Can't get pregnant while ovulating. There is ovulation, but pregnancy does not occur - the reasons. Deviations in men's health

It often happens that, according to the analysis healthy couples who want to have children, but, having lost faith, lose hope. A woman carefully monitors the state of her body: she discovers that there is ovulation, but pregnancy does not occur. Why is this happening?

natural process

Ovulation is the release of an egg from the ovary. This occurs before the onset of menstruation (for any length of the cycle) for 12-16 days. With a 28 day cycle, ovulation usually occurs in the middle. For shorter or long cycle the duration of the first phase, that is, the pre-ovulation period, changes.

So, pregnancy occurs if intercourse occurs from the 3-4th day before ovulation (since spermatozoa are able to live for 3-4 days) and ending with the last day after ovulation (after all, the egg is viable for up to 24 hours).

Trouble signal

If a woman does not get pregnant, despite the presence of ovulation, other causes of infertility should be looked for. In other words, ovulation is an indicator of a woman's health, and if it is not there, therefore, there are some disturbances in the body.

In addition, it should be noted that it is on these days that the egg meets the sperm. For example, if a man has abnormalities in the spermogram: sedentary spermatozoa and there are very few of them. Then it is highly desirable that sexual intercourse occurs a day or two before ovulation, and you should refrain 3 days before that (in this case, the concentration of spermatozoa and the chances that one of them will be able to reach the egg increase).

How to recognize ovulation

The signs of ovulation are quite subjective, but it is impossible not to notice them. In particular, during the period of ovulation, many of Eve's daughters note an increase in libido. In parallel with this, in the middle of the cycle, tingling sensations or nagging pain. There may be streaks of blood in the discharge.

In addition, the consistency of the vaginal mucus changes: more viscous and viscous, its amount increases. Then, after ovulation, the volume of mucus is much reduced.

In addition, you can judge the presence of ovulation by observing the menstrual cycle. As a rule, if the cycle is regular, then, accordingly, ovulation happens constantly. If the cycle is irregular, then it is either absent altogether, or it happens every other time. On the other hand, regular cycle does not at all guarantee the presence of ovulation, while irregular does not 100% indicate its absence.

In addition, the presence premenstrual syndrome(PMS) - engorgement of the mammary glands, a slight weight gain in the second phase of the cycle - is also observed during ovulation.

Non-medical problems

It is believed that in order for pregnancy to occur, one should take care of the baby during the period of ovulation, babysit him, change his diapers, shake his arms, then the body seems to tune in to the right wave. The most striking confirmation is the example of the Ukrainian Olympic champion L. Podkopayeva, who soon became pregnant after adopting a child from an orphanage.

Or, for example, you need to drink something from a mug of a pregnant woman or eat something from her plate.

In addition, there is such a term as psychological infertility, when problems with the onset of pregnancy are possible even with regular ovulation. No wonder they say that in order for pregnancy to occur, parents must really want a child.

Almost everyone strives to feel the joy of motherhood. When planning a pregnancy, many women are increasingly interested in such a thing as ovulation. And for good reason, as understanding the process will help speed up the conception of a child. But it also happens thatthere is ovulation, but pregnancy does not occur, the causes of the phenomenon in this case are not so easy to establish.

Read in this article

What is and how does ovulation occur?

The process of ovulation occurs when a mature egg leaves the ovary, which as a result confirms the body's readiness for pregnancy.

Since birth in female ovaries there are more than a million eggs. Each of them has its own shell - the follicle, where they "live" until the girl's puberty, and then wait for their time to exit. Many of them do not mature and eventually die. For the period of validity reproductive function in a woman's life, only 400 - 500 mature eggs remain, ready for ovulation.

Ovulation can be observed around day 14 menstrual cycle. The time of ovulation does not last long, only a few minutes. An egg free from the follicle can be fertilized throughout the day, and if during this time it meets spermatozoa on the way, then the conception of the child will take place.

If fertilization has occurred, then the cell is sent along fallopian tube into the uterus and attaches to its wall near the ovary where it grew. Thus, pregnancy occurs. If the fertilized egg, which after division will turn into an embryo, fails to enter the uterus, menstruation will occur and it will be released from the body.

Sometimes multiple eggs ovulate, which can lead to the birth of fraternal twins.

