on which the blood begins to flow, not the day before and not the day after. It is very important to know the exact day of the beginning of the cycle, because for a successful conception, the count goes literally to the clock.

5. Blame yourself

With unsuccessful attempts to get pregnant, infertility on the part of the woman is usually assumed. Only in reality both partners have the same degree of responsibility. According to statistics, men are infertile in 40% of cases, women in another 40%, and in the remaining 20%, unsuccessful attempts to get pregnant are due to partner compatibility problems. Therefore, do not panic ahead of time: on average, a healthy couple needs from 6 months to 1 year to conceive.

Moms take note!

Hello girls) I didn’t think that the problem of stretch marks would affect me, but I’ll write about it))) But I have nowhere to go, so I’m writing here: How did I get rid of stretch marks after childbirth? I will be very glad if my method helps you too ...

6. Try to fit everything on schedule

Pregnancy cannot be accurately planned. Although healthy couples usually need from 6 months to a year to conceive, sometimes the first six months take a woman only to normalize the cycle, which has gone astray due to birth control. Until the cycle becomes regular, there will be no ovulation. So, if after 6 months the menstrual cycle has not returned to normal or you are not sure that you are ovulating, be sure to go to the gynecologist.

7. Hurry

For many, the assertion that after sex a woman needs to lie on her back for 20 minutes with raised buttocks is sarcastic. But, according to doctors, it increases the chances of getting pregnant by 80%. So do not neglect this method.

8. Ignore unrest for which there is a reason

Consulting a doctor is not paranoia. There are situations when you should not ignore what is bothering you, because it is not only about you, but also about the unborn baby. It is possible that your cycle has always been irregular, and this is the reason why you cannot get pregnant. Or maybe you have some kind of illness, and you want to make sure that this does not threaten the health of the unborn baby.

If you are worried or unsure about something, see a specialist. He will explain to you what surprises and difficulties you may encounter. If you then have difficulty trying to conceive, you will know what to do.

9. Can't give up bad habits

At least a year before the planned pregnancy, you should quit bad habits. Doctors around the world warn: the first trimester is the most important stage in the formation of the body of the unborn baby. Even a meager dose of alcohol can cause him irreparable harm.

Some women drink alcohol in the early stages of pregnancy, not realizing their interesting position. So, if you are not using protection, either give up alcohol and cigarettes, or reduce their use to a minimum.

10. Don't take care of your partner's health

What harms your fertility can also negatively affect a man's ability to conceive. Tobacco, alcohol, unhealthy diet degrade the quality and reduce the amount of sperm. According to research, smoking and alcohol damage spermatozoa at the chromosome level. Considering that a complete renewal of sperm takes 3 months, at least for this period your partner should give up bad habits. Make sure that his diet is balanced, including selenium, vitamins C and E - they are very useful for men's health.

The effect of temperature on a man's ability to conceive has not been proven. American experts believe that it is not essential for the work of the male genital organs. However, some doctors advise against frequent hot baths, even if the man has no problems with sperm quality.

A number of studies indicate that scrotum temperature rises when a person holds a laptop on their lap for a long time. Other experts have found that mobile phone radiation can reduce a man's ability to conceive, especially if the gadget is in a trouser pocket. Yet a clear relationship between warmth and male fertility has not been established.

There are many reasons for preventing conception. Why pregnancy does not occur, they often ask, but how much you need to worry about this and what you need to do if there are still reasons for alarm - we will figure it out.

Why does pregnancy not occur if both are healthy?

For the onset of pregnancy, in addition to the health of both spouses, several more conditions are necessary:

• Sexual intercourse on the right days for conception. In a woman, the fertile period depends on the length of the menstrual cycle. The release of a mature oocyte from the dominant follicle occurs 14 days before the onset of menstruation, both with regular and irregular periods. The optimal time for conception is two days before and after the release of the oocyte, on the so-called ovulation days.
• The presence of an egg (oocyte). During ovulation, it is easier to “catch” an oocyte if the cycle is regular, but even if menstruation, like clockwork, occurs exactly on schedule, the presence of an egg ready for fertilization must be confirmed (for example, using tests). Sometimes anovulatory cycles occur when hormones are normal, menstruation is regular, tests are also good, but eggs are not. In these cases, pregnancy does not occur. They are considered physiological if they occur no more than two or three times a year, no more. But this is still just the tip of the iceberg.

There is ovulation, but pregnancy does not occur: causes

Reasons for ovulation, but pregnancy does not occur:

• poor quality oocyte
• bad spermogram;
• genetic defect of the zygote

Conditions that are necessary for pregnancy, with preserved ovulation:

• The oocyte must be mature and ready to fuse with the spermatozoon. Unfortunately, the egg overripes and ages, as a result of which the quality of the genetic material of the germ cell suffers. The window during which an oocyte can be fertilized lasts on average 24-48 hours. The period can change in one direction or another for several hours, depending on the characteristics of the woman's body.
• Mature, mobile spermatozoa, i.e., the spermogram is normal. The conditions of modern life negatively affect the quality of sperm, although men mostly do not accept this fact and insist that everything is fine with them. If there is no pregnancy for six months, it is worth carefully examining not only the woman, but also her spouse.
• The “meeting” is not just a male and female germ cell, but a genetically complete sperm and egg. If there are breakdowns in the genetic code of a fertilized egg, the embryo most often dies on the fourth day and comes out with menstrual flow, and the girl does not even suspect that in fact there was a pregnancy, and implantation did not occur. In the human population, this occurs in 30% of cases. This is the main reason why pregnancy does not occur if all possible tests, including hormones, are normal, both partners are healthy, the tubes are passable and the spermogram is normal.

If there is ovulation, but pregnancy does not occur, this is not a cause for concern. It is not always possible to conceive a baby the first time, but more on that later.

