Think you can’t get pregnant? Try again Genevra Pittman (Reuters)
   



That means that if nothing is clearly wrong — men make enough sperm, and women are ovulating regularly — couples who have had trouble conceiving should still be optimistic they can get pregnant on their own, researchers said.

“I’m not surprised that women who were not treated still get pregnant. We know that,” said Dr. Courtney Lynch, head of reproductive epidemiology at The Ohio State University in Columbus, who wasn’t involved in the new research.

“We know we can get women pregnant quicker if we have them go into IVF, but if we give women time, (many of them) can still get pregnant,” she told Reuters Health. The research is part of a long-term study of more than 7,000 women living in Australia. Starting in 1996, participants filled out health surveys every few years, which included questions on pregnancy and childbirth.

The current data is from about 1,400 women age 28 to 36 who reported on the most recent questionnaires that they’d tried unsuccessfully to get pregnant for at least a year at a time.

Close to 600 of those women said they’d received infertility treatment using IVF or fertility hormones, including Clomid. Through the latest survey in 2009, 53 per cent of those women said they had a baby following fertility treatment, compared to 44 per cent of women who’d had trouble conceiving but didn’t seek treatment, the researchers reported in the journal Fertility and Sterility. For women who did have a baby, there was no difference in pregnancy complications — including stillbirths or premature births — between those who did and didn’t get fertility treatment.

Herbert and her colleagues pointed out some limitations of the report, including that they didn’t know if women changed male partners at any point during the study period, which could have affected their chances of becoming pregnant.

And one fertility researcher not involved in the new study said it’s impossible to know whether women who didn’t get treatment lost or gained weight, or changed their diet and lifestyle to improve their chances of becoming pregnant.

Alice Domar, of Boston IVF, said that the number of women who got pregnant without treatment after a year of infertility is higher than previous studies have suggested.

“What a lot of physicians feel is if you’re not pregnant within a year, it usually means there’s something going on,” she told Reuters. Domar said that she’d still recommend a woman who’s been trying to get pregnant for that long get checked out to see if there’s anything preventing her from conceiving. If not, she can keep trying.