Why can’t I get pregnant if everything is normal?
- Dr. Juan Arturo Morales Aguirre
- Jan 20
- 1 min read
Why can’t I get pregnant if everything is normal?
Even when basic tests come back normal, there may be factors that are not always detected at first glance.
1. Egg or sperm quality
It’s not just about quantity. Egg or sperm quality can affect fertilization and embryo development, even when initial tests appear normal.
2. Fertilization or implantation failure
The egg and sperm may meet, but the embryo may not be able to implant properly in the uterus.
3.Subtle hormonal imbalances
Small hormonal imbalances even when they fall within “normal” ranges—can influence ovulation or endometrial receptivity.
4. Hard-to-detect uterine factors
Small polyps, endometrial inflammation, or changes in uterine receptivity may go unnoticed in basic tests.
5. Underestimated male factor
A normal semen analysis does not assess deeper factors such as sperm DNA fragmentation, which can affect fertility.

The emotional factor also matters
Stress, anxiety, and emotional exhaustion during the journey to conceive do have an impact. They are not usually the main cause, but they can affect hormonal processes and how treatment is experienced.
Seeking emotional support and feeling accompanied are essential parts of the process.
Emotional impact of unexplained infertility
Not having a clear cause can lead to frustration, anxiety, and uncertainty. However, unexplained infertility is not a dead end, but rather a starting point for a more specialized and personalized approach.
A message for you
If you’ve been trying for some time and feel that something doesn’t add up, your feelings are valid. This is not an exaggeration or a sign of impatience.
Listening to your body and seeking specialized guidance can make a meaningful difference. Your journey deserves attention, clarity, and support.










Comments