Not pregnant yet. Why?

What you need to know:

  • The man requires fertility tests so that if found with a problem he is dealt with if possible. Also having patent tubes does not always mean they are normal.
  • Sometimes the tubes may be open but cannot propel the fertilised egg towards the womb for pregnancy because the hairs to do so are damaged.

Dear doctor: My husband and I quarrel about why I am not getting pregnant. I have three children from my past marriage. He also has 1 child from someone else. But for 3 years now, I am not getting pregnant. A check up showed my tubes are OK and no fibroids. I get my periods every month. So what is the problem? - Alfonsina Batwaala

Dear Alfonsina: Quarrelling is usual in a couple that is failing to get children and it indicates unrest over the problem. Unfortunately, the related stress may lead to behaviours including avoiding regular sex and smoking that may deny you offspring completely.
Many men with a single child may actually be having fertility problems including low sperm count and fail to impregnate an older woman. One single most important factor in fertility of a woman is age and in a less fertile man an older woman may not easily get pregnant.

The man requires fertility tests so that if found with a problem he is dealt with if possible. Also having patent tubes does not always mean they are normal. Sometimes the tubes may be open but cannot propel the fertilised egg towards the womb for pregnancy because the hairs to do so are damaged.
Ultimately you both require visiting your fertility doctor together for help. A DNA test for the single child for the man can also help in case the man is found infertile.