Trying to Conceive: When to Get Help
WebMD Live Events Transcript
Trying to get pregnant with no success? You may be thinking about seeing a doctor. When is the right time? And who is best equipped to help you conceive quickly? We discussed OB's, RE's, and helping the birds and bees get moving with Amos Grunebaum, MD, medical director of the WebMD Fertility Center, on April 19, 2004.
The opinions expressed herein are the guests' alone and have not been reviewed by a WebMD physician. If you have questions about your health, you should consult your personal physician. This event is meant for informational purposes only.
I have been off the pill for two complete cycles now. Both cycles have been regular and I know that I ovulated both times based on BBT and OPK. I know it is not a problem to worry about now, but how long should I wait before I see a doctor?
If you are under 35, you have no other medical issues, and his sperm count is fine then it's suggested to wait a year before seeing a specialist. But I also suggest that you see your ob-gyn as soon as you know that you want to get pregnant. Your doctor can review your history and examine you to make sure everything is fine. Also, don't forget to take your daily folic acid.
I am a 28-year-old married woman. I got married three years ago. I had my first pregnancy last year and had D&C in December 2003 when I was eight weeks pregnant. Now I am trying again to conceive for the last two months. All the tests are normal and regular menstrual cycle. Please let me know how should I proceed. What should I do?
Sounds to me like you have been trying now for two months. It takes the average couple four to five months to get pregnant, and 85% of couples take up to one year. If you did get pregnant before then your chances of getting pregnant again are excellent. Good luck!
When should you start taking prenatal vitamins?
Every woman trying to get pregnant should take a daily prenatal vitamin and folic acid. Taking prenatal vitamins, especially folic acid, decreases your risk of having a fetus with malformations. It takes one to two months for the folic acid level to rise sufficiently, so the best time to start is one to two months before getting pregnant. This ensures that your folic acid levels are adequate when you conceive.
My husband frequently has to take antibiotics for cysts/boils that he gets. I have read on WebMD that antibiotics are not good for sperm count. What do antibiotics do to the sperm? Is it possible to conceive when he is on antibiotics so often? I have been charting and do know that I ovulate.
I have not heard that antibiotics are bad for sperms. It's usually the condition that necessitates taking antibiotics that can be a problem. I have not seen a problem in the fetus because he took antibiotics. But you may also want to verify exactly which antibiotic he takes, to make sure they are OK. Ask his doctor about the specifics of the antibiotics he takes.
I am going to be 33 on April 26. Am I too old to have a baby? What are my chances? I had a chemical pregnancy just last week. Thank you for answering my question.
Thirty-three is clearly not too old to have a baby. Many, many women each year have healthy babies well above 33. The first step is to see your ob-gyn and discuss your desire for getting pregnant. Your doctor can then examine you and discuss your circumstances specifically, first if there are any barriers to a healthy pregnancy, and also discuss with you personally how to improve your chances of getting pregnant.
I have been TTC for two months. I was diagnosed with moderate endometriosis in November 2002. I am worried about being able to conceive. Any reassuring advice? I am only 26.
Moderate endometriosis is usually not a major impediment of getting pregnant, though it also depends exactly how the diagnosis was made. Was it made by a laparoscopy or any other tests? The answer to this question determines how to proceed.
The diagnosis was made through a laproscopy.
A laparoscopy is usually the best way to make a diagnosis and to decide on the next steps. Sometimes where the endometriosis is located decides on your chances getting pregnant. Your doctor who did the laparoscopy can best explain to you the chances of having problems.
What about the miscarriage rate for women with endometriosis? I hear it is much higher.
The major problem with endometriosis is not necessarily the miscarriage rate; it's usually the problem of the fallopian tubes and transportation of the sperms and the egg. This problem usually prevents you from getting pregnant, but doesn't cause a miscarriage.
Thanks for joining us, members, and thanks to Amos Grunebaum, MD, for being our guest.
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