₦airaland Forum

Frequency of intercourse. And its effect

The simple rule is - as often as you like; but the
more often you do the better your
chances.
Thus, for couples who get intimate only on
weekends (often the price they pay for a heavy work schedule) the chance of Being Intimate on the fertile preovulatory day is only one-third that
of couples who are Intimate every other day -
which means they may take three times as long to conceive.
I think its much more fun making a baby in your bed room than coming to me! (And think of all the money you’ll be saving !)
Also remember that you cannot "store up"
Fluid, which means that there is really no
advantage to abstaining from sex if you are
trying to conceive.
In this case, more is better,
and in fact studies have shown that fresh
Fluid have a better chance of achieving a
pregnancy than Fluid which have been stored
up for many days.
And for the older woman, 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

oduamine:
@dr haastrup i dont av anytin against u,just that this thread is meant to bring ttc 2geda,to share our pains,help n heal eachoda.
If u want to give advice on fertility u can do it on anoda thread.

Share pains?, heal each other?
Is that a way out?, Pity party or knowledge about what you have and a way to get treatment and where to get one.

oduamine:
dr haastrup should start another thread not here pls.

Point of correction Oduamine, am not here to take over the thread . I don't have to.
Do you have anything against me or the fact that I guidevpeople and educate them on what to do concerning their fertility issues?

osiyemia:
Hi dr,if you have one blocked tube and it does not contain toxic fluid is there any need to clip or remove the tube for ivf

The decision to clip or remove lies with the surgeon with the patients consent.
But be well informed before deciding on what you want.

udoka2:
Hello Doctor
l have a colleague who aborted 4months pregancy in 2006, and since then she has not seen her period. However if she takes drug to induce period, it comes, but without drugs she doesnt see it.  she is married now since 2008, still same problem. The whole thing is making her to add unecessary weight on her waistline.  Pls what can she do?  She has tried gyneas. without success. they most times place her on family planning to correct it, while on it the period will flow. it stops as soon as she stops the family planning or drug to induce it.

Its quite unfortunate but I think your friend might e suffering from a condition know as Asherman's Syndrome . Its a post abortion complication.

Asherman's Syndrome
causes a decrease in menstrual flow, abdominal
pain, cessation of menstruation and infertility.

In
females with the disorder, such symptoms and
findings occur due to inflammation of the lining of
the uterus (endometritis) and the development
of bands of scar tissue abnormally joining
portions of the uterus.
The scar tissue becomes
so dense that is impossible for a baby to grow.
The condition can be very mild, or it can be
severe and irreversibly damage the uterine
cavity.
These intrauturine damages
can occur spontaneously or as a result of
trauma to the uterus, such as surgical scraping or cleaning of tissue from the uterine wall (popularly known as
known as  D & C .)

Tell her to talk to me privately I will see her or make referral as appropriate.
She would need surgery and fertility treatment.

Stress can be a factor with infertility and has
been shown to decrease
pregnancy rates in IVF patients, however, I do
not think that it is adequate
to be a cause of sustained infertility. Therefore,
I don’t think that is
the issue.
Based on the information you gave, I don’t think
you have completed an
infertility evaluation. Just for your reference,
these are the tests
usually done in a basic infertility evaluation:
Cycle day #2 or 3 hormone panel (FSH, LH,
Estradiol, Prolactin, TSH)
Hysterosalpingogram
Hysteroscopy or Hysterosonogram
Cycle day # 20,21 or 22 Progesterone level (mid-
luteal phase)
Cycle day #26,27 or 28 Endometrial biopsy for
Endometrial dating
Pelvic ultrasound, expecially to view ovaries and
adnexa.
Antral follicle
count is sometimes done with this scan.
Semen Analysis (Repeat to verify if the first one
is abnormal)
Laparoscopy to evaluate the pelvis.
First, I think you need to know that you now
have at least one recognized
reason for your inabiility to become pregnant,
and that is an abnormal semen
analysis. A “morphology” of 3% is a severe
abnormal semen analysis. It
should be 33% or more. That means that only 3%
of to total count are
actually normal sperm and only those sperm have
the potential to fertilize
an egg. So how many is that? Take the total
count and multiply by 0.03
then multiply that by the motility percentage
and that will give you the
number of available sperm. If that number is less
than 20 million but
higher than 10 million, then IUI would be a potential
treatment option. If
it is less than 10 million, then ICSI in conjunction
with IVF would be the
treatment of choice.
Of course, before making
this decision, a second semen
analysis should be done to verify the result.
Many fertility specialists,
including myself, believe that the semen analysis
is merely a reflection of
the sperm potential. After all, the function of a
sperm is to fertilize
your egg, but that test does not exist. It has
been shown in IVF cycles
prior to the development of ICSI, that when
there is an abnormal semen
analysis, there is often a functional defect i.e.
the sperm do not fertilize
well. That is why ICSI was developed. With that in
mind, it might be
better to proceed with IVF and ICSI. In light of
this fact, I don’t think
that the laparoscopy is necessary because IVF
will bypass the normal
pathway.

