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A female asked:

me and my boyfriend have been together for 9 moths now and when been trying to have a baby. atfer intercourse the sperm leaks out and i know that normal atfer intercourse but im wondering is it all of it coming out? we try like everyday or even twice a da

2 doctor answers3 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
If : If there is sufficient semen and vaginal fluids, it is quite normal for some to spill out. It doesn't mean that you don't have enough ejaculate to become pregnant. It is isn't necessary to have sex twice a day, in fact if you have intercourse twice in a day, the concentration of sperm in the ejaculate can lessen. If the desire is to become pregnant you can look on line under "ovulation predictor" or "ovulation calendar" to help determine when you are likely to ovulate. Follow the instructions and it will help to predict when you are likely to be more fertile.
Dr. Michael Opsahl
Fertility Medicine 43 years experience
Fertility : Fertility is easy for most people. Only about 10-13% of women/couples have infertility. Infertility is a frustrating problem but fortunately we are much more successful making a correct diagnosis and then applying a successful treatment. You are correct that the semen coming out is normal. The sperm get into your body very quickly. We usually suggest that you stay in bed for about 10-15 minutes before getting up after sex when you are trying to conceive. You do not need to worry about special positions. General comments about fertility potential - we believe that the fertility rate averages about 20% per cycle (month) - if we start with 100 couples and each month 20% conceive then at the end of 12 months, 92% will be pregnant. We find that about 10-13% of the population will not be pregnant after 12 months of trying. - by 24 months or 2 years, then less than 1% of normal couples would not be pregnant - fertility rates in the us are about 147/1000 women at age 25-30 and they fall to 13/1000 women by age 40. So, don't delay too long. - we define fertility as no pregnancy after 12 months and < 35 yrs old; or after 6 months and 35+ yrs old. What to do to track fertility effort (& perhaps increase efficiency) - one of the issues i find is that people often do not really know how many months they had sex at the right time. We often cannot be sure how many months there was an opportunity for conception. - monitor your menstrual cycles for length (time from start of menses to the start of the next menses) and ovulation (release of egg) - track ovulation and when you had sex. There are many web sites for apps or charts that you can fill out. - an inexpensive way to track ovulation is the BBT (basal body temperatures, http://bit.Ly/aqm4az). All you need is a thermometer and your time to collect the temperature. - the sperm live in your body for about 2-3 days (sometimes longer but for fertility purposes consider only 2 days before lower chance of conception). We usually recommend sex every other day. If the sperm count is low, then too often is a problem. If sperm count is normal then more often is fine but not really helpful to conceive, more recreational :) - ovulation kits in the drug store (http://bit.Ly/wqstpo) are also accurate but they work best if you have regular cycles and then you have a reasonable idea of when you will ovulate. - over-the-counter sperm tests may provide reasonable assurance that the sperm count is over 20 million/ml (http://bit.Ly/ydgstr). However, sperm counts are not the only issue when assessing male fertility potential. These tests do not replace a real sperm analysis but if the test suggests a low count then you should see a specialist sooner than later. What if you do not become pregnant - infertility tests - we have tests to help us understand what is causing you to not get pregnant. - i believe that you need to get a diagnosis before we can even begin to have a discussion about treatment. - the wrong treatment can be costly and delay success. - you will need tests for ovulation, anatomy (uterus and tubes), egg quality and sperm quality. Infertility summary: - get tested by a fertility specialist - pick the most costs effective treatment that you can afford - the younger you are when you are treated the more likely the treatment will work - do not be afraid of ivf, if you need it then the treatment can be very successful and less expensive than other treatments and faster. I hope this brief summary helps, good luck.

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