What are the reasons for not being able to conceive during ovulation

To increase the likelihood of conception, some couples are advised to concentrate their attention and efforts even before the onset of ovulation. If a woman has an ovulation process, and the spouses regularly have sex, then most often a long-awaited child is born. But many are often tormented by the question: why does pregnancy not occur if there is ovulation?

To begin with, both spouses need to undergo a qualitative examination by a good specialist. As a result, it is possible to determine the female and male factors influencing this.

Female Factors:

. It may arise due to nervous exhaustion or a small cold. Or there are problems with e women.
. Negative reaction the female body male sperm, resulting in rejection and failure.
Inflammatory or chronic diseases female genital organs, improper douching are the reasons why pregnancy does not occur.
Lack of regular menses.
Inflammation and. Defective and untimely maturation of the follicle, which takes part in ovulation. This can be determined by ultrasound examination.
or infection of the uterus. The cause of the occurrence can be inflammatory processes, ectopic pregnancy, surgical intervention and others. Most often in initial stage of these diseases, a woman may not assume a problem. A special procedure, hysterosalpingography (HSG), will detect the lumen in the fallopian tubes and determine how freely a mature egg can move.
Endometriosis of the uterus. A disease in which tissue similar to the endometrium spreads around the lining of the uterus, where adhesions and can form over time. Availability inflammatory processes and scarring will also cause infertility.

Male Factors

Insufficient percentage of strong and mobile spermatozoa. This indicator is determined by and must be at least 50%. The reason for the insufficient number of motile spermatozoa can be: age, transferred infectious diseases, overeating strongly spicy food and others.
Diagnosis. It manifests itself in the form of an expansion of the seminal canal or venous vessels testicles. Spermatozoa are very susceptible to elevated temperature and overheating of the testicles, which adversely affects the ability of fertilization.
Various diseases. The cause of male dysfunction is his past. Promiscuous sexual intercourse entails the presence of an infection in the body, which can be transmitted to a woman. The most common among them are gonorrhea, syphilis, trichomoniasis.

Even one of these factors can be the reason that affects the lack of pregnancy even in the presence of ovulation.

How to correctly determine ovulation

A few days before the ovulatory period, the composition changes vaginal discharge: they turn into more mucous, abundant and transparent. Under the influence of estrogen hormones, the cervix prepares for the meeting of spermatozoa and secretes a mucous plug. Due high content in the blood of the hormone estrogen, a woman can feel increased sexual desire and emotional uplift. These are the days favorable for conception.

The presence of estrogen also affects, which is measured in the morning without getting out of bed, inserting a thermometer into the colon. Under the influence of the hormone, the temperature before ovulation drops by several degrees.

As a result, we can highlight the symptoms that will be noticeable to a woman:

copious, translucent vaginal discharge;
pain in the ovaries;
decline basal body temperature;
increased sexual activity.

There are several basic methods that will help you learn how to determine ovulation:

calendar method. It will be relevant with a regular menstrual cycle. If the cycle length is 28 days, then ovulation will begin on the 13-16th day. If the cycle is 30 days, then on the 14th - 17th day.
Carrying out ultrasound diagnostics. It will allow you to observe how the follicle matures in the ovary, from where the egg will later come out. It is necessary to undergo at least three ultrasounds for this procedure.
Filling in the basal temperature calendar. Measured every morning by inserting a thermometer into anus and noting the results. At the end of the cycle, the temperature is 36.6–36.9°, before ovulation it decreases slightly, and then jumps sharply and remains in the range of 37.0–37.3° until the start of the next cycle.
Usage . They are able to determine the amount of luteinizing hormone that is contained in the urine.

An important question for many remains the question of whether it is possible to get pregnant before ovulation. If sexual intercourse was performed before the egg left the follicle, then pregnancy is possible, but conception itself occurs after. If the vagina is present alkaline environment, then it will positively influence the fact that the sperm can live in it as long as possible and wait for the release of the egg. To increase the chances of conception, it is necessary to lie down with raised buttocks after making love and not douche.

What Sex Positions Will Increase Your Chances of Getting Pregnant

After repeated attempts many couples do not have the desired conception of a child. The problem may not be related to health at all. If you follow simple techniques and recommendations, then in the near future it will be possible to enjoy a long-awaited pregnancy.

Regular intercourse

To increase the chances of conception, you need to have sex 3 times a week. Often a married couple has sexual intercourse only during the period of ovulation, but we must not forget about the "normal" days. Many women ovulate "out of schedule", so there is always a chance of getting pregnant.

