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What is the cause and treatment for infertility? - Online Doctor Chats

Date : 19-Jul-2014
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor:Hi
User:hi, wanted to consult on infertility issue
Doctor: Please proceed with your query
User:i got married last year in feb-2013, i am 29 year old and my wife is 25 planning to have kid
User:but unfortunatley not getting any sucess, can you please suggest some way out
Doctor:Have you gotten tested yet?
User:yes multiple times but pregnancy test was negative always
User:also i am allregic to skin problem and takes cetzine tablet within every 5th day
Doctor:Blood tests or other tests related to infertility
Doctor:ok
User:yes will share u the result
Doctor:ok
User:report
Doctor:Can you send it at YYYY@YYYY
User:beta HCG test was done on 17th Feb-14 with result as 239.6
Doctor:ok
Doctor:Beta hcg is pregnancy test
User:multiple other test was also done
User:i have all the report with me now
Doctor:You can take a photo of it and send it to me
User:can you tell me which report details is required now
Doctor:Are all the reports normal?
User:yes as per gynaec she said yes
Doctor:ok
Doctor:Was your semen analysis done?
User:yes
User:shall i write the report now if u want
User:fructose test: positive
Doctor:ok
User:Motility grade: 3 in XXXXXXX - good activity with tail movements visualised & 4 in XXXXXXX - full activity with tail movements difficult to visualise
Doctor:ok
User:After liquification: Actively motile - 80%
User:sluggishly motile - 10%
User:non motile - 10%
User:pus cells - 1-2/hpf
User:precursor cells - 6-8/hpf
Doctor:its normal
User:than doctor we are desperately waiting to have kid
User:please suggest
User:any medication or dietary
Doctor:If the basic blood tests in your wife are normal, the gynecologist may subject her to some advanced tests
Doctor:Sexual intercourse should happen near the ovulation time
Doctor:Do you know how to find the ovulation time
User:that we tried to the best
Doctor:?
User:she is expecting her period by 10th of this month
User:please help
Doctor:Relax
Doctor:Do not be so much haste
User:please let me know the ovulation time for her
Doctor:The chance to ovulate is just once in one month
Doctor:There are ovulation prediction kits available
Doctor:you can use them
Doctor:Other basal body temperature method can also be used to predict
User:can u suggest which one to take from medical store
Doctor:Ovulation prediction kits
User:and prescription how to use it
Doctor:I think for this month the ovulation may have happened last week
Doctor:You will need to use it as per its instructions
User:den when can be the best period for this month to have ovulation
Doctor:It happens around 14th day from start of menstrual periods
User:den it can be 24th of this month, is that the best period for her to conceive
Doctor:If the periods start on 10th this month
Doctor:Then ovulation would be around 24th
Doctor:yes
User:thanks dr
User:and any mediciation for her to conceive
Doctor:Also use the kits
Doctor:First try safer methods
Doctor:medicine is to induce ovulation in women who do not ovulate naturally
User:actually we tried every such things
Doctor:For that we have to first prove with ultrasound that is not ovulating
User:ohk and any test which can be suggested to be done
Doctor:Many couples conceive after 1 year of marriage
User:ohk than i shouldnt be worrying
Doctor:Follicular studies can be done
Doctor:Thats what I am saying
Doctor:There is not much to worry
Doctor:You are not late
Doctor:In fact stress is biggest factor to prevent ovulation
User:same thing my family doctor also told me
Doctor:Yes
Doctor:Relaxing definitely improves fertility
Doctor:Its been proven in many research works
User:to avoid the same we went on holiday few days back to matheran but still dint got any sucess
Doctor:Dont worry
User:but still i am thinking that any medication can help
Doctor:She will conceive when everything falls in right place
Doctor:Medicine is given if there is no ovulation
User:my wife is always worried and say that if she doesnt get pregnant
Doctor:You can go for the tests that check for ovulation in her
User:and that make me also stressed
Doctor:Kids need full time care
User:yes
Doctor:Think of your jobs for a change
Doctor:Take it one step at a time
User:i am totally involve in it, but still its always at night time my wife is worried before intercourse
User:anyways thanks doctor for your precious help and suggestion
Doctor:Take some activities together like yoga classes
User:really appreciate ur help
Doctor:Thanks for consulting me
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