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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication To Improve The Chances Of Conception

i am 21 years old and have been trying to concieve for about 5 months now. My boyfriends has sickle cell and has to take medication. he also smokes. everytime we have sex he does ejaculate in me. we have had sex days before my period and days after my period and even on my most fertile and ovulating days and sometimes during my period but still no baby :( should i be worried?
Thu, 20 Apr 2017
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General & Family Physician,  's  Response
Hi,
Thanks for the query. I understand your
concern.
*To improve chances of conception -
-Semen analysis needs to be within normal limits.
- Your menstrual cycles need to be ovulatory.
- Smoking should be stopped... for even if you arenot smoking...indirect smoking,while he is sitting by your side &smoking... which does have negetive effect on the cgances of healthy pregnancy &conception.
-Sickle cell disease is likely to be carried yo fetus genetically... &may make the baby suffer.This point needs to be decided before planning for baby.In such case iui by using a nnon sicklecell suffering &healthy person is advised.
*In case you are still determined for conception... try with unprotected sex from the day LH surge test ( for ovulation) is +ve for 6 days.
You can get somesupportive hormone support from your treating gynecologist.
*In case there is no +ve result in 6 months.. both of you go for detailed investigations for fertility.
Thanks.
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Suggest Medication To Improve The Chances Of Conception

Hi, Thanks for the query. I understand your concern. *To improve chances of conception - -Semen analysis needs to be within normal limits. - Your menstrual cycles need to be ovulatory. - Smoking should be stopped... for even if you arenot smoking...indirect smoking,while he is sitting by your side &smoking... which does have negetive effect on the cgances of healthy pregnancy &conception. -Sickle cell disease is likely to be carried yo fetus genetically... &may make the baby suffer.This point needs to be decided before planning for baby.In such case iui by using a nnon sicklecell suffering &healthy person is advised. *In case you are still determined for conception... try with unprotected sex from the day LH surge test ( for ovulation) is +ve for 6 days. You can get somesupportive hormone support from your treating gynecologist. *In case there is no +ve result in 6 months.. both of you go for detailed investigations for fertility. Thanks.