Help! I Can't Get Pregnant!!

Dear Doctor,
I am a regular reader of your column "You and Your Health" in The Sun newspaper on Tuesdays. Please I would like you to use your wealth of experience to help me find a solution to my problems which are as follows: I’m presently 23 yrs old and have been trying to get pregnant since 2008 but could not. I have sex regularly with my fiancé but have never missed my period. I notice that after having sexual intercourse, immediately I get up the sperm ( semen) released will start coming out of my vagina. Doctor what could be responsible for this? Or is my fallopian tube blocked or what? Secondly, I have been having discharge (yellowish) with severe itching in my vagina for a very long time. At first I felt shy to discuss it but when the pain became unbearable last year I consulted a doctor who asked me to go for a test. On seeing the result he gave me an injection and placed my partner and I on Nizoral tablets for 5 days. The itching and discharge still continued despite the fact that I took all the drugs and changed my towels, undies, sponge and all others. I later had typhoid and while on admission the doctor told me he carried out some tests which indicated I have this infection. He then gave me Ciprovet tablets and some other drugs. Doctor this itching still comes and goes and I’m just confused as the discharge seems to be permanent. Also I menstruate for just two days and the flow is not always heavy. Could all this be responsible for my not being able to get pregnant? Doctor please try and bail me out. Lastly, my fiancé was advised to go for semen analysis by my doctor and the result is as follows: Colour: milky straw. Ph: alkaline. Volume: 3.0 ml. Viscosity: viscid. Mobility and morphology grading: Azoospermia. Non spermatid cells: no ova, crystals, yeast cells or T. vaginalis seen. Doctor, what does this result indicate or is he the one having problem? What can we do to have a child of our own ? I'm anxiously waiting for your reply.
Lolli Babe, Kogi P S-- Further test results follow: Pus cells: Numerous Rbcs : 0-1 PHF. Epith cells: Fair.
Thank You.

My dear Lolli Babe,
If you understood the meaning of the word azoospermia you would not need to ask whether your man was the cause of your woes or not. Why the lab scientist decided to use that word instead of plain language I cannot understand. Azoospermia simply means "no sperm cells in the semen"; pure and simple. Now, with no sperm cells at all in your man’s semen, how in the world can he ever get you pregnant? It is impossible unless his azoospermia is cured. If azoospermia or oligospermia occurs because of infection or blocked tubes in the man (the vas deferens is the tube or conduit pipe that brings the sperm cells from the sperm making factory called the testes or the balls, to the prostate (an organ found only in males which adds fluid to the sperm cells to make up the semen – and this tube can be blocked by gonorrhea or Chlamydia--STD's) it is possible to correct or treat the condition using antibiotics for infection and surgery for the blockage. Azoospermia can be due, apart from the 2 causes above, to hormonal imbalance when the hormone FSH ( Follicle Stimulating Hormone) is found to be too high because the testes are not functioning or producing sperm cells at all. Atimes this can be helped but in primary testicular failure there used to be no way to help the man until recently when ICSI ( intra cytoplasmic sperm injection ) was developed and holds an amount of hope for these men. Apart from ICSI, of course, the options still available are adoption or AID (Artificial Insemination by Donor) where the woman is impregnated by using sperm cells harvested from donors. ICSI, of course, is really very high tech, costly and hifalutin – hardly practical, although some centres offer it in Nigeria now. It is the only way in which such a man whose azoospermia is not due to blockade or infection and who cannot be stimulated to produce sperm cells of his own can get to father a child of his own. Barring ICSI, HE’LL HAVE TO BE FATHER TO SOMEONE ELSE’S CHILD EITHER BY OUTRIGHT ADOPTION OR AID. That's just it.
As for your intractable on and off itching the enclosed literature will help with it. It can be expertly treated so that it does not occur again. Titled "When Itching Refuses to Stop", we wrote it to give helpful medical information to
those suffering chronic itching of their private parts or genitals and will be sent on request to any sufferer. Suffice it to say that it is usually a yeast(or fungal ) infection --Candida --to be precise. Your permanent discharge (yellowish) needs to be properly diagnosed and treated. It could be candidiasis, trichomoniasis, bacterial vaginosis or it could be PID ( pelvic inflammatory disease). This latter cause can block your tubes and encourage infertility. Again expert treatment is what you need and I am also worried about your 2 day menses. Has it always been 2 days? If the 2 day pattern just started recently, it needs proper investigation and diagnosis as, in that case, it is very likely contributory to your inability to get pregnant. Infertility is traceable to male causes in roughly one third of cases; female causes in another third and a combination of both male and female causes in a last third. Azoospermia is a male cause. PID is female cause. You are right to be concerned that you have not gotten pregnant in 5 years of unprotected sex. Apart from purely medical or psychologic problems that could contribute to be blocking fertility, one of the areas we have learnt to take time to probe properly in cases like yours is the spiritual-- if we are to get results. Why, for example would semen, newly released and properly deposited deep in the vagina begin to climb out of the vaginal vault to the outside-- defying all the laws of gravity and fluid mechanics like you state has been happening in your case? I've never heard any doctor explain this phenomenon satisfactorily on the basis of the purely physical. However you can try to put a pillow under your buttocks so that the angle would be sharper and the semen can be retained better while you make sure you do not leave the bed until at least an hour after sex. However some couples will swear that this measure still regularly fails to keep the semen from climbing out!! Now, with no sperm cells at all and no semen left in the vagina and almost no menses, my advice is to see some experienced doctor/ gynaecologist who also understands the spiritual to check and sort you out while you yourself should consciously tackle that area pointedly. We'd be glad to help you with our experience if you send feedback.
Cheers