Having intercourse before ovulation

During the period of the entire cycle, there is a period of time when conception can occur. Within a day after the moment of ovulation, fertilization of the egg can occur.

Making love 2 to 3 days before ovulation increases the chances of pregnancy. The reason for this is the life span of spermatozoa, which can live in the body for several days. You can not expect the onset of ovulation, but have sex a little earlier, since the sperm will still function in the body for several days, and conception may occur.

Don't Forget the Pleasure

With frequent unsuccessful attempts to become pregnant, sex between partners becomes more familiar and mechanical. You must not forget about the preliminary games and try to diversify your sex life.

A romantic evening or a sex toy will help with this. strong arousal also has a good effect on the commission of conception. Joint orgasm with partners plays an important role. During it, the cervix rises and does not interfere with the path of spermatozoa. The brighter the male orgasm, the better quality sperm.

Use correct postures

The optimal position for conception is missionary, when a man is on top, and its various options. For best effect you can put a pillow under your buttocks during sex so that they are slightly raised.

It is better not to experiment with the “woman on top” position, since the sperm in this case easily flows out.

Do not engage in oral sex

The results of many studies show that the action of saliva can adversely affect the quality of sperm. Therefore, it is better to refrain from oral pleasures so as not to leave saliva on the genitals.

How to increase your chances of becoming parents

The possibility of a desired conception can be influenced by many factors, such as living conditions, nutrition, social problems, abundance chemical substances. But there are certain actions that will help increase the body's ability to get pregnant:

refusal to accept;
determining the exact period of ovulation;
regular sex;
strengthening physical health;
the use of products that promote conception;
abstinence from antidepressants;
rejection alcoholic beverages and nicotine addiction;
artificial insemination. Before proceeding to drastic measures, you can try folk methods. For example, you can learn from our article, which has been known for decades for its magical properties. In addition, the article describes the most relevant recipes for its preparation, and also indicates to whom it is not recommended for use for health reasons.
To achieve the desired result, and attempts to conceive were successful, you should never give up and give up. The main thing is to try to change your habitual behavior and lifestyle, especially sexual. And fate will definitely give you a chance to become happy parents. It’s a paradox, but for many couples the cherished two stripes on the test appeared exactly when they didn’t expect them at all!

Collapse

Having decided to have a baby, many women hope for quick results, that is, getting pregnant at ovulation. Indeed, if both partners childbearing age mentally healthy and ready for the birth of a child, why not conceive after the first act. However, as statistics show, not everything is as smooth as we would like. And very often couples are faced with a situation where the test results are good and there are no health problems, but the pregnancy has not occurred.

Reasons for not being pregnant

Before getting upset and jumping to conclusions, a woman should make sure that ovulation in her body really occurs.

For more successful attempts at conception, a woman needs to make sure that she has ovulated at least once.

If a woman has regular periods and there is one hundred percent certainty that an egg is being formed, the causes of infertility may be as follows:

How to accelerate the onset of the desired pregnancy

The fact that the partners are healthy and the woman is ovulating significantly increases the chances of conception. If it's not, partners should go preliminary examinations and course of treatment. Optional for successful conception some guidelines can be applied.

Poses for successful conception

If there is ovulation, but pregnancy does not occur, it is worth reconsidering your approaches to intimacy. Varying positions during sex can help couples to conceive. So, the most effective postures for early fertilization are:

Position on all fours (doggy style). This position ensures the fastest penetration of the sperm to the uterus due to the possibility of deep penetration of the penis.
Classic pose "Missionary". Provides convergence of the uterus with the penis, increasing the chances of conception.
"Spoons". A man and a woman lie on their sides. The partner is arranged behind, the couple resembles spoons nested in each other.
Back position. A variant of the doggy-style pose. The only difference is that a woman lowers her breasts onto a plane (usually on a bed), and raises her hips as much as possible.

After ejaculation, a woman is not recommended to get out of bed for about half an hour. Ideally, having sex to conceive is best at night to avoid having to take vertical position. You can take the Birch pose by lifting straight legs up. This will ensure that spermatozoa get to their intended destination more quickly.

Often a change of positions leads to the desired result - conception occurs

Diet for early conception

It would seem how healthy eating can help with reproductive issues? However, it has been proven that partners with overweight the chances of conception are significantly reduced. That is why it is so important to normalize your weight even before pregnancy.

