Sexual Problems

Erectile Dysfunction, Endometriosis

3 years long Infertility

Wife- Severe (Grade 4) Endometriosis

Husband- Erectile Dysfunction

Natural Conception after successful treatment for both


Oligospermia, Ejaculation Problem, PCOS, Tube Block

Couple with Multiple Factor Infertility.

Husband- Low Sperm Count. Left sided varicocele with Atrophic small testis, mild sexual dysfunction

Wife- PCOS-Anovulation. HSG showed both sided tubal block

Was offered IVF or Laparoscopy-Hysteroscopy for tubal block.

Conceived Naturally while awaiting Laparoscopy 


Ejaculation Problem, Hypospadias, IUI

Infertility for 5 years due to Sexual Dysfunction

Husband had severe PREMATURE EJACULATION with INABILITY to DEPOSIT SPERMS in the VAGINA, because of HYPOSPADIAS (ABNORMAL location of OPENING in PENIS), operated several times

Semen analysis was absolutely normal

Female factors (Tubes, Ovaries, Uterus) were all normal

Offered SELF-INSEMINATION, with which they were not comfortable

Opted for IUIConceived successfully after 2nd IUI

Pregnancy was uncomplicated and healthy baby was delivered at term

Pictures were taken with their kind permission


Non-Consummation of Marriage, Conceived Naturally

•PS- Published with kind permission from the patient.

•For any couples coming with Infertility it’s important to ask for Sexual Dysfunction, frequency of Intercourse and duration of trying for the baby.
.
This couple visited some other place, after having tried for 6 months for pregnancy. They were advised all the tests like Semen, Hormones, Ultrasound etc. However, when they went for HSG of the woman (to look for tubal patency), the radiologist could not perform HSG and found the hymen was intact. He suspected NON CONSUMMATION of MARRIAGE.
.
Then the couple came to us and we felt their problem was not “INFERTILITY”, rather “SEXUAL DYSFUNCTION”. After talking to them in details, we discovered that they did not have proper knowledge about the body anatomy and therefore they did not know the actual technique. 
.
We discussed with them the importance of proper technique and proper penetration. After counselling they agreed to wait for another 6 months before starting any “INFERTILITY TREATMENT”. 
.
The lady got pregnant within 3 months. Pregnancy was uncomplicated and yesterday she delivered a healthy baby.
.
Therefore, it’s important for the couples to disclose their personal issues to doctor before any test or treatment. •


Erectile Dysfunction, Infertility, Pregnancy

•This couple had been trying for pregnancy for last 4 years. The husband’s age is 38 years and wife’s age is 36. They were advised IVF outside, only because of age.
.
When they came to us, we found all tests were normal. We asked them “WHAT YOU ARE THINKING?” They said, “We want to try for some more time”. On further enquiry, we discovered that they had very INFREQUENT INTERCOURSE (once in a month) because of ERECTILE DYSFUNCTION (ED) of the Husband. We treated the husband and his condition improved. 
.
This couple wanted to start Ovulation Induction this month. They called us yesterday as she missed her period. Today, even before starting and Fertility Treatment, they got the GOOD NEWS.
.
Please pray for them.


Erectile Dysfunction, Ejaculation Problem, Conceived with Self Insemination

•Problems in Sex Life is not as uncommon, as it seems. This couple presented to us in April 2017 with ERECTILE DYSFUNCTION of the man and they never had successful penetration. After initial work up no apparent cause was found and the man was advised some medicines, some special exercise etc.
.
Erection improved within a month and he was able to penetrate but there was NO EJACULATION during intercourse. However, there was ejaculation during Masturbation and he also felt “night fall”.
.
Ejaculation problem is difficult to treat. So they tried Self Vaginal Insemination. However, they felt frustrated and planned for IUI. All fertility investigations of both husband and wife (Semen, Ultrasound, Hormones, Tubes) were normal. 
.
While planning for IUI, they conceived “naturally” with self-vaginal Insemination.