Other reasons why pregnancy does not occur

The reasons why pregnancy does not occur (first or second), systematize and divide into groups according to the effect on the stages of fertilization and implantation:

• The fallopian tubes are missing or they are soldered. Spikes prevent the movement of sperm to the egg, but even if the sperm can get through the holes between the spikes and fertilize the oocyte, the egg will not be able to descend into the uterine cavity due to its size and an ectopic pregnancy develops. The oocyte is the largest cell in the body. The sacrament of fertilization is carried out in the fallopian tube, or rather in its ampoule, the widest part facing the ovary.
• One tube is missing, and ovulation is constantly on the opposite side. The opinion that ovulation occurs alternately is erroneous.
• The presence in the uterus of polyps, myomatous nodes, endometrioid cysts, adhesions and deformities (after abortion, miscarriage, caesarean section). They interfere with the attachment of the embryo, therefore, there are no conditions for the onset of pregnancy. Often the diagnosis of these diseases occurs after the partners cannot get pregnant for a long time. Sometimes the path to the doctor is delayed for a year or more, because the symptoms are not always pronounced.
• Hormonal imbalances in endometriosis interfere with oocyte maturation and embryo implantation. Endometriosis of the ovaries is a disease in which it is possible to become pregnant, but treatment (surgical or therapeutic) is necessary. Depending on the extent of the lesion, the gynecologist prescribes drugs that “turn off” the menstrual function for a period of 3 to 6 months or laparoscopy to remove the foci and confirm the patency of the fallopian tubes.
• With hypothyroidism (hypofunction of the thyroid gland), the maturation and release of the oocyte does not occur at all. To rule out thyroid dysfunction, you need to donate blood to determine the "thyroid" hormones T₃, T₄, TSH.
• The long absence of the first pregnancy in the fertile period makes the organs of the reproductive system unclaimed. Microcirculation is disturbed in them, hormonal regulation becomes imperfect, which is a good reason that pregnancy does not occur for a long time.
• lactation period.

We do not use protection, but pregnancy does not occur

Cancellation of oral contraceptives (OC) - does not pass without a trace for the body. It is not possible to get pregnant right away. It will take time to restore ovulatory function and your own hormonal levels. The duration of the recovery period directly depends on the duration of taking OK. On average, it lasts from 1 to 4 months.

Why does pregnancy not occur the first time?

Nature is very reasonable and the mechanisms that prevent the onset of "poor-quality" pregnancy allow avoiding the transmission of hereditary pathologies, miscarriages and abortions.

Reasons why pregnancy does not occur the first time:

• Sexual intercourse did not coincide with fertile days. Most of the oocyte release is not felt, so it is difficult to predict the moment of ovulation. Pregnancy is possible if PA occurs 6-7 days before the release of the oocyte (this is the maximum period of spermatozoa life in the organs of the female reproductive tract) and 2 days after it. It is believed that the egg can fuse with the sperm within 2 days after ovulation. But there is an opinion that the oocyte is “capable” until the moment of menstruation, until it leaves the body along with menstrual flow.
• Poor quality endometrium prevents implantation. Conversely, a high-quality uterine mucosa blocks the production of vital substances for a low-quality embryo, which prevents it from implanting. These mechanisms are aimed at maintaining the health of the human population.
  The chances of pregnancy from the first time are 5%, provided that the parents are absolutely healthy. A large number of embryos formed at conception have genetic abnormalities. In 30 cases out of 100, the endometrium prevents their attachment. The same amount can attach, and be torn off in a few days. In 10% of cases, miscarriages occur.
• Not enough progesterone is produced. This hormone contributes to the fixation and "engraftment" of the embryo in the uterus. It is secreted by the corpus luteum. With its deficiency, the gynecologist prescribes Utrozhestan, with the threat of miscarriage as a result of luteal insufficiency - Duphaston.

Pregnancy does not occur, what to do?

If pregnancy does not occur, you must do the following:

• Revise the diet, normalize the regimen, forget bad habits.
• Sign up for a visit to a gynecologist, undergo an examination, ultrasound and be tested for infections (primarily for hidden ones), hormones and immunological compatibility with a partner.
• Observe a break between sexual intercourse - 2-3 days. During this time, the required amount of sperm accumulates. Regular ejaculation allows you to normalize the quality of sperm and remove congestion in the reproductive organs of a man.
• Change intense physical activity to moderate.
• Start taking folic acid, as indicated by vitamins E and C.

Why does pregnancy not occur after laparoscopy?

To detect diseases or pathological conditions after a miscarriage or abortion, hysteroscopy, laparoscopy are recommended.

Carrying out laparoscopy does not guarantee the onset of pregnancy immediately. Since during surgery, diseases can be excluded or treated, but other factors that prevent pregnancy remain. According to statistics, in 20% of women, conception after laparoscopy occurs in the first month after it. In 15 women out of 100, pregnancy after laparoscopy does not occur within a year. Laparoscopy for PCOS (polycystic ovary) syndrome and hormonal stimulation also do not guarantee "instant" conception.

Not getting pregnant after stimulation

In the absence of ovulation and abnormal anovulatory cycles, hormonal drugs are used to induce ovulation. Depending on the indications, different schemes and preparations are used.

If the ovaries are sensitive to therapy, ovulation occurs. At the same time, the likelihood of pregnancy increases. But the systemic effect of stimulation is not well understood. It is believed that stimulation can adversely affect the quality of the endometrium. After stimulation, pregnancy does not occur if the ovaries are not sensitive to hormone therapy. In addition, the efficiency of oocyte maturation induction is only 10-15%.

Pregnancy occurs in total for 4 cycles of stimulation in 20-38% of cases.

The material was prepared according to the publications of S. Stas.

The desire to have a baby is very correct and organic for the family. But there are times when efforts to get pregnant are in vain. This situation affects the psychological state of both husband and wife. In this regard, the desire for pregnancy sometimes becomes an obsession for spouses or even a cause of disagreement in the family. Therefore, it is very important to determine the reason why a woman cannot become pregnant and act depending on the result. Of course, the factors that cause infertility will help to determine, but let's try to highlight some of them.

