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What are the causes of delayed pregnancy and how can it be prevented and treated?

 

Married couples may suffer from delayed or no pregnancy, but by knowing the causes, the problem can be remedied and solved, as pregnancy is not just about having sex, but there are many factors that affect pregnancy, so you must know to understand the problems and know the solutions and treatment methods.  

There are many factors responsible for the difference between women, as every woman has her own condition. Physical and psychological factors can increase the average time required for pregnancy. The matter also differs from one woman to another according to her fertility potential, so the average time of pregnancy is between 3 and 6 months for a young couple, and the period increases with age.

Delayed pregnancy and when pregnancy occurs in general

If you are in good health and fertility is at its best, then you have a 25% chance of becoming pregnant during each menstrual cycle, and according to some statistics about pregnancy: all couples (women under 30 years old) who try to conceive have the following rate:

  • 30% will have a pregnancy during the first month.
  • 75 percent after six months.
  • 85 percent in the first one year.
  • 90 percent after one year.
  • 95 percent after two years.
  • 91 percent within three years.
  •  93 to 95 percent within four years.

Causes of delayed pregnancy

There are many factors that play a role in delayed pregnancy, including:

Stress and fatigue:

Stress is a major enemy and one of the main causes of menopause in women. It affects both physical and mental health, and stress results in an increased amount of cortisol, a hormone that affects the amount of progesterone and estrogen that the body makes.

This lack of control results in the menstrual cycle being disturbed, delayed, or absent altogether. Which leads to delayed pregnancy. Emotional disorders such as anxiety and depression also affect fertility levels.

Sudden weight gain or loss:

Weight that changes frequently or suddenly is one of the most influential causes of menstrual irregularities. Hormones are disrupted and the ovaries produce a type of estrogen known as estrone. And when an excess occurs it can reduce ovulation, causing an absence or delay in pregnancy.

Lack of sleep:

Lack of sleep depletes the body, affecting the immune system, the reproductive cycle and the menstrual cycle, and lack of sleep in men can cause a fever, which increases the body temperature. Thus it affects the sperm. Hence the delayed pregnancy.

Changes in routine or habits:

Changes in routine affect the menstrual cycle. It takes time to adjust to the new atmosphere, as it is synchronized hormonally with heart rate and environmental factors.

some medicine:

Some medications can cause menopause. But it is important to know the side effects of birth control pills or antidepressants, because they can cause irregular menstruation and thus cause a delay in pregnancy.

Thyroid changes:

The thyroid gland plays a major role in a woman’s health, as it is responsible for the production and secretion of hormones that regulate certain mechanisms such as metabolism and the menstrual cycle. But it is necessary to see a doctor to evaluate the function of this gland, as hypothyroidism, or hypothyroidism, directly affects ovulation. Hence on pregnancy.

Age:

As it affects the average time taken to conceive the greater the age, the lower the fertility, and the delay in conception.

Sexual relationship increased or decreased:

Sexual relationship is a human need for retreat and pleasure, as some people increase the sexual relationship, thinking that this speeds up pregnancy. However, it causes potential health problems such as fatigue, dizziness and weak knees, thus depleting the special energy for having sex, and thus the chance of pregnancy is lost. 

As for the lack of sexual relations and practicing it only during ovulation, this is incorrect, because it is possible to miss the fertile stage if there is an error in calculating the ovulation period every month.

Going to the bathroom immediately after sexual intercourse:

Going to the bathroom directly causes sperm to come out and is washed with cleaning, which is one of the reasons for delaying pregnancy for many women.   

Wearing very tight underwear:

Some women wear tight underwear to draw attention to their bodies, but the tight clothing affects the functions of the reproductive organs, and for men it reduces sperm production.

Poor health habits:

Drinking alcohol, smoking or using drugs can negatively affect fertility. In women, it causes irregular ovulation, and in men it reduces the number and movement of sperm. Also, women warn about it in the first part of pregnancy because it is the most important period in the development of the fetus. As there is no safe amount of alcohol during pregnancy.

Environmental pollution:

Environmental toxins and pollutants are chemicals and pesticides . And other cleaning materials, have an impact on the health of men and women, and thus on fertility, which reduces the ability of husbands to conceive by 29%.

Causes of delayed pregnancy related to women

Motherhood is every female's dream

There are many reasons that affect pregnancy in women, including:

Irregular menstruation:

Irregular menstruation leads to not knowing the time of ovulation. Consequently, pregnancy is delayed.

Endometriosis:

It is a chronic disorder of the reproductive system, in which the lining of the uterus fades out of the uterus, causing the tubes to be blocked to prevent fertilization or the exit of a fertilized egg through the fallopian tube. Among the symptoms of this disease:

  • Painful periods.
  • Severe pain during sexual intercourse.
  • Intestinal pain.
  • Frequent urination, with the bladder always feeling full.
  • Chronic pelvic pain.

