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Premature ejaculation and inability to conceive - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hello
Doctor :  
how can i help u?
User :   hello sir
Doctor :   hii

User :   i am ravikumar
Doctor :  
ok
User :   I have been trying to make my wife pregnant for over 1 year
Doctor :   ok
User :   but i can't able
Doctor :  
ok
User :   what is the procedure to get pregnant
User :   how many time i have sex with my wife to get pregnant
Doctor :  
whats ur age??
User :   is there any timing to have sex
User :   29
Doctor :  
ok
Doctor :  
when did u get married?
User :   sept 14 2009
User :   sorry 2008
Doctor :  
ok
Doctor :  
have u seen any doctor for this?
Doctor :  
are u on any medication?
User :   no
User :   i will not consult doctor
Doctor :  
ok
Doctor :  
there is something called as fertile period which will be from 8th to 21 st day of ur wife periods
User :   ok
Doctor :  
preferably 14th day is more favourable if ur wife periods are regular
Doctor :  
ur wife and u both stay together?
User :   s
Doctor :  
nothing to worry
Doctor :  
normally some couple take more than a year to give a kid
User :   ok
User :   she is allowing to have sex one time for a day
Doctor :  
if u are feeling very apprehensive then u should go for some investigations.the defect may be in either of u.so both should go for tests
Doctor :   thats enough
User :   its enough to get pregnancy
Doctor :   nope thats enough...
Doctor :  
there is nothing like do more times u will get baby early
Doctor :  
is she on any contraceptive pills?
User :   i will have more time sex
User :   no
User :   she will get pregnant earlier
Doctor :  
in the begining?
User :   no she will not have any pills
Doctor :  
ok
User :   i will have more time sex , she will get pregnant earlier
Doctor :   there is nothing like having more number of times..
Doctor :   even if u do once also its enough to become pregnant
User :   ok
User :   how much sperm count need to pregnant earlier?
Doctor :  
but is she is willing u can have how many ever times u want u can try.
Doctor :  
60 millions
Doctor :  
is the minimum
User :   it possible to check my sperm count
Doctor :   yes u can go and check it

User :   were
Doctor :  
in any hospital/diagnostic center
User :   if my count is less than 60 million how to increase? also is there any medicine to increase sperm count
Doctor :  
not only sperm count but also get ur wife checked by gynecologist so that we can detect any problem in her also
User :   daily we are traveling 1 hrs in bike, to go office
Doctor :  
ok
Doctor :  
what is ur weight?
User :   is there any chances for that not pregnancy
User :   63
Doctor :  
height?
User :   i don't know my exact height, approximate 5.5 feet
Doctor :  
if u are over weight reducing ur weight will help to increase sperm count
Doctor :  
but ur weight is correct
Doctor :  
are u addicted to alchohol?
User :   no
Doctor :   are u habituated to smoking?
User :   per day 5
Doctor :  
ok
Doctor :  
smoking also will reduce sperm count
User :   alcohol one time in a month
Doctor :  
it will make u infertile
Doctor :  
alchohol once in a month is not a problem
Doctor :  
but smoking is harmful..
Doctor :  
try to reduce as much as possible
User :   ok
Doctor :  
dont wear tight under wear
Doctor :  
but first check ur sperm count
User :   daily we are traveling 1 hrs in bike, to go office, is there any chances for that not pregnancy
Doctor :  
ok
Doctor :  
that is not a problem
User :   k i will check my sperm count
Doctor :  
ok
User :   is their any prefered time to check sperm count
Doctor :   not only count but also sperm motility,sperm quality
Doctor :  
go for total semen analysis
User :   is there any medicine to increase my semen
Doctor :  
normally sperm count is more in the early morning so its better u get it done in the easrly morning
User :   semen analysis means? they will examine spermcount, motility and quality
Doctor :   they will examine the fluid which comes from pennis when u do sex
Doctor :  
yes
User :   this 3 test is enough
Doctor :   if they are correct then u dont have any prblem then u should get ur wife checked .
Doctor :  
if even she is fine then nothing to worry.
User :   k
User :   how much % need to be in my sperm?
Doctor :  
ok
User :   sperm count?
User :   motility?
User :   quality?
Doctor :   to be more presice 20 million-60 million
Doctor :  
motility is 2-3 mm/hr
Doctor :   u dnt have to worry much ..the report will show the normal values also
User :   which medicine do you suggest to increase the spermcount, motility and quality? if the result is not in normal
Doctor :   first get the test done..see the report if u have lsee count then i will give u tips to increase sperm count
User :   i have read one article sperm will increase 35% comparing to night times?
User :   its correct
Doctor :  
sperm count is more in the early mornings
User :   which time sperm i want to give check?
User :   morning or evening ?
Doctor :   morning
User :   k
User :   which morning time is suitable to take sperm
User :   8 to 9 ok
Doctor :  
ok
User :   or
User :   7 to 8
Doctor :  
7-8 is good but at that time centers will be closed
User :   yes
User :   normally center's will be open at 10 o clock
User :   how long they will take to give the report?
Doctor :   yes
Doctor :  
first go to some centers and then take appointment
User :   k
Doctor :  
then they will tell what time to come
User :   is there any time duration from the packed sperm
Doctor :  
normally sperm will live for 24 hours
Doctor :  
but storage is difficult
Doctor :   take their opinoin first
User :   my sperm is coming out early, when i am touching my wife?
Doctor :  
this is called as premature ejaculation
Doctor :  
do more foreplay
User :   any problem for that?
Doctor :  
nothing
Doctor :  
dont directly insert
User :   but taking to long time for second ejaculation
Doctor :   it happens with every one
Doctor :  
first ejaculation has got more sperms'
Doctor :  
r u there?
User :   s
User :   have you found any difficulties from my conversation?
User :   or problems?
Doctor :  
premature ejaculation
Doctor :  
is the only problem i can make out
Doctor :  
remaining we have to find through tests
User :   how to make out the premature ejaculation
Doctor :   u are telling....na that u are getting even before having sex ..even if u touch ur wife also
User :   s
User :   so will insert directly
Doctor :   no
Doctor :  
u involve urself in more foreplay and use PRILOX gel
User :   were i want to user?
User :   in my pennis?
Doctor :   apply that gel 5 minutes before having sex and clean it after having sex..on pennis
User :   is there any diagram in wesbite?
User :   or using methods of PRILOZ gel?
Doctor :   u can go through the instructions provide along with gel
Doctor :  
that is prilox gel
User :   k
Doctor :  
ok
User :   now what your suggesting me, to get my wife pregnant?
Doctor :  
i have told u everything... first try prilox gel
Doctor :  
if that is not working go for semen analysis
Doctor :   if semen is fine then get ur wife tested ..
User :   k
Doctor :  
ok
Doctor :  
Please fill the feedback form say done when done.
User :   i can able to check my wife with help of pregnancy card?
User :   if yes, when i want to check?
Doctor :   check when ur wife misses a period
User :   last period is 3rd september
Doctor :   if she misses her next period on 3 rd october then u get her tested....for pregnacy card test
User :   k
User :   thank's for your valuable suggestion
Doctor :  
welcome
Doctor :  
Please fill the feedback form say done when done.
Doctor :   Have you filled the feedback form?


Doctor :   r u there?
User :   yes
User :   filled
Doctor :  
thanx
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok, thank you
User :   bye
Doctor :   bye
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.

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