Still Trying For Baby Since Marriage: What To Do?

Dear Doc

I have got married in 2005 and still trying and praying to Almighty God ti give us healthy and beautiful baby.

Last but not least my wife visited many lady doctors for her checkup. In 2006 complaints were 1) Dyspareunia  2) Urgency. One of the lady doctor prescribed CLOMIPHENE for ovulation induction her prolactin level was 22.2 and progestrone was 3.7 After the CLOMIPHENE progestrone level increased upto 40  ng/n.  But our all efforts gone futile.

Later on  

Then wife consult another well reputed Lady doc with the same complain Lady Doctor prescribed her Caps.Vibramycin, Flagyle, Duphaston. Folic acid

Another doctor planned for Colposcopy and ovulation induction.

In between she had gone through Histerosalpinography The report was normal at this stage didn't prescribe the medicine after the investigation. 

Again She had complaint of

·          post menstrual spotting

·          Swelling in Labial and itching vulva Polyuria

·          Post coital and spotting for last 7 to 8 months

Lady doctor Diagnosis Cervical ectopy and prescribed Metni-V gel and advised weight reduction. 

Pap smear showed inflammatory smear as well

I would like to beseech you to suggest me what to do because she is tired and disheartened with all that.

She least interested in sexual relation and try to avoid. And if once or twice a month she involve in such activity then she right away started complaining …I have inflammation inside the vagina …….its started itching etc,.. and above an all not get wet even for a longtime and its hard to perform intercourse 

Thanks for your precious time and attention.

God bless you 

re

cervical ectopy is  basically change in the normal lining of the outer  part of cervix or mouth of uterus...(every part of human body has particular lining of cells or epithelium as it has particular function to do ok...now when this change occur it prone it to more infections...like in ur wife case it seems hormonal imbalance lead to this change now its getting superadded with infection)

the initial change  can be due to hormonal imbalance,infection,or other contraceptive pills...

have ur wife used any contraceptive pills with more estrogen combination???or really overweight? as being overweight also leads to hormonal imbalance...excess fat converts to steroid hormone...n sex hormones

these symptom are mostly associated with ectopy as ur wife is having and infertility may be caused by this...it bleeds as this changed lining is not so tough like the original one and has more blood vessels in it

pap smear has to be inflammatory in this condition...but whats good is that its not a malignant state not even pre-malignant(pre-cancer)..and does not lead to it..

i dont know why the doc just gave u that gel..

usually what is done is cautery with u can say heat application to that area so that new epithelium comes on it that is normal one and antibiotics are given...n meanwhile intercourse is totally abstained...around for 6-8weeks..

u need a gud doc...n need to treat whole lot of this...definately she has itching so she wont like sex...it just aggrevated her condition..

Urgent

Kindly recommend me a competent and specialist lady doctor especially in Lahore. Already consult so many now very much cofused. Please do let me know at your earliest convenience.

Thanking you 

Its not allowed on this forum

Doctor reply

Re: Still Trying For Baby Since Marriage: What To Do?

Some facts about Dyspareunia:

·         This is an awkward and unwanted pain usually in females during sex. It could be superficial or deep

·         It could happen due to several reasons, medical and or psychological problems

·         It happens in the absence of Vaginismus (when vaginal muscles shrinks and makes the penetration very difficult)

·         It might happen due to forceful coitus and incomplete foreplay that would be insufficient for the proper sexual arousal of woman

·         It might also happen via different infections in the genital tract, hormonal changes, allergy or changes in the lining epithelium that would not be harmonic to the sexual processes

·         Females get pain during intercourse and the intensity of pain varies from minimal to sharp un-bearable pain that would force a woman to keep away from sex

·         Some times the pain resembles like menstrual cramps.

Discussion on this case: Your wife's major problem is dyspareunia that is why she is not taking interest in doing sex. As per the investogram of your wife, there is nothing wrong for conception of a fertilized zygote in her womb. The only problem she is might getting is the pain during intercourse and signs of infections or Pelvic Inflammatory diseases. These are the major causes of dyspareunia as discussed above. If the sex is done routinely with out any fear of painfulness and with relaxation, beyond doubt she would be pregnant soon.

What should be done in this regard?

1. Reassurance is the key to success. The positive counseling to her by you and the doctor would bring fruit full results with out any doubt.
2. Adequate foreplay is required in the love making activity. She needs to have enough lubrication in her vagina that the penile penetration would not make her feel distress, rather she would be getting enough pleasure that she starts to demand for doing sex.
3. Water soluble lubricants like K Y Jelly can be applied before penetration in side the vagina or on the penis and that would give better approach
4. Infection free activity is utmost important since your wife is getting infections very easily.
5. Proper treatment of her pelvic inflammatory disease with some good antibiotics is required.
6. Get your semen analysis done so as to make it sure fully that the chances of getting the baby are cent percent.
7. Adopt those positions during intercourse which would not give deep penetration. Doggy style or side by side method would be preferred in your case.
8. Your emphasis should be on giving pleasure to your wife during intercourse now. For get about getting baby at that moment
9. Once you would control this problem then come over to make her pregnant. A lot of material is there in this regard like positions and tips of making your wife pregnant. Your go to the site map and search these tips in the section of pregnancy. Also you can read the books by Dr Jawed Arshad on the forum that contains full details on these subjects.
10. You can also search the tips of how to give orgasm to your wife on the site map and in the book of Dr. Jawed Arshad.

