Hi Flower Power & ULN
I have seen my gynae yesterday. I asked for a pre-conception check up. She only asked me abt any family history of diabetes or other diseases. Then she ordered blood test for Full Blood Count (to rule out Thalassaemia), checking immunity status for Hep B & Rubella. She didn't do any PAP smear or blood test for HIV / Syphillis for me as she said since I only become sexually active this year and my only sex partner is my hubby. FLower Power, ur gynae did for u so I'm not sure why my gynae said that. She did a scan for me months ago, so this round, not necessary.
The following are the questions I asked her and the answers she gave me. You may already know the answers, so pardon me. Sorry if you find it too descriptive that you find it offensive, I'm just sharing in case you have the same questions as me.
Q1) Is my yellow CM normal? Does it mean I have infection? Will it affect conception? I dun seem to have many days of CM or even EWCM.
A1) You have to observe hygiene when trying. It's best for both to bathe before trying (which we both do
). The skin shld be drawn back from the male's private organ before penetration. Yellow CM does not necessary mean u have an infection, u shldn't worry too much abt it if u do not have itchiness or strong odor. You may continue TTC and it shouldn't affect it. However, I will prescribe antibiotics (which is conception-friendly) in case u have a very mild infection. Make full use of the days when u have CM to BD. Most females can't tell whether they are at the stage of EWCM by visual observation. For ur cycle which varies from CD26 to CD31, you can try alternate days from D8 to D20 if you can.
Q2) Is it ok for me to try from CD10 to D18 everyday? Will hubby's sperm count be low?
A2) Yes, if you are not too tired. In fact, it will be good to BD everyday during your fertile period. Using alternate days is to catch the peak fertile day.
Q3) I understand from my ultrasound scan that I have slightly retroverted uterus. Which is the best position to BD? Is it useful if I elevate my bottom after BD? Can doggie position be used for conceiving?
A3) Retroverted uterus happens in 20% of females, so it's rather common. Dun be too worried abt it. Doggie is still the best position to BD, second comes Missionary position as Doggie allows full penetration. However, I will advise you to use Missionary as it will be more comfortable and Doggie can be too uncomfortable / painful for most females. Most of my patients with retroverted uterus conceive even without elevation of bottom. However, if you feel more convinced, you can continue elevating ur bottom to prevent sperm from flowing out.
Q4) I thought theorectically Missionary is the best? Anyway, I feel more painful using Missionary and more comfortable using Doggie. However, after BD using Doggie, when I need to turn over to lie down with my bottom elevated, isn't it too cumblesome and in doing so, sperm may flow out due to gravity?
A4) Both methods are good for conceiving but Doggie is by far the best as it allows full penetration. You can continue using Doggie if u feel uncomfortable using Missionary. Theoretically, after ur spouse ejacuate, the sperm is shot right to ur cervix hole, so the sperm will "swim" towards your ovaries. Hence, it doesn't matter if you turn over to elevate your bottom, it does not affect. In fact, it is not necessary for you to elevate your bottom.
Q5) However, for my case, I do not feel very aroused during penetration as sometimes I feel pain. I read that the cervix will be in the right position to receive sperm if I am well aroused. Also, my natural lubricant will allow the sperm to survive in my otherwise acidic vagina. Orgasm also helps the cervix to "dip" into the incoming pool of sperm, right? However, I do not have orgasm, will it affect conception? Do I need to see Dr V Atputharajah, a sex specialist to get counseled?
A5) Yes, it's true that vagina has acidic environment. Don't worry, have more foreplay and it shld be alright. Once he penetrates deep enough and ejacuates into you, the sperm will find their way to the cervix hole to "swim" up. The contraction of the uterus which occurs during orgasm may aid in drawing more sperms into the uterus. However, it's really not a must to experience orgasm in order to conceive. Most females are not able to experience it within the first few years of sex. Some only experience only when they reach 30. It's not necessary to see a sex specialist at this stage. Try to relax and enjoy ur marriage life and conceiving will then come naturally without so much stress.
Q6) Is it necessary for my husband to go for semen analysis test now? (I forget to ask her what the normal volume of sperm is. Aiya, Flower Power, even when I wrote down, I still forget!
)
A6) It's not necessary to test your spouse's semen now. Until both of u have tried for a yr, then if still no success, then we will classify ur case as sub-fertility. Only then, we will start doing fertility tests on you. Dun stress urself with these fertility tests now. Relax and enjoy ur marriage life and try for at least 1 yr first.
(I found out from website that normal volume of semen is 2 ml, less than 2 ml is abnormal. If too much, also abnormal. I ask my gp and he said 3 ml, so I think between 2 - 3ml. He said not just looking at the volume, they look at the morphology and motility of the sperms too)
Q7) My ultrasound scan shows that my uterus and ovaries are alright and at the moment no cyst. However, does it tell whether my fallopian tubes are blocked or any scarring due to endometriosis?
Do I need to undergo scanning to see if I ovulate? Does it mean that if my BBT increases upon ovulation, I have CM and regular menses, it's good enough to show I'm ovulating?
A7) No, ultrasound scan will not be able to tell if your fallopian tubes are blocked or if you have any scarring due to endometriosis (this part if I remember correctly, she mentioned before laparascopy shld be the procedure to determine). You dun have to go thru ultrasound scanning to see if you ovulate since your BBT increases, you have CM and regular menses. It's good enough to show you are ovulating.
Q8) Do I have to test for Toxoplasmosis? Will keeping a hamster put me on Toxoplasmosis risk?
A8) It's dangerous for pregnant ladies to handle dog's / cat's faeces in case of Toxoplasmosis. Not so sure abt hamster but if u are already exposed to it, don't worry, u would have the immunity against it now. However, from now onwards, do not handle ur hamster's waste, esp when u are pregnant in future.
Gals, I hope it helps if you also have such questions on your mind. Sorry, such a long email but I learn so much and more relieved after seeing my gynae
Have a good night!
Hugs &