Causes for unfulfilled desire to have children

In Germany, almost every tenth couple between the ages of 25 and 59 was involuntarily childless in 2020 (source: Federal Ministry for Family Affairs, Senior Citizens, Women and Youth). If the wish for a child cannot be fulfilled as hoped, questions and feelings arise:

  • Whose fault is it?
  • What are the reasons?
  • What are the options?
  • Why does it work for everyone else but not for us?
  • Why us?

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Typical procedure

If there are doubts about fertility, a doctor should always be consulted in order to look for causes and solutions early and in good time.

In the first step, most women go to their gynaecologist to discuss the issue of involuntary childlessness. If the cause of the infertility cannot be clarified by the gynaecologist, a referral to a fertility clinic often follows. At the same time, the man should visit a urologist or andrologist to have his sperm quality tested with a spermiogram.

Anamnesis (previous history)

The initial consultation at a fertility clinic usually takes place with both partners. The respective life circumstances, medications to be taken, childhood or sexually transmitted diseases and previous illnesses are discussed. On the basis of the individual aspects, it can be discussed together with the doctor which examinations are sensible and necessary. The course of the individual examinations is determined individually.

Fertility examinations (fertility tests)

In order to get to the bottom of the cause of the unfulfilled desire to have children, various examinations are carried out. The sperm quality of the man is checked with the help of a spermiogram. The hormone levels of the man and woman are checked in the laboratory by taking a blood sample. In the case of cycle disorders, cycle monitoring is carried out to determine whether ovulation is taking place. There are also special ultrasound examinations and the procedure of a laparoscopy. A laparoscopy can determine whether the shape of the uterus is OK, for example. This is only a small part of the possible examinations to determine the cause of the unfulfilled desire to have a child.

Miscarriages can also provide clues to causes of childlessness, for example an indication of a genetic cause. About every 6th woman experiences a miscarriage (source: Quarks). The risk of miscarriage increases with the age of the woman. In some cases, women have already had several miscarriages and then go in search of the cause. In society, the topic of miscarriage is taboo and many women have to deal with the loss alone.

Reasons

After a comprehensive diagnosis has been carried out (duration Ăž 2 months), affected couples have certainty about their unfulfilled desire to have children. In this way, treatment can be started in a targeted manner or alternatives can be researched. For example, endometriosis is associated with inflammation in the pelvis or uterus. Disorders of the fallopian tubes can influence the desire to have children and hormone disorders are frequently diagnosed reasons for involuntary childlessness. The age of the woman in particular influences fertility and the fulfilment of the desire to have children. Premature menopause or a change in the anatomy of the man or woman can also be influencing factors.

We go into the individual points on our page and give you a comprehensive overview of the examination options for an unfulfilled desire to have a child.