My husband and I have been married for 1 year. We are both healthy and have an active sex life. I have still not conceived. What should be done?
The chances of pregnancy in one month are about 15 %. 70 - 75 % couples become pregnant within 1 year of trying. You should consult an infertility specialist who will examine you and your husband and get certain basic tests done. This will include a semen test for your husband and a sonography for you. The subsequent treatment will depend on the test results.
The fertile period is the best time for achieving a pregnancy and is around the time of ovulation [release of egg]. This normally occurs 14 days before the next expected period. If you have regular cycles, you should subtract 14 from your cycle length. The day of ovulation may also change by a day or two. Moreover, sperms and eggs remain alive for 24 hours so it is not a must to have intercourse on that specific day. e.g. if your cycle length is 30, the day of ovulation is day 16. Add 2 days on either side, so your fertile period is from 14 to 18 days.
Sperm remain alive and active in woman's cervical mucus for 48-72 hours following sexual intercourse; therefore, it isn't necessary to plan your lovemaking on a rigid schedule. Intercourse on alternate days is sufficient.
If a woman is producing an egg regularly every month, her periods are regular. Irregularity in periods is due to infrequent or absence of egg production and could be a cause for infertility. This can be due to many reasons. You should consult an infertility specialist for this and you may require investigations and treatment.
Loss of seminal fluid after intercourse is perfectly normal [ it is called effluvium seminis ] and most women notice some discharge immediately after sex. The quantity of semen is 2 to 5 ml and hence some amount will leak out. This infact means that semen has been deposited in the vagina during intercourse and does not lead to infertility.
When a couple is unable to conceive, both the partners need to be tested as there could be a problem in either of them. Problems in the male partner are found in around 40 % of couples. Hence, it is very important that his semen is tested.
Semen count fluctuates very frequently. The first thing that you should do is to repeat the semen count at an interval of 3 â€“ 4 weeks. If the report is still abnormal, you should consult an andrologist / infertility specialist. He will examine your husband and may be order hormonal tests or sonography. The subsequent treatment will depend on the findings of these test reports. No matter how low the sperm count is, some form of treatment will always be possible.
You should first repeat the test twice to confirm this. If the other reports are also the same, you will require hormonal tests and a testicular biopsy to determine whether sperms are being produced in the testes. If sperms are produced in the testes, they can be used to achieve a pregnancy.
There are many reasons to have tubal blockage on X-ray. You are advised to go for hysteroscopic and laparoscopic examination by an infertility specialist. Many treatments like hysteroscopic tubal cannulation can be done to establish the patency of tubes. If tubal patency could not be established, you might require IVF treatment.