The main goal of the diet before conception is to replenish the body of a potential mother with all necessary elements and replenish the supply of missing vitamins. For this reason, preference should be given to products with high content selenium, magnesium, folic acid and vitamins B and E.

The so-called "Aphrodite Diet" is especially popular among women who dream of pregnancy. It is based on the maximum consumption of:

vegetables and fruits;
fish and seafood;
vegetable oils;
legume crops.

In spite of positive sides, expect pregnancy only with the help of proper nutrition not worth it. Moreover, the content useful substances in products is not very large. Therefore, in parallel with the diet, you can take vitamin complexes, which the attending gynecologist will help to choose.

Medical therapy

There are a number of drugs that provide all possible assistance if pregnancy does not occur after ovulation. These include:

Products containing progesterone. This hormone prepares the endometrium for implantation of the embryo. He is also responsible for the safe bearing of the fetus during the entire pregnancy. The most effective progesterone drug is Duphaston.
HCG preparations. "Bring" the formed egg to the sperm. The most popular representatives of such drugs are Puregon and Menogon, Pregnil, Horagon and others.

You can take these medicines only with the permission of your doctor. Self-medication is unacceptable and can lead to unintended consequences.

artificial insemination

It is the introduction of processed partner's sperm into the uterus of a woman. Directly at the time of ovulation (or shortly before it), the partner's seed is introduced into the woman's uterus using a special thin and flexible catheter. Sperm donation is performed 1.5-2 hours before the procedure. Insemination takes about 5 minutes and is usually completely painless for the woman.

Chances of getting pregnant after artificial insemination especially large in young women. With age, the reproductive functions of the female body are reduced. Therefore, ladies who have crossed the forty-year milestone may need alternative methods conception.

Refraining from taking drugs

For a speedy and effective fertilization, a woman is advised to limit herself in some moments. In particular, taking medications.

Important! It is necessary to exclude the use of any medications, except for those that were prescribed by the attending physician.

Before taking drugs (especially hormonal ones), you should make sure that the female body will normally tolerate its effects. This may require additional hormonal testing.

For a woman to become pregnant faster, you need to stop taking oral contraceptives. Take special care with drugs emergency contraception, especially Postinor. It has been proven that these pills very often provoke infertility.

Unsuccessful attempts at conception at first are no reason to sound the alarm. Complete nutrition and healthy lifestyle combined with the right mental attitude able to work miracles. All these factors will certainly help to get rid of intrusive thoughts about why pregnancy does not occur.

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Ovulation and pregnancy are natural physiological processes flowing in the body of a woman and directly related to each other. Pregnancy will not occur without ovulation, a very short period of the menstrual cycle that occurs between two of its phases and lasts approximately 48 hours.

The probability of getting pregnant during ovulation is the highest, therefore, this factor must be taken into account by couples planning to conceive a child. Unfortunately, even the presence of ovulation does not guarantee successful fertilization, however, this stage is necessary for conception.

How to get pregnant during ovulation

Ovulation is the process of rupture of a mature follicle, as a result of which, an egg ready for fertilization is released from the ovary. Initially, under the influence of follicle-stimulating hormone, the follicle grows, which lasts until ovulation. Once the follicle reaches right size and functional activity, the concentration of another hormone, luteinizing (LH), sharply increases, which contributes to the maturation of the egg.

Then a gap forms in the follicle and the egg comes out - this moment is called ovulation. From the ovulatory peak of LH to ovulation, it takes approximately 36 to 48 hours. Thereafter, during corpus luteum, the egg moves through the fallopian tube, in which fertilization usually occurs.

The zygote formed as a result of conception enters the uterine cavity within six to twelve days and is fixed in it, after which pregnancy occurs. If there was no conception, then the egg is destroyed in the fallopian tube during the day.

The situation when there was ovulation, but there was no pregnancy, is completely normal, otherwise, fertilization would occur with each maturation of the egg. If a woman planning to conceive does not become pregnant for a long time, then it is necessary to undergo an examination and determine whether she is ovulating or not.

Ovulation is a sign of a normally functioning reproductive system, and its absence indicates some kind of health problem. If there is ovulation, but pregnancy does not occur, then other causes of infertility should be looked for.

