With up to date knowledge and sound and easy to understand explanation I will help you make informed decisions about your fertility and other issues.
With knowledge you can have a sound management approach to taking care of things and cost effective treatment.

Timing of intercourse.
The window of opportunity during which a
woman can get pregnant every month is called
her "fertile phase" – and is about 4-5 days
before ovulation occurs. Timing intercourse during the "fertile period" ( before ovulation) is
important and can be easily learnt . You can use the free fertility calculator to do so. However, some couples are so anxious about having sex at exactly the right time that they may abstain for a whole week prior to the "ovulatory day " - and often the doctor is the culprit in this over-rigorous scheduling of sex. This over attention can be counterproductive (because of the anxiety and stress it generates) and is not advisable. As long as the sperm are going in the vagina, it makes no difference which day they go in , so you can have sex daily as well, if you so desire! Just make sure you also have sex during the "fertile days" as well !

Older women
Women who are more than 30 and who wish to
postpone childbearing should get their FSH levels
checked on Day 3 of their cycle. This is a simple
blood test which allows the doctor to check
your ovarian reserve ( the quantity and quality
of the eggs in your ovaries). A high level
suggests poor ovarian reserve and should be a
wake-up alarm that your biological clock is ticking
away rapidly. It's important that this test
should be done in a reliable laboratory.

Thank you DR for opening this thread, I've been TTC for 18 months now, did series of test ranging from hormonal, HSG, swap and my husband did seminal analysis test which all came out well with no issue detected by the doctor but up till now I've never conceived for once. I just don't know why the delay. As i'm typing this am on my way to the clinic as I've just been told to do Hormonal test, today been day 3 of my cycle, i'm on my way for the FSH.

BTW, am 29 yrs, my hussy is 32

Kindly advise literally on what i can do, the doc make mention of me repeating HSG which am not comfortable with

ITSURS:

Thank you DR for opening this thread, I've been TTC for 18 months now, did series of test ranging from hormonal, HSG, swap and my husband did seminal analysis test which all came out well with no issue detected by the doctor but up till now I've never conceived for once. I just don't know why the delay. As i'm typing this am on my way to the clinic as I've just been told to do Hormonal test, today been day 3 of my cycle, i'm on my way for the FSH.

BTW, am 29 yrs, my hussy is 32

Kindly advise literally on what i can do, the doc make mention of me repeating HSG which am not comfortable with

I understand the fears women have with the pains associated with HSG. But I need to state that a FS ability to make the procedure as painless as possible is a true worth of his skills.
Let me have a copy of your hormone profile test. And I need to state that the range of normal or abnormalty in the hormone profile test is dependent on your cycle.
Woulf discuss with you further when your results are ready.
You can call me or chat with me. 08027544998, kenny_haastrup@yahoo.com.

Unexplained Infertility
Patients with unexplained infertility often find
it very difficult to accept this diagnosis, and
their commonest plaint is - I wish I knew why I
wasn’t getting pregnant. They are also not sure how to proceed – "After all, if the doctor cannot find out what the problem is , how will he be able to fix it ? "

