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Reasons for unfulfilled desire to have children

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You want to get pregnant, but it has not worked for quite some time? Do not despair because of that. Do not give up your desire for a family. Your desire to have children does not have to remain unfulfilled forever. Clarify the causes of your unwanted childlessness. In most cases, physical causes are the reason that pregnancy does not occur. Modern reproductive medicine helps many want-to-be parents to the longed-for baby when the natural way just does not work.

Reasons for unfulfilled desire to have children

Couples today who have their first child are on average much older than those in the past. Education and career are pushed to the forefront; the desire to have a baby is placed at the back of the line. This social development is one of the reasons why many couples take longer to get pregnant. Because fertility decreases with increasing age. The biologically best age for having the first child would be the period of 25 to 35 years. At this age, the body is the most resilient. In addition, many people deal with different risk factors as they age. Years of smoking, infections, etc. have a negative impact on fertility.


There are many causes of infertility or a fertility disorder. In women, it is often hormonal problems that cause ovarian dysfunction or egg cell maturation. The medical clarification is more complex than in men, because the female genitalia are located internally and the female body has to fulfill numerous functions in the reproduction. It not only has the task of producing the germination cells, but must also carry the pregnancy.

The most common causes of fertility disorders or infertility in women are:

Closed fallopian tubes (tube factor)
In about one third of unintentionally childless women, the fallopian tubes are completely or partially closed. The reasons for this are often inflammations, surgeries or ectopic pregnancies in the past.

About 10% of all women are affected. The number of unreported cases is higher because endometriosis can only be ascertained beyond doubt by surgery. Endometriosis immunologically causes impaired oocyte fertilization capacity and reduced activity of the uterus and fallopian tubes (peristalsis).
Endometriosis is divided into four stages:

  1. 80% of sufferers have stage 1 or 2. With artificial insemination, however, a pregnancy can be achieved.
  2. At stage 3 or 4, it is beneficial to perform an operation before artificial insemination.

If it comes to a pregnancy and it is carried full-termn, the endometriosis disappears in 60% of women affected.


PCO syndrome
The PCO syndrome is an enzyme defect on the ovary. Numerous immature oocytes form on the ovary. Above a certain threshold level, ovulation does not occur because no dominant egg can form. 50% of women with PCO syndrome are overweight. 10% weight reduction often results in normal ovulation. The PCO syndrome is assessed using the Rotterdam criteria.
At least two out of three criteria must be met:

  1. More than 12 antral follicles on each ovary
  2. Rare menstruation or the absence of ovulation
  3. Increased levels of male hormones

An important diagnostic indicator is the determination of AMH (anti-Müller hormone). If the AMH is over 5 (in some laboratories also over 7), one speaks of a PCO syndrome.

Anatomical causes in the area of ​​the uterus

Metabolic problems and hormonal changes (eg Hashimoto's thyroiditis)

In the case of a man, the reasons for an unfulfilled desire to have a baby are easier to determine. For this, a spermiogram exam is sufficient.

The most common fertility problems in men are:

  • Disorders of sperm cell formation
    There should be 15 million sperm per milliliter of seminal fluid. Of these, at least 4% should be shaped normally and at least 32% should be well mobile.
  • Disorders of sperm transport
    Completely or completely occluded spermatic ducts are often caused by a disturbance of the epididymal function, by scars after surgery or by unnoticed infections.
  • Insufficient urinary bladder closure
    In affected men, the penis does not convey the semen outside the body during an orgasm but deposits it into the bladder.
  • Antibody formation
    The immune system of the man treats the sperm cells as a foreign body and attacks them.
  • Hormonal and genetic disorders

A number of different disorders can affect fertility. Also general diseases of the kidneys or the liver or the heart as well as metabolic disturbances affect fertility.

It is not only physical disorders that harm fertility.

A whole range of risk factors can also have negative effects:

  • Mental stress
  • Constant stress
  • Excessive overweight or underweight
  • Excessive alcohol or nicotine consumption
  • Drug consumption
  • Excessive sport
  • Demanding work
  • Low-vitamin diet
  • High radiation exposure


To treat a fertility disorder, an accurate diagnosis of the causes is necessary. Depending on the situation, we then select the best treatment for you and support you on your way to the desired child. You should therefore not be discouraged from the outset. For most couples who want to have children, the right treatment and the possibilities of artificial insemination fulfill the wish of the baby.

You are unintentionally childless and want to clarify the causes for it?
Arrange an initial meeting with us. We are happy to advise and assist you.


Just ask us.

We have compiled the most frequently asked questions for you. You can find more topics in our collected FAQs collected FAQs. If you have further questions on specific topics, we are happy to be there for you by phone ( +43 (0)1 402 53 41)!

Many causes lead to infertility or fertility problems. In women, it is often hormonal problems that cause ovarian dysfunction or egg cell maturation. The most common causes of fertility disorders or infertility in women are occluded fallopian tubesendometriosis and the PCO syndrome. But anatomical reasons or hormonal changes and metabolic problems can cause difficulties.

The most common fertility disorders in men are disorders of sperm cell formationsperm transport, inadequate bladder obstructionantibody production, and hormonal and genetic disorders. In addition, general disorders of the kidneysliver or heart as well as metabolic disorders impair fertility. Also infections (eg mumps) can sustainably reduce the seed production.

number of risk factors can negatively impact fertility: mental stresslong-term stressheavy overweight or underweightexcessive alcohol or nicotine consumptiondrug useexcessive exerciseheavy work, low-vitamin diet and high levels of radiation exposure.

Fertility may be affected by overheating or hypothermia of the testesTight pants push the scrotum close to the body, which can lead to overheating.

However, it is not scientifically proven that tight pants alone lead to infertility.

Mumps is a childhood disease that usually occurs between the ages of five and nine years. Men who get mumps after puberty and develop testicular inflammation can reduce their fertility. In rare cases, fertility is lost.

Body and mind are one unit. If one part of this unit is affected, this also affects the other.

In the majority of couples, the unfulfilled desire to have a child causes physical causes. However, the interactions between body and psyche influence the situation. Therefore, the emotional well-being in the context of a fertility treatment should not be ignored. On the contrary: pairs of children who actively work on their well-being can have a positive influence on their desire to have children.

A good fertility clinic is characterized by:

  • highly motivated and experienced team that you can count on.
  • respectfulpersonal and familial treatment.
  • Experts in the fertility treatment, who will respond to your specific situation and work out the optimal solution for you.
  • Latest medical knowledge combined with the latest technology and experience from daily practice.
  • Profound, complementary support through measures such as TCMacupuncture or nutritional counseling.
  • Psychological accompaniment on your way to the desired child.
  • Transparent calculation of costs.

And of course she should have a high pregnancy rate and enjoy your confidence.