Spouses who have not identified problems in the genital area and have a regular intimate life It is not necessary to know when a woman is ovulating. Fertilization, sooner or later, will occur on one of the favorable days.

Things are a little different for those couples where the man does not have a very good spermogram: the number of spermatozoa is small, or they are inactive. In this case, doctors recommend having sexual intercourse one to two days before ovulation, and before that, take a break of several days.

During this time, the concentration of sperm will increase, therefore, the chances that one of them will meet with the egg will also increase.

What is the chance of getting pregnant during ovulation?

Recent studies suggest that the probability of getting pregnant during ovulation is the highest, and is 33%. In other words, on the day of ovulation, you can get pregnant with a probability of one in three, but there are still days when the chances of conception are very high.

Is it possible to get pregnant before ovulation? Yes, you can: the day before ovulation, the probability of conception is 31%, two days before ovulation - 27%, three days - 16%. This is due to the fact that spermatozoa remain viable for some time after intimate contact, therefore, one of them can "wait" for the full maturation of the egg.

Four and five days before ovulation, the possibility of conception remains, although not too high, but six days before it and earlier, the ability of the egg to fertilize is minimal.

Is it possible to get pregnant after ovulation?

No, you can’t, literally a day after ovulation, a period begins, which doctors call the period of absolute infertility.

The chance of getting pregnant after ovulation is practically zero. To understand what is happening at this moment in a woman's body, we must remember what was said at the beginning of the article.

Ovulation essentially divides the menstrual cycle into two parts: the phase during which the follicle matures ( average duration ten to sixteen days), and a phase called the corpus luteum phase. Its duration does not depend on the menstrual cycle and is approximately two weeks.

It is the phase of the corpus luteum that is the period when the onset of pregnancy is impossible. This phase begins the day after ovulation and lasts until the onset of menstruation. Pregnancy does not occur after ovulation because a mature egg remains viable for only 24 hours, or even less, after which it can no longer be fertilized and is destroyed. Therefore, after ovulation, you can become pregnant only in a very short period of time.

However, the female body is too complicated, therefore, such arithmetic calculations are not always justified. In this regard, on women's forums they often ask if it is possible to get pregnant outside of ovulation?

After all, there are not so few cases when pregnancy occurred on that day of the menstrual cycle, which was considered completely safe. Doctors attribute this to variability hormonal background in a woman, and its dependence on the emotional state.

For example, against the background of stress, the menstrual cycle can change significantly, which means that the changes will also affect the period of ovulation. As a result, the egg will be released by two ovaries at once, in different days cycle, therefore, a woman can become pregnant even during her period.

Is it possible to get pregnant without ovulation?

The absence of ovulation indicates that in female body full-fledged eggs capable of fertilization are not formed. In such a situation, it makes no sense to talk about the onset of pregnancy, because the most important condition for a successful conception is missing.

How to get pregnant in the absence of ovulation? First of all, to identify the reasons for which there was a serious failure of the reproductive function of a woman. Most likely, the problem lies in a strong hormonal imbalance, which is corrected by properly selected therapy.

If it was not possible to establish the reasons, then they resort to a more radical method: on the day of the alleged ovulation, the woman is given an injection of a drug that causes the maturation of the follicle and the release of the egg.

What does the term early and late ovulation mean?

It has already been said above that a woman's cycle consists of two periods: before and after ovulation. If the duration of the first period can vary significantly in time, then the duration of the second is more stable and ranges from 12 to 16 days. In a woman whose cycle is 28 days, ovulation occurs in its middle. In women with a short cycle, the first period is short in duration.

However, the timing of ovulation can fluctuate depending on different months. For example, if a woman was accustomed to ovulation on the 14th day of the cycle, then the maturation of the egg and its release on the 11th day can be considered early ovulation.

Early ovulation and pregnancy normal phenomenon, just conception, in this case, occurs a little earlier. If a woman has late ovulation, then pregnancy is also quite possible. Sometimes conception occurs at a time when, by all accounts, the maturation of the egg has long since occurred, and it has lost the ability to fertilize.

In this case, they say that there was a very late ovulation, and pregnancy occurred at that moment.

Ovulation and pregnancy: how to calculate the day that is optimal for conception?

There are several more or less reliable ways to help determine whether ovulation has occurred or not. Since you can become pregnant with a high degree of probability during ovulation, women who want to conceive a child in the near future use these methods.