Unfortunately, they are so focused on trying to find out what the problem is they often get paralysed into inactivity . Since they do not get any clear answers , they keep on doctor
shopping. This increases the confusion, because
they get widely varying opinions and treatment
options, so that they don’t know what to do
next
Unfortunately people get so obsessed with
diagnosing problems so that they can fix them,
that they end up doing a zillion investigations,
and identifying millions of minor irrelevant
problems, which have no bearing on the fertility
problem. However, they concentrate their
energies on correcting these so called problems
( whether it’s pus cells in the semen; minimal
endometriosis; high levels of NK cells , an abnormal SCSA result, or whatever) that they lose sight of the important goal, which is a baby ! It’s important to focus your energies on your goal, so you don’t waste time and energy or irrelevancies.
It is interesting to see how fashions in medical
science also change with regard to these
patients .
After all, doctors , just like patients, are happier when they have a name to put on a particular disease .
The problem with treating unexplained infertility is that anything can work , which is why there are so many anecdotal successes with all forms of treatment. Since infertile couples are emotionally very vulnerable , they are often willing to try any treatment fad , in the hope that it’ll work for them.
Also since everything is "normal” , many of these
couples are hell-bent on achieving a natural
pregnancy in their own bedroom. After all if
everything is normal , then there really is no
reason why they can't get pregnant in their
own bedroom, is there ? And all of us have heard success stories of people who have conceived after ten to fifteen years of trying .
Unfortunately , these couples often end up
wasting a lot of precious time . The fact remains that if people haven’t got pregnant in their own
bedroom within three years of trying , the
chances of their conceiving on their own are
very low. It is no longer cost effective or time
effective for them to keep on waiting , because they pay a price for this waiting – and the price they pay is a loss of their reproductive potential. This often means that by the time they seek infertility treatment , there is little an infertility specialist can offer them .

Anovulation ( not ovulating) is one of the common reasons of infertility. Normally, one of the ovaries releases a single mature egg every
month, and this is called ovulation. Egg maturation and ovulation is stimulated by two hormones secreted by the pituitary - follicle stimulating hormone (FSH) and luteinizing hormone (LH) .
These two hormones must be produced in appropriate amounts throughout the monthly cycle for normal ovulation to occur. Every month, at the start of the menstrual cycle, in response to the
FSH produced by the pituitary gland, about
30-40 primordial follicles start to grow.
Of these, only one matures to form a large fluid-filled structure, called a Graafian follicle which contains a mature egg, while the others die ( a process called atresia). The mature egg is
released from the follicle when the follicle
ruptures in response to a surge of LH produced
by the pituitary.After ovulation has occured,
the follicle from which the egg has been released
forms a cystic structure called the corpus
luteum. This is responsible for progesterone
production in the second half of the cycle.
Most women who have regular periods have
ovulatory cycles. Women who fail to ovulate or
who have abnormal ovulation usually have a
disturbance of their menstrual pattern.
This may take the form of complete lack of periods (amenorrhoea), irregular or delayed periods (oligomenorrhoea) or occasionally a shortened cycle due to a defect in the second part (luteal phase) of the cycle.

Abnormal ovulation
Abnormalities of ovulation ( anovulation) may
appear in several ways. Menstrual cycles shorter than 21 days or longer than 35 days are often associated with anovulation.
In addition, patients may skip menstrual periods for time intervals of three months or more and this is called oligomenorrhea (infrequent periods) .
If the periods stop entirely, this is called amenorrhea.
Many hormonal systems work together to
produce regular menstrual periods, and the blood levels of the hormones that make up these systems need to be tested in order to
determine the reason for the ovulatory
disorders.
The hormone blood tests, which are usually done on the third day of your cycle, test for the levels of the following key reproductive
hormones :

The FSH level: The FSH level gives a good idea of
the number of eggs remaining in the ovaries. A
high FSH level suggests that the ovary has
either failed or has started to fail. If the FSH
level is very high (in the menopausal range) then
the diagnosis is ovarian failure. If the level is
borderline, then some doctors will do a clomiphene stimulated FSH level, which allows for an earlier diagnosis of failing ovaries. On the other hand, a low FSH level suggests hypogonadotropic hypogonadism.
This seemingly verbose term simply
means that the ovary in these patients is not
working properly because of inadequate
production of FSH by the pituitary gland.
However, in most anovulatory patients, the FSH level will be in the normal range, and this can be reassuring.

The LH level: This is the other gonadotropin
hormone produced by the pituitary; and provides much the same information the FSH level does.
Another useful test is the LH:FSH ratio which is normally 1:1.
If, however, the LH level is much higher than the FSH level,this suggests a diagnosis of polycystic ovarian disease.

