Egg rupture but not conceived? Why does this happen?

Trying to conceive can be an exciting yet emotionally charged time. You meticulously track your cycle, analyse ovulation signs, and hope for that positive pregnancy test. But sometimes, despite ovulation (egg rupture), pregnancy doesn’t happen. This can be frustrating and leave you wondering what’s wrong. Understanding the reasons behind egg rupture but not conceived and exploring potential solutions can help you navigate this experience.

In this blog, our fertility specialist in Bangalore explores the causes behind this occurrence and potential solutions.

What is Egg Rupture (Ovulation)?

Egg rupture, also known as ovulation, is a crucial step in the conception process. During ovulation, a mature egg is released from the ovary and travels down the fallopian tube towards the uterus.

This window of opportunity for fertilisation typically lasts around 12-24 hours. If sperm fertilises the egg within this timeframe, uterine implantation can occur, leading to pregnancy. However, if fertilisation doesn’t happen, the egg disintegrates and is eventually expelled during your menstrual period.

Factors Behind Egg Rupture but Not Conceived

If you’ve been diligently tracking your ovulation but still haven’t conceived after six months of trying, several factors could be standing in the way:

Polycystic Ovarian Syndrome (PCOS)

PCOS is a prevalent hormonal disorder among women of reproductive age, disrupting menstrual cycles and impacting fertility by causing ovulation irregularities. While its exact cause remains elusive, lifestyle adjustments like dietary changes, regular exercise, and stress management can mitigate its effects and boost fertility.

Blocked Fallopian Tubes

Blocked fallopian tubes pose a significant barrier to conception by hindering the journey of the egg from the ovary to the uterus. Various factors such as pelvic inflammatory disease, endometriosis, surgeries, or congenital anomalies can lead to tube blockages, thwarting fertilisation and resulting in infertility.

Irregular Uterine Shape

An irregularly shaped uterus can hinder the implantation of a fertilised egg, preventing pregnancy. This is often due to conditions like uterine fibroids or congenital abnormalities, which can impede the successful implantation of a fertilised egg. This irregularity diminishes the chances of pregnancy, even with regular ovulation.


This condition, characterised by the growth of uterine tissue outside the uterus, not only causes pain but also scars the fallopian tubes, hindering egg transport and affecting implantation. Additionally, the inflammatory environment it creates can compromise egg quality, contributing to infertility.


Uterine fibroids, non-cancerous growths in the uterus, disrupt the delicate balance needed for conception. Their presence can distort the uterine cavity, making it unsuitable for embryo implantation and interfering with blood supply to the uterine lining, compromising its ability to support pregnancy.

Sperm Abnormalities

Male factor infertility, often overlooked, can significantly affect conception. Sperm abnormalities like low count, poor motility, or abnormal morphology hinder fertilisation, with causes ranging from genetics to lifestyle factors like smoking and alcohol consumption.

Effects of Cancer Treatment

Cancer treatments like chemotherapy, radiation therapy, and hormonal interventions can have profound and lasting effects on fertility. These therapies can damage reproductive organs, disrupt hormonal balance, and compromise the quality of eggs and sperm, diminishing the chances of achieving pregnancy naturally.


Stress, prevalent in today’s fast-paced world, disrupts the hormonal balance crucial for ovulation and implantation, making conception challenging. It also compromises overall physical health, further affecting fertility.


A woman’s age is one of the most critical factors influencing fertility. As women age, the quantity and quality of eggs decline, making successful fertilisation and implantation less likely. Additionally, advancing age is associated with an increased risk of chromosomal abnormalities in eggs, leading to higher rates of miscarriage and infertility.

Factors Hindering Conception in Assisted Reproductive Techniques (ART) Procedures

If you’ve opted for assisted reproductive techniques like IVF or IUI, additional factors may affect the fertilisation process.

Egg Survival

Sometimes, eggs fail to survive after fertilisation in the laboratory.

Sperm Quality

Despite advancements in reproductive technology, sperm quality remains a critical determinant of fertilisation success. Frozen sperm, in particular, may exhibit reduced viability or fail to decondense properly, impeding fertilisation in IVF or IUI cycles.

Egg Activation

In some cases, eggs may fail to undergo the necessary activation processes required for fertilisation, leading to failed attempts at conception in ART procedures.

Potential Solutions

Struggling with conception challenges can be disheartening, but there are various avenues to explore in your journey towards parenthood:

Optimising Timing

Understanding the menstrual cycle and identifying the fertile window can increase the chances of conception. Tools like ovulation predictor kits or fertility tracking apps can help pinpoint ovulation with greater accuracy.

Lifestyle Modifications

Adopting a healthy lifestyle can positively impact fertility for both partners. This includes maintaining a balanced diet, regular exercise, managing stress levels, and avoiding harmful habits like smoking and excessive alcohol consumption.

Seeking Medical Evaluation

If conception remains elusive despite regular ovulation, consulting a fertility specialist is advisable. Comprehensive evaluations can identify underlying issues like hormonal imbalances, ovarian dysfunction, or tubal blockages, paving the way for targeted interventions.

Assisted Reproductive Technologies (ART)

For couples facing significant fertility challenges, ART procedures such as in vitro fertilisation (IVF), intrauterine insemination (IUI), or intracytoplasmic sperm injection (ICSI) offer advanced solutions to overcome barriers to conception.

Addressing Underlying Health Conditions

Treating underlying health issues such as endometriosis, polycystic ovary syndrome (PCOS), or thyroid disorders can improve fertility outcomes and increase the likelihood of successful pregnancy.

Consult Our Fertility Specialist in Bangalore to Overcome Your Conception Challenges

As you can see, egg rupture but not conceived doesn’t necessarily indicate infertility. There might be a temporary obstacle that can be addressed. Consulting a fertility specialist in Bangalore, exploring treatment options, and making healthy choices can significantly improve your chances of conceiving. It’s also important to acknowledge that sometimes, conception may not happen naturally, and exploring ART might be an option to consider.

If you’re facing the problem of egg rupture but no pregnancy, book an appointment with us. As the best fertility specialist in Bangalore, Janisthaa can help you guide you in the right direction.