Good Day, Am sajid from Pakistan. I have been married since 8 yrs. I have 2 daughters. Now after a gap of 4 yrs, we are planning to have another baby but couldn't succeed from last 4/5 months. My age 38 while spouse 30. We have been used condoms as contraceptive during this period. Please advise your expert advise to have same matured. Also we would like to have baby boy this time.

Awaiting kind response.
Best regards,

Hello Sajid from Pakistan,

I would recommend that you go see an infertility specialist for consultation.  Your chances of natural pregnancy is signficantly reduced at the age of 38, and they could also advise you on methods to try to select for a boy (gender selection).  IVF would be the treatment of choice for these two problems and is the only method available for gender selection.

You do know that using a condom is to prevent pregnancy right?  If you're trying for pregnancy, you should not be using it.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at if you are interested in continuous access to me.


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Edward Joseph Ramirez, MD, FACOG


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.


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 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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