What Causes Difficulty In Getting Pregnant With Normal Test Results?

Posted on Thu, 8 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 8 Jan 2015 Answered on

Tue, 27 Jan 2015 Last reviewed on

Question : Hi Doctor;
My current wife and I have spent almost two years together. Despite our regular attempts we could not make a baby since we have established our first sex in April 2013. My wife and I have visited two different gynecologists and she was taken through comprehensive check ups including blood and hormonal tests, ultrasound and urine analysis. She was put on medication for two to three months. Unfortunately, she couldn't become pregnant. We visited another gynecologic specialist. Same check up has been done and medications have prescribed. Again she couldn't get pregnant. I have also done seminal analysis and all results were normal.
Could you please give the possible problems and to deal with them? What possible steps should I take in order to make her pregnant?

Answered by Dr. Dr. Rakhi Tayal (5 hours later)

Brief Answer:
Have unprotected sex more frequently.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
It seems that both of you are healthy but are unable to conceive. 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 proceeding 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, her fertile days will be from 11th-18th days of each cycle counting the date of start of periods as day 1 of cycle in women with regular cycles. It is recommended to have sex at least on alternate days during these days to have best results.
Lying down on your back a pillow beneath your buttocks is considered the best position. She can use ovulation prediction kit (LH kit) to predict ovulation time in mid cycle. With this protocol, chances of pregnancy can be maximized.
Having sex at night just before sleeping is preferred because female tends to lie down for longer time without any activity and thus assisting in spermatogenesis ascent.
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.
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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (16 minutes later)

Hi Dr Tayal,

Thanks for the detailed information and instructions. Do you recommend single sex per day or multiple sex?
Normally, there is a leak from the vagina which appears after having sex. I am not sure if this is normal. According to the seminal analysis my average volume of sperm is beteeen 2.5 to 3.0 millimeters. Please advise.
Finally, my wife experiences abdominal pain during the period. Is this normal?

Answered by Dr. Dr. Rakhi Tayal (33 minutes later)

Brief Answer:
Detailed semen report will help.

Detailed Answer:
Hello.
Thanks for writing again.
It is best to have sex only once during the day during the fertile period to maintain the sperm quality.
The leakage of semen from vagina after sex is a normal finding. It is not harmful or does not decrease the chances of conception. She can use a pillow to decrease the spillage.
It is the motile and healthy sperms that matter and not the semen volume. Please attach the full report for proper analysis.
The abdominal pain during periods is normal. It is due to uterine contractions and can be controlled with a mild pain killer.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (23 minutes later)

Thanks XXXXXXX
If you don't mind I wish to forward you my Seminal analysis report and a set of documents for my wife's examination and medications. Could you please share an email address through which I can share with you the documents for further instructions.

Answered by Dr. Dr. Rakhi Tayal (2 hours later)

Brief Answer:
Attach the reports on this query page.

Detailed Answer:
You can attach the reports in the box provided on the right hand side of the query box. Or send the reports at YYYY@YYYY with subject: Attn - Dr. Rakhi Tayal.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (5 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
Semen test needs to be repeated.

Detailed Answer:
I have seen the reports attached. Your semen analysis shows only sluggishly moving sperms. There is no comment regarding the sperm morphology. It is best to get the test repeated from a good laboratory where the sample is analysed within few minutes by a qualified pathologist.
Your wife's reports are normal.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar