| welcome to fertility first |
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We have been trying for a baby since the past two years but failed. What could be wrong and what do we need to do ? |
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We know today that 50% of infertility is due to a male factor. A simple semen analysis for your husband would be the first test. Subsequently, we could run routine hematological investigations for you followed by an transvaginal ultrasound, a hysterosalpingography, hormonal estimations and if required a laparoscopy and hysteroscopy. Once we have run through the above investigations, we would be in a position to suggest remedial measures. |
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My gynaecologist has done an internal examination and said I am normal. Do I still need to get tests done to determine why I am not conceiving ? |
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A routine gynaecological examination does not provide information about possible problems which can cause infertility, such as blocked fallopian tubes or ovulatory disorders. You need a systematic infertility workup. |
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Do painful periods cause infertility ? |
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Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during sex) may mean you have endometriosis. |
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My periods come only once every 6 weeks. Could this be a reason for my infertility ? |
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As long as the periods are regular, this means ovulation is occurring. Some normal women have menstrual cycle lengths of as long as 40 days. Of course, since they have fewer cycles every year, the number of times they are "fertile" in a year is decreased. Also, they need to monitor their fertile period more closely, since this is delayed (as compared to women with a 30 day cycle).
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My husband's blood group is B positive and I am A negative. Could this blood group "incompatibility" be a reason for our infertility ? |
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There is no relation between blood groups and fertility. |
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After having sex, most of the semen leaks out of my vagina. How can we prevent this ? Should we change our sexual technique ? Could this be a reason for our infertility ? |
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Loss of seminal fluid after intercourse is perfectly normal, and most women notice some discharge immediately after sex. Many infertile couples imagine that this is the cause of their problem. If your husband ejaculates inside you, then you can be sure that no matter how much semen leaks out afterwards, enough sperm will reach the cervical mucus. This leakage of semen ( which is called effluvium seminis) is not a cause of infertility. In fact, this leakage is a good sign - it means your husband is depositing his semen normally in your vagina. Of course, you cannot see what goes in - you can only see what leaks out - but the fact that some is leaking out means enough is going in!
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My colleagues at work tell me that if we "work" hard at getting pregnant, and want it enough, we definitely will ! In fact, my mother in law is even suggesting that the fact that I am not conceiving means that subconsciously I do not wish to have a baby ( because it may interfere with my career) and that this psychological barrier is the reason for our infertility ? |
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Unlike many other parts of your lives, infertility may be beyond your control. Don't blame yourself if you are not getting pregnant - it's a medical problem which often needs appropriate medical treatment. The attitudes you are encountering are often born out of ignorance - and are a kind of "victim-blaming" - ignore them !
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My grandmother says that if I just pray and have faith, I will definitely conceive. How far is this true ? |
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Believing in god can help you to maintain a positive outlook - but sheer will and blind faith won't overcome a physical problem like blocked tubes or absent sperms.
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My husband refuses to get his semen tested. He says the fact that it is thick and voluminous means it must be normal. |
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Semen consists mainly of seminal fluid, secreted by the seminal vesicles and the prostate. The volume and consistency of the semen is not related to its fertility potential, which depends upon the sperm count. This can only be assessed by microscopic examination.
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My sister conceived only after 6 years of marriage. Does this mean I will also have difficulty conceiving ? |
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If your mother, grandmother or sister has had difficulty becoming pregnant, this does not necessarily mean you will have the same problem! Most infertility problems are not hereditary, and you need a complete evaluation.
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