Brief Answer: Antibiotics are not needed now. Detailed Answer: Hello, Thanks for trusting us with your health concern. I have gone through the history provided and I feel that the medicines that you have been prescribed are not needed since you are having regular cycles and you both do not have any problem in doing frequent intercourse naturally. The very first thing, you both have to involve in unprotected sex without any contraceptive method around ovulation day or fertile days for at least 6-12 months before proceed to basic investigations of primary infertility. Ovulation occurs 14 days prior to next period due date. In case of regular period with 28-30 days duration, your fertile days will be from 11th-18th days of each cycle. You can use ovulation prediction kit (LH kit) to predict ovulation time in mid cycle. Having regular intercourse at least daily from day 11 to day 18 of the cycle ( 8 days), chances of pregnancy naturally can be maximized. In preconception period, you both can take Vitamin-E and folic acid supplements for at least 3 months. Additionally, take healthy diet, control body weight by regular physical exercise, try to avoid mental stress/ emotional upset by regular meditation/ yoga, drink more water and eat fresh fruits, maintain genital hygiene and take sound sleep with complete relaxation. Next thing, if the above protocol fails, some basic investigations for infertility are advised as follows: 1) Husband semen analysis test. 2) Pelvic ultrasound scan - to check overall reproductive organs. 3) Serial follicular study in mid cycle to check proper ovulation. 4) Tubal patency test- by HSG (hystero salpingography) or laparoscopy. 5) Complete hormone assay with thyroid profile, blood sugar & prolactin test. 6) Test for cervical factor- Post Coital Test (PCT), Anti-sperm antibody (ASA) etc. It is seen that 40% of infertility issues occur due to men, another 40% due to women, about 10% results from complication of both & in rest 10%, no definite cause is found (unexplained infertility). To summarize, after 6-12 months of trying for natural conception, if you fail to conceive, you both need to consult with infertility specialist for proper guidance and management of the case. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

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Brief Answer: You can continue folic acid and fertisure F. Detailed Answer: Hello. Thanks for writing again. Fertisure F is an antioxidant supplement that helps in general well being and ovum health. There is no side effect of taking it. You can take it and folic acid for general well being. Duphaston is needed to regularize the periods if you have irregular periods. If you have been having a regular sex for last 4-5 months specially during the fertile days as I have mentioned then you can consult an infertility specialist for further investigations. Hope my answer is helpful. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health. Regards

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Brief Answer: You can use a lubricant. Detailed Answer: Hello. You can use a lubricant to reduce the pain. It will not affect your chances of getting pregnant. You can use K-Y jelly or Astroglide. You can also use coconut oil for lubrication. More frequent sexual activity also decreases the vaginal dryness. Hope this is helpful. Regards.

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