About 20% of couples who struggle with infertility will eventually become parents naturally, according to some studies. Dr. Shahryar Kavoussi, a leading reproductive endocrinologist in Austin, points out that some issues can be resolved naturally or with fertility treatments. This can allow for the chance of becoming pregnant naturally later on, though the exact timing is uncertain and may happen months or even years later.
While there are many factors as to why infertile couples can conceive later on, typical reasons include the following:
- Changes in lifestyle: You can improve fertility by changing your diet, exercising, managing stress, and quitting alcohol and tobacco
- Resolved medical issues: Conditions like polycystic ovary syndrome (PCOS) or endometriosis may improve or vary over time or with treatment.
- Effects after treatment: Assisted reproductive technologies (ART), surgery, or ovulation induction can sometimes “kick-start” the body into regular cycles that can lead to getting pregnant naturally.
- Hormonal balance restoration: Hormone imbalances may correct over time or after pregnancy, especially in cases of secondary infertility.
- Hormonal balance restoration: Hormone imbalances may correct over time or after pregnancy, especially in cases of secondary infertility.
- Male factor improvements: Sperm quality can improve with treatment, time, or even after a previous successful pregnancy.
Dr. Parviz Kavoussi, an Austin-based male fertility specialist, says, “Male fertility is often overlooked. It plays a role in nearly 60% of infertility cases. Men who get treatment for sperm-related issues can sometimes see lasting improvements that lead to future natural conception. That’s why examining men and assessing both partners is important.”
While natural conception after infertility is possible, couples should not depend on it without proper evaluation. Relying on natural outcomes may delay needed treatment, especially as age increases in importance.
Couples who have been trying to conceive for over a year, or for six months if the woman is over 35, or those dealing with secondary infertility, should seek fertility evaluation. Timely intervention is crucial for improving the chances of a healthy pregnancy.
Recognizing the signs of infertility early can help couples seek timely care. In women, common symptoms include irregular or absent menstrual cycles, painful periods, or a history of miscarriage. Other warning signs may include significant weight fluctuations, signs of hormonal imbalance as well as conditions like PCOS or endometriosis.
In men, symptoms may include changes in sexual function, such as difficulty with ejaculation or low libido, as well as testicular pain or swelling. Some men may be unaware of an issue until a semen analysis reveals low sperm count or motility. A history of undescended testes, injury, or exposure to harmful chemicals may also be relevant.
Ideally, both partners should see a female fertility specialist and a male fertility specialist to explore all options and enhance their chances of success.
A fertility workup may involve hormone testing, ovulation tracking, semen analysis, and ultrasounds. Even if you later conceive naturally, this evaluation can provide valuable insights into your reproductive health.
For couples who are considering fertility evaluations but are not yet ready, it can assist with family planning and timing.
Check out the further reading below:
Lifestyle habits that optimize female fertility
Exercise and Male Fertility: Does Type of Exercise Matter?
What is Polycystic Ovary Syndrome?
The Male Factor in Fertility
Recognizing the Warning Signs of Infertility