Ejaculatory Disorder, 4 times IUI Failure, PCOS

•Sometimes your strong WILL power, TRUST and the ability to FIGHT matter.
.
The couple came to us first time in June 2016 with inability to have a baby. The woman is having PCOS and hypothyroidism. The man had mild problems in Ejaculation. All other investigations were normal.
.
The man’s problem did not respond to standard medicine and Pelvic Floor Exercise etc. They finally agreed to have self-vaginal Insemination at home. But the woman’s PCOS also did not respond to Clomiphene. (At that time Letrozole was Banned in India).
.
So they decided for IUI. After so much trial and error, we found she was responding to the combination of Clomiphene tablets and Injections. So first cycle IUI was done in January 2017. 
.
The result of the first cycle IUI was POSITIVE! Unfortunately it was BIOCHEMICAL PREGNANCY. The test report came negative within one week. However, they kept faith on themselves and on us.
.
The lady repeatedly asked “Doctor I am feeling better with your medicines. My periods are more regular now. I know you can fulfill my dream of Motherhood”.
.
2nd IUI was done in July 2017. It was straightforward NEGATIVE.
.
Then they took a break and tried self-vaginal Insemination and concentrated on man’s problem. His problem improved a little.
.
They again came for 3rd cycle IUI in February 2018. Again it was NEGATIVE. They felt frustrated but never LOST HOPE.
.
Then 4th cycle IUI was done with Letrozole and Injection in June 2018. It was also NEGATIVE.
.
They decided to go for IVF after few months after they can arrange for money, time and all. In last consultation, they asked for details of IVF.
.
However, they NEVER STOPPED TRYING. Finally the self-vaginal Insemination is SUCCESSFUL.
.
This it took MORE THAN 2 YEARS to see their smiling face. However, the jounery is yet to be completed.
.
PLEASE PRAY FOR THEM.


Erectile Dysfunction, Conceived by Self Insemination while planning for Pregnancy

•The couple had difficulty in consummation of marriage because of severe ERECTILE DYSFUNCTION of the husband and severe LOW DESIRE of the wife.
.
They came to us in June 2017, saying that they did not have a single episode if SUCCESSFUL INTERCOURSE even 6 months after marriage. All initial examination and reports of the both the partners were normal. 
.
The wife’s condition improved dramatically after 1st month of treatment and counseling. However, husband’s condition improved a little, even after several steps of all possible therapy. So, finally he was advised to have PENILE DOPPLER which suggested impaired blood flow to the penis. Urological consultation was done but nothing worked. 
.
In May 2018, they said, they are more interested in pregnancy than satisfying conjugal life, at least for the time being. So, they were advised pre conceptional care. They agreed to have 3-4 months of self-vaginal insemination with LH kit, failing which they would opt for IUI.
.
Fortunately they did not require IUI, rather conceived by the technique they were advised to follow.

So, SEXUAL DYSFUNCTION is not uncommon. Do not suffer silently.


Success after Non-Consummation of Marriage for Erectile Dysfunction

•Couple presented with non consummation of marriage because of problem in husband. However, no medicines worked. They finally attempted pregnancy by self insemination as per our advice (husband used to collect semen and used to insert it with dropper inside the vagina). Today they came with the good result (Shown in the picture below). Please pray for her.


Pregnancy after Self Insemination in Ejaculation Problem

No photo description available.

