Conversation: The conversation between human and AI assistant.
[|Human|] i am 21 years old and have been trying to concieve for about 5 months now. My boyfriends has sickle cell and has to take medication. he also smokes. everytime we have sex he does ejaculate in me. we have had sex days before my period and days after my period and even on my most fertile and ovulating days and sometimes during my period but still no baby :( should i be worried?
[|AI|]  Hi, Thanks for the query. I understand your concern.  *To improve chances of conception - -Semen analysis needs to be within normal limits.  - Your menstrual cycles need to be ovulatory.  - Smoking should be stopped... for even if you Carnot smoking...indirect smoking, while he is sitting by your side smoking... which does have negative effect on the chances of healthy pregnancy conception.  -Sickle cell disease is likely to be carried to fetus genetically... may make the baby suffer. This point needs to be decided before planning for baby. In such case GUI by using a non sickle cell suffering healthy person is advised.  *In case you are still determined for conception... try with unprotected sex from the day LH surge test (for ovulation) is +ve for 6 days.  You can get some supportive hormone support from your treating gynecologist.  *In case there is no +ve result in 6 months. Both of you go for detailed investigations for fertility.  Thanks.