Notice
FAQ's ON FERTILITY AND Infertility
Q. My husband and I have an active sex life, we are both healthy, and my periods are regular. However, we have still not conceived ! Please help!
A. You need to remember that it's not possible to determine the reason for your Infertility until you undergo tests to find out if your husband's sperm count is normal; if your fallopian tubes and uterus are normal; and if you are producing eggs. Other tests might be state of the art saliva panels such as The Female Hormone Panel, The Thyroid Panel, and The Adrenal Stress Index. Only after undergoing these tests will your Acupuncturist be able to tell you why you are not conceiving. While testing does cause considerable anxiety, it's far better to intelligently identify the problem so that we can look for the best solution.
Q. How can I determine my "fertile" period?
A. Your fertile period is the time during which having sex could lead to a pregnancy. This is the 4-6 days prior to ovulation ( release of a mature egg from the ovary). Women normally ovulate 14 days prior to the date of the next menstrual period.
Q. My gynecologist has done an internal examination and said I am normal. Do I still need to get tests done to determine why I am not conceiving?
A. A routine gynecological examination does not provide information about possible problems which can cause Infertility, such as blocked fallopian tubes or ovulatory disorders. You need a systematic Infertility workup or saliva panels.
Q. Do painful periods cause Infertility?
A. Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during sex) may mean you have endometriosis. Acupuncture and Chinese Herbs have been quite effective in this area.
Q. My periods come only once every 6 weeks. Could this be a reason for my Infertility?
A. As long as the periods are regular, this means ovulation is occurring. Some normal women have menstrual cycle lengths of as long as 40 days. Of course, since they have fewer cycles every year, the number of times they are "fertile" in a year is decreased. Also, they need to monitor their fertile period more closely, since this is delayed (as compared to women with a 30 day cycle.
Q. My husband's blood group is B positive and I am A negative. Could this blood group "incompatibility" be a reason for our Infertility?
A.There is no relation between blood groups and fertility.
Q. After having sex, most of the semen leaks out of my vagina. How can we prevent this ? Should we change our sexual technique ? Could this be a reason for our Infertility?
A. Loss of seminal fluid after intercourse is perfectly normal, and most women notice some discharge immediately after sex. Many infertile couples imagine that this is the cause of their problem. If your husband ejaculates inside you, then you can be sure that no matter how much semen leaks out afterwards, enough sperm will reach the cervical mucus. This leakage of semen ( which is called effluvium seminis) is not a cause of Infertility. In fact, this leakage is a good sign - it means your husband is depositing his semen normally in your vagina. Of course, you cannot see what goes in - you can only see what leaks out - but the fact that some is leaking out means enough is going in!
Q. My colleagues at work tell me that if we "work" hard at getting pregnant, and want it enough, we definitely will ! In fact, my mother in law is even suggesting that the fact that I am not conceiving means that subconsciously I do not wish to have a baby ( because it may interfere with my career) and that this psychological barrier is the reason for our Infertility.
A. There are two schools of thought here. One echoes the sentiments voiced by your mother in law. The other school claims Infertility is beyond your control. Don't blame yourself if you are not getting pregnant - it's a medical problem which often needs appropriate medical treatment.
Q. My grandmother says that if I just pray and have faith, I will definitely conceive. How far is this true?
A. Believing in god can help you to maintain a positive outlook - but sheer will and blind faith won't overcome a physical problem like blocked tubes or absent sperms.
Q. My husband refuses to get his semen tested. He says the fact that it is thick and voluminous means it must be normal.
A. Semen consists mainly of seminal fluid, secreted by the seminal vesicles and the prostate. The volume and consistency of the semen is not related to its fertility potential, which depends upon the sperm count. This can only be assessed by microscopic examination.
Q. My sister conceived only after 6 years of marriage. Does this mean I will also have difficulty conceiving?
A. If your mother, grandmother or sister has had difficulty becoming pregnant, this does not necessarily mean you will have the same problem! Most Infertility problems are not hereditary, and you need a complete evaluation.
Q. My doctor just did a physical examination for me, and he feels that the reason for my Infertility is that my uterus is tipped backwards, and this prevents the sperm from swimming into the uterus. He is advising I have surgery to correct this problem. Should I go ahead?
A. About one in five women will have a retroverted uterus. If the uterus is freely mobile, this is normal, and is not a cause of Infertility. This is not an indication for surgery!
Q. My husband says we should be having intercourse every day to achieve pregnancy. Is this true?
A. 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.
Q. My friends say I should have sex exactly on the day I ovulate to get pregnant. How can I do this?
A. Although having sexual intercourse near the time of ovulation is important, no single day is critical. So, don't be concerned if intercourse is not possible or practical on the day of ovulation.
Q. My sister in law is advising me to keep a pillow under my hips during and after intercourse . Will this increase my chances of conceiving?
A. Sperm are already swimming in cervical mucus as sexual intercourse is completed and will continue to travel up the cervix to the fallopian tube for the next 48 to 72 hours. The position of the hips really doesn't matter.
Q. My mother feels I am too tense, and that if I just relax, I'll get pregnant.
A. If pregnancy has not occurred after a year, chances are there is a medical condition causing Infertility. There is no evidence that stress causes Infertility. Remember, all infertile patients are under stress - it's not the stress which causes infertiliity, it's the Infertility which causes the stress!
Q. I just had a HSG ( X-ray of the uterus and tubes) done, and this shows my tubes are blocked. I've never had symptoms of a pelvic infection, so how could my tubes get blocked?
A. Many pelvic infections have no symptoms at all, but can cause damage, sometimes irreversibly, to the tubes.
Q. If I do IVF and grow so many eggs as a result of superovulation, will I run out of eggs and become menopausal sooner?
A. Fact: This is a very common concern, but the fact is that in every cycle , 40 follicles in your ovary start to mature. Of these 40 follicles, only one will continue to grow, become the "dominant follicle" , and ovulate . ( This is why most women have one baby at a time, unlike rabbits who have lots of rabbits when they get pregnant, because so many more of their follicles mature at the same time). The rest of the follicles die naturally, this process being called atresia. This means that every cycle, 40 of your eggs die naturally, no matter what you do. When we superovulate you, we rescue the eggs which would otherwise have died normally. This means that you do not " run out of eggs " as a result of the superovulation !
Q. My husband's sperm count varies every time we test it ! How do we determine what the "real" sperm count is?
A. Even a normal ( fertile ) man's sperm count can vary considerably from week to week. Sperm count and motility can be affected by many factors, including time between ejaculations, illness, and medications. There are other factors which affect the sperm count as well, all of which we do not understand.
Q. I have no problems having sex. Since I am virile, my sperm count must be normal.
A. There is no correlation between male fertility and virility. Men with totally normal sex drives may have no sperms at all.
Q. My semen analysis report shows I have no sperm in the semen ( azoospermia ). Is this because I used to masturbate excessively as a boy?
A. Masturbation is a normal activity which most boys and men indulge in. It does not affect the sperm count. You cannot "run" out of sperms, because these are constantly being produced in the testes.
Q. My wife is frigid and does not enjoy having sex. Could this be the reason for her Infertility?
A. There is no connection between sexual pleasure and fertility. And don't forget that the commonest reason women do not enjoy sex is because their husbands are unskilled lovers ! Maybe you should improve your sexual technique, and spend more time in foreplay and in pleasuring your wife.