Secondly, I think that you need to see a fertility
specialist. You need one
that does ALL levels of evaluation and
treatment, including IVF. If you do
to someone that does less, they will often
defer to the treatment that they
can do rather than refer you to a higher
specialist. IUI in this case would
probably not be worthwhile and would waste
time and money.
Just like Gynecologists who say
they do infertility but in
reality can do only a small portion of infertility,
Someone who has done additional
training in Male infertility can then do additional testing if need be
and make additional treatment
recommendations if there are any. But, word of
caution. Most male
infertility will require ICSI with IVF. There are very
few male infertility
cases that can be treated with medication or
surgery, so going to see a Male
infertility specialist would be more to explore all
options and do all
testing, rather than hope for a treatment less
than ICSI.

lullabi:
Hi, Dr Haastrup, I went for Hvs and Urine mcs and it says i have scanty growth of Candida Albicans, yeast +++. My blood preg test was -ve. now my af showed up yesterday. Does it mean i have not been infected with the bacteria my husband had(is it possible). So i dont have to be treated for that only for the yeast?
What should we do next concerning TTC, i really am confused now. Pls help



Arlly, weve not heard from you for a while, just hoping you r okay. Mypeace, hope you r fine too.

Yeah you both need to get treated .
Your gyn might give you a broad spectrum. Antibiotics.
And he might also do another test to confirm complete clearance .
As for the TTC let's chat or call me so we can talk privately and if need be for consult .

osiyemia:
Pls can you list d factors so we know.Thanks

The common factors as I know them are,
1.egg/Embryo Quality, there are a lot of factors affecting Egg quality,
A, Age and Ovarian reserve--A woman is born with all the eggs she will ever produce.
She uses them up through her
reproductive life and when they are gone, her
reproductive potential ends. It is interesting
that a woman’s eggs are already stored in her
ovaries 6 months before she is born.
In fact, she starts losing her eggs at a furious rate from the get-go such that by the time she is born, more than half of her eggs have already been re-absorbed. By the time she reaches puberty and then start to ovulate her egg population will have dropped from about 5million to less than 1 million.
Another factor is that less than 40% of embryos resulting from fertilization of even young women’s eggs are capable of making a healthy baby.
As women get older, this gets progressively worse, such that by her mid-40’s the number drops to less than
10%.

osiyemia:
Pls can you list d factors so we know.Thanks

The common factors as I know them are,
1.egg/Embryo Quality, there are a lot of factors affecting Egg quality,
A, Age and Ovarian reserve--A woman is born with all the eggs she will ever produce.
She uses them up through her
reproductive life and when they are gone, her
reproductive potential ends. It is interesting
that a woman’s eggs are already stored in her
ovaries 6 months before she is born.
In fact, she starts losing her eggs at a furious rate from the get-go such that by the time she is born, more than half of her eggs have already been re-absorbed. By the time she reaches puberty and then start to ovulate her egg population will have dropped from about 5million to less than 1 million.
Another factor is that less than 40% of embryos resulting from fertilization of even young women’s eggs are capable of making a healthy baby.
As women get older, this gets progressively worse, such that by her mid-40’s the number drops to less than
10%.















2 Poor Uterine Receptivity , he uterine factors are just as critical to the equation as the quality ofthe embryo. There are a number of factors that contribute to the receptivity of the uterus including the contour of the uterine cavity,
thickness of the uterine lining,
3 Embryo Transfer,

The success of IVF depends on a lot of factors, not necessarily on the FS.
And the better the surgeon the less painful he's able to make the procedure .

camrygmail:
Hello house! How una all dey? It has been a while since I stopped by. Just wanted to say we are back ttc .after the ectopic dr advised us to give about 2cycles before trying again .

dr haastrup, thanks for taking time to answer questions on the board.God will bless u and grant u your heart desires.

Bukkieluv how are u these days u have been quite (same for gen. Bihari) I am sure all is well.

God dey.

Thanks dear, God will remember you.
Just keep a positive approach .
Its my pleasure to help.

osiyemia:
Hi dr,is it advisable to remove your blocked tube or clip it for ivf

First your Fertility Surgeon has to determine the extent of blockage, and tubal surgery will also depend on the age of the woman.
Since IVF is still the only option whatever microsurgery that is done does not affect it.
But I usually do clipping and not removal unless there's an indication for it. But some would rather just do a complete removal of the tube.
What's commonly done in Nigeria is tubas removal but where I trained we have come to see the psychological advantage of clipping or anastomosis. So for me its a treatment of choice .

Ifyemma:
hi dr. thanks for your infomation pls does polyp in womb really affect fertility?

