Not Getting Pregnant but 'Everything Looks Normal'? Here are the questions you need to ask

Have you ever left a doctor’s appointment feeling more confused than when you walked in? Maybe you’ve been told, “Everything looks normal,” even though deep down, you know something isn’t right.

You’re not alone!

So many women struggling to conceive—or to carry a pregnancy to term—find themselves stuck in this frustrating limbo. Their lab results come back within "normal limits", yet they’re facing irregular cycles, missed ovulations, “period problems,” recurrent pregnancy losses, and years of trying to conceive with no success.

But here’s the thing: “Normal” isn’t the same as optimal.

When "Normal" Doesn't Mean Healthy

Conventional fertility testing often focuses on basic lab work—looking for obvious, diagnosable conditions. But what happens when everything comes back in range, and you’re still not pregnant?

That’s exactly what happened to my client Megan (name changed for privacy).

She had been trying to conceive for over two years, enduring heartbreaking losses along the way. Every time she had bloodwork done, she was told the same thing: "Everything looks fine. Just keep trying."

But she knew in her heart and soul something was off. She wasn’t imagining her symptoms—her cycles were unpredictable, her energy levels were low, and she had a deep, nagging feeling that something was missing from the equation.

After running advanced hormone and nutrient testing, we uncovered what traditional lab work had missed:

• Sky-high estrogen levels - causing hormonal imbalances.
• Low progesterone - resulting in short luteal phases and difficulties in sustaining a pregnancy.
• Borderline low thyroid function - within “normal” range but not optimal for fertility.
• Nutrient deficiencies - affecting egg quality and overall hormone production.

These were all things that could be addressed with targeted nutrition and lifestyle strategies—yet they had never been flagged as potential issues.

How much time did Megan unnecessarily spend waiting to conceive when she could have been taking action to improve her chances of conceiving?

Once Megan started working to correct these imbalances, everything changed. Her cycles regulated, her energy skyrocketed, and within a few months, she successfully conceived- naturally!

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The Right Questions Lead to the Right Answers

If you’ve been trying to conceive without success, it’s time to ask deeper questions.

Instead of accepting “everything looks fine” as an answer, consider:

Are you tracking your cycles beyond just period start dates? Your basal body temperature (BBT) and cervical mucus patterns can reveal if (and when) you’re actually ovulating—and whether your luteal phase is long enough to sustain a pregnancy.

Have you tested your full nutrient profile? Nutrients like vitamin D, magnesium, and B12 play a critical role in ovulation, egg quality, and hormone production. Standard tests often don’t go deep enough.

Have you explored functional hormone testing, like the DUTCH test? This test goes beyond a single snapshot of hormone levels, showing how your body metabolizes estrogen and progesterone over time.

Have you looked into hidden factors like autoimmunity or gut imbalances? Thyroid antibodies, chronic inflammation, and poor gut health can all contribute to infertility—yet they’re rarely explored in routine fertility evaluations.

Could LUF Syndrome be affecting your chances of conceiving?

While tracking your cycles provides valuable insights, some conditions may not be visible through BBT or cervical mucus alone—one of them is Luteinized Unruptured Follicle (LUF) syndrome.

LUF occurs when a follicle matures and produces progesterone without actually releasing an egg. Frustrating, I know. Everything may look and feel like ovulation—hormonal shifts, temperature rise, even cycle regularity—but conception isn’t possible in that cycle because no egg was released.

LUF is estimated to affect up to 25% of women with unexplained infertility, though its role in fertility challenges is still being studied. It can only be diagnosed through ultrasound monitoring over multiple cycles.

While it’s not the most common cause of infertility, it’s a reminder of why deeper evaluations matter. If you’re struggling with unexplained infertility, working with a provider who can assess your cycles beyond standard labs—including ultrasound tracking—may bring clarity to what’s really going on.



If you’ve been struggling with infertility or recurrent pregnancy loss, hear this

• Your body is not broken, and there are answers—you just need the right questions.
• It may be out of balance, missing key nutrients, or struggling with underlying issues that haven’t been uncovered yet—but that doesn’t mean it’s incapable of conception.

I’ve personally seen firsthand how hope and healing emerge once women get clarity on the messages their bodies are trying to tell them. When you understand what’s actually happening beneath the surface, you can take powerful action—and that’s when real transformation happens.

Your fertility is about more than just your ability to get pregnant: It’s a reflection of your overall health, your body’s ability to thrive, and your need for support in the right areas.

If you’ve been told that nothing is wrong but know something isn’t adding up, don’t stop searching for answers. Be your own advocate. Your intuition is valid. And there is hope.