According to experts, the probability of becoming pregnant in women gradually decreases over the years. So, at the age of 20-25 years, 95% of the beautiful half of humanity manage to get pregnant, but in the period of 25-35 years, the number of those who manage to conceive a child is reduced by 15%. After 35 years, there is a sharp drop in the rate to 60%. At the same time, not all girls in the prime of life manage to get pregnant right away. Therefore, doctors do not recommend too panic. It is worth asking for help only after two years if you are under thirty, after a year in the period from 30 to 35 years and at a late age after six months of trying to conceive a child. In men, the “fertile” function may not be dulled until old age.

All actions for the occurrence of pregnancy, of course, must be accompanied by the right mindset for a positive result. This will create a favorable climate for conception.

Obviously, both the husband and the wife can be “guilty” of infertility. Among the "female" factors are gynecological, hormonal problems, or both together, stress, hypertension. The problem with weight can also have a negative effect (both its excess and lack of it are harmful), bad habits (smoking, consumption, drug addiction).

In men, these are hormonal or genetic causes, lack of active spermatozoa or the presence of antibodies against their own spermatozoa, poor patency of the vas deferens, surgical or traumatic effects on the genitals, the same bad habits.

It is also possible that a woman who has already given birth cannot become pregnant. This is extremely surprising for her, especially when the first pregnancy and childbirth went without complications, and her health is normal. In this case, think about the fact that, despite the pleasant sensations, the appearance of a child in the family caused difficulties and changed the usual rhythm of your life. Sleepless nights spent at the crib, constant care for him and fatigue caused some stress in your body. Namely, as previously indicated, it can cause infertility. At the same time, unsuccessful attempts to get pregnant further deepen depression and increase stress. After all, it happens that after futile attempts to conceive a baby, a couple comes to terms with the situation, decides to adopt a child, and suddenly the woman becomes pregnant. This is an excellent proof of how important morale and a calm state of mind are.

To restore psychological balance, relieve tension and eliminate depression, depression associated with the inability to become pregnant, contact a specialist, for example, a family psychologist.

But more serious causes of infertility are also possible. To exclude or detect them, contact the antenatal clinic. After the examination, it will become clear what is preventing you from becoming a mother. A number of tests performed will show the state of the body and tell you what treatment you need.

Doctors recommend constantly monitoring the ovulation schedule, especially for older women. After all, conception occurs most often in the period two days before and after it. For most, ovulation occurs on the 12-14th day of the cycle, but it is possible a little earlier. You can determine it with the help of tests or on your own. To do this, carefully monitor the changes in mucous secretions.

Also keep track of the regularity of menstruation. Variations from month to month may indicate that you are not ovulating. This is easily fixed, so seek advice. A regular cycle is an important indicator of the normal functioning of the ovaries and their performance.

Keep track of your basal temperature as well. It will help you learn a lot about the possibility of conception, namely, whether ovulation occurs. If so, the graph will show the temperature increase. He will also determine the level of progesterone. In order for a woman to become pregnant, it is important that he be quite tall. This is evidenced by an increased temperature level after ovulation.

At the appointment, the doctor will offer you to undergo a series of examinations, to pass tests. Do not be surprised if the doctor asks about your "feminine" past. Tell us about whether there were operations, infectious diseases, serious dependence on alcohol, drugs. Past pregnancies are also important, how the process of maturation of the fetus and the birth itself proceeded. Feel free to be honest about your sex life - how often you have sex, how you do it. It is extremely important that the physician get a complete, and most importantly, truthful picture of you and your partner.

You will also be sent for tests to check if your body has enough progesterone, which is responsible for conception and pregnancy.

In addition, the examination includes a postcoital test. It is carried out 6-10 hours after sexual intercourse. The vaginal mucus is examined to find out if it contains antibodies that kill sperm.

If simple tests are not enough, you will have to undergo a more thorough examination in a hospital.

Among the procedures that are needed are a blood test for coagulation, a thyroid gland examination (ultrasound and blood tests, an examination by an endocrinologist), and a karyotype analysis. The latter will help determine possible abnormalities at the chromosomal level.

Undergo an immunological study to exclude individual incompatibility (the presence of antibodies in a woman to her husband's sperm). It is also worth excluding adhesions in the fallopian tubes by passing.

A man is recommended to appear to an andrologist, to undergo a spermogram. It is this analysis that will help to find out if there are any violations in sperm motility, their number, morphology. In addition, too many spermatozoa (polyspermy) are also considered a pathology.

If you have eliminated all the factors that interfere with conception, then seek the advice of another doctor. Let him examine you with fresh eyes. But choose a specialist who has successfully established himself in the field of gynecology.

If you and your husband have no serious problems, then your chances are huge. Practice natural family planning methods. This will bring you closer to achieving your goal. Watch your diet and lead a healthy lifestyle. Include foods high in zinc in your diet. Get rid of bad habits. Also ask your partner not to wear tight underpants and not to overheat, as this reduces the number of active sperm.

Let lovemaking become regular not only in. It has been noticed that there is a direct relationship: an increase in the amount of sex leads to an improvement in the quality of your partner's sperm.

Most importantly, don't lose hope! Less stress and more positive!

Especially for- Maria Bilykovskaya

Infertile women told me at our first chance meeting, when they needed a certificate for donation, or a permit when applying for a job: “I only need this from you, otherwise I have been regularly observed in a private clinic for infertility for several years.” One woman has been observed this way for 10 years in a well-known private clinic in Omsk. In such cases, I certainly say: why should a healthy person be observed for money? Once a year, it is enough to undergo a fluorography and an examination room for free. And if there are problems or a disease, then it is necessary to be examined, find out the cause and be cured!