Self Insemination is a process of “Natural Conception” that can help to achieve pregnancy in Ejaculation Problem.
.
This couple came to us with the Ejaculation problem. They were married for 3 months. The man could not ejaculate during intercourse. However, he was able to ejaculate during masturbation and he also experienced “night fall”.
.
We tried to find out the cause by taking detailed history, physical examination and tests (blood, urine, Ultrasound). However, all reports were normal. We tried few medicines (their efficacy in Ejaculation Problem is doubtful) but these did not work.
.
Finally, we asked them “what do you think”. They were eager to have pregnancy. They wanted to go for IUI (Intrauterine Insemination) directly. But as they were young and had just started planning for pregnancy, we advised them to try for “Self Insemination” for 3 months.
.
They followed “Self Insemination” at home. The wife detected the time of “Ovulation” (release of eggs from the ovaries) using urine test by LH kit. When the test was positive, they used to practise insemination into the vagina. No medical assistance was needed for this purpose.
.
They finally returned to us last week with good news.
.
Please pray for them.
.
PS- uploaded with kind permission


Successful Pregnancy after Self Insemination for Erectile Dysfunction, High Age

Image may contain: 1 person, baby and closeup

Self Insemination can give successful pregnancy in Sexual Dysfunction.
.
PS- Uploaded with kind permission.
.
The couple came to us in June 2017 with Non-Consummation of Marriage. The husband’s age was 43, wife’s age was 38. The man had Erectile Dysfunction (ED).
.
After initial examinations and investigations, no apparent cause for the ED was found. We tried all possible medicines at the highest possible doses but unfortunately, nothing worked for him. Finally, we advised Penile Doppler (to see blood flow in the Penis by ultrasound, after Papaverine Injection into the Penis). It showed abnormal blood flow to the penis. So, only options remaining were vascular surgery or Vacuum Erection Device (VED).
.
The couple decided to think for pregnancy first, as the lady was already 38 years old. We performed initial investigations like Semen Analysis, AMH, Rubella and Thalassemia screening. All were normal
We explained the possible complications of Pregnancy for the mother and baby because of the age. They agreed to take the risks.
.
They wanted to proceed for IUI (Intrauterine Insemination). We explained, IUI is a medical procedure, so if they wish a d feel comfortable, they can try Self Vaginal Insemination for 2 to 3 months. If this failed, IUI could be considered.
We explained them how to do Self Insemination. The lady was asked to detect the timing of Ovulation (Release of eggs) by Urine test, done at home, using LH kit. The husband was asked to collect his semen in a sterile container and put it inside the vagina by dropper. All these were done at home by themselves. No medicines, apart from Folic Acid was advised. This is, because, we believe in the least possible number of investigations, the least possible use of medicines and the least possible medical interventions.
.
They returned after 2 months with POSITIVE Pregnancy Test. Because of the age, it was High Risk Pregnancy. We performed all the routine tests like Combined Test, Anomaly Scan etc.
.
South Asian Women are at risk of GDM (Gestational Diabetes Mellitus). GDM carries high risk of DEATH of the baby, before birth. It should be detected by a test called OGTT (using 75 gram Glucose), NOT by Ordinary Fasting Sugar or PP Sugar. Here the initial OGTT was normal. But OGTT at 28 weeks was abnormal. So, she developed GDM, which was well controlled with diet and oral medicine only (Without Insulin).
.
Because if her age, first pregnancy and being overweight; the baby was at risk of developing IUGR (Intrauterine Growth Restriction)- the inadequate growth of the baby. It should be detected by Serial Growth Scan and Colour Doppler. We performed this and detected IUGR at 34 weeks, along with decreased Liquor (water around the baby). IUGR babies are at risk of serious complications before and after birth. So, we gave her Steroid Injection (to promote lung maturity of the baby) and decided for delivery at 37 weeks at NICU set up.
.
Delivery was done by Caesarean Section. Both mother and baby are healthy now.
.
Therefore,
1. Sexual Dysfunction is common but Pregnancy is Possible.
2. Self Insemination can give pregnancy without any Medical Intervention.
3. Higher age does not always need any treatment to achieve pregnancy.
4. Pregnancy at high age is High Risk Pregnancy and needs proper care.
5. Screening for GDM should be done by OGTT twice in pregnancy.
6. IUGR should be diagnosed by growth scan.
7. Delivery should be done in NICU Set Up.