Haven't got pregnant even though you've tried it for a year? this is what needs to be done

If you and your partner have been trying to have children for a year but are not pregnant yet, it may be time for you to seek help. Especially if you have experienced two or more miscarriages, this assistance cannot be delayed any longer.

Although every couple has different needs and problems, these few things can help you figure out what to do.

What needs to be done if you are not pregnant too

1. Make an appointment with an obstetrician

The first person you should see is your gynecologist or obgyn. Also urologist, if your husband may need. You also don't need to go directly to a fertility clinic because most fertility clinics will ask for a referral from your specialist.

You can ask about your problem ahead of the test PAP smear routine that you will do, or you can also make a special appointment to consult about fertility.

Note the sixth date of your last menstrual cycle, even if it's irregular, just show it. If you are also keeping a fertility calendar or a body temperature chart, bring your most recent data from the last 6 months. This information will be of great use to your doctor. Don't forget to prepare the list below before seeing a doctor for consultation:

List of all medicines that you and your partner regularly take
List any infertility symptoms or risk factors you have
All the questions you will be asked (preferably written down)

2. Start doing a simple fertility test

The next step is to do a simple fertility test. Judging by the symptoms you have, your test will probably include an HSG test, vaginal ultrasound, or diagnostic laparoscopy. Your doctor may also order simple pelvic tests, pap smears, and tests for sexually transmitted diseases.

The types of tests you will take depend on the symptoms you have and your financial condition.

3. Start doing treatment simple fertility

Based on the results of your fertility test, the gynecologist will recommend several treatments or procedures, which may involve treating the hidden factor causing the infertility, or may include simple measures such as the administration of the drug clomid. If the problem at hand is a structural (system) abnormality or endometriosis, your doctor may recommend surgery.

Another possibility is that your doctor will give a recommendation to a fertility specialist or a surgeon specializing in reproductive organs, or you may also skip any medical procedures and refer directly to a specialist. If the factor is male infertility, your partner may be referred to an andrologist, aka a male fertility specialist.

4. Visit a fertility clinic

When fertility measures do not work for you, or your test results require that other measures be taken beyond your gynecological competence, you will be referred to a fertility specialist. This means it's time for you to find and choose a fertility clinic.

5. Get more fertility tests

Often (but not always) the fertility clinic will tell you to have more fertility tests done. Even repeating tests that you have done before.

6. Make plans with your partner and doctor

After you get the results of your fertility test, you will usually immediately see a doctor to discuss recommendations for action or a treatment plan. Make sure you ask about the chances of success, the doctor's experience with this type of treatment, and the potential risks to be faced. Your doctor may recommend lifestyle and diet changes that will increase your chances of success.

If you choose not to take any action or treatment for some reason, you can still consider other options for having a child (for example adopting a child), or choose to continue without any special treatment.

7. Carry out the fertility plan that has been made

Once you, your partner, and your doctor have decided which course of action or treatment to take, go ahead and go with whatever you plan to do. This process can be quite simple or the opposite: complex and arduous.

Managing fertility can be a burden on the mind at times. Make sure you have consulted your doctor and nurse about everything, and get emotional support from family, friends, support group, or a therapist.

8. Re-evaluate your plans if they are not working

Fertility treatment is not a straightforward solution, but rather a process trial and error aka trial and error until it works. You may fall pregnant right away in the first treatment cycle, but it often takes a few tries several cycles before it finally works.

Remember that if there is one cycle that fails it does not mean the treatment will not work, and also remember that couples without fertility problems even need 3-6 months to get pregnant successfully.

If the plan has not worked for a longer period of time, or you are not satisfied with the treatment you are receiving, consider changing doctors or clinics.

9A. If you are successful, come up with a plan for a healthy pregnancy

If your treatment is successful: congratulations! Your fertility clinic will usually be monitoring the first few weeks of pregnancy and you may be asked to continue with some hormonal procedures or injections.

Depending on the cause of your infertility, and whether you are pregnant with twins, you may want to consider more monitoring during the early stages of pregnancy. As with other couples who are pregnant, try to maintain health during pregnancy by adopting a healthy and controlled lifestyle.

9B. If it doesn't work

Unfortunately, not all couples with fertility problems can get pregnant. You may still get nothing after many treatments, or you may have to stop this process if the financial situation is no longer possible, or you may be so tired and stressed that you decide not to take action anymore.

These failures can be devastating, but that doesn't mean you can't deal with them with time and support. Make sure you and your partner get adequate counseling to help you through difficult times like these. Once you feel better, you may consider other options for starting a family, such as adopting or adopting children, and you may even end up choosing to live without children.