Thyroxine and TSH: These tests for thyroid
function. The thyroxine level is high in patients
with overactive thyroid glands (hyperthyroidism).
In patients with decreased thyroid function
(hypothyroidism), the TSH level is increased.

Prolactin: Prolactin is a hormone produced by
the pituitary gland that induces lactation or milk
formation, High prolactin levels
(hyperprolactinemia) can interfere with
ovulation .
A milky discharge from the breast
nipple , not related to pregnancy or nursing , is
called galactorrhea, and this is a telltale symptom of high prolactin levels and needs to be investigated. If the prolactin level is elevated, the doctor will need to recheck it to confirm it is persistently high. There are many reasons for an elevated prolactin level, including certain drugs as well as stress. In some women, the reason for a high prolactin level can be a small tumour in the pituitary gland.
This is called a prolactinoma
or microadenoma, and the doctor may advise you have an X-ray of the skull ( or even a CT scan or
MRI scan) to rule out this possibility. However,
most infertile women with hyperprolactinemia
can be easily treated with a medicine called
bromocryptine, which is a dopamine agonist
medication . Another medication which can be
used to treat hyperprolactinemia is oral
cabergoline, which is usually taken twice a week.
Only if the pituitary tumour is very large
( microadenoma) is surgical removal needed, and
this is very uncommon.
Ovarian failure
Ovarian failure is a disease in which the ovaries
fail to produce eggs. This disease is uncommon,
occurring in only about 10% of women whose
periods do not occur at all, a condition called
amenorrhea (absence of periods). Ovarian failure
may be genetic (for example, in girls with Turner's syndrome, a chromosomal disorder) or may be acquired (for example, following radiation or chemotherapy for cancers; surgery to remove the ovaries for treating ovarian cancer or severe endometriosis; autoimmune ovarian failure; or for unexplained reasons.) Ovarian failure is diagnosed by finding a high FSH level. In such patients it is usually not possible to stimulate ovulation and they have any eggs, and they suffer a premature menopause. The only effective medical treatment for these patients is the use of egg donation for IVF or GIFT.
However, in a very small proportion of these
patients, ovulation can resume spontaneously.
Induction of ovulation

The most commonly prescribed medicines for
induction of ovulation include the following:
clomiphene citrate, human menopausal
gonadotrophin (HMG) and follicle stimulating
hormone (FSH), HCG (human chorionic gonadotropin)
, bromocriptine, GnRH (gonadotropin releasing
hormone) and GnRH analogue.

For women with hypogonadotropic hypogonadism (low FSH and LH levels), the treatment of first
choice is HMG. This is effective replacement
therapy; and excellent pregnancy rates can be
achieved in these women.

For women affected by hyperprolactinemia, the drug of first choice is bromocriptine.
For most other women, the drug of first choice is clomiphene - the "workhorse" of ovulation induction.
If this does not work, then HMG is resorted to.
Poor responders to HMG can be treated with
GnRH analogues in conjunction with the HMG; or
by adding a hormone called the human growth
hormone.(HGH).
HCG (human chorionic gonadotropin) is given to
trigger off the release of the egg.
In patients with high androgen levels (high blood
levels of male hormones), dexamethasone can be
used as an adjunct, since this suppresses
androgen production.
Often ovulation induction requires an investment of time, money, energy and emotion before a satisfactory response is achieved. After all, every woman is different and there can be no standard "formulae".
Careful monitoring of the
response to ovulation induction is the key to
therapy - and this usually involves daily
ultrasound scans and/or blood tests. It is often a tedious process - which may involve "trial and
error" to tailor the therapy to the individual
patient's ovulatory response. With the
treatments available today, however, correcting ovulatory dysfunction is one of the most rewarding and successful of infertility
treatments.ovulatory cycles. Women who fail to ovulate or
who have abnormal ovulation usually have a
disturbance of their menstrual pattern.
This may take the form of complete lack of periods (amenorrhoea), irregular or delayed periods (oligomenorrhoea) or occasionally a shortened cycle due to a defect in the second part (luteal phase) of the cycle.

