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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Conceiving?

Hello doctor Hope you r doin f9...I m trying to conceive from May 2013 but till now I am not able to get pregnant ..After all the tests done doctor found out that my husbands sperm count is good but the rapid fast moving sperms r less than 50% so she suggested us to go for iui..I also had an miscarriage in sept 2012 although that was not planned and it was very early miscarriage as doc was not able to c anything on ultrasound..n she called it chemical pregnancy Now recently I have done blood test and it showed that my blood group is A negative and my husbands is A positive..so do u think I should go for screening before iui...as i already had one miscarriage n it mite hav formed antibodies that time..Pls doc suggest me ASAP Best wishes
Mon, 6 Jul 2015
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General & Family Physician,  's  Response
Hello and welcome to HCM!
I read your story very carefully! The fact that your husbands' moving sperm is less than 50% then your doctor is right to suggest you go for an IUI, meaning artificially placing the washed sperm of your husband into your uterus in order to increase the chance of pregnancy. Since you already had an abortion it means that you are able to conceive and maybe the low quality of husband's sperm is the problem. Therefore, IUI seems the best option for you.
As regards the rhesus issue, yes, you should be vaccinated against anti-rhesus antibodies but this is done once you are pregnant, usually at week 28 and 34 of pregnancy, in order to protect your second baby. Therefore, you need this only if you plan to have a second child since non-vaccination is not harmful for the first baby. However, if you are pregnant then the medical staff will definitely remind and suggest you to get vaccinated regardless of your attention to have a second child or not.
Best !
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What Causes Difficulty In Conceiving?

Hello and welcome to HCM! I read your story very carefully! The fact that your husbands moving sperm is less than 50% then your doctor is right to suggest you go for an IUI, meaning artificially placing the washed sperm of your husband into your uterus in order to increase the chance of pregnancy. Since you already had an abortion it means that you are able to conceive and maybe the low quality of husband s sperm is the problem. Therefore, IUI seems the best option for you. As regards the rhesus issue, yes, you should be vaccinated against anti-rhesus antibodies but this is done once you are pregnant, usually at week 28 and 34 of pregnancy, in order to protect your second baby. Therefore, you need this only if you plan to have a second child since non-vaccination is not harmful for the first baby. However, if you are pregnant then the medical staff will definitely remind and suggest you to get vaccinated regardless of your attention to have a second child or not. Best !