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Suffer from heavy periods? Find sex painful? Or just feel that something is not right down under? Dr Cordelia Han and Dr Tan Thiam Chye of KK Women’s and Children’s Hospital touch on the following gynaecological conditions.
Subfertility
Subfertility is a delay of more than 2 years in conceiving after unprotected intercourse.
It could be caused by sperm dysfunctions, ovulatory disorders, tubal blockage, endometriosis and non-consummation of sexual relationships.
Who gets it
Couples who have been actively trying for more than 2 years but cannot conceive, and older couples, especially if the woman is more than 35 years old.
Solution for Subfertility
It is recommended that you stop smoking and/or alcoholic bingeing, reduce weight if your BMI is greater than 25, take folic acid daily and screen for rubella. You will also need a pelvic assessment and blood investigations to check for ovulation, and immunity against rubella. Meanwhile, your partner will need to check his sperm quality. Some specialists may prescribe a course of Clomiphene Acetate to assist in the ovulation process and enhance the probability of pregnancy. If this fails, you can consider superovulation intrauterine insemination (SO-IUI) or test-tube babies (In-vitro Fertilisation). |