When Your Tests Are Normal: Understanding Unexplained Infertility

One of the most frustrating experiences couples face while trying to conceive is hearing the words “everything looks normal”—yet pregnancy still doesn’t happen. This is what doctors often call unexplained infertility.

What Does Unexplained Infertility Mean?

Unexplained infertility is when all standard fertility tests—like ovulation checks, semen analysis, hormone levels, and scans—come back normal, but conception still doesn’t occur after a year (or six months for women above 35).

It doesn’t mean that nothing is wrong—it just means that the cause isn’t obvious through routine testing.

Why Does It Happen?

Some possible reasons behind unexplained infertility include:

• Subtle issues with egg quality or sperm function that routine tests can’t detect
• Problems with egg and sperm meeting at the right time
• Early-stage endometriosis that may not show up in initial scans
• Issues with the lining of the uterus affecting implantation

What Are the Treatment Options?

The good news is that unexplained infertility can still be treated successfully. Common approaches include:

• Lifestyle changes: Maintaining a healthy weight, reducing stress, and improving diet can improve chances.
• Ovulation stimulation & timed intercourse: Medicines may help improve egg release, paired with precise timing.
• IUI (Intrauterine Insemination): Placing sperm directly inside the uterus at the right time can improve chances.
• IVF (In Vitro Fertilization): Often the most effective option if other treatments don’t work.

When Should You See a Doctor?

If you’ve been trying for more than a year (or six months if over 35) with no success, it’s time to consult a fertility specialist. Even if tests are normal, the right treatment plan can help you achieve pregnancy.

Book a Consultation with Dr. Roya Rozati

Unexplained infertility can feel like a dead end, but it isn’t. With the right guidance and treatment, many couples go on to have healthy pregnancies. The key is not to lose hope—science, medicine, and compassionate care can make the dream of parenthood possible.

For appointments, call 9849161421 or visit MHRT Hospitals to get started.