For those who do not get pregnant, it is important to understand that there is some reason due to which there are no children. After all, as it is written in the Gospel: “God is able of these stones to raise up children to Abraham” (Luke 3:8). Even from stones! Why doesn't God give these people children? Something is preventing it. This is what you need to be sure and calmly find out in order for everything to work out. The reason may be one or several, but it is always there! Most often, there are several causes of infertility at once: hereditary, genetic, hormonal, infectious, psychological, disorders in the hemostasis system, endometriosis. For example, someone may have antisperm antibodies, which is an immunological factor in infertility. Some people have more reasons, some less. At the same time, one of the spouses smokes or even both, and this makes conception difficult, while someone else does not smoke, and this is a more favorable moment in a situation of infertility.

If pregnancy does not occur, then this may be due to hyperprolactinemia, insulin resistance or hyperandrogenism. The doctor-endocrinologist finds out it. It must be borne in mind that the presence of a mustache on the upper lip of a woman does not mean that she has a lot of testosterone. Her testosterone may be normal, and there will be no problems with pregnancy (with conception). With hypertrichosis - excessive female-type hair growth - there are also no problems with conception. My friend L. (Russian) has two daughters, a mustache on her upper lip and very excessive hair on her arms and legs, which L. and her husband do not pay any attention to, although her hair is black.

Those women who too want to have a child do not get pregnant, but this does not happen according to our desire. Sometimes pregnancy occurs after the adoption of a child, when the woman finally comes to terms.

Some women never get pregnant, although they were practically healthy. Scientists have found that with infertility there is an unconscious feeling of hatred for her mother, which a woman identifies with hostility towards herself, and transfers hatred to her own children, fearing that she will subsequently be hated by them as well. And the feeling of guilt and fear leads to the conviction that she will die in childbirth. Women became pregnant after realizing a negative feeling towards their mother, after they began to relate more sincerely to their mothers, or got rid of the fear of pregnancy.

Scientists have found that sometimes perfectly healthy women who are fertile do not get pregnant because they play a male role in life, they like to behave like a man.

Infertile women became pregnant after self-critical reflections and the realization that infertility is to some extent a punishment for previous bad deeds and thoughts that the mother or father is allegedly hostile to them, for fears, for feelings of guilt. Scientists also argue that if there is a tendency to kill in the subconscious, fear, anger, alienation, depression, then this affects the reproductive system. Therefore, love for God, for parents, for people, for children, mercy, compassion, joy and desire to live will help to revive the genes.

Here is a case from life. In 2004, I met 28-year-old A in a hairdressing salon. While cutting my hair, I found out that A. had not had children for 9 years. She was examined, but the cause of primary infertility was not established. A. herself believed that she did not become pregnant because the work of a hairdresser was hard, she was on her feet all day. And because of this, doctors advised her to change her profession. But I questioned this cause of infertility. At the same time, I found out that A. does not love her mother-in-law, since she does not love her either. And A. loved her husband very much, was proud of him, how good he is. She loves her husband, but not his mother. Weird. After all, her mother-in-law gave birth and raised her husband for her, who, by the way, will be a grandmother to her children. In her future children - genes and her mother-in-law. How can you not love her?

It would be more correct to thank the mother-in-law for raising her son, who became a real man (he is a military man, an officer). We discussed with A. how to love the mother-in-law. A. doubted success, but listened to my advice. And after 3 months, A. became pregnant and then gave birth safely. I call such situations like this: hatred blocks genes. And I think that God sometimes does not give those children where there is a lot of negativity in the genes, so that it does not increase even more in children. But this is a fixable situation.

The reasons for infertility can be, for example, because of resentment against God: “She gives children to others” or because of resentment against her husband: “She smokes and does not want children.” And if everything is normal, but the pregnancy does not work out, then you need to put up with it, remember your talents and discover them, do creative work or fitness, do physical exercises in the morning, gymnastic exercises or run in the morning. You can not sit, cry and feel sorry for yourself.

Now they often say: "I'm already 40 years old, where to give birth, I'm already old." But we must look not at age, but at the way of life. Everyone knows from the Gospel about the Immaculate Conception of the Virgin Mary. Therefore, there is also a vicious conception? A sinful woman gives birth to a sinful soul? And the Bible says: “Behold, I was conceived in iniquity, and in sin my mother bore me” (Ps 50; 7). The offspring of a vicious woman will be different from that of a chaste mother. Archpriest Andrey Tkachev reminds us that the prophets say: “They will fornicate and not multiply” (Hos 4:10). That is, there will be lust, but children will not be born, God will not bless the children.

Children do not appear according to our desire On the contrary, it often happens that the fact of pregnancy is taken by surprise, when pregnancy is not included in the immediate plans, people want to live for themselves, they are protected. The Bible says that God said: “Be fruitful and multiply” (Genesis 1:28), but is this what marriages and families are created for now? Until recently, the couple, having got married, immediately wanted to have children. Now it's not. With children, modern women increasingly want to wait, put off such an important matter, using contraceptives, which limits their reproductive function for a long time, creating a period of artificial infertility.

We were taught at the medical institute that the optimal age for having children is 21-23 years old, while youth is health. But in life, many take birth control pills for years, and then it turns out that they are infertile. I met patients who were from 30 to 43 years old, with a long period of infertility from 7 to 13 years, and they did not go anywhere for examination and did nothing to clarify the question: why they did not have a pregnancy. But such an important issue of childbearing cannot be left “for later”, because a period may come when illness or injury overtakes. Everything happens in life. Therefore, it is necessary to give birth on time. And if pregnancy does not occur within a year of regular married life, and there is no contraception, then you need to go to the doctors for an examination.

Undoubtedly, the success of a favorable conception depends on many internal and external factors. For example, there are no children because there is a genetic incompatibility of the spouses, that is, he took the wrong person as a spouse, not his own, but someone else's, the spouse was chosen incorrectly. There are cases when there were no children in the family for a long time, but after the spouses parted, the children appeared in new families for both the husband and the wife. Here are my observations from life. Two healthy women aged 33 and 35 became pregnant a month after the death of their parents and safely gave birth to two children within two years, one after 13 years and the other after 14 years of infertility.

