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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Conceiving?

Hi..I m 27 years old and trying to conceive for the past 3 months,but no positive result. My doctor prescribed siphene last month but got my period this month too. What should i do now? check with the doctor again or go naturally without tabs? Plz advise.
Mon, 5 Dec 2016
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General & Family Physician 's  Response
Hello.
Thank you for your question. I understand your concern.

Not being able to conceive may be due to multiple reasons.
This can be due to medical or gynecological problems in you as well as your partner.
Or it may be that both yof you are fine but you are simply not doing it correctly.
Your doctor prescribed siphene, which is a medicine called clomiphene citrate. I would wish to know the reason. Did he/ she run any test before giving you the medicine? Clomiphene citrate is the best medicine for one particular type of conception problem. It will act miraculously only if you are not ovulating; i.e. your ovary is not functioning properly. However, there is some other reason; e.g. faulty technique, or some blockage in the pathway or any problem in your partner's health, clomiphene citrate will be of no good effect. So, did your doctor tell you why you are unable to conceive? If that is due to ovarian reason, you need o continue siphene for now.


What else can you do?

1. Properly plan the physical relationship. Is your cycle regular? If not, it may be a sign why you are not being able to conceive.
However, if it is regular, then calculate the duration. Female usually ovulate 2 weeks/ 14 days prior to the beginning of menses. You will have to calculate the day for yourself but most commonly it is 14 days after the end of last period & 14 days before the beginning of next period. The ovum is viable for about 12-24 hours after release, so plan your physical relation around 3 days of your probable day of ovulation; from 2 days before to 1 day after. In most women having a regular cycle, ideal time for physical relationship is between day 12-day 16 of every cycle. Proper panning of the physical relationship is very important.

2. Even if you are physically and medically fine and your process is also right, sometimes it may take a while. We usually tell people not to get highly worried unless more than a year has passed. So patience is a key as well.

3. If you are rather impatient, visit your local doctor and ask him/ her what the actual problem is, if there is any. If he/ she has already told you it is because you are not properly ovulating (I guess that is why you were prescribed Siphene), you must continue taking it. Otherwise, you should get checked up for whether there is anything else. consult the gynecologist accordingly. Be sure to get your partner checked up as well, because guys are equally responsible for non-conception. A health check up and Semen analysis for him as well as some tests to see that you are completely fit will be necessary. But again, these are extreme measures. I do not recommend jumping into a flurry of tests until a year has passed. For now, just plan accordingly and have patience. Continue Siphene after another doctor's opinion, or if you already know what it was prescribed.

4. If either of you is a smoker and drinker, I would also recommend trying to avoid it as much as you can during this period. While there is not highly supportive scientific evidence for it, sometimes it helps.

Thank you again for your quiry.

All the best.
I hope my advice can benefit you and you get the good news soon.
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What Causes Difficulty In Conceiving?

Hello. Thank you for your question. I understand your concern. Not being able to conceive may be due to multiple reasons. This can be due to medical or gynecological problems in you as well as your partner. Or it may be that both yof you are fine but you are simply not doing it correctly. Your doctor prescribed siphene, which is a medicine called clomiphene citrate. I would wish to know the reason. Did he/ she run any test before giving you the medicine? Clomiphene citrate is the best medicine for one particular type of conception problem. It will act miraculously only if you are not ovulating; i.e. your ovary is not functioning properly. However, there is some other reason; e.g. faulty technique, or some blockage in the pathway or any problem in your partner s health, clomiphene citrate will be of no good effect. So, did your doctor tell you why you are unable to conceive? If that is due to ovarian reason, you need o continue siphene for now. What else can you do? 1. Properly plan the physical relationship. Is your cycle regular? If not, it may be a sign why you are not being able to conceive. However, if it is regular, then calculate the duration. Female usually ovulate 2 weeks/ 14 days prior to the beginning of menses. You will have to calculate the day for yourself but most commonly it is 14 days after the end of last period & 14 days before the beginning of next period. The ovum is viable for about 12-24 hours after release, so plan your physical relation around 3 days of your probable day of ovulation; from 2 days before to 1 day after. In most women having a regular cycle, ideal time for physical relationship is between day 12-day 16 of every cycle. Proper panning of the physical relationship is very important. 2. Even if you are physically and medically fine and your process is also right, sometimes it may take a while. We usually tell people not to get highly worried unless more than a year has passed. So patience is a key as well. 3. If you are rather impatient, visit your local doctor and ask him/ her what the actual problem is, if there is any. If he/ she has already told you it is because you are not properly ovulating (I guess that is why you were prescribed Siphene), you must continue taking it. Otherwise, you should get checked up for whether there is anything else. consult the gynecologist accordingly. Be sure to get your partner checked up as well, because guys are equally responsible for non-conception. A health check up and Semen analysis for him as well as some tests to see that you are completely fit will be necessary. But again, these are extreme measures. I do not recommend jumping into a flurry of tests until a year has passed. For now, just plan accordingly and have patience. Continue Siphene after another doctor s opinion, or if you already know what it was prescribed. 4. If either of you is a smoker and drinker, I would also recommend trying to avoid it as much as you can during this period. While there is not highly supportive scientific evidence for it, sometimes it helps. Thank you again for your quiry. All the best. I hope my advice can benefit you and you get the good news soon.