- For two years, my husband and I have not used any method of contraception and yet I have not been pregnant yet. I did not give too much importance because so far we have not thought about it. But now I would like to get pregnant. Please, if you can, guide me to a medical office (particularly if you can, I don't have much time to stay in queues and after software) and tell me at large what analysis should be done by myself and my husband my, if you can a contact person will go to a person who can help us.Answer:
It is great that you have started to ask yourself questions about how you can get pregnant. First of all you have to be careful how you schedule sexual relations so that they occur most frequently during the ovulation period, the period that is calculated according to the regularity of the menstrual cycles of the last 6 months (if the cycles are regular, 28 days in each month, then the fertile period is between days 10 and 17, considering day 1 the first day of menstrual bleeding, so between days 10 and 17 if you have unprotected sex you can get pregnant.
If the cycles are irregular, follow the duration of the menstrual cycle for a minimum period of 6 months (for example: 27, 28, 26, 29, 31, 28) and keep the minimum number and maximum number of days of the menstrual cycle (ex. 26, 31), then: from the minimum value 18 is subtracted, obtaining the first fertile day (ex 26-18 = 8) from the maximum value subtracts 11, and the last fertile day is obtained (31-11 = 20);
This results in the fertile period from day 8 to day 20), but which can also be evidenced by ultrasound monitoring of ovulation, basal temperature, or by using ovulation tests (you must bear in mind that too intense sexual activity can lead to first of all, the sperm quality decreases - the number of sperm decreases, and by increasing the rate of cell divisions the number of incompatible sperm increases to achieve fertilization) - thus, an abstinence of at least three days before the period established as fertile is indicated.
The diagnosis of infertility is made if a couple fails to obtain a pregnancy after a period of at least one year (after some authors even two years) of tests carried out through normal, regular, correctly coordinated heterosexual contacts regarding this period. ovulation (the most fertile period).
Regarding the investigations that have to be done to certify the functionality of the reproductive system, both you and your husband, there are several diagnostic protocols that mainly reach about the same points, as follows:
- In your case it starts from a complete clinical examination and performing a complete history that includes your family history and health status.
Also during this first consultation will be able to carry out tests such as: cytobacteriological examination from vaginal discharge, Pap test, urine summary etc.
For the analysis of the structural integrity of the components involved in the reproduction process, the following will be performed: ultrasound - realizes an image of the internal organs and signals any structural anomaly evident ultrasound; hysterosalpingography - offers radiographic images regarding the uterine cavity and the degree of permeability of the uterine tubes, an occasion with which minor or partial decomposition of the fallopian tube can be performed; hysteroscopy and laparoscopy
- being able to have an interventional role and not only a diagnosis. It is also performed: dosing of gonadal hormones (sexual), inflammatory tests (regarding Chlamydia, Mycoplasma, Ureaplasma) etc.
- your spouse will also have to come to the office with you and besides common exams such as clinical examination, family history and health status (you will have to present the situation regarding the surgery performed in the background and would be well if you can present a proof of what happened then);
He will have to perform a spermogram (sperm analysis to determine its fertility).
Depending on the protocol used by each doctor and the results received during the investigations already requested, various investigations may be added, or some of them may be missing.
In conclusion, I recommend that you go to a clinic specialized in couple infertility and assisted human reproduction. You can find such a clinic in Bucharest and within the Clinical Hospital of Obstetrics and Gynecology "Panait Sirbu" (Giulesti motherhood).
An appointment for a sectional consultation can be obtained by accessing the website: www.psarbu-fiv.ro or by calling (021) .316.1277, or coming directly to the address: Calea Giulesti no.5, sector 6, Bucharest.
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