And what people say is very important. So many infertile spouses say: “We really want a child” and wait for the fulfillment of this desire for years, doing nothing, until their psyche begins to suffer. Feel the difference between the words "we want a child" and "we love children." The phrases “we want a child” and “we want children” at first glance seem to be about one thing. But life shows that they carry a different meaning literally: they want to have only one child, or they really want to have several children. So they say. In the words "we want a child" there is, firstly, a desire (I want and that's it! I really want it!), And not love. Secondly, these words carry the desire to have a child, but only one, and if you put it in other words, this means that you want to have only one pregnancy and that's it. After all, it is known that words materialize. When they say “we love children”, then they really love them: their own and others. As they say, there are no other people's children. People who truly love children help and love other children, not just their own.

There have been many times in history when barren people prayed all their lives and gave birth to children in their advanced years. We know from the Bible that Abraham and Sarah were childless for a long time: “But Abraham and Sarah were old and advanced in years, and Sarah’s habit of women ceased” (Genesis 18:11). Nevertheless, when Abraham was 100 years old and his wife Sarah was 90 years old, their first child was born. Isaac prayed for 20 years for his barren wife Rebekah, and when he was 60 years old, she bore him twin sons (Genesis 25; 19-26). Through the prayers of their parents, the Most Holy Theotokos, John the Baptist, St. Nicholas the Wonderworker, Alexander Svirsky and other saints were born.

Moreover, the development of a new human life is also possible under the influence of God's grace, as happened with the Most Pure Virgin. At the age of 14, Mary gave God a promise to remain forever a Virgin, and then she was betrothed by priests to 80-year-old Joseph, who guarded Mary's virginity. And soon the Archangel Gabriel announced that to be Mary the Mother of the Son of God. Mary did not know her husband, and the Archangel said how this would happen: “The Holy Spirit will come upon You, and the power of the Most High will overshadow You.” With God everything is possible.

The Bible says that the Lord "sets a barren mother in the house, rejoicing over children" (Ps 112: 9). And it is. I knew a childless woman who, at age 40, married a widower with three children and took care of her grandchildren. And the Apostle Paul wrote: “Rejoice, barren, barren; exclaim and exclaim, who was not tormented by childbirth; because she who is left has more children than she who has a husband” (Gal 4:27). What do these lines mean? Maybe, having given birth to a child, a woman directs all her love to him alone, and a childless woman loves every child who is nearby?

Not all people have children. And so mankind invented artificial insemination, conception "in vitro", outside the mother's body. In the twenty-first century, new reproductive technologies continue to evolve as the number of infertile marriages rises. A new specialty of a reproductologist has appeared, which deals with assisted reproductive technologies (ART). The federal program allocates quotas for ART, but there are few of them, and the age of women referred for IVF at the expense of the state is limited to 38 years. And although a woman can become a mother at almost any age at her own expense, rejection of even the highest quality embryo or its intrauterine death can occur if the causes of infertility or miscarriage were not identified and eliminated before IVF. There is an algorithm for examining women with infertility. It is necessary to identify and eliminate the cause of infertility, because if the cause of infertility is not identified and eliminated, then when pregnancy occurs, it can most likely terminate it. And if pregnancy does not occur, you still have to look, something has been missed - there must be a reason.

Women who smoke are more likely to be infertile than non-smokers. Smoking is harmful regardless of the number of cigarettes. Spouses who want to have children should completely exclude smoking, alcohol, and drugs. And also it is necessary to exclude overheating in baths and saunas, visits to the solarium and infrared cabins. It has also been proven that with daily use of several cups of strong coffee, the probability of becoming pregnant is reduced by 25%.

You need to know that the microflora of the partners is the same, therefore both need to be treated. And if infertility is due to infections or diseases (endometriosis, for example, or tuberculosis of the female genital organs), then it is necessary to be examined and cured, including by a phthisiogynecologist, who will tell you when to do PCR or culture of menstrual blood for mycobacterium tuberculosis to exclude infectious process in the female genital organs. After all, it is believed that infertility in women, which cannot be cured (eliminated), in 20-25% of cases occurs due to tuberculosis. And women who smoke need to know that nicotine is present even in the mucus of the cervix and in the fluid of the ovarian follicles, and they are most likely to have fallopian tube tuberculosis.

To exclude endometriosis of the uterus, a transvaginal ultrasound should be done on the 5-7th day of the menstrual cycle. If endometriosis of the uterus is detected, its treatment is successfully carried out. There are now enough drugs for his treatment, all give a good effect. It is necessary to look for the cause of infertility by different methods and not stop until it is found. It could also be hyperhomocystemia. Or it just doesn’t work out for “technical” reasons: someone simply doesn’t have a husband, or the uterus can be tilted backwards, while the cervix is ​​located upwards, closer to the womb. Indeed, most often the cervix is ​​\u200b\u200blocated in the posterior fornix, exactly where the sperm is poured, which favors conception in the position of a woman, lying on her back. And when the cervix is ​​located upward, the position of the woman, lying on her stomach, is more favorable for conception.

And more information for those who cannot get pregnant: the egg is capable of fertilization only during the day! And if there was no intimate contact on this day, then pregnancy will not occur. Or, conversely, some infertile couples "make babies every day." But sperm cells mature in 72 hours, and an immature sperm cell does not have the strength to fertilize an egg. Marriage for conception is desirable with an interval of 3-5 days with the definition of an ovulation test, because the egg is viable for only 24 hours, and you need to know this day and have time to get pregnant. At the same time, it must be borne in mind that conception is not recommended during the days of Orthodox fasts and holidays.

