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Suggest treatment for infertility - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How can I help you?
User: XXXXXXX here
User:need come clarification on fertility period
Doctor:Please describe your query.
User:we're planning for kids for almost 2years. We consulted the doctor and didn't find any problem
User:for the infertlity
User:and we're spending together from 11-18th day from the menstrual day
User:every month
Doctor:May I know your age and gender?
User:29 male
Doctor:Is your wife's period regular?
Doctor:Are you there?
Doctor:Will you be able to provide the details of tests that were done?
Doctor:May I also know your partner's age?
User:yes, we did HSG, thyroid tests
User:she is of 28
Doctor:Besides hsg and thyroid test what other tests were performed?
Doctor:Ultrasound scan, FSH, LH, prolactin, AMH levels, semen analysis, etc?
User:unable to remember the other, can you please mention the normal tests to be done for this so that I can be able to remember from the names
Doctor:Let me explain.
Doctor:Fertility is affected by many factors.
Doctor:We require systematic investigations at particular time to understand what might be causing the problem.
Doctor:If your wife has regular periods, it is less likely that she has problems with ovulation.
Doctor:However to be completely sure she needs to be evaluated.
User:ok, when we consulted a doctor in one of the reputated hospitals
User:she told we didn't find any problem and have to go for laparoscopy to check it inside
Doctor:A trained infertility specialist will order test such as serum FSH, LH, AMH and prolactin levels at 3rd and 10th day of cycles
Doctor:along with follicular scan and HSG
Doctor:Besides these your semen analysis need to be performed to isolate the cause and its treatment.
User:semen analysis is also done, count and everything is fine
User:yes, follicular scan also we use to do from 10th day.
User:on 12th day of the cycle, she was suggesting to take a HCG injection for ovulation
Doctor:I understand you may need form of assistance to conceive
Doctor:however without complete information I would not be able to give a detailed information to help you.
Doctor:At this point of time, I would suggest you to undergo the tests your doctors suggested.
Doctor:Once they are done, you can upload the reports on Ask A Specialist.
User:ok, thanks
Doctor:Our doctors would be able to review the findings and give an opinion that you can act on.
User:and more thing, may I know the fertility period during which the ovulation happens
User:and during this time, the couple should be together for every 24 hrs.?
Doctor:If your wife has periods regularly at 25 days, then ovulation is roughly on the 8 - 12th day of her menstrual cycle.
Doctor:Day 1 is calculated from the first day she has period.
Doctor:In the sense if your wife has period of 22 february that is tomorrow, tomorrow would be day 1 and 1st march to 4th march would be the ovulation day.
Doctor:i hope you got the calculation.
User:yes, got it
Doctor:During the ovulation days, increase the frequency of sexual intercourse.
Doctor:Make sure both you and your partner are stress free.
User:ok, what's the life span of sperm?
Doctor:And encourage her to lie flat for 30 minutes after intercourse.
Doctor:Healthy sperm is able to survive for 3-5 days inside the uterus.
Doctor:Surival rate reduces if sperms are abnormal or if they have reduced motility.
Doctor:Hope i am clear.
Doctor:Do you have any more questions?
User:yes, thanks a lot fro your time and information
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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