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Trying to start a family from a couple of months but without success. Suggestions? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor:How can I help you?
User:i need help regarding the guidance on pre-conceiving medical check ups
User:for family planning
Doctor:Family planning refers to contraception.
Doctor:Are you looking to plan family or are you looking for pregnancy?
User:isnt it the same
Doctor:No, it is not the same.
User:ok, then what is the difference
Doctor:May I know if you are planning for pregnancy or trying to prevent pregnancy now?
Doctor:Family planning in simple words refers to methods to prevent pregnancy.
Doctor:So please let me know what are you looking for?
User:ok.. then i'm planning for pregnancy
Doctor:Ok. May I know your age and gender?
User:female, age - 28
Doctor:Are you periods regular?
User:more or less... cycle varies between 34 - 40 days
Doctor:Were you on any contraceptives to prevent pregnancy?
Doctor:if not, do you have any difficulty in conceiving?
Doctor:These details are relevant to answer your query.
Doctor:I hope you do not mind answering them.
User:Not recently, though i have taken them in past
User:thats ok, i understand
Doctor:Are you facing any difficulty to conceive?
User:we have been trying for past 3 months
Doctor:Let me brief you.
Doctor:The most important criteria in women that influence chances of conception is body weight and regularity of menstrual cycle.
User:i have an average body weight. i weigh 53 kgs with height of 5'2
Doctor:If your weight are in ideal limits and your cycles are not very irregular, there are good chances of conceiving.
Doctor:It's good to know that your weight is normal.
Doctor:At this point of time my suggestions are as follows:
User:i did have an irregular cycle earlier but it is generally regular now
Doctor:1. Start folic acid supplement such as Tab.Folvite 5mg once a day.
Doctor:2. Your hemoglobin, blood sugar, thyroid profile needs to be checked
Doctor:apart from screening for HIV, syphillis and hepatits needs to checked once pregnancy is confirmed.
User:will follow this
User:anything else that i need to do
Doctor:3. Your blood hormone level (FSH, LH, Prolactin), hysteroscopy, follicular scan and sperm analysis of your partner needs to be checked
Doctor:if you find any difficulty in conceiving.
User:ok.. how long does it take generally for conceiving.. what is the normal time period
Doctor:On medical grounds we do not have any such standard time line as normal conceiving time.
Doctor:Generally you can try as long as an year and more before opting for medical assistance.
Doctor:As your age is 28, and your periods have normalized, I do not expect you to have any difficulty in conceiving.
Doctor:So please do not be concerned and keep trying as you are now.
Doctor:Take folic acid supplement and observe every month.
User:ok, will do that & also take the tests mentioned by you.
Doctor:If you are unable to conceive in the next 6-9 months time, you should opt for the other test which I mentioned.
Doctor:I hope it is clear to you.
Doctor:Do you have any other query?
User:yes it is
User:thanks for your guidance
Doctor:You are welcome.
User:no other query
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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