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Ask Dr. Norm S. Your Own Question
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11096
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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I married on February 2, 2014 and now its been 3 years my

Customer Question

I married on February 2 , 2014 and now its been 3 years my wife is not getting pregnant .
We spent a lot of money every month visiting doctors , ultrasounds , semen tests and medicines .
Doctors said everything is fine and we can wait or we can have baby with different way like IVF etc .
But we dont want to have baby this way ...we want to have baby the natural way ...
I am looking for an expert doctor to whom i can show the reports etc and get suggestions guidance for having baby naturally .
Submitted: 14 days ago.
Category: OB GYN
Expert:  Dr. Norm S. replied 14 days ago.

Welcome to JustAnswer. I would be happy to look at your results and make suggestions. You can use the paper clip to attach the reports.

Do you know whether your wife ovulates every month and on which day?

Are you able to have intercourse soon before she ovulates? Thank you.

Customer: replied 14 days ago.
I dont know exactly when she ovulates ....we just see if its wet we think it ovulation day and then we intercourse .
Expert:  Dr. Norm S. replied 14 days ago.

And are you able to attach the reports?

Customer: replied 14 days ago.
i can attach them later as i am at work now and reports are at home
i can see if my wife send it to me now
Expert:  Dr. Norm S. replied 14 days ago.

Does your wife have very regular periods, and does she get wet around the middle of every month?

Customer: replied 14 days ago.
my wife conceived in the second month after we got married ......but after two months of conceiving we had to disolve it by medicines because of no growth ..... doctor said if we will not disolve it by medicine then in third month we have to do obortion and which will be more pain full
so after that my wife never conceived again .
Expert:  Dr. Norm S. replied 14 days ago.

Has your wife had an x-ray showing that her Fallopian tubes are open?

Customer: replied 14 days ago.
sorry i forgot to tell that we had Lapro 4 months before and they said all is well
Expert:  Dr. Norm S. replied 14 days ago.

Do the doctors say that your wife has "unexplained infertility"?

Customer: replied 14 days ago.
No
Customer: replied 14 days ago.
See
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Customer: replied 14 days ago.
Customer: replied 14 days ago.
Customer: replied 14 days ago.
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Customer: replied 14 days ago.
Customer: replied 14 days ago.
Lapro
Customer: replied 14 days ago.
Lapro report
Customer: replied 14 days ago.
Lapro reportt
Customer: replied 14 days ago.
Semen first report
Customer: replied 14 days ago.
Semen second report
Expert:  Dr. Norm S. replied 14 days ago.

After the laparoscopy, the doctor planned IUI, which is inseminations of your sperm (after treatment) into your wife's cervix. Have they done this?

Customer: replied 14 days ago.
no we did not agree for this
Expert:  Dr. Norm S. replied 14 days ago.

In the US, I believe your wife would be given a diagnosis of unexplained infertility, which means that we don't find any specific reason that she is not getting pregnant. That doesn't mean that there is no reason, but just that our tests can't find the reason.

Sometimes that means there are a number of small reason. ONe reason for your wife is that her left Fallopian tube may not be open. At the laparoscopy, they were not able to push any dye through the left tube, although the tube looked normal.

Many women with unexplained infertility can become pregnant. Sometimes it's just a matter of more time, plus having intercourse each month at the right time.

There are things we can do that often help, and IUI is one of them. It's a fairly simple procedure, not at all so complicated as IVF.

Expert:  Dr. Norm S. replied 14 days ago.

The fact that your wife got pregnant once is hopeful. Despite all of our tests, the only way we can know for sure that a woman can get pregnant is by the fact that she gets pregnant.

Customer: replied 14 days ago.
now what should we do instead of IUI
Customer: replied 14 days ago.
shes having periods on 3rd ( two days before today )
Expert:  Dr. Norm S. replied 14 days ago.

Since you don't wish to try IUI, the best way for your wife to get pregnant is by having sex each month soon before ovulation. It sounds like you're doing that. If she gets wet at the middle of the month, that is strongly suggestive that she is getting ready to ovulate. To do this more precisely, she could do ovulation testing. There are urine tests (Ovulation Predictor Kits) that she can test her urine each day. When there is a positive test, that means she will ovulate within 24-36 hours, so you know to have sex that night and the next one.

Expert:  Dr. Norm S. replied 14 days ago.

Other than that, the most important thing is for your wife to stay as healthy as possible. That means good food, regular exercise of some sort, enough sleep each night, and avoid too much stress.

Customer: replied 14 days ago.
can you guide us which product to use for ovulation test ? here in Pakistan everything almost fake so i will prefer buying something from USA
Expert:  Dr. Norm S. replied 14 days ago.

Does she take any medication?

Does she have any problem with her bowel movements?

Customer: replied 14 days ago.
what is bowel movements ?
Customer: replied 14 days ago.
she hate taking drugs even if she have headache
Expert:  Dr. Norm S. replied 14 days ago.

When she poops, defecates.

Customer: replied 14 days ago.
sorry but i did not understand what you mean bowel & poop
Expert:  Dr. Norm S. replied 14 days ago.

There are many ovulation predictor test kits sold online. Here is one through Walgreens Drugstores in the US:

https://www.walgreens.com/store/c/ovulation-tests/ID=361287-tier3

Clearblue is a highly regarded product.

Expert:  Dr. Norm S. replied 14 days ago.

There are 2 things a person does in a toilet. One is to urinate. The other is to have a bowel movement, where the brown stuff comes out.