Abnormal ovulation
Abnormalities of ovulation ( anovulation) may
appear in several ways. Menstrual cycles shorter than 21 days or longer than 35 days are often associated with anovulation.
In addition, patients may skip menstrual periods for time intervals of three months or more and this is called oligomenorrhea (infrequent periods) .
If the periods stop entirely, this is called amenorrhea.
Many hormonal systems work together to
produce regular menstrual periods, and the blood levels of the hormones that make up these systems need to be tested in order to
determine the reason for the ovulatory
disorders.
The hormone blood tests, which are usually done on the third day of your cycle, test for the levels of the following key reproductive
hormones :

The FSH level: The FSH level gives a good idea of
the number of eggs remaining in the ovaries. A
high FSH level suggests that the ovary has
either failed or has started to fail. If the FSH
level is very high (in the menopausal range) then
the diagnosis is ovarian failure. If the level is
borderline, then some doctors will do a clomiphene stimulated FSH level, which allows for an earlier diagnosis of failing ovaries. On the other hand, a low FSH level suggests hypogonadotropic hypogonadism.
This seemingly verbose term simply
means that the ovary in these patients is not
working properly because of inadequate
production of FSH by the pituitary gland.
However, in most anovulatory patients, the FSH level will be in the normal range, and this can be reassuring.

The LH level: This is the other gonadotropin
hormone produced by the pituitary; and provides much the same information the FSH level does.
Another useful test is the LH:FSH ratio which is normally 1:1.
If, however, the LH level is much higher than the FSH level,this suggests a diagnosis of polycystic ovarian disease.

Thyroxine and TSH: These tests for thyroid
function. The thyroxine level is high in patients
with overactive thyroid glands (hyperthyroidism).
In patients with decreased thyroid function
(hypothyroidism), the TSH level is increased.

Prolactin: Prolactin is a hormone produced by
the pituitary gland that induces lactation or milk
formation, High prolactin levels
(hyperprolactinemia) can interfere with
ovulation .
A milky discharge from the breast
nipple , not related to pregnancy or nursing , is
called galactorrhea, and this is a telltale symptom of high prolactin levels and needs to be investigated. If the prolactin level is elevated, the doctor will need to recheck it to confirm it is persistently high. There are many reasons for an elevated prolactin level, including certain drugs as well as stress. In some women, the reason for a high prolactin level can be a small tumour in the pituitary gland.
This is called a prolactinoma
or microadenoma, and the doctor may advise you have an X-ray of the skull ( or even a CT scan or
MRI scan) to rule out this possibility. However,
most infertile women with hyperprolactinemia
can be easily treated with a medicine called
bromocryptine, which is a dopamine agonist
medication . Another medication which can be
used to treat hyperprolactinemia is oral
cabergoline, which is usually taken twice a week.
Only if the pituitary tumour is very large
( microadenoma) is surgical removal needed, and
this is very uncommon.
Ovarian failure
Ovarian failure is a disease in which the ovaries
fail to produce eggs. This disease is uncommon,
occurring in only about 10% of women whose
periods do not occur at all, a condition called
amenorrhea (absence of periods). Ovarian failure
may be genetic (for example, in girls with Turner's syndrome, a chromosomal disorder) or may be acquired (for example, following radiation or chemotherapy for cancers; surgery to remove the ovaries for treating ovarian cancer or severe endometriosis; autoimmune ovarian failure; or for unexplained reasons.) Ovarian failure is diagnosed by finding a high FSH level. In such patients it is usually not possible to stimulate ovulation and they have any eggs, and they suffer a premature menopause. The only effective medical treatment for these patients is the use of egg donation for IVF or GIFT.
However, in a very small proportion of these
patients, ovulation can resume spontaneously.
Induction of ovulation

The most commonly prescribed medicines for
induction of ovulation include the following:
clomiphene citrate, human menopausal
gonadotrophin (HMG) and follicle stimulating
hormone (FSH), HCG (human chorionic gonadotropin)
, bromocriptine, GnRH (gonadotropin releasing
hormone) and GnRH analogue.