Intractable Itching

Hello Dr Oluranti,

This Mr. David I saw your email in the sun news paper today and I saw many people been thanking you for what you did for them I want to be one of them that will thank you. Let me stable my problem like this. I am suffering for body inching it goes like this whatever I took my bath all my body will be itching me for good 1hours before it will stop ever very day and I have try many places without no solution and I do not want it to damage my system it was hereditary diseases one of my sister are suffering from it also. Doctor, if you can help me out of this problem I will be very grateful. I shall be expecting as soonest as you can reply to this letter.

AHDH, Abeokuta

Dear AHDH,

Generalized body itching that refuses to go will generally be one of five things a)General fungal infection of the skin maybe b)Candida, c)Some worms d)The water you use e)The soap --reacting with your skin, f)The sponge or maybe g)your cream. Try changing these one at a time and you will locate the source of the problem. One other good thing you can do is to see a dermatologist -- face to face. Follow these instructions and let me know how you fare.

Cheers

When Can We Resume Sex After Childbirth?

Hi doc,
After child birth when can a woman make love? Three weeks after delivery
My wife says I should wait.
Charly Chackweed, Port Harcourt

Dear Charly,
Normally, she ought to be ready for you already. But perhaps she had some peculiar experiences in her own particular child birth
Was she cut-- did she get an episiotomy? Is it healed already? If it is not healed -- there may be infection (not STD please) but normal other infection can occur
She may still be sore. At 6 weeks, all new mothers are supposed to go for Post- Natal Clinic -- when the nurses/doctors discuss all these things with them and advise them on life after delivery.
Because by this time - the female genital system has finally become normal again -- back to the pre-pregnancy state. The PNC or visit is to make sure all this has happened and to correct whatever may physically or psychologically be wrong.
So, you just have to let her understand that you care and if she has any challenge that is preventing sexual connection to let you know. Perhaps we all-- you, her, me -- can get to talk about it --if you
Call me in the Free Call midnight on a speakerphone so I can interview her for you and we can resolve it all. See help lines below

Cheers

Advise Me Before Suicide

Advise Me Before Suicide

Please Dr Bibbi,

I used to read your peice in Daily Sun and I really enjoy the advice you give to people.Sir my problem is that I dont have money to go to school; my parents are really poor and my two sisters are in the university. They will be finshing next year; and the family agree I should wait for them to finish before I enter the university but I really need to enter now because some of my mates are already there; they keep asking me about my admission. I'm really worried now. I dont know what to do and feel like commititng suicide.
YOURS, MICA, LAGOS.


Dear MICA,

Well -- this is going to really shock you; but you really have no problem!!!
Suppose you were an orphan-- no father or mother-- not that they are poor -- they simply do not exist!!!? Suppose you do not have sisters who are ready to sponsor you -- after only a year? Suppose you do not have health to even prosecute your dream? Now your only problem --for which the devil wants to convince you to kill yourself -- is simply that you have to wait just one more year to go to the school of your choice? Let me suggest you do something that will really help you-- okay? Sit down and think -- then multiply all the suppose's that can happen negatively to you-- write out about 7 such situations. After that write out another 7 things you know are blessings -- things for which you must thank God. Lastly, actually begin to thank God and be truly grateful. Sing, dance, praise God and appreciate how much better your situation is than for those -- for example -- hapless, bright young students who died in the Port Harcourt air crash. "When you begin to sing and to praise God, truly and from the bottom of your heart-- the Lord will send ambushments against all your troubles". See 2 Chronicles 20. 22. The only thing is -- you must be consistent. Begin; then commit to a heart of gratitude and a time to actually praise God daily and Satan and his hosts from hell who peddle suicide thoughts and help human beings to take that first class, one way ticket to hell will disapppear and "better" will appear. Of that I can guarantee you. Anyone who needs more help in this area can e mail me at doctorbibbi@yahoo.co.uk or docpastoral@yahoo.com and/or call the help-lines.
Cheers

Too Frequent Catarrh

Dear Doctor,

Thank you for the advice you give to people in your column. I had a problem with my two nose in that it used to be congested with catarrh too frequently
(nasal congestion) I went to a nurse who suggested a lab test which I went for and they gave me ciproxin tablets with gentamycin injections. After a while again
it came back despite a brief period of relief. And I was subjected to another test and they gave me tarivid tabs that equally gave me relief, yet the problem
continued. Sir, though I’m used to taking okada(a ride on motorcycle) almost daily because of the nature of my job and in most cases after taking okada I used to witness this condition
very well. At the initial time it hinders my breath, ache in the head and sharp pain and the frequent blowing of the nose. Is there any lasting solution to this problem for me to enable me regain my health in this regard?
Thanks,
O.E.A, Lagos

Dear O.E.A,
Really!! The nurse is the cause of your prolonged problem. Protect especially your chest against cold  anywhere including on Okada by wearing a thick vest that will cover your chest properly. Avoid other forms of exposure to cold. Then you'll discover that even without antibiotics --whether cheap or costly, your health will return and be permanent.
Cheers