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Why Is One Incapable To Conceive?
My husband and I are trying to have children and he thinks he can't have children and I'm starting to wonder if its true. We have been together for three years and no baby. His semen is clear. I have never seen it white since we have been together that I can recall. Do you thinks that he is incapable of conceiving?
Tue, 17 May 2016
Hello,
I have gone through the query and understood your concern. The naked eye appearance of semen is not sufficient to say whether it is normal or abnormal. One needs to get a semen analysis to know if there is a problem. If your husband is of the opinion that he is sterile, you should ask him if he had any tests done previously which reported that he is sterile. If not, he should be counselled. You should undergo couple investigation to look for causes of infertility. Only then, proper management can be done. Hope your query has been answered. Take care.
I have gone through the query and understood your concern. The naked eye appearance of semen is not sufficient to say whether it is normal or abnormal. One needs to get a semen analysis to know if there is a problem. If your husband is of the opinion that he is sterile, you should ask him if he had any tests done previously which reported that he is sterile. If not, he should be counselled. You should undergo couple investigation to look for causes of infertility. Only then, proper management can be done. Hope your query has been answered. Take care.
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Hallow Dear,
It is very unscientific and pessimistic to come to any conclusions like this without having any medical investigations done on both of you.
Clear semen to naked eye gives no information about the quality of the semen. Please get his semen examined from the laboratory after 4 days of sexual abstinence.
You will have to find out whether you release the eggs normally, whether your reproductory organs are patent and whether your uterine lining (endometrium) is conducive for implantation.
Though there are many tests to find out the evidence of egg release, I prefer to monitor ovulation by ultrasonography from day 9 onwards till the ovulation to start with. In addition to the evidence of ovulation, it provides some more vital information. It tells us what was the size of the follicle before it released eggs. Follicles between 18 mm to 21 mm size discharge the healthiest eggs which have maximum possibility of successful pregnancy. In addition ultrasonography informs us about the endometrial thickness at the time of ovulation. Endometrium between 9 mm to 13 mm thickness is most conducive for implantation of fertilized egg. Moreover, you can plan the sexual intercourse on and around the day of ovulation which will increase the chances of fertilization.
To find out the patency of the reproductory organs, Laparoscopy and Hysterosalpingography are the best and common investigations.
After the reports of these preliminary investigations, if needed, further investigations like hormonal studies may be suggested.
So instead of just thinking negatively, please report to your Gynaecologist for a thorough work up and management.
I hope this helps you.
Dr. Nishikant Shrotri
It is very unscientific and pessimistic to come to any conclusions like this without having any medical investigations done on both of you.
Clear semen to naked eye gives no information about the quality of the semen. Please get his semen examined from the laboratory after 4 days of sexual abstinence.
You will have to find out whether you release the eggs normally, whether your reproductory organs are patent and whether your uterine lining (endometrium) is conducive for implantation.
Though there are many tests to find out the evidence of egg release, I prefer to monitor ovulation by ultrasonography from day 9 onwards till the ovulation to start with. In addition to the evidence of ovulation, it provides some more vital information. It tells us what was the size of the follicle before it released eggs. Follicles between 18 mm to 21 mm size discharge the healthiest eggs which have maximum possibility of successful pregnancy. In addition ultrasonography informs us about the endometrial thickness at the time of ovulation. Endometrium between 9 mm to 13 mm thickness is most conducive for implantation of fertilized egg. Moreover, you can plan the sexual intercourse on and around the day of ovulation which will increase the chances of fertilization.
To find out the patency of the reproductory organs, Laparoscopy and Hysterosalpingography are the best and common investigations.
After the reports of these preliminary investigations, if needed, further investigations like hormonal studies may be suggested.
So instead of just thinking negatively, please report to your Gynaecologist for a thorough work up and management.
I hope this helps you.
Dr. Nishikant Shrotri
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1 Doctor agrees with this answer
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