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Suggest Treatment For Difficulty In Conceiving

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Posted on Mon, 13 Jun 2016
Question: my wife got period bleeding always 9-10 days.it it normal or abnormal???her ovaluaton and more fertile period was too goes vain.after we had relationship and no pregnancy.
last period:31 march
bleeding stooped and bath:april 10
sexual relationship:11-20 april(8 times)
next period:22 april
bleeding will stop and ready at :30 april
but ovalution &fertile periods:7-8 april,28 apr-1 may.
all goes vain in bleeding period.
doctor
Answered by Dr. Shanti Vennam (19 minutes later)
Brief Answer:
Cycle modification may be necessary along with hormone correction.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

It is true that ovulation occurs two weeks prior to the onset of the next menstrual period in normal circumstances. You are also right about the fertile period and the loss due to the bleeding period.

I would, in this scenario, suggest tests to detect any corpus luteum defect, which can lead to shortened post-ovulatory phase and hence an early period. Ovulation studies can establish the day of ovulation. A complete hormone profile also should be done to detect other hormone disturbances that could be a cause.

Based on these findings, if she happens to be ovulating on the days predicted, her cycles need to be prolonged in order to facilitate conception. If you are seriously trying to conceive now, I would recommend a proper evaluation by an expert to assess the possibilities of cycle maintenance in order to facilitate proper sexual intercourse during the fertile period.

Proper hormone assessment can also detect any hypothyroidism, which can lead to similar clinical picture. A sonogram of the pelvis and a proper clinical examination help to detect other possible causes like cysts in the ovary, hormone imbalances, infections,anemia etc.

A few courses of hormones to suppress ovulation, followed by induction is a treatment option. Maintenance of a proper diet and a healthy weight also helps.

Hope your query has been answered. Please feel free to contact for further clarification. I will be happy to help.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanti Vennam (8 minutes later)
she is telling this is normal
by the way ,she is telling lies or her body like it
I don't want to hurt her inner feelings.


is it possible to have sex after 30 th april means possibility of fertile and ovalution period over.
pregnancy chance was less right???
doctor
Answered by Dr. Shanti Vennam (12 minutes later)
Brief Answer:
Conception is possible upto 24 hours after ovulation.

Detailed Answer:
Hello,

Thanks for writing back.

I cannot comment on the personality of your wife and your bilateral relationship since I am answering online and do not know her in person.

As the ovum has a life of 24 hours, conception is possible if intercourse occurs within a day after ovulation. Assuming that she has regular 22-day cycles, she might ovulate on 30th of April-1st May, presuming her next period to happen on 14th May. This is her fertile period. Sexual intercourse should happen at least on alternate days during the fertile period for good result.

Hope this helps.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanti Vennam (4 minutes later)
thanks for your reply..

can you tell me dates that we need to have sexual relationship??

30-1 her ovulation .I agree

her fertile period dates are before or after????

28,29 she s not ready as per her statement
30,1,2 she might ready


r u thinking this is abnormal
doctor
Answered by Dr. Shanti Vennam (15 minutes later)
Brief Answer:
Days of ovulation ARE the fertile period.

Detailed Answer:
Hello,

Thanks for writing again.

The dates of her presumed ovulation, i.e., 30th April and 1st May are the dates of her fertile period. In fact, fertile period spans a week to allow for slight variation in the ovulation day. As the sperms can remain active for three days any sexual activity 2-3 days prior to ovulation also has a chance to cause conception, but, to be on the safe side, we recommend sexual relationship at least on alternate days during the fertile period.

The menstrual cycle may not be abnormal. The range varies with each individual. Some have a 40-day cycle while some have a 60-70 day cycle and still are fertile. As I mentioned earlier, investigations are meant to detect if there is any abnormality that accounts for this shorter cycles, which needs to be corrected. It is also possible that there is no abnormality detected and the cycles are naturally shorter.

Hope your queries have been clarified.

Wish you good health.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanti Vennam (9 minutes later)
Thanks for your speedy response.

as per your statement we need to have sex on 28,29,30,1,2 which are fertile days and high chance of pregnancy

she told she will ready at 30 th onwards.but medium of pregnancy is there right???

we are married one year ago and her parents forcely ,married to me .she got love failure tooo.its not a love .that guy plan to use him.
last one year no sexual relation ship between ud.i gave one year time too

nor their parebts told they wont alive if she doing like continuously hurting me
now she s ready for sex

I forcefully tried to accept it.
I have no option toooo


this is my another problem during sex

am lost... I feel like I made a mistake and don't know what to do. She was 23 and I was 26. After marriage , She didn't want to kiss in the beginning, more than pecks that is. She also didn't want sex after marriage too. I kissed her lightly, and just felt horny all the time.. The first time we had sex after she came Saudi, but she had to be pushed to even do that. I ask her if she's horny and she says no, she's never horny. She doesn't want my tongue in her mouth, she freaks out if her hand accidentally touches my penis, and she always wants the light off when having sex, oh and the blankets up over us. So no intimate kissing anywhere, anytime, no oral sex on me, not much seeing her nude, never sex anywhere except in the bed, no shower or fun places. Basically, we just have sex for parents happiness.But not at all satisfied.am saying its same to sex with dead body and wife doesn’t make any difference.

That's it, no making out ever, not one time, no her touching my penis, not once ever, no her jumping on me and wanting sex from me or wanting me sexually or even wanting me to sexually please her. Maybe that's enough for some people... I don't know if I'm wrong. It's not that she's self-conscious thoug. She is so hot that she keeps a photo of herself on her cell phone and in the photo slot in her wallet. Not me and her, but just a photo of her. I have told her of my unhappiness about these things many times and she says that she doesn't like it and I'm being selfish and always thinking of myself and not her feelings.

