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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Treatment of No Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Management of Abortion
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Birth Control Treatment
Treatment of Painful Sexual Intercourse
Treatment of Pregnancy Symptoms
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Cervicitis
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Married 4 months b4 but still wife is unable to conceive, during intercourse it takes lot of time for sperms to come out and sometimes sperms also don't comes It there any problem? Kindly advise.
Good morning , I am Dr Puneet K Kocchar. I am a consultant gynaecologist and fertility specialist.
Today I am explain about unexplained fertility. Now before going to unexplained fertility, I am going to tell you about what is infertility or sub-fertility.
If you have has unprotected regular intercourse for a period of one year or over one year and you have not been able to conceive, then you need to see a doctor. That is when you are suffering from sub fertility and you need to see a doctor. And for the women above the age of 35 years, if you have been trying reguarly to get pregnant over a period of 6 months and you are not pregnant. You might see a doctor and get some basic tests done.
Now coming to unexplained infertility. This is where when we are not able to find out the cause of infertility. Lets start from the basics. You need four basic things to get pregnant. I will show you here,
- First we need a sperm which should be normal and have good mortality present in the semen.
- When you have intercourse, the sperm is deposited in the vagina.
- Then you need eggs to be produced in the ovary and we need two fallopian tubes which should be patent and should be able to transfer the sperm to reach the egg.
- Then we have uterus which is normal and able to carry on the pregnancy.
Now unexpalined infertility is when all these factors are normal and still someone is not able to conceive. You will be suprised to know that unexplained infertility accounts for as much as 20-25% cases of infertility, that we see in our clinic daily.
The good news is that about 80% of the women are able to conceive. Most of them conceive on their own or some of them need help of a doctor. No extensive treatments are required in this case, mild treatment might help you conceive. Now the first kind of management is to provide oral medicines, such as follic acid, which help in the development of baby. If you are suffering from polycystic ovaries, we might give the medicines of ovugation induction to improve the quality of egg. These are the oral medications which help in the formation of the eggs. Sometimes we give injections to form highter number of eggs. There are some tablets which helps in improving the quality of few eggs.
On the other hand, there are extreme opposite case in which woman instead of having higher number of eggs, have low number of eggs. So these women might benefit from DHEA tablets, so we give them oral medications in order to improve the egg quality. After improving the egg quality and the serial ultrasounds we can see the egg is develpoing normally. And you have tried naturally, lets say about 3-6 months and you are still not pregnant, then the next step is for Intrauterine Insemination, also called IUI.
In IUI, once your egg is ready, we call the couple to the clinic. The husband has to give semen sample which is then processed. The good quality or the rapidly move sperm is put in the uterus. This might help in conception by increasing the chances of natural pregnancy by about 5%. In natural pregnancy, the chances of getting pregnant is about 15% and in IUI cycle, the chances increase to about 20%. If this fails for about 3-6 cycles, we have two more options;
We either perform the tests for the tubes again. So, we either do the laposcopy tests or we move towads IVF, which is called "In Vitro Fertilization". This is also called test tube baby treatment. It is not actually a painfull or extensive treatment, infact it is quite simple treatment which has a success rate of about 50-60% of conception for majority of couples, below the age of 35-36 years.
In the patients with unexplained infertility, the chances of conceiving without requiring IVF is very high. As I said, all you need is a good direction and not to give up hope and not to stop treatment for very long time. If you are suffering from any such problem, I would request you to call us and make an appointment and discuss the problems in personal.
You can contact me through lybrate or directly on my clinic.
Hello sir. I am married women since after 7 month I have no pregnancy. Every tested has been done for both. My menstrual is regular. But bleeding quantity less use two day. Please suggest what can do.
How can we conceive baby more faster? Is there any better sex position to get pregnant quick? Is there any condition to do sex on periodical basis to get pregnant quickly? Pls pls guide.
I am taking duphaston tab for 5 days a month .to get period. Now I want to conceive .will this tablet effect me to get pregnant?
I did AMH plus test. Result is 1.3(low). I am trying to conceive. Doctors prescribed me to take normoz along with ovares sr 75. From 3rd day of mens i am taking goodova 50mg followed by duphaston tablet. Is there any other drug to take to get success in conceiving. Plz suggest me.
Hello, am 25years old. AM planning fr a Boy. My doctor said my eggs are been ruptured and asked me to wait fr 15 days. But I started up with my periods. Please tell me when is the best time to have intercourse fr conceiving fast.
Actually I want to conceive in may 2016 I had an ectopic pregnancy and operated one tube and do not have much feeling at the time of sex can girl can also get pregnant with proper feeling of sex.
I'm 32 years old defence Prsnl meri shadi Oct 2015 me hui thi lekin abhi tk meri wife pregnant ni hui doctors SE bhi consult kiya doctor NE bataya ki report theek h treatment bhi kiya but koi fayda Ni hua report me bataya ki meri wife ki ek tube block h but ek bilkul theek h mera bhi test hua sperm test SB them h but those sperm low bataye vaise JB me or meri wife sex krte h to SB them hota h but but jab sperm girta h to thodi der baad vo bahar aa jata h isse koi problem h kya kya muje koi medicine lene ki jarurat h apne sperm kk badhane k liye me bahut pareshan hu pls koi meri help kijiye.
The study found couples struggling to conceive eat less fruit and vegetables than people who have just become parents.
Men who want to become fathers should eat their greens
Fruit and vegetables are good for male fertility because they contain compounds that could protect sperm from damage.
The minerals zinc, found in beans and pulses, and selenium, found in eggs, help keep testosterone levels high.
The antioxidants found in fruits help protect sperm from cellular damage and keep them strong and speedy - just what they need to race through the fallopian tubes and fertilize the egg.
Zinc deficiency can actually reduce testosterone levels; for men with low testosterone - zinc was shown to raise testosterone and increase fertility. Zinc deficiencies are some of the most common deficiencies found in both men and women. Sources of zinc are sesame seeds, raw pumpkin seeds, and green peas. Find vitamin a - which is important in preventing sluggish sperm - infertility foods such as leafy greens, carrots, red peppers, and apricots, to name a few. Get vitamin c - which is critical to sperms motility and viability - in papaya, Brussels sprouts, strawberries, oranges, kiwifruit, tomatoes, grapefruit, and broccoli, among other foods. And get vitamin e - which helps keep sperm vital - from vegetable oils. Fruits and veggies such as leafy greens, beans, and most fruits contain folic acid - a b vitamin with antioxidant properties that's crucial for keeping sperm free of chromosomal abnormalities. Pomegranate juice: another powerful player in antioxidant. Foods rich in l-carnitine are nuts, seeds, and many vegetables, including artichokes, asparagus, beet greens, broccoli, brussels sprouts, collard greens, garlic, mustard greens, okra, and parsley. This amino acid is a necessary nutrient for sperm cells to function normally.