KINGSTON, Jamaica — Minister of Foreign Affairs and Foreign Trade Senator AJ Nicholson will be making a full statement on the discussion and decisions arrived at following a meeting with Trinidad and Tobago's Foreign Affairs Minister Winston Dookeran this week.
Nicholson made the disclosure while responding to ques ...more »
I really need your help. My wife and I have been married since October 2010 and even three years before this time we had been trying to get pregnant. She's 33 years old, and I'm 37. The last pregnancy she had was in 2007, which she miscarried. She's been pregnant three times between 2004 and 2006, but we aborted because we were not ready then. I was diagnosed with varicocele in 2009. I don't know what to do or which medication to take becasue I don't want to go for surgery.
Varicocele can contribute to an inability to conceive by lowering the sperm count and motility of the sperms. If your doctor has advised that you need surgery, then it is best to follow his advice since he would have done the appropriate evaluation that is required and would be the best one to advise you. It is always a good practice to keep the testes cool by wearing loose-fitting underpants and avoid extreme conditions of heat. Taking cold showers instead of soaking in a hot bath is always preferred. If you smoke, then this habit should be discontinued since this can cause significant reduction in your sperm count and also cause the movements of the sperm to be sluggish.
It is unfortunate that your wife had to terminate three pregnancies and then lost one after that. It is important for her to be evaluated thoroughly to ensure that her Fallopian tubes are not blocked and to confirm that she is ovulating. Three terminations of pregnancy can sometimes cause a residual infection that can lead to damage to the Fallopian tubes. An x-ray of the Fallopian tubes and uterus will help to evaluate the problem. This is called a hysterosalpingogram (HSG). A blood test should also be done to confirm ovulation. This is a progesterone test that is done on day 21, counting from the first day of the last menstrual period.
Treatment of the varicocele is a simple operation, so you shouldn't be too anxious about it. It is an outpatient procedure with no significant recovery time.
Your wife might also need to have a cervical cerclage in her next pregnancy in view of the history of repeated terminations of pregnancy and the subsequent pregnancy loss. This helps to prevent pregnancy loss from cervical incompetence. This is a weakness in the muscles that keeps the cervix closed and can result from repeated operations involving the cervix, especially in situations such as terminations of pregnancy where the cervix has to be dilated up. This is usually put in at the end of the first trimester.
Consult your doctor who will advise you further.
Dr Sharmaine Mitchell is an obstetrician and gynaecologist. Send questions via e-mail to firstname.lastname@example.org; write to All Woman, 40-42 1/2 Beechwood Avenue, Kingston 5; or fax to 968-2025. Dr Mitchell cannot provide personal responses.
The contents of this article are for informational purposes only and must not be relied upon as an alternative to medical advice or treatment from your own doctor.
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