Uterine polyps are soft growth on the wall of the uterus . They are soft and pendoulous.
The main difference between uterine polyps and uterine fibroids is that fibroids are composed of muscle tissue and polyps are made of endometrial tissue.
Polyps can regress but fibroid does not.
Uterine polyps can act like a natural intrauterine device (IUD), preventing a fertilized egg from implanting in the uterine wall. They can also block the area where the fallopian tube connects to the uterine cavity, preventing sperm from traveling into the tube to meet the egg. Similarly, they can block the canal of the cervix, which would prevent sperm from entering the uterus at all.
Polyps may also play a major role in miscarriage
for some women.

ketubah:
Why does clomid cause a thin uterine wall linning? Just wondering .A lot of gynaes do not tell their patients that and when some of them are lucky to get pregnant,they miscarry,a lot of TTc ladies do not know a thick uterine wall is necessary for sustaining a preg,a friend of mine who tested +ve to preg via ivf was told later that the result was -ve again and the exuse they gave her was because the linning of her womb was thin,US specialists insist on having an 8mm uterine wall before even conceving.

I know a Dr in Us who will not treat you until he can build your uterine linning to at least 9mm.

The Standard thickness is 9mm but any uterine wall less than 7mm is not viable to sustain pregnancy to term.
The growth if the wall is in response to Oestrogen.

Clomid is first line Ovulation induction therapy.
Its very effect but its an anti Estrogen so it should only be use on the recommendation of a Doctor.
There are other ovulation induction drugs though not in the same class as Clomid.

Clomid, an anti-estrogen drug, can block the
stimulation of estrogen on the uterine lining and
what results is a thin uterine lining.
Using Clomid for more than three months consecutively will almost assuredly result in a thinning of the endometrium( Uterine Wall). Age causes a natural thinning of
the uterine lining which is why women over
the age of 40 rarely conceive on Clomid. Clomid
can, after prolonged use, reverse its effects
and act as a contraceptive regardless of the
age or ovarian response of the woman.

Honeycity:
hello dr hasstrup

my hubby was treated for low Fluid count yet i've not been able to conceive should i go on clomid or some other fertility drugs

If your husband was treated for Low Sperm count has there been a further test to confirm an improvement in his sperm count?
And were you checked to see if you have any changes or anything that needs to be treated.
Please I need to sound a note of warning Clomid is a strong drug with the potential side effect of reducing the thickness of the Uterine wall. I will advise you TTC ladies to go slow on its use please.
I ordinarily don't use Clomide. I go more potent Fertility drugs especially the injectables.
Expensive though but verybeffective.
See a fertility surgeon if you need any clarification please.
And let your

lullabi:
thanx. but i have to wait till i miss af or can it show now with blood pt

A definitive pregnancy test will reveal if you are pregnant or not.
I'd advise that do a PT rather than wait for you to have a missed period.

lullabi:
ttc 11mnths
scan shows pcos
gyn gv me metformin and clomid
started bd evertyother day from 2nd to the last tablet.
12days after the clomid,hubby had staph aureus infection so we had to stop bd till now.
should i go for treatment too, dont know if i have taken in because i dnt want to harm my baby.am 10dpo i think and hv been havin abdominal discomfort with hot flashes, a pinch below my bellybutton sometimes,sore throat and fainting feeling. dont know wen to expect next menses becos its iregular.hpt urine says -ve. pls help advise.

First i'll advise you both take care of the infection .
The only sure test of pregnancy is a Pregnancy test using blood specimen,
Some of the symptoms you describe are non-specific. But never say never.
And after treating your infection please do a confirmatory test to be sure you have complete clearance.
Mail me as it progresses.oth take care of the infection .
The only sure test of pregnancy is a Pregnancy test using blood specimen,
Some of the symptoms you describe are non-specific. But never say never.
And after treating your infection please do a confirmatory test to be sure you have complete clearance.
Mail me as it progresses.

@Ketuba, definitely there very sound IVF centers in Nigeria.
But there are a couple of things you should know before elective IVF, Inbox me.
First we want to check the reason for the last MC and as well as find out the state of your uterus, and supporting organs,
And the success of your IVF depends on a lot of factors.

You cant compare The Bridge Clinic IVF centre with any other, I'm a Fertility surgeon and I've worked with both The Bridge and Nordica fertility clinics and I can conveniently tell you its not about the hospital, its about the consultant.
If you want clarification I can do that for you.
Traveling out does not guarantee the success rate its your knowledge and how up to date you are and you ability to play God less that determines your success as a fertility Surgeon. I trained in Canada and its the same procedure you will go through.
So be guided.

my mail addy is kenny_haastrup@yahoo.com, or drhaastrup@saintnicholashospital.com
And I will send you my number.
I may not be able to attend to all cases but I will make appropriate refferal if need be.
Or call 08027544998.
Let's talk on messenger then if need be we will see for consult as its appropriate.

@udoka2
I'm really sorry to hear this, sad to say, yes you miscarried again and the reasons for this can vary for several reasons ranging from Hormone imbalance to weakness of the uterine walls.
A thorough physical examination will reveal a lot.
And as we commonly do where I train we close yp the cervix to help reduced the effect of pressure on the pregnancy . And I might need to ask a couple of personal questions too.

I stumble on this thread unknowingly and been a fertility surgeon I think its proper to let you Ladies know that when you have any problem with fertility or conception or questions the best person to talk to is a fertility expert not a Gyn.
And you can talk to me for education and enlightenment.
And if need be consultation .