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What Causes Difficulty In Conceiving?
Question: We are trying for our second baby , My Wife is unable to conceive , What may be the probable cause , Pl also suggest for the suitable test , If any required .
Brief Answer:
REQUESTING SOME DETAILS
Detailed Answer:
Hello XXXX
Thanks for writing to us with your health concern.
Before guiding you further, I wish to enquire about a few details, once you let me know those, I can answer your questions in a better way.
1. How long back did you have your first baby ?
2. How many years have you been married ?
3. Did you have difficulty in conception the first time around too ?
4. Was the childbirth vaginal or a C section ?
5. Did she face any complications during pregnancy , during the birth, or after the delivery ?
6. What is her height and weight ?
7. Has she ever had any medical issues so far ?
8. Is your sexual life fine - do you manage to have intercourse around her probable days of ovulation ?
9. Does she have regular menstrual cycles ?
Please do write back so that I can suggest further tests and treatments.
All the best
Please feel free to discuss further.
REQUESTING SOME DETAILS
Detailed Answer:
Hello XXXX
Thanks for writing to us with your health concern.
Before guiding you further, I wish to enquire about a few details, once you let me know those, I can answer your questions in a better way.
1. How long back did you have your first baby ?
2. How many years have you been married ?
3. Did you have difficulty in conception the first time around too ?
4. Was the childbirth vaginal or a C section ?
5. Did she face any complications during pregnancy , during the birth, or after the delivery ?
6. What is her height and weight ?
7. Has she ever had any medical issues so far ?
8. Is your sexual life fine - do you manage to have intercourse around her probable days of ovulation ?
9. Does she have regular menstrual cycles ?
Please do write back so that I can suggest further tests and treatments.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
my 1st baby is 4 years old. .. and I have been married last 5 years. .I have no difficulty in my 1st baby. and my 1st baby is by operation. .I had no problem In my 1st pregnancy and had no medical issues. . our sexual life is also fine....but my periods are not regular last 5 months. how I can know my ovulation day????
Brief Answer:
AS BELOW
Detailed Answer:
Hi again.
Please follow the steps below -
1. Take regular folic acid supplements.
2. Get your husband's semen analysis done.
3. Get follicular monitoring done. This is started by a baseline transvaginal ultrasound scan on day 2 of your cycle, and then every alternate day from day 7 onwards to track how the egg follicle is growing.
In irregular cycles, this is the only way to know when you are ovulating.
Ovulation is also documented by follicular monitoring.
4. Get evaluation for your irregular cycles - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free Testosterone.
5. If you fail to conceive after 3 - 6 cycles of follicular monitoring, inspite of ovulation, please go for a laparoscopy to check patency of your fallopian tubes, if they are blocked, IVF ( in vitro fertilization ) maybe needed. If ovulation is a problem, ovulation inducing agents can be taken to enhance egg growth.
Take care.
AS BELOW
Detailed Answer:
Hi again.
Please follow the steps below -
1. Take regular folic acid supplements.
2. Get your husband's semen analysis done.
3. Get follicular monitoring done. This is started by a baseline transvaginal ultrasound scan on day 2 of your cycle, and then every alternate day from day 7 onwards to track how the egg follicle is growing.
In irregular cycles, this is the only way to know when you are ovulating.
Ovulation is also documented by follicular monitoring.
4. Get evaluation for your irregular cycles - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free Testosterone.
5. If you fail to conceive after 3 - 6 cycles of follicular monitoring, inspite of ovulation, please go for a laparoscopy to check patency of your fallopian tubes, if they are blocked, IVF ( in vitro fertilization ) maybe needed. If ovulation is a problem, ovulation inducing agents can be taken to enhance egg growth.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanx Doc, Can u pl suggest any suitable clinic in XXXXXXX area ,so that we can get the required test & counselling done .
Brief Answer:
AS BELOW
Detailed Answer:
Am afraid that if I would be giving you any names, I would be searching them from the internet, which even you can easily do.
It is best to consult some patients / friends / relatives and find out a suitable clinic, as I do not reside there so am not the right person to guide you regarding this.
Take care.
AS BELOW
Detailed Answer:
Am afraid that if I would be giving you any names, I would be searching them from the internet, which even you can easily do.
It is best to consult some patients / friends / relatives and find out a suitable clinic, as I do not reside there so am not the right person to guide you regarding this.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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