The first way is the simplest: the maturation of the egg may be accompanied by short-term pain lower abdomen and strengthening sexual attraction. Similar symptoms a woman will notice without visiting a doctor. Gynecological examination allows you to detect an increase in the amount of mucus from the cervix, and an increase in its viscosity.

How to get pregnant on the day of ovulation, is there more exact method helping to determine the period of maturity of the egg? There is a second method, which is not very complicated, but requires certain manipulations. When measuring basal temperature every day, its decrease is observed directly on the day of ovulation, after which it follows sharp rise the next day.

The basal temperature chart can be used to create an ovulation calendar. It helps to predict the time of its occurrence in next month and choose a convenient moment for conception. Both of the above methods are approximate, although the second is more accurate.

The third method is based on determining the level of luteinizing hormone (LH) in the urine. There is a special ovulation test that reacts to sharp increase amount of LH in the body. An increase is observed before the onset of ovulation, 24-36 hours before it.

Tests are carried out twice a day, before ovulation, five or six days before it. At the same time, in order to increase the accuracy of the results, it is necessary to strictly follow the instructions.

The fourth method is the most informative and is associated with monitoring the development and maturation of the follicle using ultrasound. Approximately on the seventh day of the cycle, after the menstruation has ended, the doctor conducts ultrasound monitoring using a vaginal probe.

Then, every two to three days, the procedure is repeated to track the preparation of the endometrium. In the picture, you can clearly see the moment of rupture of the follicle, which means the onset of ovulation.

The latter method is used when they want to choose the most auspicious time for fertilization, with medical procedures: insemination or in vitro fertilization. Since the chance of getting pregnant during ovulation is very high, methods to help determine its onset are extremely in demand.

There is a hypothesis that, during ovulation, you can become pregnant with a child of a certain gender. From how much time has passed since sexual contact before ovulation, it depends whether the couple will have a boy or a girl. This assumption is based on the fact that spermatozoa with a Y-chromosome, responsible for conceiving a boy, move through the female genital tract faster than spermatozoa with an X-chromosome.

If sexual intercourse coincided with ovulation, then the Y-spermatozoa will be the first to fertilize the egg. On the contrary, if intimate contact was two to three days before the maturation of the egg, then a girl is most likely to be conceived. So far, this hypothesis has not received a serious scientific justification. In general, any attempts to plan the sex of the child on your own have a 50/50 effectiveness, therefore, cannot be considered serious.

How to determine pregnancy after ovulation?

To understand whether conception has occurred, a woman can, first of all, by stopping menstrual flow. However, you can notice even earlier.

Women who are accustomed to regularly measuring basal temperature, in the event of pregnancy, will observe its increase to a level of more than 37 degrees. Another sign: weak bloody issues, which are sometimes mistaken for the onset of menstruation. In fact, this is a slight detachment of the endometrium. Finally, a test at home will help determine whether conception has occurred.

It is effective even if there is a day or two left before the expected delay. The stripe that speaks a positive result, will be visible, just a little less than on more later dates. Finally, a sign of pregnancy after ovulation, which allows you to determine with almost one hundred percent accuracy that conception has occurred: an increase in the level chorionic gonadotropin.

This specific hormone is produced only in the body of a pregnant woman. A blood test to detect the presence of chorionic gonadotropin is done only in a hospital setting.

How to calculate gestational age by ovulation

If a woman used one of the methods described above to set the date of ovulation, then it will not be difficult for her to calculate the gestational age if conception has occurred. Of course, a small error is possible, but, in general, the result will be quite accurate, especially when using ultrasound monitoring.

If a woman did not track the onset of ovulation, then she can use the Negele formula. It is used by gynecologists to determine the date of birth. For this, from the beginning last menstrual period subtract three months and then add seven days.

The doctor needs to know the terms of pregnancy in order to properly manage the patient during this period, prescribe examinations and tests in a timely manner and monitor how it goes. intrauterine development baby.

An accurate determination of the gestational age is necessary in order to know the date of birth, because their premature or late onset adversely affects the health of the child. It is important for the woman herself to leave in time maternity leave and prepare for the birth of the baby.

Does ovulation occur during pregnancy?

Professional doctors answer this question in the negative. The fact is that the onset of pregnancy involves major changes hormone levels in a woman's body. These changes are aimed at preserving the fetus and bearing a healthy child.

