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What Causes Infertility Having A Healthy Egg?
My name is mrs ali, age 37and half, height 5 3 , wgt 78 kg, and my hubby is 35, we have two beautiful healthy daughters (age 5 and 3, normal deliveries) and now i want to again convceive but boy, since last 7 months i twice visit my gynacologist, which the top most gynacologist in pakistan and she give me cerofene for 5 days from the 2nd day of periods and lot of mult vits. and again calls me about 12th day of periods to see if my egg is ready, she tells me exactly the time to intercourse, i try and i always fail. never conceive. i put a pinch of baking soda in distilled water and wash my inside with the help of injection(without srynge). she was used to say my egg is very healthy and when i failed many times now she started to say ur utrus is weak, eggs not forming well. i dont want IUI, i dont think it will increase the chances, only waste of money. what do u suggest. i am good, healthy, active person. we never been tensed on that specific intercourse. but i want to be preg asap. i have no desease, nothing wrong inside, she checked many times, only my discharge is more since few years. but doc always check and tell the infection is very less and give me medicine to clear it. kindly help me what to do.
Mon, 2 May 2016
Dear Mrs. Ali,
Your issue needs to be discussed on various aspects.
1. Your are 37 years of age. At this age, the frequency of egg release is rather less and irregular. Moreover, every released egg may not be healthy.
2. To have assured egg release (ovulation), you doctor is giving you Tab. Cerofene, which is clomiphene citrate. This medicines induces ovulation. These tablets should not be taken for more than 6 months. Though the ovulation rate with tablets is good, the pregnancy rate is not that high. After trial of six months if you do not conceive, you may have to change over to HMG/hCG combination. If you are taking these tablets for 5 days from the day 2 of cycle, please subject yourself for ovulation monitoring by ultrasonography from day 9 of the cycle. It will help you to spot the day of ovulation. Then you may plan your intercourse keeping in mind that egg has life of 24 hours and the sperms are active for 72 hours. The eggs released from the follicles of size between 18 mm to 21 mm are the healthiest eggs. Also, it is very important to note the thickness of the uterine lining (endometrium) at the time of ovulation. Endometrium of thickness between 09 to 13 mm is the most conducive endometrium for the implantation of fertilized egg. If your endometrium is remaining thinner, then request your Gynaecologist to work upon increasing endometrial thickness by use of Oestrogenic preparation before induction of ovulation. Clomiphene citrate is known to affect endometrial thickness due to its anti-oestrogenic action.
3. If you have got any reproductory infection, its needs to be cured before you attempt for conception. Infection creates a hostile atmosphere for the sperms. Usually, when women have any infection of reproductory tract, their partners also have it, leading to repeated infections. Hence, it is advised that both of you get the treatment simultaneously.
4. The vaginal wash you are taking with baking soda will create more detrimental atmosphere in the vagina since it is alkaline in nature. If at all you want to have a perineal wash or vaginal douche for healthy vagina, please use some Lactobacilli preparations like Lactacyd. This will help cure the vaginal infections as well as will create a very healthy vaginal environment for the sperms also.
5. Since you already have 2 kids, there should not be any issue with the sperms; however considering the problem you are facing with conception, it is a good idea to get semen examination performed.
I hope this should give you sufficient guidance to motivate you to caste a "Helpful vote" for me. If you want any more information, you may ask me Direct question.
Dr. Nishikant Shrotri
Your issue needs to be discussed on various aspects.
1. Your are 37 years of age. At this age, the frequency of egg release is rather less and irregular. Moreover, every released egg may not be healthy.
2. To have assured egg release (ovulation), you doctor is giving you Tab. Cerofene, which is clomiphene citrate. This medicines induces ovulation. These tablets should not be taken for more than 6 months. Though the ovulation rate with tablets is good, the pregnancy rate is not that high. After trial of six months if you do not conceive, you may have to change over to HMG/hCG combination. If you are taking these tablets for 5 days from the day 2 of cycle, please subject yourself for ovulation monitoring by ultrasonography from day 9 of the cycle. It will help you to spot the day of ovulation. Then you may plan your intercourse keeping in mind that egg has life of 24 hours and the sperms are active for 72 hours. The eggs released from the follicles of size between 18 mm to 21 mm are the healthiest eggs. Also, it is very important to note the thickness of the uterine lining (endometrium) at the time of ovulation. Endometrium of thickness between 09 to 13 mm is the most conducive endometrium for the implantation of fertilized egg. If your endometrium is remaining thinner, then request your Gynaecologist to work upon increasing endometrial thickness by use of Oestrogenic preparation before induction of ovulation. Clomiphene citrate is known to affect endometrial thickness due to its anti-oestrogenic action.
3. If you have got any reproductory infection, its needs to be cured before you attempt for conception. Infection creates a hostile atmosphere for the sperms. Usually, when women have any infection of reproductory tract, their partners also have it, leading to repeated infections. Hence, it is advised that both of you get the treatment simultaneously.
4. The vaginal wash you are taking with baking soda will create more detrimental atmosphere in the vagina since it is alkaline in nature. If at all you want to have a perineal wash or vaginal douche for healthy vagina, please use some Lactobacilli preparations like Lactacyd. This will help cure the vaginal infections as well as will create a very healthy vaginal environment for the sperms also.
5. Since you already have 2 kids, there should not be any issue with the sperms; however considering the problem you are facing with conception, it is a good idea to get semen examination performed.
I hope this should give you sufficient guidance to motivate you to caste a "Helpful vote" for me. If you want any more information, you may ask me Direct question.
Dr. Nishikant Shrotri
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