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Why is my wife unable to conceive?

Q: My 27 years old wife has at least 7 to 9 days delay in menstrual cycle every month. She has been trying to conceive for the last six months. But since the last cycle she got delayed menses by 14 to 16 days. How can we plan for the baby? We stay separately mostly due to our job profiles. Please advise.

A:First the menses need to be regular - Testing to locate the cause for infertility is essential next. Possibly, she has an ovulation defect, which can be diagnosed by serial transvaginal scanning to time egg rupture if it is occurring. If not, medication like cloid for egg formation can be given along with timed coitus - and she will conceive. You will need to stay together for at least 6 months to a year to achieve that.

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