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Question: Want a help by gynecologists well trying to make sex with wife since 5 months my wife is 32 I am 36 git married since 2 1/2 year back dint use any tablets for precautions just used condom now started without precautions no positive result yet and my wife has 28 days cycle she is 5feet with 55 weight and I am 5'9" weight 72 both have habit of walking I just had a healthy sex on 5 of this month as she had her periods on 25 of April so her ovalution may be around 5 to 9 hoping for positive but not sure. what next should we do. since a month I started problem of ED due to testosterone level has come down to 233.07 so kindly suggest me for first parenthood. but before a month I dint had any testosterone problem so what's next should we both do for getting pregnant. suggest some natural way.
Brief Answer:
You need to have regular sex during fertile days.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The very first thing, you both have to involve in unprotected sex daily without any contraceptive method around ovulation day or fertile days for at least 6-12 months before proceed to basic investigations of primary infertility. Ovulation occurs 14 days prior to next period due date. In case of regular period with 28-30 days duration, her fertile days will be from 11th-18th days of each cycle. You need to have sex at least once a day during this period. She can use ovulation prediction kit (LH kit) to predict ovulation time in mid cycle. With this protocol, chances of pregnancy can be maximized.
In preconception period, you both can take Vitamin-E and folic acid supplements for at least 3 months. Additionally, take healthy diet, control body weight by regular physical exercise, try to avoid mental stress/ emotional upset by regular meditation/ yoga, drink more water and eat fresh fruits, maintain genital hygiene and take sound sleep with complete relaxation.
Next thing, if the above protocol fails, some basic investigations for infertility are advised as follows:
1) Husband semen analysis test.
2) Pelvic ultrasound scan - to check overall reproductive organs.
3) Serial follicular study in mid cycle to check proper ovulation.
4) Tubal patency test- by HSG (hystero salpingography) or laparoscopy.
5) Complete hormone assay with thyroid profile, blood sugar & prolactin test.
6) Test for cervical factor- Post Coital Test (PCT), Anti-sperm antibody (ASA) etc.
It is seen that 40% of infertility issues occur due to men, another 40% due to women, about 10% results from complication of both & in rest 10%, no definite cause is found (unexplained infertility).
To summarize, after 6-12 months of trying for natural conception, if she fails to conceive, you both need to consult with infertility specialist for proper guidance and management of the case.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
You need to have regular sex during fertile days.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The very first thing, you both have to involve in unprotected sex daily without any contraceptive method around ovulation day or fertile days for at least 6-12 months before proceed to basic investigations of primary infertility. Ovulation occurs 14 days prior to next period due date. In case of regular period with 28-30 days duration, her fertile days will be from 11th-18th days of each cycle. You need to have sex at least once a day during this period. She can use ovulation prediction kit (LH kit) to predict ovulation time in mid cycle. With this protocol, chances of pregnancy can be maximized.
In preconception period, you both can take Vitamin-E and folic acid supplements for at least 3 months. Additionally, take healthy diet, control body weight by regular physical exercise, try to avoid mental stress/ emotional upset by regular meditation/ yoga, drink more water and eat fresh fruits, maintain genital hygiene and take sound sleep with complete relaxation.
Next thing, if the above protocol fails, some basic investigations for infertility are advised as follows:
1) Husband semen analysis test.
2) Pelvic ultrasound scan - to check overall reproductive organs.
3) Serial follicular study in mid cycle to check proper ovulation.
4) Tubal patency test- by HSG (hystero salpingography) or laparoscopy.
5) Complete hormone assay with thyroid profile, blood sugar & prolactin test.
6) Test for cervical factor- Post Coital Test (PCT), Anti-sperm antibody (ASA) etc.
It is seen that 40% of infertility issues occur due to men, another 40% due to women, about 10% results from complication of both & in rest 10%, no definite cause is found (unexplained infertility).
To summarize, after 6-12 months of trying for natural conception, if she fails to conceive, you both need to consult with infertility specialist for proper guidance and management of the case.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. for your advice. well we go for a Morning walk for half an hour and also go for walk after dinner. but she could not reduce weight my wife height is 5'1" weight is 55 and I Am 5'9" weight 72. due to Errict Dysfunction I had consult on Ask a doctor had got my blood test and found that testosterone level has come to 233.07 last month after that we tried to have sex where I could have my drive with full Errict and could make 6 times in 10 days. but till April I was fine problem started in April I don't have any Thyroid nor cholesterol pblm nor I drink nor smoke both have healthy habits non of us drink and smoke. now trying for first parenthood to get it at earliest. Dr. please suggest the tablet with name which we both should have. we have fruits and we have apple orange watermelon and have sufficient vegetables cury stress is not too much in life. what else should we both take care of madam. I am too doing 15 min exercise 30 min walk. and also we both go for cycling. and can my wife go for outdoor cycling after night sex for parenthood, is it advice able or we should not go for cycling plz advise us with details of tablets also madam.
Brief Answer:
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
The exercise and diet that you are taking is sufficient. You need to be stress free and indulge more often in sex. The testosterone levels are not too low. You both can start taking Vitamin Cap. Evion 400 mg daily. Your wife can start with Folvite 5mg in addition to it. Dont be anxious. Conception is a time taking process. Just relax and try more often in the next cycle. There is no need to lose weight.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
The exercise and diet that you are taking is sufficient. You need to be stress free and indulge more often in sex. The testosterone levels are not too low. You both can start taking Vitamin Cap. Evion 400 mg daily. Your wife can start with Folvite 5mg in addition to it. Dont be anxious. Conception is a time taking process. Just relax and try more often in the next cycle. There is no need to lose weight.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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
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