It's not bad, pretty good, but something is missing. I don't feel connected to her. I want to kiss her without sex. I want her to touch me sexually. I feel like I need her to behave like she wants me. She is good about giving me sex at least because she knows it is a "duty" of some kind for a wife. She s closing her eyes and am doing intercourse is bullshit and rubbish.That's how she explains it. She thinks it's important for us do have sex. But the problem is that I think it's important to be more intimate like kissing, touching, foreplay... I just feel like she is doing the absolute bare minimum and I feel like I shouldn't have to live my life this way. I have one life. Our sex life is scheduled.. She is very clear that she loves me and want to be with me forever, but she just doesn't care about these things. Problem is that I do, very much. I am not happy most of the time. I am depressed inside and it's starting to show more and more. I am also fantasizing and dreaming and the intimacy I had in the past. I don't know what to do. I would feel terrible leaving her. She depends on me and loves me and is happy, but I'm not. She would be very hurt if I told her it had to end and it is sooo hard to do that. I wish we could fix it, but she says "this is who she is" and she does a alot for me. She feels like she does a lot by letting me see her naked a little in the low lit room and things like that. But it's not a lot to me. I wouldn't be posting this if It wasn't serious. I have seriously been unhappy in this relationship since we got married and I realized nothing was changing and getting better. I thought it would get better after we got married and started having sex, but it's not. It may seem like I'm lucky to have what I have. I am lucky in ways, but I just can't stop wanting intimacy other than just intercourse. I don't know if I'm weird that I need more that just intercourse, but I just can't get over it and I keep trying week after week. I am lost ???




doctor
Answered by Dr. Shanti Vennam (20 minutes later)
Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for posting this query.

I have gone through your elaboration. I would like to suggest a few points:

1. Take some time, since both of you are very young, to plan children. The fertile days are the ones you have mentioned and you can have sexual contact from 30th onward with reasonably good result.

2. Since she had a failed experience, it is possible that she is apprehensive in this relationship. You have to make her feel that you are a perfect partner and she can relax totally in your presence.

3. At your age, sexual intimacy matters the most in a marriage, but, as age goes by, friendship becomes more important than any physical relationship. So, try to be her best friend and she will definitely reciprocate in course of time. Try to put yourself in her place and think from her point of view.

4. You can take the help of a family counselor for improving your relationship. Breaking is easier but mending is always difficult. I appreciate your judgement and please have patience to continue.

Hope I have answered your query. Please contact if you need any more help.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shanti Vennam (17 minutes later)
Dear mam

we tried to have sex on 30,1,2.

thanks for your answers
hope you also from tamil nadu

below are real problems

we are married one year before
I noticed 20 days she s not happy in marriage lyf.

when I checked her XXXXXXX he loved one guy and hates me.
then I told to her parents and they warned her
she realized and promised me here after she wont contact
then I came abroad ,after 10 months I bring abroad

still she hate and then I found out she s n touch with same guy
she gave hard time during phone conversation of 10 months too

again their parents told they will die and now again she told she wont contact
I told to her cousins and my wife tols she s addict

now she s changing
if I told to my parents it will led to divorce
my love on her was true

still am waiting for her to love,care ,respect rather than sex
plsadvice

doctor
Answered by Dr. Shanti Vennam (17 minutes later)
Brief Answer:
Can proceed with the dates.

Detailed Answer:
Hello,

Thanks for writing.

As I have already mentioned earlier, I would ask you to deal the situation with patience and judgement. If after sincere efforts, you feel there can be no compromise on her part, talk directly with her; see a marriage counselor for further support and plan further approach. I can understand your dilemma and the discomfort. Counselling often brings lot of change in situations. So, let us hope for the best. Since you have noticed a positive change in her, things should improve in future.

Hope this helps.

best wishes,
Shanti.V.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shanti Vennam (7 minutes later)
thx a lot for ur kind words

even though she s not interested in sex ,we need a baby which lead both happy lyf

she closing her eyes am doing intercourse
its very hard for me but i have no option


doctor
Answered by Dr. Shanti Vennam (24 minutes later)
Brief Answer:
You are always welcome.

Detailed Answer:
Hello,

Thanks for your feedback.

You are always welcome to contact for any information.

Wish you good health.

regards,
Shanti.V.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shanti Vennam

OBGYN

Practicing since :1989

Answered : 7667 Questions

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Suggest Treatment For Difficulty In Conceiving

Brief Answer: Cycle modification may be necessary along with hormone correction. Detailed Answer: Hello, Thanks for trusting us with your health concern. It is true that ovulation occurs two weeks prior to the onset of the next menstrual period in normal circumstances. You are also right about the fertile period and the loss due to the bleeding period. I would, in this scenario, suggest tests to detect any corpus luteum defect, which can lead to shortened post-ovulatory phase and hence an early period. Ovulation studies can establish the day of ovulation. A complete hormone profile also should be done to detect other hormone disturbances that could be a cause. Based on these findings, if she happens to be ovulating on the days predicted, her cycles need to be prolonged in order to facilitate conception. If you are seriously trying to conceive now, I would recommend a proper evaluation by an expert to assess the possibilities of cycle maintenance in order to facilitate proper sexual intercourse during the fertile period. Proper hormone assessment can also detect any hypothyroidism, which can lead to similar clinical picture. A sonogram of the pelvis and a proper clinical examination help to detect other possible causes like cysts in the ovary, hormone imbalances, infections,anemia etc. A few courses of hormones to suppress ovulation, followed by induction is a treatment option. Maintenance of a proper diet and a healthy weight also helps. Hope your query has been answered. Please feel free to contact for further clarification. I will be happy to help. regards, Shanti.V.