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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Should I Go For Getting Pregnant?

im 36 years old, im 7 years married but until now never get pregnant... i have my regular monthly period but not in 28 days cycle. . . mostly 5 days delayed from my last period. . . what should i do to solve this... i really want to get pregnant, , ,

pls help.

thanks. .
posted on Fri, 14 Mar 2014
Twitter Thu, 24 Apr 2014 Answered on
Twitter Thu, 24 Apr 2014 Last reviewed on
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General & Family Physician 's  Response
Hi and welcome to HCM

As women age progresses her fertility also comes down. But no need to worry as medical science has advanced in this field and you can have a baby!!

First important thing is you should have patience.

Consider monitoring cervical mucus changes, cervix position, and the BBT (basal body temperature) charting to predict your ovulation (along with the follicular study if required) and time your intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Do not change positions immediately after ejaculation, put pillows under buttocks to minimize semen spill, and avoid getting up within 30 minutes of ejaculation.

Have diet with foods rich in zinc content to ensure better maturation of egg and sperms.
Since you are trying to get pregnant since 7 years, you should consider getting a complete infertility work-up done for you and your partner to see if there are any underlying causes for the infertility/inability to conceive. Hormonal derangements, problems involving ovaries and ovulation, uterine problems, tubal blocks, cervical or vaginal infections, post-contraceptive ovarian failure/suppression, LPD, etc., should be ruled out for you.

For your partner, semen analysis should be done to rule out infections and to confirm the quality and quantity of sperms produced, as well as rule out other factors that can affect sperm morphology and motility (especially rule out acrosomal protein defect if all other parameters are normal). Treatment as indicated (based on examination and investigations results) would be started to help you get pregnant. Consider visiting your gynecologist/obstetrician for further evaluation and assistance and be in regular follow-up and monitoring as instructed and report any new/abnormal symptoms immediately.

Their are assisted reproduction techniques and success rate is also good, ask for this with your doctor. These methods are little expensive and arrange your finances.

All the best
Dr Santosh
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What Treatment Should I Go For Getting Pregnant?

Hi and welcome to HCM As women age progresses her fertility also comes down. But no need to worry as medical science has advanced in this field and you can have a baby!! First important thing is you should have patience. Consider monitoring cervical mucus changes, cervix position, and the BBT (basal body temperature) charting to predict your ovulation (along with the follicular study if required) and time your intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Do not change positions immediately after ejaculation, put pillows under buttocks to minimize semen spill, and avoid getting up within 30 minutes of ejaculation. Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. Since you are trying to get pregnant since 7 years, you should consider getting a complete infertility work-up done for you and your partner to see if there are any underlying causes for the infertility/inability to conceive. Hormonal derangements, problems involving ovaries and ovulation, uterine problems, tubal blocks, cervical or vaginal infections, post-contraceptive ovarian failure/suppression, LPD, etc., should be ruled out for you. For your partner, semen analysis should be done to rule out infections and to confirm the quality and quantity of sperms produced, as well as rule out other factors that can affect sperm morphology and motility (especially rule out acrosomal protein defect if all other parameters are normal). Treatment as indicated (based on examination and investigations results) would be started to help you get pregnant. Consider visiting your gynecologist/obstetrician for further evaluation and assistance and be in regular follow-up and monitoring as instructed and report any new/abnormal symptoms immediately. Their are assisted reproduction techniques and success rate is also good, ask for this with your doctor. These methods are little expensive and arrange your finances. All the best Dr Santosh