It is believed that on the 14-16th day from the first day of the last menstruation, ovulation occurs - the release of the egg into the abdominal cavity, but every woman ovulates on different days. That is, ovulation can occur immediately after menstruation, or maybe on the eve of the next one. To establish the presence and fact of ovulation, a woman needs to measure the rectal (basal) temperature in the rectum every day for a month, without getting out of bed. So, when a woman measures her temperature, which rises by 0.7-0.4 ° C before ovulation, it is possible to find out the presence or absence of a normal two-phase menstrual cycle. If there is no this temperature peak, then there is no ovulation either, which means there can be no pregnancy, this is an obstacle to conception. The temperature is measured by inserting a conventional mercury thermometer into the rectum to a depth of 2 cm, for 5-7 minutes. It is necessary to write it down, but it is better to sketch it in the form of a graph, as a temperature curve is drawn in a hospital. You can determine the day of ovulation both by measuring rectal temperature and by using an ovulation test, which is sold in a pharmacy. If there is ovulation, but conception does not occur, the reason is different, and you need to look for it further. In the absence of ovulation, an obstetrician-gynecologist will prescribe treatment to stimulate ovulation.

What should be done? First you need to be examined. In large cities, this can be done in special centers. Sexually transmitted infections can lead to infertile marriages or pregnancy losses. Sometimes infections enter the genital tract from a previously infected sexual partner. Active youth, casual relationships in the past do not instruct men and women to be examined for infections before marriage. For example, such a case from my practice: wife K. is 33 years old, primary infertility is 5 years old, Epstein-Barr virus, viral hepatitis C was detected, her husband has a herpes infection. Only when they were treated, the long-awaited pregnancy came.

Therefore, women with infertility or inflammation of the appendages in the past should be screened for infections: cytomegalovirus infection (CMVI), genital herpes (HSV), chlamydia, mycoplasma, ureaplasma, papillomavirus infection and Epstein-Barr virus, gardnerellosis (PCR from the cervical canal) . The examination is not cheap, therefore, if something is detected, then it is necessary to be treated immediately, and not also look at quantitative analyzes. Then it will be even more expensive, and as a result, doctors do not advise to be treated if, for example, viruses are found in the amount of 10². But it has been found! Today in the analysis 10², and tomorrow after stress or hypothermia, everything can worsen, and it will be 100 times more. Who knows?

At the same time, I recommend saving on money and not immediately examining the husband, but being treated together with the husband with the same drugs, if something comes to light. Sometimes the couple decides for themselves which of the spouses will be tested for infections. But more often it is a woman. It is psychologically more difficult for a man to do this, although it is not easy for a woman. Important, that? It is necessary to take tests then and prepare for delivery so that there is a result. If a woman is going to be tested, then the preparation should include some important points so that the money is not wasted. Before taking smears from the cervix for infections, it must be borne in mind that the more discharge there is, the more likely the cause of infertility and miscarriage will be revealed. If the analysis will be taken from the urethra, then you can not urinate for two or three hours before taking smears. And after taking a bath and after douching, there will also be no discharge, and then the analysis will not work, that is, it will be false negative. Infections worsen before menstruation and after taking spicy and salty foods. Therefore, I recommend 7 days before menstruation to start eating garlic, pickles or tomatoes, herring for three days to exacerbate the infection. This will be a double provocation for the infection. I recommend washing these days in the shower, and refraining from intimate relationships, since sperm affects the analysis. By the way, you don’t have to drive your spouse, as many women do, to take a semen analysis. Firstly, it is difficult and humiliating for a man, and secondly, most often these are not problems with sperm, as such, but the presence of infections that are not detected in semen. I advise you to take a semen analysis last, when the stage of examination for infections and hormones has already been completed, but nothing has come to light.

Both spouses need to understand that sometimes too much hatred towards men or women accumulates in the family, and this prevents children from being born. You need to repent that you once did not want to have children (due to studies or lack of an apartment - this does not matter). And the wife is also in the fact that she once envied the boys: “It’s good to be born a boy, it’s good for men: there are no periods, and you don’t need to give birth.” Then the woman will wonder why she can’t get pregnant, and in her blood she has a high level of the male hormone testosterone, and few female hormones, so her periods are gone. All this is due to dislike for yourself as a woman. You need to love yourself for who you are: without makeup, real. After all, the man loves her, but she does not love herself.

Infertility can also be caused by micronutrient deficiencies. Contributes to infertility and ovarian dysfunction, such as manganese deficiency. It has been scientifically proven that in the body of modern people there is an excess of tin, aluminum, lead, cadmium (food dyes, exhaust gases), and they can cause various diseases. Lead poisoning reduces a man's fertility. Cadmium is able to be absorbed in the tissues of the uterus, and the fetus accumulates cadmium from the mother's blood through the placenta. At the same time, the absorption of cadmium in women is 2 times higher than in men, and in the fetus and newborn is higher than in adults. Unfortunately, toxic trace elements do not undergo self-purification processes, but can only be displaced by antagonist metals.

Or the reason for infertility may be that the woman was fond of or engaged in magic (or her ancestors). All this together reduces the likelihood of conception. If someone cannot get pregnant after a medical abortion, reproaching himself, or after an abortion loses subsequent pregnancies, then the way out is in repentance. In an Orthodox church, a priest reads a special prayer over such a woman. Confession, communion, alms help. As Saint John of Kronstadt said, almsgiving covers many sins.

Blood hormones are examined (TSH, prolactin, total testosterone, FSH, LH) and for a lupus test. And you also need sanitation of the oral cavity, regular feasible physical exercises, exclusion of contact with dyes, pesticides, solvents, household chemicals. 3 months before the planned pregnancy, it is recommended to take vitamin E in the 2nd phase of the cycle in a capsule per day, folic acid at a dose of 400 mcg per day and magnesium preparations in courses of 6 weeks.

Spouses need to realize that they are still young, they are not 90 years old and they will succeed. Someone thinks that "already age." But 27-35 years is not old age. For those who consider themselves old, conception is difficult. Both the fear that there will never be children, and the excessive desire to have children prevent a woman from becoming pregnant. It is better to mobilize: what else needs to be done, what to be examined, who else to consult, etc. Try to multiply the love for your parents and for the children of other people.

