
Normal fertility results can feel reassuring—but frustrating when pregnancy still hasn’t happened.
What is unexplained infertility?
This diagnosis means a standard fertility evaluation has not identified a clear cause. Testing generally assesses ovulation, fallopian tube openness, the uterus and semen quality. Normal bloodwork alone is not enough.
Why can pregnancy still be difficult?
Routine tests cannot assess every step of conception. They do not fully measure egg quality, fertilization or embryo development. Normal results do not guarantee pregnancy, but unexplained infertility does not mean pregnancy is impossible.
Do you need more tests?
Not always. Additional testing should reflect your symptoms and history. Specialized sperm tests, immune panels and surgery are not routinely needed for everyone.
What are the next steps?
Your fertility specialist may discuss continued trying, ovarian stimulation with IUI, or IVF. The choice depends on age, how long you have been trying, previous treatment and your preferences.
When should you seek help?
Under 35: after 12 months of trying.
Ages 35–40: after six months.
Over 40, irregular periods or known concerns: seek advice sooner.
At Longevity Fertility Centre, we review both partners’ fertility history and available results to support individualized care.
Calgary & Edmonton
