### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
gud nun sir.i am saravanan from erode.i got married on 31.5.2012.my wife is not conceived.my wife have a irregular periods and my sperm count is also low.we consult a doctor for last nine months.if we have a chance to make a baby and what kind of treatment will be take for our problems and one more thing in my sleep i lost my sperms automatically but we have a intercourse regularly.kindly clear my doubt sir

### output:

DEAR SIR/MADAMIRREGULAR PERIODS?? WHAT ARE ITS CAUSES ??IT MIGHT BE CAUSED BY SEVERAL ISSUES, COMMONLY AS IN YOUR CASE IT MIGHT BE DUE TO1. POLYCYSTIC OVARIAN SYN Chat Doctor.  STRESS3. ENDOMETRIOSISMOST COMMONLY IF YOUR WIFE IS OVERWEIGHT OR OBESE AND PERIODS IS IRREGULAR THEN THE COMMON CAUSE IS POLYCYSTIC OVARIAN DISEASE.USUALLY POLYCYSTIC OVARIAN DISEASE IS DIAGNOSED WITH THE HELP OF USG ABDOMEN. IF YOUR WIFE HAS IT, THEN SHE Needs TO REDUCE WEIGHT AND NEED TO TAKE TABLET METFORMIN, STARTING FROM LOW DOSES AND GRADUALLY NEED TO INCREASE THE DOSES.SIR IF YOU ARE SUFFERING FROM LOW SPERM COUNT, IF YOU HAVE DONE SEMEN ANALYSIS, THEN IF IT SHOWS YOU ARE HAVING MORE DEAD SPERMS Than YOU NEED TO CONSULT YOUR INFERTILITY SPECIALIST.DON'T WORRY Nowadays THERE ARE MANY TECHNIQUES AVAILABLE LIKE INVITED FERTILIZATION TECHNIQUES WHICH MIGHT BE IDEAL FOR YOU.WITH ALL THESE POINTS CONSULT YOUR DOCTOR ONCE.THANKS