It's not always the woman who's the problem. If quite recently the proportion of male infertility was only 5%, and now - 40%, and mutual - 20%. In modern men, fertility is declining: the number of spermatozoa and the volume of sperm are decreasing, its quality is deteriorating, and in smokers, the number of immobile spermatozoa is increasing. About 60% of men with chronic inflammatory processes suffer from infertility. With male infertility, it is necessary to be examined and treated by doctors: an andrologist, a venereologist, an endocrinologist, maybe even a sexologist. To improve the male seed, there are now drugs that increase the number and motility of spermatozoa, and this increases the chance of successful conception. And if a man also quits smoking, the effect will be even better.

Some varieties of modern "live" beer contain an increased amount of natural plant hormones, under the influence of which men have a belly like a pregnant woman, and his spermatozoa lose their strength, which makes it difficult to conceive. In addition to testing for infections, the husband needs to determine the hormones in the blood - TSH, prolactin, testosterone, sex-binding hormone, and make a spermogram. And in case of deviation from the norm, find strength in yourself with the support of your wife and undergo the necessary treatment. What won't you do for the kids?

The food of spouses who want to have children should be predominantly plant-based, as this increases the metabolism and the level of prostaglandins. Prostaglandins F2a and E2 are involved in all processes occurring in the reproductive system: regulation of the menstrual cycle, peristalsis of the fallopian tubes, ovulation, uterine tone, egg advancement and sperm motility. Now doctors often prescribe ultrasound, make them repeatedly do folliculometry. The result is expensive and inefficient. As I say: ultrasound does not heal, and people of the 20th century lived without ultrasound, and managed. But many women often do ultrasound themselves, but they don’t go to the doctors, and they don’t read the ultrasound result themselves. And why then do an ultrasound if the doctor is not shown? Ultrasound should be prescribed by a doctor: what to watch

A case from my practice in 1985-1887, when I worked in a rural hospital. In my gynecological department at different times, two sisters L. and N., who suffered from infertility, were treated and examined. They were married, their surnames were different, so I had no idea that they were relatives (second and third child), in total their mother had 11 children. The oldest N. was 34 years old, she had previously been unsuccessfully examined in Omsk for infertility at a family planning center, and therefore, by that time, she already wanted to adopt a child.

When a clearly hormonal cause of infertility was revealed in L. and N., they became pregnant from the very first month of taking the drugs. They enthusiastically thanked me and asked me to help their third sister, N. Of course, I agreed, but N. herself did not believe in the success of the treatment. And the treatment had no effect, N. did not become pregnant. But in January 1987, N. showed such a decrease in hemoglobin in the blood that she was hospitalized for examination in the surgical department of the Central District Hospital. It didn't even occur to me to repeat her blood test before ovulation stimulation, because N. had previously undergone an examination and looked so ruddy and beautiful. But it turned out that she always had beautiful makeup, with which she smeared very pale skin! I wondered how N. with such low hemoglobin worked, standing all day on her feet (she worked as a salesman). They restored her hemoglobin, only by pouring someone else's blood into her!

When N., healthy, was discharged from the hospital, I recommended that she undergo treatment again. She assured that it would be as useless as the past three months, but then she decided. She had nothing to lose, but what if she succeeded? And from the first month of treatment, N. immediately became pregnant! Hooray! And in November, N. had already successfully had a caesarean section in the regional maternity hospital. All three sisters gave birth in 1987 to healthy children. And their mother came to meet me with gratitude and brought her fourth daughter to me for treatment.

As an Orthodox person, I recommend that unbaptized people be baptized in an Orthodox church. The word "sin" in Greek means "damage to the soul." So you need to think about the soul, why it suffers and there are no children. You need to regularly confess and take communion, ask the Creator to give children, travel to holy places, help other people's children.

In the distant past, people waited for God to give a baby and prayed. And modern people who do not have children, having passed the necessary examination, go and pay a lot of money in a clinic where they will “make” a child. Someone will succeed, but someone will not be lucky, this happens when they want to bypass the Creator. It seems that everything is so simple: ask the Lord why there are no children; find out from Him the cause of infertility and eliminate it; ask God to give a child, and then accept it, a child sent by the Creator. Orthodox doctor and medical psychologist Zorin K.V. in his books he writes that if God does not give children, then there is a good reason for this. Stubbornness and selfishness can be the cause of infertility, because of which God does not fulfill the excessive desire to have children. The motives for conception are very important. What guides people when they want to have children? Zorin K.V. writes about other causes of infertility, for example, like 31-year-old Natalia, who was married for 8 years, but had no children. Once Natalya, after reading a book about the Holy Matrona of Moscow, suddenly realized that she had no children because her mother had abortions. On the same day, she called her mother in another city and, having expressed her pain to her, asked her to go to church and repent. Mother said that all this was not true, she would not go anywhere and she had nothing to repent of. But some time passed, after prayers and reading an akathist to Saint Matronushka Natalya, her mother called and pleased that she was in the temple, repented to the Lord Jesus Christ. And soon Natalia became pregnant and gave birth to a son.

In 2006, I happened to be in the company of several elderly women. Two of them never had children. Other children frolicked around us. Children ran back and forth, played ball, talked to each other. Normal healthy and mobile children, ordinary noisy ball games. All parents have gone through this and are used to it. But the childless old women could not bear it: after a few minutes they began to resent where the parents of the children were looking, they must be immediately pacified. Further - more, cute-looking old women began to wish death to children ... It was obvious that there was no love for children in their genes. Oh, not in vain they were barren, not just all this.