Ovulation problems:

In 20 or 30% of women, infertility problems can be caused by incomplete eggs, and some women have never ovulated, due to hormonal problems, excess weight, or extreme fatigue.

PCOS:

PCOS occurs between 8% and 20% in women worldwide. It is a complex condition that results from a hormonal imbalance that impedes ovulation, due to the formation of disruption of the maturation of the eggs, and the symptoms include: excessive hair growth, weight gain, irregular menstruation, and young age.

 

Diseases in the fallopian tubes:

Damaged or blocked fallopian tubes prevent the egg from reaching the uterus, and the sperm from reaching the egg. This disease can be caused by pelvic inflammatory diseases or diseases transmitted through contact.

Problems with the eggs:

Whereas, in the late thirties and early forties, the quality of the eggs decreases, and falls to 300,000 eggs, then 300 eggs that mature before menopause.

Decreased progesterone levels:

Where the hormone progesterone is produced from the corpus luteum after ovulation, to support the implantation of the embryo during the first pregnancy, and the lack of progesterone is considered one of the causes of infertility, because even if pregnancy occurs, the placenta and fetus will not grow, making the fetus not viable or the death of the fetus early .

Problems with cervical mucus:

 The mission of cervical mucus is to facilitate the access of sperm through it to the female reproductive organs. But in the case of problems with cervical mucus that may be due to infection or contain antibodies that kill sperm or prevent their passage, and therefore cervical inflammation or narrow cervix leads to pregnancy failure.

Medical causes in men that cause delayed pregnancy

Among these reasons:

Sperm problems:

The lack of movement or the number of sperm, lack of them, or the presence of abnormal impurities in them, all of this reduces the fertility of a man.   

Tube clogging:

It can negatively affect the transport of fertile sperm, and also can cause infections to block the tubes, including gonorrhea or chlamydia, or enlarged veins in the scrotum. All of this affects sperm transmission.

Unexplained infertility:

About 25% of these cases are diagnosed, and this is due to the failure to find the actual cause even after tests and evaluations are done.

Among the reasons also:

Undergo surgery on the testicles.

Suffering from erectile dysfunction or premature ejaculation.

Methods for preventing delayed pregnancy

Some causes of delayed pregnancy can be prevented, as other causes cannot be prevented.

We will mention some methods that increase the likelihood of pregnancy:

Exercise and a healthy diet:

Exercise has a positive effect on sexual health for men and women, but vigorous exercise should not be exercised. That is, maintaining a moderate fitness, taking care of nutrition in addition to taking nutritional supplements.

 Increase the number of times sexual intercourse:

In this way, the chance of pregnancy can increase, so that it can be during the fertile period or ovulation of the woman, and to get a greater chance of pregnancy, it is preferable that intercourse be five days before the stage of ovulation and a day or two after ovulation.

Avoid unhealthy habits:

It is advised to avoid habits that may increase the chance of delaying pregnancy in women and men, such as smoking, drinking alcohol, and drug abuse.

Maintaining the right weight:

 Because the increase or decrease in weight affects the production of hormones in many women.

Treatment of delayed pregnancy

There is more than one treatment method that can be resorted to to help speed up the occurrence of pregnancy, and to get rid of the problem of infertility in men or women, and choosing the appropriate method depends on: age and the main cause of the problem of delayed pregnancy, and among these methods are the following:

Dependence on pharmacological treatments:

Where some drugs are used to increase the number of sperm in a man, or some drugs that stimulate the process of ovulation in women.

Surgical options:

Some problems of delayed pregnancy may require surgery to correct the health problem, such as: blockage of the man’s sperm stream, varicocele, or a woman’s suffering from problems in the ovaries or uterus.

 Intrauterine insemination:

The principle in intrauterine insemination is the injection of the semen that is taken from the man into the uterus of the woman during the ovulation period, and sometimes the doctor prescribes a drug that stimulates the woman’s ovulation process, before performing this operation.

Assisted Pollination Techniques:

The best known of the process of artificial insemination, are outside the body or the so-called children of the pipe, and in this process, the egg is fertilized by sperm collected in the laboratory, ie outside the woman’s uterus is then re-fertilized egg into the woman’s uterus.

Causes of a late second pregnancy:

Problems with a delayed pregnancy do not depend on the first pregnancy, as some couples have problems with the second pregnancy as well. It could be due to reduced fertility, and this is known as secondary infertility. Some of the reasons for not getting pregnant are:   

  • If a woman is more than 35 years old, the number of eggs decreases and thus the chances of pregnancy decrease.
  • If men over the age of 50, fertility and sperm decrease.  
  • Complications from the first pregnancy.
  • Hormonal imbalance that causes changes in ovulation and menstrual cycles.
  • Surgical errors that damage the fallopian tubes.

In the end ..

Knowing the cause of the problem that affects delayed pregnancy helps speed up treatment. We wish everyone to have wonderful children.

References:

https://www.topsante.com/themes/grossesse-tardive

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