In such a situation, the maturation of another egg, i.e. ovulation, poses a direct threat to the health of the woman and the baby. Therefore, nature itself has made sure that ovulation does not occur during pregnancy.

In addition to increasing the concentration of hormones, changes occur in reproductive organs women. The ovaries stop releasing eggs for fertilization, and the cervix closes with a mucous membrane. If, theoretically, there was another conception, then fertilized egg would not be able to gain a foothold in the uterus.

Therefore, those women who are interested in whether ovulation occurs during pregnancy may not worry: ovulation does not occur during the bearing of a child.

Answers

With unsuccessful attempts to get pregnant, first of all, pay attention to the function of the ovaries. But it happens that they work like clockwork, but fertilization does not occur. To solve the problem, you need to determine why pregnancy does not occur if there is ovulation.

The reasons that pregnancy did not occur during unprotected sexual intercourse on the day of ovulation (that is, on the day the egg is released from the dominant follicle):

incorrectly calculated fertile period;
clinical pathologies;
external factors.

External factors include stress, exhausting diets, bad dream and lack of rest and wakefulness. These factors negatively affect sexual function both men and women.

Often the reason is the incorrect calculation of the day of ovulation. When the cycle is not constant, it is almost impossible to calculate this day with high accuracy.

How and when does ovulation occur?

There are several ways to determine the day of ovulation:

measurement of basal temperature;
use of rapid tests;
calendar method.

The last option is the least accurate, as it is only suitable for an ideal menstrual cycle. Measurement of basal temperature requires observations for several months: a woman measures BBT daily, records data on the days of the calendar, and, based on the results of several months, concludes on which day the fertile period begins. It differs from other days of the cycle with a BT indicator at the level of 37 ° C.

Before this period, the leading follicle matures in the ovary. At the end follicular phase it bursts, releasing a mature egg, which travels through the fallopian tubes to the uterus.

With any cycle, the release of the egg from the follicle is noted 14 days before the onset of menstruation. But since the cycle length is normally 21-35 days, it is quite difficult to calculate the exact day of ovulation.

If, according to the results of measurements of basal temperature, there is no ovulation, you need to use rapid tests from a pharmacy. The test is done daily in the period from 13 to 16-17 days of the menstrual cycle. An ovulation test is similar in principle to a pregnancy test, but is not sensitive to hCG, but to luteinizing hormone. The latter is produced in excess in ovulatory phase.

When is there no cause for concern?

If there is ovulation, but pregnancy does not occur, this is not a reason to immediately suspect infertility in yourself or your partner. Reasons for not getting pregnant the first time:

unprotected intercourse did not coincide with the woman's fertility period;
the attempt fell on anovulatory cycle(even for young healthy woman there are 1-3 such cycles per year);
carried over last month colds or other conditions that reduce immunity;
it’s just that this time “the stars didn’t align”: on one of difficult stages conception there was a temporary failure. The spermatozoon failed to penetrate the shell of the egg, or the fertilized egg did not reach the uterus, or it failed to penetrate into the endometrium.

When the body is temporarily weakened external factors, fertilization can occur, but the cell is not implanted. If both partners are healthy, it is worth trying again in next cycle when a woman is in her ovulatory phase.

Clinically, infertility is considered a condition in which pregnancy does not occur within 12 months. In this case, an examination of the couple will already be required to identify the causes.

In order to get pregnant as soon as possible, you need to conduct healthy lifestyle life. The main factors that increase the chances of conceiving a child from the first attempts:

correct postures: missionary and its variations when a man is on top;
monitoring the period of ovulation for several months to calculate the most accurate date;
rejection bad habits at least six months before conception;
healthy diet: balanced in proteins, fats and carbohydrates, containing foods with fiber;
healthy sleep: go to bed and get up at the same time, sleep at least 7 hours a day.

important and psychological factor: mood for conception, bearing a child and creating a strong family, exclusion negative emotions, stress, quarrels. Medicines should be avoided if possible.

There is ovulation, but pregnancy does not occur: medical causes of infertility

If the diagnosis confirms that there is ovulation, but it is not possible to conceive a child for a year or more, the reasons are looked for in the following:

hormonal imbalance;
thinning of the endometrium;
obstruction of the fallopian tubes;
pathology of the male reproductive system.

