Q: Good morning Doc.  My question is, ‘my wife is complaining of a sharp pain under her navel and she said it feels like something moving around inside her tummy’. Secondly, I found out that after ejaculation the fluid comes out of her vagina immediately she breaths. Please what could be the cause of this? Can this delay her from getting pregnant?

A: Hello! Thanks for writing in.

Pain under the navel could be due to a myriad of reasons. Below is a list of some conditions that could lead to pain around or under the navel:

Around the navel

• Obstruction of the intestines
• Stomach ulcer
• Crohn’s disease
• Constipation
• Worm infestation
• Umbilical hernia

Below the navel (pelvic pain)

• Menstrual cramps
• Bladder infection
• Ectopic pregnancy
• Ovarian cyst
• Uterine fibroids
• Miscarriage
• Pelvic inflammatory disease

This is by no means an exhaustive list and so my suggestion would be for her to go see her doctor asap for a proper examination and diagnosis.

I’ve received this question on semen flowing out of the vagina after sexual intercourse in various forms from men and women alike and so it must mean that this is an important issue for a lot of people.

Lots of couples wishing to have a baby appear to believe that semen flowing out of the vagina signifies a problem and so, they do different things to stop this including, raising the female partner’s legs in the air or even performing a cycling motion. None of these need to be done, really.

A man’s ejaculate is made up of more than just sperm cells. The sperm count in ejaculate (which should be about half to 2 teaspoons in volume) is any number from 20million to several hundreds of millions! That’s a lot of sperm cells for 1 teaspoon, right? Now, when a man ejaculates, the initial force of that pushes some of the semen a significant way into the vagina. The rest of it flows back. In case you’re worried about the semen that flows back, just like the person who asked this question, the truth is that you don’t need more than 1 sperm cell to fertilize an egg.

Some sperm cells are retained at the back of the vagina, some make it all the way to the cervix and some others get into the uterus and make the trip into the fallopian tubes to fertilize an egg. And in addition, these sperm cells can remain alive and active for even up to 3 to 5 days after intercourse, depending on conditions. So, if there was no egg to fertilize at the time of intercourse, if the woman ovulates within this window of 3 to 5 days, she could still very well get pregnant.

Now, if you have been trying for up to one year to have a baby with no luck, please see your doctor and let him evaluate you and your partner. Analysis of the semen with sperm count etc will be helpful in defining course of treatment.

For more on this, please click on this link https://chatwithdrketch.com/2014/12/14/daily-health-tips-miscarriage-and-infertility-re-visited/

All the best!