For women with hypogonadotropic hypogonadism (low FSH and LH levels), the treatment of first
choice is HMG. This is effective replacement
therapy; and excellent pregnancy rates can be
achieved in these women.

For women affected by hyperprolactinemia, the drug of first choice is bromocriptine.
For most other women, the drug of first choice is clomiphene - the "workhorse" of ovulation induction.
If this does not work, then HMG is resorted to.
Poor responders to HMG can be treated with
GnRH analogues in conjunction with the HMG; or
by adding a hormone called the human growth
hormone.(HGH).
HCG (human chorionic gonadotropin) is given to
trigger off the release of the egg.
In patients with high androgen levels (high blood
levels of male hormones), dexamethasone can be
used as an adjunct, since this suppresses
androgen production.
Often ovulation induction requires an investment of time, money, energy and emotion before a satisfactory response is achieved. After all, every woman is different and there can be no standard "formulae".
Careful monitoring of the
response to ovulation induction is the key to
therapy - and this usually involves daily
ultrasound scans and/or blood tests. It is often a tedious process - which may involve "trial and
error" to tailor the therapy to the individual
patient's ovulatory response. With the
treatments available today, however, correcting ovulatory dysfunction is one of the most rewarding and successful of infertility
treatments.

Thank you for the prompt response, my cycle is normal 28 days, i'll keep u posted as soon as i get the hormonal test results

So Dr, are you stating that NK cell and TNF are overrated, I've seen cases where Aspirin or Intralipids/Humira/LIT combination all made a difference to achieving a BFP.

What drugs do you use for downregulating and stimulaton?

Beetle:

So Dr, are you stating that NK cell and TNF are overrated, I've seen cases where Aspirin or Intralipids/Humira/LIT combination all made a difference to achieving a BFP.

What drugs do you use for downregulating and stimulaton?

h
I use Lupron for downregulating.

Good for all. Thanks

Good day doc and thanks for this thread

Please the FSH test on day 3 is it the same with the one done on the 21 day. I did one about 3 months ago but they called it hormonal profile. Also my husband was diagonised with staph which resulted in no sperm count. He has gone through treatments with a doctor, but the last test he did showed that the staph is still there though moderate now and a little improvement in sperm count. Please what drug can he take. Thanks

uteh:

Good day doc and thanks for this thread

Please the FSH test on day 3 is it the same with the one done on the 21 day. I did one about 3 months ago but they called it hormonal profile. Also my husband was diagonised with staph which resulted in no Fluid count. He has gone through treatments with a doctor, but the last test he did showed that the staph is still there though moderate now and a little improvement in Fluid count. Please what drug can he take. Thanks

The FSH test is a measure of your Follicle stimulating hormone levels and they vary according to the period in your cycle.
Thats why it was done at 2 different times of your cycle.
Its part of the hormone profile test. Since FSH is one of the hormomes checked for during the hormone profile test.
As for tour husband's issue I think you will do well to chat with me privately.
But I need to state that this thread is only to inform and educate and not for users to go on self medications please.
Talk to me either online or on the phone.
Might want to see test results.t 2 different times of your cycle.
Its part of the hormone profile test. Since FSH is one of the hormomes checked for during the hormone profile test.
As for tour husband's issue I think you will do well to chat with me privately.
But I need to state that this thread is only to inform and educate and not for users to go on self medications please.
Talk to me either online or on the phone.
Might want to see test results.