Doctor k k may i ask u sum qustnz please ...

I am askng this as a studnt i have ths confusn..if u can gv sum tym here then plz

.. 1) u wrote dyspaerunia can be in absence of vaginismus-but this happen in presence of vaginismus(superficial dyspaerunia)makng coitus near imposible...

2) in this case cervical ectopy is diagnosed already and it has to be treated first according to what little i know as cervical ectopy does lead to dyspaerunia(deep) and infertility as cervical mucous changes and sperm passage affected...plus inflammatory changes locally affect enviornment..

3)plus cervicitis may be(sumwhat surely) present in this case and be treated but either it is imposed on ectopy or itself caused ectopy that ectopy need to be attended...i think..

can u please if have time explain a bit for me.

Doctor...

Dr. KK and Waterr conflict

Waterr: ikhlaqi taqaza hai keh jis se bhi sawal kia jaaye woh jawab de, lekin yaha per koi jawab dene ke liye bond nahi hai, lehaza agar aap ne Dr. KK se sawal kia hai tu on ka ikhlaqi farz hai keh woh aap ko jawab de. lekin woh jawab dene per bond nahi hai, lehaza aap on per etraz nahi ker sakti hai.

waise Dr. KK ki koshish hoti hai keh woh os sawal ka jawab zaroor de jo keh on ko mukhatib ker ke kia gaya hai, ab agar woh jawab nahi de rahe hai tu mera khayal hai keh on ki nazar iss sawal per nahi pari hai. waise bhi har koi tamam thread ko open nahi kerte, mai khood selected thread open kerta hoo, yahi wajah hai keh aksar mai bhi aise sawal ka jawab nahi deta jo keh mujh se pooche gaye hoo.

mujhe yaqeen hai keh agar Dr. KK ki nazar iss thread per pare gi tu woh aap ke sawal ka zaroor jawab de ge.

Note: sawal kerne wale Me_here se bhi request hai keh woh Dr. KK ke reply per apna comments de.

There is No conflict at all..

re: conflich b/w doctor and waterr

conflict thi tab hi tu aap ne yeh remarks dia: "i have been asking for so many days ..... in this post....and not been replied :(("

Dekhe: Who Are Other Female Doctors On This Forum?

Thankyou very much!

Dear Doc

Grateful for your concern regarding my stressful situation. No doubt all what you are doing it's really a holistical approach.

Once again thanks for your precious time and deep concern

Well-wisher 

immediate attention require!

Dear Doc

First of all many thanks for your deep concern regarding my personal family question. I read thoroughly your advices in detail. I am sure all what you giving time on the forum its really amazing.

Above an all I have also glanced on the question being asked to you by one of the student. lf you may kindly comment on the question which can provide more information regarding my issue.

Once again thanks for your precious time.

God bless you        

pain during intercourse

Agree with doctor kk just fallow his instructions and tips and try to find good doctor and avoid some days intercourse during treatment and give full attention and love and care to your wife and during sexual relations fallow doctor kk instructions. Dyspareunia …..Pain during intercourse so in such problems women feel pain in vagina, clitoris and in labia during and after intercourse,

• Dear brother to reduce the risk of infection say to her avoid tight  clothing
• Must use cotton underpants
• Maintain good hygienic condition
• To make sex easier as doctor kk said use K-Y jelly during intercourse for easy sex.
•  Proper foreplay and stimulation will insure proper lubrication of vagina so do proper foreplay and use easy and love making position as doctor said. 

 i think ap ki wife ka pregnant na hony ka subbab ye khof he hy properly intercourse meh participate ni kur pa rhi hen, ye ap ny ni btaya k ye prob on ko shadi k start sy a ya abi shoro howa hy. 

Problem !

Dear Doc

Problem started after one year of marriage........firstly she started complaining of Urine comes in drops. Her complete urine test showed  blood in urine means due to infection. Then later on she had complain of vaginal irritation, itchy problem and so on. We didn't get close to eachother from last couple of weeks even then she was telling me today feeling discomfort in vagina. Complaining me have something coming whitish type of thing in urine.

This is all hapening now and once again need your wise opinion

Thanks for your time and all for your noble efforts

Take care

reply...cervical ectopy...

although the doctors here will reply u real good and right

but i am still of the storng belief that ur wife cervical ectopy is to be treated or else she wont be getting cured of infection...

even if in the begining may be urinary infection spread to vagina or vice versa and infection itself can cause ectopy now a what i believe is that a viscous circle is started.......infection promoting ectopy and ectopy leading infection

treating infection would not help until underlying problem of ectopy is dealt with.....which i mentioned earlier tooo

ectopy previously was considered to be heal spontaneously but it needs treatment for sure....with new protocols

biopsy result and inflammatory pap is more than enough to warrant ectopy treatment

anyways....u do wat the doc says.......how can be coitus made less painful or without pain when the cause is as yet there....

and consult a good gynae doc