In 2008, I supervised a 30-year-old patient I. Here is her life story. Grandmother I. gave birth to 6 children, and her mother had one and had 8 abortions. Her maternal aunt is infertile. I. had sex since the age of 16, she took rigevidon contraceptive pills for 5 years, and did not want to have children. And when she wanted to, she could not get pregnant, then there were 9 years of infertility. The woman I. was Orthodox, she married her husband, but when I saw her, the level of fear of losing the pregnancy in I. was extremely high. She refused to see a doctor on a gynecological chair, from taking vaginal swabs for analysis by a midwife, even from an electrocardiogram (ECG). And at the same time, I. really wanted to have a girl (and this is self-will). What if she had a boy? Lack of faith and distrust of God did their job: in the period of 14 weeks, I. had a miscarriage, and on the eve of this, her chorion detachment began to increase steadily and reached a size of 75 mm by 29 mm. At the same time, doctors were powerless to stop the process of rejection of the fetus by the mother. But after suffering, I. realized her mistakes and listened to my advice. And we both believed that with the new pregnancy she would succeed, because the organ is in place and I. succeeds in getting pregnant, only you need to be able to keep the pregnancy until the full term, even a boy, even a girl - everything is one joy.

It is known that many infertile women undergo sanatorium treatment (mud therapy, hydrogen sulfide baths). But not all of them know that radon baths reduce ovarian function, and after an exacerbation of a chronic inflammatory process, one cannot go to the resort for three months. No matter how much you would like to quickly acquire offspring, you must remember that after a spa treatment you cannot become pregnant for two months, as practice has proven: there is a high risk of ectopic pregnancy. I had such patients who had to be operated on after the spa. For some reason no one had warned them before. It is also important that if the spouses are undergoing medical treatment for any disease, it is better to conceive a child two months after the end of treatment. After all, it is only from the blood that the drugs are quickly excreted, but not from the cells: this process takes at least two months.

Now some women have begun to say: give birth, so give birth, as much as God will give, as soon as the opportunity for this appears. And in the Bible, for example, it is written: “Do not desire a multitude of worthless children and do not rejoice over the sons of the wicked. When they multiply, do not rejoice over them if they do not have the fear of the Lord. Do not rely on their lives and do not rely on their multitude. Better one righteous man than a thousand sinners, and it is better to die childless than to have wicked children” (Sir 16:1-4).

In June 2013, I read in the Omsk Orthodox newspaper Annunciation about how, after a trip to the belt of the Most Holy Theotokos, three female pilgrims from the group gave birth to long-awaited babies after a long period of infertility. And at the end of 2013, I gave my friend V. (for the new year) my book “Blessed Birth”. And her daughter L. brought this book to her office to make a photocopy of one chapter. Her colleague saw this and wanted to read the book, as her daughter had infertility. In my book, a colleague L. read a story about 27-year-old O., who had already had two pregnancy losses, had hormonal disorders, and O. had been unsuccessfully treated by an endocrinologist-gynecologist for several years. I then found out that she and her own mother were enemies, and after reconciliation, the hormones in O.'s blood became normal.

So. It turned out that colleague L. had the same situation in life: they were also in a quarrel with their daughter. After reading about this, the mother herself went to her daughter to put up, and gave her to read my book “Blessed Birth”. And already at the end of April 2014, L. called me and told me the good news: her colleague's daughter will give birth in October! Interestingly, a colleague, having told all this to L., asked her: “Do you think this is just a coincidence?”, But L. firmly replied that this was no coincidence, but it was as if the book had helped.

It is clear that without the participation of a man, a woman will not be able to have a child, well, except by IVF. In 2009, I was asked to consult P., who, according to him, had "dead sperm" and wanted a child to tears. But at the same time, P. did not believe that he would have children. Since, after a trauma to the genital organs, P. underwent surgery, and believed that the doctors were to blame, they bandaged him wrong: “They didn’t sew it that way.” I questioned this reason: the doctors helped him, in fact, and the cause of infertility does not happen alone. What should he do? It turned out that this infertile man smokes a lot, he was not examined for sexually transmitted infections, he did not determine the level of his hormones in the blood. And P. did not undergo any other examination by doctors, and did not plan to quit smoking. But the desire to have children alone is not enough. P. had to undergo a complete examination, if necessary, eliminate the identified infections, and be sure to quit smoking. That is, it is necessary to "revive the sperm", as he wants IVF to help.

Without a doubt, there is always a reason, finding out and eliminating which, many women can become pregnant naturally. But sometimes people, without finding out the cause of infertility and not eliminating it, naively believe that they can easily get a child for money and then do in vitro fertilization (IVF) 4-5 times. So, in the spring of 2010, I supervised a smoking pregnant 34-year-old Z. after IVF, who first learned from me about the dangers of smoking. But even after that, Z. did not part with her addiction, although the woman had no children. Z.'s husband was also a smoker. It is known that smoking makes it difficult to conceive, but many smoking infertile spouses or those who have lost a child before do not even try to quit smoking, and thereby increase the chance of having a child. Well, why smoke, risking losing such an expensive pregnancy? And if earlier women who underwent removal of the fallopian tubes went to IVF, then modern women go to IVF with intact organs and unexplained causes of infertility. And someone gets pregnant without IVF, if God's help is added to the efforts of doctors. Relying only on money and high technology is not worth it.

For some, IVF does not help. For example, such a case from my practice. The couple, due to the infertility of their husband, which they did not even try to treat, turned to artificial insemination. They just paid for donated sperm. And so three times. For the first time, artificial insemination with donor sperm ended in a miscarriage at 16 weeks of pregnancy. I happened to meet this woman when N., at the age of 27, after the third artificial insemination with donor sperm at 18 weeks of gestation, had sutures on the cervix. N.'s desire to have a child was excessive. I think that a woman would not be so worried if the reason for which she and her husband had not had children before was eliminated.

With God's help, many things can be improved. Priests advise that if the Lord does not give children (even through IVF), do not despair. It is necessary to pray to the Lord, the Most Pure Mother of God and the saints who have been waiting for children for a long time. These are the forefathers Abraham and Sarah, the righteous parents of John the Baptist Zacharias and Elizabeth. Prayers to the Monk Savva the Sanctified, who was a strict monk, also help, but pieces of a palm tree planted by him in the Holy Land (they are distributed by monks at the entrance to the Lavra) help with infertility. Spouses also read a prayer for the gift of children. After all, children are a gift from God, a gift, a reward, just like a caring husband who loves children. It's good when everything fits together and works out well. But if not, it's no coincidence.