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We have been trying to have a baby since the past 2 years and my gynaec has done an internal examination and says I am normal?
A routine gynaec examination does not provide all the probable causes of infertility. So you will need a schematic work up. Since 50% of infertility is due to a male factor a simple semen examination will rule out a male factor. Later on hormonal assays, transvaginal sonograpy, hysterosalpingography and if required laparo/ hysteroscopy would be done. |
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I have irregular painful periods. Is it the cause of infertility?
Painful periods do not necessarily mean infertility. Regular painful periods are an indication of ovulatory cycles. However progressive pain before the menses or during the sexual act may signify endometriosis. Irregular menses should be investigated specially if you are obese. |
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What is the normal frequency of sexual act?
There is no normality, but for an young couple 2-3 times a week is considered normal for conception to occur. The sexual act should be had in the fertile window of the menstrual cycle. |
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What is the fertile period of a menstrual cycle?
When the menstrual cycle is between 26-30 days, the fertile period starts from the 11th day (From Day1 of menstrual flow) upto the 18th day. An average rule of the thumb is, ovulation usually occurs 14 days before menstruation starts. Eg. 40 days cycle -14 = 26th day. So the coitus should be had from 22nd to 28th day. |
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After having sex most of the semen leaks out of the vagina could it be the cause of infertility?
Leakage of seminal fluid after intercourse is perfectly normal. It is never the cause of infertility. This leakage of semen is called effcuvium semen’s and is normal. Few points to note are : One can put a pillow under the hips to reduce the amount of leakage. One should not get up immediately to use the toilet. |
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I have a dry vagina. Should I use a lubricant?
Lubrication can be used during a sexual act when one is not trying to conceive. ie one should not use any kind of lubrication during the fertile window. |
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 My husband refuses to get a semen analysis done. He says he produces thick and adequate semen so it must be normal?
Seminal fluid consists of secretions from test is, seminal vescicles and prostate. Producing a good volume or a thick semen does not mean that the semen is normal. Semen examination should be done for sperm count & motility. |
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My doctor did an internal examination and feels that the uterus is bent backwards. He has adviced me surgery. Should I do it?
A uterus which is bent backwards is known as a retroverted uterus and one in six ladies have it. It is not a cause of infertility and surgery is not adviced. |
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My semen report shows azoospermea. Is it because I used to masturbate in my younger days?
Masturbation is a normal act done by boys and men. It does not affect your semen count and so is never a cause of infertility. |
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Do particular foods cause infertility?
No type of food is related to infertility not even so called heaty foods like papaya, but foods which are rich in fats and carbohydrates can lead to obesity which in turn can cause ovulatory problems. |
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 Is obesity the cause of infertility?
If your Body Mass Index (wt in kg/ ht in meters) is below 26 then it is normal. 26-30 BMI is obese and above 30 is a cause of concern. Obesity is the cause of PCOS ovaries which cause ovulatory problems. Thus weight loss of atleast 10% of your body wt is important.
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My husband tells me I am a tense person if I relax I will get pregnant?
Although there are no scientific tests to prove that stress causes infertility, remember all infertile patients are under stress, and it is infertility which causes the stress But it is important to note that many a patients have conceived if they are able to relax. |
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 What are the basic tests required to be done in a infertile couple?
For the male partner a semen examination with 4 - 5 days abstinence. In the female partner a day 2 or day 3 hormonal evaluation i.e. FSH, LH prolactin and TSH. Hysterosalpingography to rule out tubal block is usually done between days 8 - 10. Sonography in the form of ovulation studies is done from Day 9 of the cycle. However in some patients due to some clinical findings the doctor may ask for a laparo hysteroscopy.
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I have been diagnosed as having genital tuberculosis. I am from an affluent family and any confused as to how I contacted it?
Tuberculosis is the most common transmitable deasease seen in the Asian countries specially India. One can contract - harbor this disease at any point in life. The disease may manifest when the host immunity status is low for any reason. Since it is a completely curable disease one should not have a taboo but treat it as per the doctor’s advice. |
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My blood group and my husbands’ blood group are different. Is it a cause of infertility?
Blood groups have no correlation to infertility. |
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My hysterosalpingogrphy shows bilateral tubal blocks since I did not have any pelvic infections how could this happen?
Pelvic infections are the most common cause of tubal blocks Chlanydia and genital tuberculosis are generally asymptomatic and hence may cause tubal blocks. |
