If you’re having trouble getting pregnant, you and your husband should thoroughly checked by a doctor to make sure that you’re both healthy. Various conditions can affect a women’s fertility. If you have symptoms that include menstrual discomfort, pain during intercourse, backache, discomfort during bowel movements, diarrhea and constipation, see your doctor. You could have endometriosis; a condition that occurs when cells lining the uterus spread to other parts of the pelvic area, causing scarring, inflammation and sometimes infertility.
If untreated—or if treatment is incomplete--sexually transmitted infections can also scar a woman’s fallopian tubes and leave her infertile. The two most common are trichomonas and gonorrhea. A simple cervical swab along with a Pap test should enable a doctor to detect an infection, which is easily treated with antibiotics—and the earlier the treatment, the less likely there will be scarring. Finally, doctors may check you for a hormonal condition called poly cystic ovarian syndrome, which may make getting pregnant difficult.