Getting pregnant is every woman’s dreams, but in some cases it may be taking longer than anticipated, which can begin to affect your emotions and weigh you down. This some times come with an unsettling mix of frustration, anger, and disappointment.

The truth is, every woman handles situations in different and sometimes unique way.

According to Alexis Melnick of ob-gyn at New York-Presbyterial center, he said there are a so many reasons some women might not be able to get pregnant, and while some are medical, others might be environmental.’

The interesting news is that many such conditions are not permanent, they can be treated. For women in their 30s, trying for a about a year or more without success, or in their 40s, there are some common obstacles that may be standing between you and getting pregnant:

Endometriosis

Menstrual cramps that occur in women won’t impede the chances of conceiving, but severe cramps are a clear symptom of endometriosis, and this can lead to infertility.

According to Melnick, the most common symptom of endometriosis occurs when the uterine lining grows outside the uterus and lead to painful periods.

Other similar condition include chronic pelvic pain, discomfort and unease during intercourse. Around 10% of women suffer from endometriosis, and up to 50% of those women have difficulty getting pregnant.

Anyone diagnosed with this condition after receiving diagnostic laparoscopic surgery, a reproductive endocrinologist may recommend surgery or another treatment such as IVF can help.

1. Anovulation

This is the absence of ovulation which can also hamper the chances of a woman conceiving. Anovulation triggers include polycystic ovary syndrome (PCOS), a condition that wreaks havoc with estrogen and progesterone levels such as obesity, primary ovarian insufficiency, chromosomal defects or genetic mutations, thyroid dysfunction, hyperprolactinemia, a hormonal condition and in some cases, excessive exercise.

The truth is, every woman is different and every situation, unique.

Uterine Fibroids

Uterine fibroids also called benign tumors can cause infertility.

‘Submucosal fibroids, those within the uterine cavity, are the ones that we worry about from a fertility standpoint because they can hinder implantation.

Two tests, a saline sonogram or hysterosalpingogram (HSG), are used to evaluate the uterine cavity. Fibroids within the cavity can be removed in a minimally-invasive surgical procedure called a hysteroscopy. (Larger fibroids sometimes require a second surgery.)

Fallopian Tube Damage

Fallopian tubes may also be at fault when there is tubal damage; a complete or partial blockage of the tubes and this can be traced to a variety of causes. STIs, particularly chlamydia are most diagnosed with infertility cases in the U.S stem from a tubal factor.

This can be corrected by a tubal reconstructive surgery to repair minimally-damaged Fallopian tubes. But in a more severe case, IVF can actually bypass the tube and help guarantee conception

Your Partner

According to Melnick, male fertility is the sole cause in 20% of couples, and contributes to infertility in another 30-40%. Before you seek any type of fertility treatment, it is recommended that your partner get a semen analysis to see if his semen are capable of backstroking their way to the uterus, and Fallopian tubes. If not, artificial insemination and IVF may be a best option.

Other causes of infertility are;

Tobacco Smoke

Stress