Customer: replied 14 days ago.
lol you mean shit
so i have to ask her if she have any problem doing shit ?
Expert:  Dr. Norm S. replied 14 days ago.

Yes. There is a condition of the intestines called celiac disease that can affect fertility.

Customer: replied 14 days ago.
ok i will ask her
Customer: replied 14 days ago.
i as far as i know she have stomach problem ......like digestion ......she have to push her stomach to get burp
Customer: replied 14 days ago.
after i buy the ovulation check stick what are the next steps to follow ? on which date we have to use the stick to check ovulation ? and on which day we have to do sex ...in which position for how long .....what we both should eat in that days ....what time is best for intercourse ?
Expert:  Dr. Norm S. replied 14 days ago.

Here is a website that discusses celiac disease https://celiac.org/celiac-disease/understanding-celiac-disease-2/what-is-celiac-disease/

There is a checklist under celiac disease symptoms she could fill out. If she has any digestion problems, she might have celiac disease. It's treated by avoiding any food with wheat, rye and barley.

Customer: replied 14 days ago.
ok i will ask her to check the symptoms
Customer: replied 14 days ago.
which one of below will you prefer ?
https://www.walgreens.com/store/c/clearblue-fertility-monitor/ID=prod6284844-producthttps://www.walgreens.com/store/c/clearblue-fertility-monitor-test-sticks/ID=prod4889-producthttps://www.walgreens.com/store/c/clearblue-advanced-digital-ovulation-test/ID=prod6154485-product
Expert:  Dr. Norm S. replied 14 days ago.

The most important thing is to have sex soon before ovulation. Other things aren't so important.

She would start urine testing about 1-2 days before she expects to get wetness (or just when the wetness first starts, assuming she is wet for several days). She should test sometime after 12 noon.

Once a test is positive, you plan to have sex that night and the next night. The rest of the month, you just have sex for fun.

Expert:  Dr. Norm S. replied 14 days ago.

You should both eat good food all month. Eating near ovulation time is the same as the rest of the month.

Expert:  Dr. Norm S. replied 14 days ago.

It's probably best to have sex with you on top and for her to lie there for 5 minutes after sex.

Customer: replied 14 days ago.
Doctor instead of waiting to get wet and then doing ovulation test can we do ovulation test every day after periods end ? or we just wait for it to get wet and then do ovulation test and if its positive and then we do intercourse
Expert:  Dr. Norm S. replied 14 days ago.

You could do tests every day, but it would waste money. The test won't become positive until just before ovulation, which is usually about 14 days after her period starts.

Customer: replied 14 days ago.
this month she is having periods from 3rd so thats mean ovulation will start on ?
Expert:  Dr. Norm S. replied 14 days ago.

I would get this one https://www.walgreens.com/store/c/clearblue-digital-ovulation-tests/ID=prod6007802-product

Expert:  Dr. Norm S. replied 14 days ago.

Does she usually get her period about the same day of each month?

Customer: replied 14 days ago.
no last time the date was 5-6th and this month its 3rd
Expert:  Dr. Norm S. replied 14 days ago.

Ovulation occurs about 14 days before the next period begins (since ovulation is what brings on the period 14 days later).

It sounds like she ovulates about every 28 days, so if her period started January 3, she would ovulate about January 16 (13 days later)

Customer: replied 14 days ago.
ok
Doctor is my Semen reports OK ? 100 % ?
Customer: replied 14 days ago.
what time should we intercourse .......i come home at 9-10 PM take dinner and then go to bed by 12-1 AM
She is a house wife doing house work all day
Expert:  Dr. Norm S. replied 14 days ago.

Your semen report looks OK. Nothing is 100%. You have up to 80% abnormal sperm, but we consider that normal. Your count and motility are good, and they're the most important.

Expert:  Dr. Norm S. replied 14 days ago.

Have intercourse whenever you both feel like having intercourse.

Over a long period of infertility, having intercourse can be stressful and feel like a job. Whatever you can do to make sex fun and happy is good.

Maybe right after you get home, maybe after dinner, maybe when you go to bed. It depends on what feels best to you and to your wife.

Expert:  Dr. Norm S. replied 14 days ago.

I hope that I've helped you.

Please click the rating stars so that I may receive credit for my answers. Thank you. I am hopeful that your wife will be pregnant sometime soon.

Customer: replied 14 days ago.
after rating will i be able to contact you again ?
Customer: replied 14 days ago.
or the conversation ends after i rate ?
Expert:  Dr. Norm S. replied 14 days ago.

You can still contact me after rating.

Customer: replied 14 days ago.
you will answer the same way faster
Expert:  Dr. Norm S. replied 14 days ago.

I will answer all your questions yes.

Customer: replied 14 days ago.
also is it important for women to have orgasm to conceive ?
Customer: replied 14 days ago.
orgasm or discharge
Expert:  Dr. Norm S. replied 14 days ago.

No, orgasm isn't important for a woman to conceive. Neither is discharge.

Orgasm helps a woman to want to have sex again, but not to get pregnant.

Customer: replied 14 days ago.
also is it important to put anything hard like pillow or cushion below the lower back of women ?
Expert:  Dr. Norm S. replied 14 days ago.

No, not important.

Customer: replied 14 days ago.
we have spring mattress on bed ...is it OK ?
Expert:  Dr. Norm S. replied 14 days ago.

Yes. Mattress is not important except for comfort.