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Can't Conceive
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 Frequently Asked Questions

Q: My husband and I have been married for a few years now. My husband was detected with tuberculosis in the bone, which was cured by taking heavy antibiotics for 14 months (AKT). I have also undergone an abortion as there were complications. Now for the past few months we are trying to conceive, but in vain. My husband's semen quality is thicker than normal. Will there be any problems due to the medicines he took? We are both overweight. Please guide us. Thank you.

Mandakini (Mangalore, India)

A: You did not mention why the pregnancy was terminated. Try to lose weight in a scientific manner after consulting a dietician. Also get a semen analysis done to see if your husband's sperm count is normal.

Dr. Asha Paranjpe

Q: I have been married for a couple of years and am unable to conceive. I have done laprascopy - everything was normal. My husband's tests are also normal. My gynaecologist who is treating me, is giving me hormone injections. Is it true that a woman can get pregnant 10 days after her period?

Nilanjana (New York, USA)

A: The statement that a woman conceives in the first 10 days after a period is very vague because conception occurs with in 24 hrs of ovulation and ovulation occurs on the 14th day of a 28 day regular cycle. The first half of the cycle length is not a very fixed feature, the second half of the cycle is usually 14 days (after ovulation). If the woman has 28-day regular cycle then she can conceive, it is not a hard and fast rule. In case her cycle is of variable length then she needs to maintain a menstrual calendar to determine the fertile period. It is difficult for me to say whether you can conceive in this period, as I don't have details of your cycle length. It is possible to detect pregnancy before a missed period by using ELISA kits for detecting small amounts of beta HCG, as early as the 25th the of the cycle of conception.

Dr. Sahni

Q: We have been trying to have a child for a few months now, but it is not working out. We used condoms for almost year and half, is that the cause? I really want to have a baby as soon as I can. I've tried the ovulation period tracking, and my periods are regular.

Manpreet (London, UK)

A: Condoms will not have any effect on your fertility once you stop using them. If you don't conceive within a year of normal marital life, there is a chance of infertility. You would require taking some tests, and would have to undergo treatment depending on the results. Worrying will only delay the process, as it effects the hormones. Mid-cycle intercourse should help.Dr. Purnima

Q: My sister has been trying to conceive for three years without success. Her husband's test results are normal. She has very irregular periods, though the flow is regular during menstruation. They have consulted various doctors; they have had a laparoscopy and a DNC, were on medication for some hormone injections, but to no avail. What should they do?

Meeta (London, Hong Kong)

A: Your sister should get her hormonal blood tests done, including: FSH, LH and prolactin levels. If these are normal, then her next treatment option would be IUI, or intrauterine insemination, where the doctor washes the sperms and injects them into the uterus at the time of ovulation (which is monitored using ultrasound).

Dr. Malpani

Q: We have been married for four months and since then we have been trying to conceive without much luck. My wife's periods are regular. What could be the problem? What is the best position?

Yash (Indore, India)

A: I would suggest you continue trying to conceive (ttc) for another 6 months. Don't schedule sex - just have it frequently! Also, remember the sexual position does not matter at all - the sperm will find their way to the egg on their own! If you don't conceive in another 6 months, you will need to see a doctor so he can do the required tests to find out if you have a fertility problem. It helps if your wife lies down and rests for a few minutes after having sex.

Dr. Malpani

Q: We have been trying to conceive for two years, to no avail. We have undergone semen analysis, antigen-antibody test, nuclear condensation test, hormonal tests, endometrial biopsy... all the results were normal. D&C was carried out as per doctor's advice - normal. Postcoital test showed non-motile sperms. Infection is ruled out. Recently, HSG was also done, which showed the tubal patency as normal too. What could be the reason for non-conception?

Mamta (Bangalore, India)

A: I would suggest you do a laparoscopy to complete your workup (to confirm your do not have endomteriosis or peritubal adhesions). If this is normal as well, then your problem is 'unexplained infertility'. In this case, superovulation with IUI (intrauterine insemination) would be your next treatment option.

Q: We have been trying to conceive for one year now. We have no problems, as revealed by the tests, but I am still unable to get pregnant. Please help!

Sonia (Lucknow, India)

A: You need to send me more details of what tests were done and what the results of these tests were. Basic tests include all of the following: Semen analysis Hormonal blood tests - FSH, LH, prolactin levels HSG (hysterosalpingogram), X-ray of the uterus and tubes Laparoscopy If all these have been done (and to come to a proper diagnosis, all need to be performed properly) and all the results are normal, then we say that the patient has 'unexplained infertility' - which simply means that we have not been able to find the cause of her infertility. If you do not get pregnant in another 6 months, then you needs to go to an infertility specialist for further treatment.

Dr. Malpani

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