Dr Haastrup thank u for opening this thread. i want to thank you for enlightening me on the potential that i may have a PID.
I went back to the hospital yeterday.
after series of examinations gave me an IV injection9 dont know which one) and plaved me on doxycicline and metronizole for a fortnight. i pray i get a final cure this time. I will keep u posted

Hello doctor. Pls i have a question that have been bothering me for some time now. Pls does making love with my husband after my ovulation reduce my chances of getting pregnant. I mean if by chance i get pregnant during my ovulation and i meet with my husband let say a week to the time i'm suppose to see my next period, can it make it to come down even before i know that i'm pregnant. Also pls can carrying heavy things after my ovulation also affect me? My mum told me that i should not even carry a bucket of water immediately after my ovulation. Thank you.

I wish this thread could be made a sticky thread.

Thanks for this thread, had fibroid ops, last oct, I observed that my monthly flow is still very heavy, my doc placed me on Metformin and some pill (no name). I have been ttc for yrs. Pls counsel

Tem01:

Hello doctor. Pls i have a question that have been bothering me for some time now. Pls does making love with my husband after my ovulation reduce my chances of getting pregnant. I mean if by chance i get pregnant during my ovulation and i meet with my husband let say a week to the time i'm suppose to see my next period, can it make it to come down even before i know that i'm pregnant. Also pls can carrying heavy things after my ovulation also affect me? My mum told me that i should not even carry a bucket of water immediately after my ovulation. Thank you.

My dear I understand your fears and I can tell you authoritatively that carrying heavy things does not affect your chances in any way.
Once its properly implanted it stays.
You can only miscarry if the wall of the Uterus is too thin to support the growth of the baby, if you have uterine polyps among other things.
You dint indicate if you have been suffering from miscarriage or something.scarry if the wall of the Uterus is too thin to support the growth of the baby, if you have uterine polyps among other things.
You dint indicate if you have been suffering from miscarriage or something.

Rondo1:

Thanks for this thread, had fibroid ops, last oct, I observed that my monthly flow is still very heavy, my doc placed me on Metformin and some pill (no name). I have been ttc for yrs. Pls counsel

Your heavy flow could be for a lot of reasons.
I might want to ask you a couple of more question to clarify that.
Can you talk to me privately?

Fibroids are smooth muscle tumors of the
uterus. They grow from the muscle cells of the
uterus. They are benign ( non-cancerous), and
are the commonest tumours found in a young
woman. Since they are so common ( about 25%
of women in the childbearing group will have
fibroids) , many infertile women will also be found
to have fibroids. However, most fibroids do not
affect fertility and can safely be left alone.
Unfortunately, many doctors are very anxious
to surgically remove these, and this unnecessary surgery can actually cause infertility !
Fibroids are classified according to their location and are of 3 types.
The uterus has 3 layers -
the inner lining which lines the cavity, called the
endometrium; the wall of the uterus which
consists of smooth muscle, called the
myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus,
under the serosa, is called subserosal.
A fibroid which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the
growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and
progesterone.
Most fibroids in infertile women do not need any treatment at all, because they do not affect fertility or pregnancy. They are best left alone or at best made to shrink.
In fact, unnecessary surgery can actually reduce your fertility, because it causes adhesions and
scarring which can damage the tubes.
However, submucous fibroids in infertile women
( those within the uterine cavity or causing
significant distortion of the cavity ) do need to be removed or as new technology has prescribed shrink it.fibroids in infertile women do not need any treatment at all, because they do not affect fertility or pregnancy. They are best left alone or at best made to shrink.
In fact, unnecessary surgery can actually reduce your fertility, because it causes adhesions and
scarring which can damage the tubes.
However, submucous fibroids in infertile women
( those within the uterine cavity or causing
significant distortion of the cavity ) do need to be removed or as new technology has prescribed shrink it.