In each case, a detailed examination is required, according to the results of which the doctor chooses a treatment regimen. Most pathologies are treatable and allow you to resume attempts at conception immediately after therapy.

Hormonal imbalance

Violations of the hormonal background of a woman can lead to cycle instability, the maturation of a low-quality egg, and the unavailability of the endometrium for implantation. If an imbalance is suspected, studies on such hormones are prescribed:

thyrotropic - TSH;
thyroxine free and total - T4;
triiodothyronine - T3;
luteinizing;
progesterone;
estrogen.

If conception did not occur, then there was not enough luteinizing hormone or progesterone. The first is responsible for the full-fledged ovulatory phase, the second is for preparing the endometrium of the uterus for implantation of a fertilized egg. Estrogens are also responsible for the normalization of the hormonal background of a woman and the work of the placenta.

T4 and T3 are hormones produced by thyroid. TSH is produced by the pituitary gland and regulates the functioning of the thyroid gland. Lack or excess of these hormones is dangerous miscarriage and stillbirth. The embryo initially develops with abnormalities and has no chance of surviving, and therefore the implantation of such an embryo is rare.

Thin endometrium

If there is ovulation, but pregnancy does not occur, the state of the endometrium of the uterus is examined. Thin, heterogeneous endometrium or nodular inclusions prevent healthy implantation of the embryo.

Causes of thin endometrium:

insufficient blood supply to the pelvic organs;
low progesterone;
endometriosis.

To determine the cause, a transvaginal ultrasound of the uterine cavity is performed in the ovulatory phase, as well as a Doppler of the pelvic vessels. Laboratory diagnostics helps to determine the level of progesterone. The thickness of the endometrium of the uterus during ovulation should be in the range of 7-12 mm.

Fallopian tube adhesions

When the tubes are passable, the egg can freely pass through them to the uterus for fertilization. interfere with cell movement, increase the risk ectopic pregnancy endangering women's health. They appear as complications after childbirth, abortion, caesarean section, surgical interventions.

They are diagnosed in the following ways:

– Ultrasound with a solution to assess tubal deformation or radiography with a contrast agent;
salpingoscopy - visual detection of adhesions inside the pipes;
salpingography during laparoscopy - the introduction of a dye with an assessment of its patency through the pipes.

To restore the movement of the egg after leaving the follicle, and surgical correction, and drug treatment, depending on the number of adhesions. If only one tube is affected, the gynecologist will recommend that you continue trying to conceive, since the egg can pass through a healthy tube from another ovary.

male factor

The reason for the lack of conception is also a male factor. Poor sperm quality, poor sperm motility or genetic abnormalities cause the oocyte to fail to be fertilized.

To investigate reproductive male health, a spermogram is prescribed. As a result, it may be necessary additional tests for hormones, scrapings for flora or infections. Spermogram allows you to evaluate spermatozoa according to the following parameters:

quantity and volume;
mobility;
types and number of immature cells;
color;
viscosity;
liquefaction time;
acidity.

The morphological parameters of the ejaculate are studied - the number of spermatozoa with normal structure and the ability to fertilize should be more than 15%.

Action algorithm

Do not worry and do not go in cycles in your health if you are young and trying to conceive a child for a short time.
If a couple (or one of the spouses) is over 35 years old, then it makes sense to consult a doctor after six months of fruitless attempts.
Young people are advised to seek medical attention if conception has not occurred within a year of regular unprotected sex.

To get pregnant, you need to determine the cause and do everything to eliminate it. The gynecologist will prescribe a woman an examination of the hormonal background, vaginal microflora for dysbacteriosis and the presence of infections. If hormonal abnormalities are detected, the endocrinologist-gynecologist is engaged in treatment.

Additional tests:

general clinical trial blood, urine;
linked immunosorbent assay;
polymerase chain reaction;
bacteriological culture.

Laboratory methods will clarify what to investigate further with the help of ultrasound or x-rays.

Inflammatory and organic diseases are treated by an obstetrician-gynecologist. In his competence, endometriosis, cervical erosion, obstruction of the fallopian tubes, thin endometrium. The man is consulted and treated by an andrologist.

If there is definitely ovulation, but pregnancy does not occur, this is not always a cause for concern. Only after six months or a year, such a situation is equated to a pathological one, and the couple should be examined. Most causes are treated with conservative or surgical treatment. If this does not help, the couple will be offered in vitro fertilization.