What is the reason for not getting pregnant on the day of ovulation?

Patient's question:

It's the same situation. The ovulation test paper has confirmed the ovulation day, but still no success on that day, and it's been like this for two months. Should I try for more months? Or should I go for a check-up? Is it true that having sex on the ovulation day has a 95% chance of success?
Help needed: Is it true that having sex on the ovulation day has a 95% chance of success?

Doctor's answer:

The most basic condition for pregnancy is having a healthy follicle develop and mature, and be expelled smoothly. A healthy and high-quality sperm is also required, along with a well-functioning and unobstructed fallopian tube. In summary, based on the information you provided, it is recommended to have follicle monitoring done at your local hospital. Additionally, fallopian tube (hysterosalpingography) and semen analysis should be conducted. Based on the test results, symptomatic medication and treatment should be administered. Even if intercourse occurs during the ovulation period, the statistical probability of pregnancy in one menstrual cycle is still less than one-third. If pregnancy does not occur, it could simply be a matter of luck. If the couple is unable to conceive for a year, both partners should undergo medical examinations. Before any abnormalities are confirmed, it is not advisable to use any medication.

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