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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can anxiety disorder, hinder the chances of pregnancy?

hi we are a couple trying for over a year to concieve my partner has had a semen analysis done and it was perfectly normal i have social anxiety disorder but i am in good general health as far as i know what do u think could be the matter with me my periods are regular i have never been pregnant
Mon, 5 Oct 2015
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OBGYN 's  Response
Hello, and I hope I can answer your question today.

Contrary to popular belief, there is no evidence that stress itself, or anxiety has any affect on pregnancy or the ability to get pregnant. I do not know if you take any medications for your disorder, but most anti-anxiety medications should not affect fertility.

First and foremost, one of the common reasons couples do not get pregnant is that they are not having intercourse at the correct time in their cycle or often enough. You need to have sex every other day from the time you finish your period (or day 7 of your cycle, whichever comes first) until you feel premenstrual symptoms (usually by day 21). It may be advisable to use an ovulation predictor kit (sold in pharmacies in most Western countries) to make sure you ovulate... though with regular periods it is unlikely that you don't. Having sex every other day is better than every day, as sperm live at least 72 hours in the reproductive tract and there are fewer sperm in each ejaculate if you do it more often.

Secondly, I do not know your age. Fertility rates decline sharply after age 37 and can be a factor in ability to conceive.

So if you have been having enough regular, unprotected intercourse for a year, and especially if you are over 35, it would be reasonable to see a GYN or infertility doctor for evaluation. There are many potential causes for female infertility- some hormonal, and some caused by abnormalities of your uterus or Fallopian tubes. At this point, there is little that can be done to speculate why you and your partner haven't conceived yet without doing some tests at the doctors' office. These preliminary tests include some blood tests for your hormone levels, a GYN examination (if you haven't had one in a year) and possibly a test of your Fallopian tubes to check that they are open. You should bring a copy of your partner's semen analysis report to the doctor as well.

If you are not in a rush to conceive, and especially if you are under 35, it is reasonable to wait and try using ovulation kits for a few months before getting medical assistance.

I hope this information was helpful to you and that I adequately answered your question today.

Best wishes and good luck getting pregnant!

Sincerely, Dr. Brown
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