Fertility

Folic acid, a member of vitamin B complex, is important to take prior to and during pregnancy as it prevents abnormal development of the brain and nervous system of the foetus.

Both you and your husband have to find out the cause of secondary infertility and treat it accordingly.  

Have you determined if you are actually ovulating with the medications and that your thyroid function is optimal? What about his semen count? It takes two to clap so his tests have also to be done to ensure that a pregnancy can be achieved.

During ovulation, an egg is released from your ovary, the egg has a life-span of about 24 to 36 hours from the time it bursts form the ovary. Fertilisation can occur anytime a live sperm meets up with a live egg. 

It can be hard to predict exactly when ovulation occurs because every woman's cycle is different and can vary from month to month. Typically, a menstrual cycle is 28 days from the start of one period to the start of the next. A good rule of the thumb is that ovulation takes place about two weeks before menstruation. This means that if a woman has 28-day cycle, ovulation occurs around Day 14.

If you practice full breastfeeding, the levels of the hormone that stimulates your milk production (prolactin) will remain high and this will supress ovulation. The chances of pregnancy are practically nil during the first three months, less than 2% between 3 and 6 months, and about 6% after 6 months. The average time for the return of menstrual period is about a year according to some studies. If your cycle returns early, you tend to be infertile for the first few cycles. The only way to increase your chances of conception is to wean off breastfeeding and wait for the menses to return.

A special X Ray called Hysterosalpingogram or a Ultrasound Saline Sonogramcsn be used to assess Fallopian tube patency. A woman with irregular menses can conceive if she is ovulatory, i.e. producing eggs and she has intercourse at the appropriate time. The difficulty lies in timing the intercourse to catch the ovulation.

It can be hard to predict exactly when ovulation occurs because every woman's cycle is different and can vary from month to month. Typically, a menstrual cycle is 28 days from the start of one period to the start of the next. A good rule of the thumb is that ovulation takes place about two weeks before menstruation. This means that if a woman has 28-day cycle, ovulation occurs around Day 14.

IVF includes the following steps:

- Ovarian stimulation

- Egg retrieval and selection of suitable egg

- Fertilisation via ICSI (injection of single sperm to the egg) or other procedures

- Choosing the fertilised embryo

- Embryo transfer

- Luteal support of the corpus luteum

Any of these steps can go wrong and reduce the chances of conception. Age, BMI, lifestyle (e.g smoking), response to drugs, response of the womb to receive the embryo can also affect the chances. A healthy body, balanced diet and acupuncture can help improve chances as well. 

It depends on the cause of the pain i.e. superficial or deep pain are usually due to different causes. Superficial pains can be due to lower genital infections which can improve after treatments. Such pains can also be due to dryness, where appropriate lubricants can be used. Deep dyspareunia is usually due to a physical problem like endometriosis.

As soon as your menses return to normality, you can certainly try and conceive. However, with IM depopovers, this return can be rather variable, so it should ideally not be used to space pregnancies.

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