It sounds like you are experiencing significant discomfort during your menstrual cycle, which can sometimes be associated with conditions like endometriosis or fibroids. The accompanying nausea and bowel changes may indicate that there is inflammation or other factors at play. Given your difficulty conceiving over the past three years, it's essential to seek a medical evaluation for a comprehensive assessment. A gynecologist can explore potential underlying causes and develop a tailored treatment plan. 

During the first trimester of pregnancy, many couples choose to avoid sexual intimacy for reassurance and safety. Generally, once your wife's pregnancy is stable, you may resume your sexual life. This is usually acceptable after the first trimester unless advised otherwise by her gynecologist. It's crucial to communicate openly with your wife about comfort levels and concerns. If any complications arise or if there’s any doubt, please consult her gynecologist for personalized guidance. 

It’s important to understand that the onset of puberty varies for everyone. Noticing limited physical changes at your age can be concerning, but there are various reasons this might occur, such as hormonal imbalances or genetic factors. I encourage you to speak with a physician who can assess your individual situation and recommend appropriate tests if needed. 

Prolonged body aches, fatigue, and chills after fever indicate your body might still be recovering. The electric shock sensations could be due to nerve reactions or anxiety, especially given your psychiatric history. It is crucial to consult a neurologist for a thorough evaluation and appropriate tests. They can suggest treatment options to improve your strength and overall well-being. In the meantime, ensure you rest, stay hydrated, and eat nutritious food. Taking care of your mental health is equally important during this recovery.

• It sounds like you're experiencing an allergic reaction, which may be exacerbated by your known sensitivities to proteins and dust. The itching and marks you describe on your neck could indicate a mild dermatitis or hives. Atrax may be helpful, but if symptoms persist, consider discussing alternative medications with your dermatologist. Meanwhile, try to minimize exposure to allergens, maintain good skin hygiene, and keep your environment dust-free. Managing your cholesterol and fatty liver is also important, so please continue following your hepatologist's advice. 

Elevated fat levels in your blood, particularly triglycerides, can stem from various factors such as poor dietary choices, lack of exercise, or certain medical conditions. While many people experience no noticeable symptoms, some might have fatigue or discomfort. To address this, consider reducing sugary foods, increasing physical activity, and incorporating healthy fats like nuts and fish into your meals. Staying hydrated and managing weight are also beneficial. Consulting with a physician is advisable to tailor a plan that suits your needs and to ensure overall well-being. 

Being a thalassemia carrier means you have a genetic trait that can affect hemoglobin and red blood cell production. Iron supplements can sometimes be harmful if you have thalassemia, as excess iron can lead to complications. It's important to monitor your iron levels and overall health closely. I recommend discussing this with your physician, who can evaluate your specific situation and recommend the best course of action, including dietary advice or additional testing. 

As a thalassemia carrier, your body produces less hemoglobin, which can sometimes lead to mild anemia. Taking iron supplements can lead to excess iron accumulation, which may not be safe for you. It's crucial to avoid unnecessary iron intake unless prescribed by an physician. I recommend discussing your multivitamin with your doctor, who can provide personalized advice based on your health status. In the meantime, focus on a balanced diet rich in vitamins and nutrients. Don't hesitate to reach out if you have more questions; your health is important, and professional guidance is key.

As a beta thalassemia carrier, it's important to be cautious with iron supplements, as they may lead to increased iron levels in your body. Typically, people with thalassemia do not require extra iron since they can experience complications related to iron overload. Symptoms may include fatigue and weakness. I recommend discussing your specific situation with a physician who can assess your needs and determine if a multivitamin without added iron is suitable for you. Your doctor will provide tailored advice to ensure your well-being, helping you maintain good health.

Severe discomfort in the lower back is often linked to muscle strain, poor posture, or disc issues. Symptoms may include stiffness, pain radiating down the legs, or difficulty in movement. Hemorrhoids, on the other hand, can cause itching, pain, or bleeding during bowel movements. To manage these conditions, focus on maintaining proper posture, engaging in gentle stretches, and considering warm compresses for relief. It's essential to maintain a high-fiber diet to ease any strain during bowel movements. However, I recommend consulting an orthopedist to address your symptoms effectively and ensure you receive appropriate care.

If you’ve had unprotected intercourse and are concerned about conception, you may consider emergency contraception, which is effective within 72 hours. Options include hormonal pills available at pharmacies. These can alter your menstrual cycle temporarily. Common side effects might include nausea, fatigue, or changes in your period. It's important to remember that these methods are not 100% effective. I encourage you to consult with a gynecologist for personalized advice and to discuss any ongoing concerns. 

The reddish swelling and itching you’re experiencing could indicate an irritation or infection, possibly candida balanitis, which arises from a yeast overgrowth. Common causes include moisture, poor hygiene, or an allergic reaction. To find relief, maintain good hygiene by gently cleansing the area, keeping it dry, and wearing loose-fitting underwear. Over-the-counter antifungal creams may help, but it's important to consult a dermatologist for an accurate diagnosis and tailored treatment. They can provide the best guidance to ensure your comfort and well-being.

Feeling persistently fatigued along with dizziness and headaches can result from various factors, including stress, dehydration, lack of sleep, or nutritional deficiencies. Prioritizing rest, staying hydrated, and maintaining a balanced diet can be beneficial. Regular physical activity may also help improve your energy levels. However, persistent symptoms warrant attention. It is important to consult a neurologist to explore underlying issues and receive tailored guidance. 

It's important to note that AIDS is primarily transmitted through specific behaviors such as unprotected sexual intercourse or sharing needles. Based on your descriptions, the risk of transmission in both scenarios you mentioned is low. Symptoms of HIV infection may include flu-like signs, but these typically appear weeks to months later. I encourage you to consult a sexologist for personalized advice and possibly testing, as they can provide the best guidance and support.