Fibroids are smooth muscle tumors of the
uterus. They grow from the muscle cells of the
uterus. They are benign ( non-cancerous), and
are the commonest tumours found in a young
woman. Since they are so common ( about 25%
of women in the childbearing group will have
fibroids) , many infertile women will also be found
to have fibroids. However, most fibroids do not
affect fertility and can safely be left alone.
Unfortunately, many doctors are very anxious
to surgically remove these, and this unnecessary surgery can actually cause infertility !
Fibroids are classified according to their location and are of 3 types.
The uterus has 3 layers -
the inner lining which lines the cavity, called the
endometrium; the wall of the uterus which
consists of smooth muscle, called the
myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus,
under the serosa, is called subserosal.
A fibroid which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the
growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and
progesterone.
Most fibroids in infertile women do not need any treatment at all, because they do not affect fertility or pregnancy. They are best left alone or at best made to shrink.
In fact, unnecessary surgery can actually reduce your fertility, because it causes adhesions and
scarring which can damage the tubes.
However, submucous fibroids in infertile women
( those within the uterine cavity or causing
significant distortion of the cavity ) do need to be removed or as new technology has prescribed made to shrink.

Older women present doctors with many
challenging problems. For one, they usually
respond poorly to ovarian stimulation, and
pregnancy rates with treatment are lower.
They also have an increased risk of having a
miscarriage - and in women over 41 years of age,
this risk can be as much as 50% ! Moreover, as a
woman ages, she has an increased risk of having
medical problems in her pregnancy , because of
preexisting medical problems such as diabetes
and hypertension.
An especially thorny issue is the increased risk
of birth defects because of aging eggs. As eggs
get older, they have an increased risk of
harbouring chromosomal errors, and this
increases the risk of the baby having a
chromosomal error, such as trisomy 21 ( Down
syndrome). Most clinics will offer prenatal
diagnosis ( such as chorion villus sampling, and
amniocentesis ) to these women to screen for
birth defects during pregnancy - but since some
of these procedures increase the risk of a
miscarriage, the couple often find themselves on
the horns of a dilemma - and it is hard for them
to decide whether to do the test or not to.
What is the oldest age at which an infertili

Fibroids are smooth muscle tumors of the uterus. They grow from the muscle cells of the uterus. They are benign ( non-cancerous), and are the commonest tumours found in a young woman. Since they are so common ( about 25% of women in the childbearing group will have fibroids) , many infertile women will also be found to have fibroids. However, most fibroids do not affect fertility and can safely be left alone or made to shrink.
Unfortunately, many doctors are very anxious to surgically remove these, and this unnecessary
surgery can actually cause infertility !
Fibroids are classified according to their location and are of 3 types. The uterus has 3 layers - the inner lining which lines the cavity, called the endometrium; the wall of the uterus which consists of smooth muscle, called the myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus, under the serosa, is called subserosal.
A fibroid
which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and progesterone.

Tem01:

Hello doctor. Pls i have a question that have been bothering me for some time now. Pls does making love with my husband after my ovulation reduce my chances of getting pregnant. I mean if by chance i get pregnant during my ovulation and i meet with my husband let say a week to the time i'm suppose to see my next period, can it make it to come down even before i know that i'm pregnant. Also pls can carrying heavy things after my ovulation also affect me? My mum told me that i should not even carry a bucket of water immediately after my ovulation. Thank you.

Dr, can u please offer your opinion on the bolded part of question asked @ Tem01 Pls does making love with my husband after my ovulation reduce my chances of getting pregnant. I mean if by chance i get pregnant during my ovulation and i meet with my husband let say a week to the time i'm suppose to see my next period, can it make it to come down even before i know that i'm pregnant

ITSURS:

Dr, can u please offer your opinion on the bolded part of question asked @ Tem01 Pls does making love with my husband after my ovulation reduce my chances of getting pregnant. I mean if by chance i get pregnant during my ovulation and i meet with my husband let say a week to the time i'm suppose to see my next period, can it make it to come down even before i know that i'm pregnant

I already answered your question, I said no it doesn't.
Sex has little or no effect unless implantation did not take place properly and that can be due to a lot of factors.

