AboutEdward Joseph Ramirez, MD, FACOG Expertise I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.
Experience I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.
Organizations American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society
Publications American Journal of Obstetrics and Gynecology
Education/Credentials Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco
Question QUESTION: Hello,
i was wondering if it is technically possible for woman's pelvic \ vagina muscles to be too lose to keep the sperm inside, making it very hard for her to conceive? i noticed when my bf ejaculates in me, even if i am on my back, when i get up it literaly all leaks out. In large amounts. Thank u for your time.
ANSWER: Hello,
You don't need to worry. The sperm that get into the cervix are usually there before you finish. It is not the sperm/semen that is left behind in the vagina.
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monteey, California, U.S.A.
---------- FOLLOW-UP ----------
QUESTION: Thank you so much for your answer. I had another question - i read that vagina's acidity & \ or dryness can also affect chances of pregnancy. The vagina needs to be in "optimal conditions", therefore even if there is semen & agg there at the same time, if the woman was very dry during intercouse or had any condion that effects acidity such as a yeast infection - that can cause the spern to not be able to "hold on" to the egg. Is there any truth in that? Also, what about the rumers that the time of which a sperm reaches the egg has to do with the sex of te baby? I heard that sperm that has female genetics would be able to "wait for the egg", meaning you can have intercouse a few days before you ovulate, & the mail genetic sperm would idealy meet the egg exactly on the day of ovulation up to 24 hrs later. Is that a prooven fact?
Thank you!
Answer Hello Again,
Yes, the acidity or environment of the vagina can have an effect on your ability to become pregnant. If your hormones are correct i.e. you have regular menstrual cycles and are ovulating, then the vagina should be fine at the optimal time for getting pregnant. Vaginal infections can be inhibitory, however. The problem is that the sperm can be killed by abnormalities of the vagina. Also, if the cervical mucous is not correct, they cannot get into the uterus and tube to fertilize the egg.
In terms of sex selection, those are wive's tales and do not work.
Sincerely,
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
