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Trying to conceive. Which days are the most fertile? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
Doctor:How are you
User:now i had a few gynaec queries
Doctor:Go ahead
User:Actually doc we have a 8 yr old daughter & for the past year we trying to go for the second child
User:my age is 40 & wife is 35
User:i needed to know what r the fertile days
Doctor:The days where the fertility levels are maximum are days 10-17 of the cycle
Doctor:Day 1 being the day bleeding starts
User:my wife is not conceiving
Doctor:You would need to have unprotected intercourse atleast on alternate days
Doctor:in the fertile period
User:which days
Doctor:Days 10-17 of the cycle
Doctor:as I explained
User:also is proper ovulation happening
Doctor:This is when ovulation takes place
Doctor:That can be determined by an ultrasound
Doctor:Also by a method known as basal body temperature method
Doctor:But this one is not very accurate
Doctor:Ultrasound is the best method
Doctor:Are her cycles regular?
User:we had taken a report somemonths back.....FSH,LH & E2
User:yes her cycle isregular.28 days
Doctor:Can you share those reports with me
Doctor:send it at YYYY@YYYY
Doctor:With subject being Attention to Dr. XXXXXXX
User:ok..& XXXXXXX it in ur name
User:i have not scanned them.wl do it tmrw
User:also this test is done on the 2nd day of the period?
Doctor:How long have you been trying to have a child?
User:since last year
User:we delayed it coz i was told becoz i hv RP my second child wl have it
Doctor:the pattern of inheritaance is variable
Doctor:It really cant be predicted
Doctor:Did someone in your family have it
User:yeah but i was really disturbed with such conflictingnews
User:no doc
User:but my parents r related & are cousins
Doctor:So autosomal recessive is possible in that case
User:hope it is not very late now becoz my daughtr is now 8 yrs old
User:autosomal recessive??
Doctor:its a pattern if inheritance
Doctor:what it means is
Doctor:that you have both the defective copies of the gene
Doctor:You will pass only 1 to your offspring
Doctor:The other comes from your wife
Doctor:If she has a normal version, your child will not have RP
Doctor:If your wife has an abnormal version, your child will have RP
Doctor:Its possible, your father and mother had a defective version
User:my wife has a normal vision
User:or maybe my grand fathers
Doctor:If only 1 single copy of this gene is present, the person will be normal
User:but my parents hv a normal vision
Doctor:Does anybody in your wife's family have RP?
Doctor:Your parents have normal vision because they have 1 normal copy and 1 abnormal copy
Doctor:For someone to have a problem, both copies should be abnormal
Doctor:If nobody in your wife's family has RP it
Doctor:Its almost impossible that your child will have RP
User:i was worried becoz if my second child has RP........& that alsowl get it at an early age.i delayed it
User:neways idont want to delay it any further
User:i am 40 now doc
User:wife is 35
Doctor:I understand
Doctor:How long have you been trying to have a child?
User:actually since last yr
User:but for thepast some months trying to time it during fertile days
Doctor:Has a semen analysis been done/
User:some where telling 12 - 16th days
User:some where telling some other days
Doctor:But in general, 10-17 days
User:got it
User:sometimes i had performance anxiety.
User:yes semen report is also there
User:wl mail that to u
Doctor:Please send that across
Doctor:You need to speak with your wife
User:wl do so mostly by tmrw evening
Doctor:About the performance anxiety
User:ok ok
Doctor:These are issues that need to be talked out
Doctor:Thats their main treatment
User:she isalsovery disturbed becoz of thedelay
Doctor:I understand
User:also doc she had conceived after 18 months of our1st child
Doctor:But anxiety and stress will only worsen it
User:butwe aborted it becoz it was too soon
User:but we both r feeling very guiltyabout it
User:& now it is like we are fighting against time becoz of our age
Doctor:There is nothing of that sort
User:i know i hv to relax
Doctor:There are many people who have their first children after 35-40 years of age
User:yeah but i am 40 & my wife is 35 & my daughtr is 8 yrs old
Doctor:It doesnt matter
Doctor:You'll be fie
User:iwl send u the reports by mail & then how do iget it touch with u since i hv discussed with you my details
Doctor:Come on chat
Doctor:ask for me
Doctor:or send me an email
User:but i dont get to come to a specific doc
Doctor:or ask for get a call from a doctor
User:wl do
Doctor:You can say
Doctor:I want to speak to Dr. XXXXXXX
User:or wldrop my number in the mail
Doctor:Email the reports to me first
Doctor:I'll have a look at it
Doctor:Then on Monday, just raise a request for get a call from a doctor
User:okdoc wl do that
User:& iwl put ur name inthat
Doctor:I can tell you XXXXXXX
User:ok thnx
Doctor:If the reports are normal
Doctor:There is nothing you need to worry about
Doctor:Its not false assurance
Doctor:I truly mean it
User:thnx i need such assurances.coz feel very low sometimes
User:yeah thnx makes me feel much better
Doctor:Is there any other concern I can address?
User:as of now nothing but surely iwl b in touch with u.becoz two of my biggest concern RP & going for my second child r being discussed with you
User:thnx doc for your time
Doctor:Thanks for consulting me
Doctor:Have a good day
User:i shud thank you for ur concern & understanding my problem
User:u2 hva gud day
Doctor:Bye for now
Doctor:You're most welcome
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