Fibroids are smooth muscle tumors of the uterus. They grow from the muscle cells of the uterus. They are benign ( non-cancerous), and are the commonest tumours found in a young woman. Since they are so common ( about 25% of women in the childbearing group will have fibroids) , many infertile women will also be found to have fibroids. However, most fibroids do not affect fertility and can safely be left alone or made to shrink.
Unfortunately, many doctors are very anxious to surgically remove these, and this unnecessary
surgery can actually cause infertility !
Fibroids are classified according to their location and are of 3 types. The uterus has 3 layers - the inner lining which lines the cavity, called the endometrium; the wall of the uterus which consists of smooth muscle, called the myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus, under the serosa, is called subserosal.
A fibroid
which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and progesterone.erus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus, under the serosa, is called subserosal.
A fibroid
which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and progesterone.

Hi doc,what options do you have when a sperm count came back with 0percent normal forms

osiyemia:

Hi doc,what options do you have when a Fluid count came back with 0percent normal forms

My dear its IVF, but then I might want to know other parameters.

Fibroids are smooth muscle tumors of the uterus. They grow from the muscle cells of the uterus. They are benign ( non-cancerous), and are the commonest tumours found in a young woman. Since they are so common ( about 25% of women in the childbearing group will have fibroids) , many infertile women will also be found to have fibroids. However, most fibroids do not affect fertility and can safely be left alone or made to shrink.
Unfortunately, many doctors are very anxious to surgically remove these, and this unnecessary
surgery can actually cause infertility !
Fibroids are classified according to their location and are of 3 types. The uterus has 3 layers - the inner lining which lines the cavity, called the endometrium; the wall of the uterus which consists of smooth muscle, called the myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus, under the serosa, is called subserosal.
A fibroid
which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and progesterone. muscle, called the myometrium; and the outer lining , called the
serosa.
A fibroid which grows in the muscular
wall of the uterus is called an intramural
( "within the wall" ) fibroid.
A fibroid which grows
mainly on the outer surface of the uterus, under the serosa, is called subserosal.
A fibroid
which grows just under the uterine lining, inside the uterine cavity, is called a submucous or intracavitary fibroid.
Although the exact cause is unknown, the growth of fibroids, like all tumours, seems to be related to a gene that controls cell growth.
Fibroid growth is also affected by the
reproductive hormones estrogen and progesterone.

Hi doc,
Kindly educate me on this issue. I had previously had a semen analysis of 96million and 74million respectively, per ml with more than 50% motility and more than 80 normal forms each. 18months from the last value, i had 3.2million/ml with severe infection of staph and candida with reduced motility (30%). Since then, I have completed antibiotic treatments and it keeps fluctuating between 9.5million to 18.6million/ml with 30% - 40% motility and several pus cells but each time culture does not yield any growth. I had noticed that my fluid which used to be thick (or viscous) is now, just watery. I have taken herbs as well, now on zinc and vit c., and this is 6months from the first bad (3.2million) result.
My doc placed me on clomid 50mg daily for 6months (on first month).
Kindly let me know if there's treatment hope for infection induced low sperm count, or should I just resort to ivf.

Thanks.

Dear Doc my baby is still small and am supposed to have seen my MC on the sixth of this month but it hasnt come, i went for a PT on the 7th and the lab guy asked if i had taken anything before now and i answered him cos i has taken gynacosid immediately i hadnt seen it cos am never late. he told me he can see traces but its not definate. Unfortunately i have not bled since i took it and am afraid what do suggest i take to make it come

obidia:

Dear Doc my baby is still small and am supposed to have seen my MC on the sixth of this month but it hasnt come, i went for a PT on the 7th and the lab guy asked if i had taken anything before now and i answered him cos i has taken gynacosid immediately i hadnt seen it cos am never late. he told me he can see traces but its not definate. Unfortunately i have not bled since i took it and am afraid what do suggest i take to make it come

You dint tell me the result of the PT and for how for many cycles you missed your period.
Maybe you should talk to me privately.