Two periods after intercourse

Hi,
My husband and I have been trying to get pregnant for three years (haphazardly). I have been off of bc for those yrs but heres the thing.  I have been pregnant previously but my husband has had fertility issues which includes numerous conflicting doc visits telling us he has Kleinfelters and he DOES NOT have Kleinfelters.  He has small testicles and very low sex drive.  Our last visit was to a fertility clinic which told him they did not see any sperm from his test.  We've been told that the test could be wrong.  My husband is VERY uncomfortable with masturbation and it took him a VERY LONG time before he was able to produce sperm for the test so there could have been problems with his sample. I have two questions...

1. There were at leat four times during our stint of trying to get pregnant that about 3-4 days after intercourse, I would get a 2nd period (FULL period).  It would ONLY happen after intercourse.  What could that mean??
2. Is there a way that he can get tested WITHOUT masturbation (ANY way)?

[Elaine Brown, MD]

Hi!
Your husband could have a (expensive) blood test to check for Klinefelters. It would be very useful information for you two to have though, in terms of your chances of conception and your children's risk of genetic variations.
I have done "cheater" semen analysis for patients before by doing a post coital test.  
This is an old test, and not used very much any more, but could be an in-expensive starting point for you two.  The couple is asked to have intercourse within 12 hours of the office visit and at the woman's mid-cycle (around day 13 or 14). The cervical mucous is then obtained (like a pap smear) and evaluated.  We can look under the microscope and see how many motile sperm are present in the mucous.  
If you were my patient, this is how I would start out.  If I saw very few or no sperm, I would be even more inclined to do a karyotype on your husband.  If he truly does have Klinefelter's you may need to consider IVF with ICSI (intra-cytoplasmic sperm injection).
If there were jillions of happy sperm, I would then encourage the two of you to get a "real" semen analysis.  The wife can help with masturbation, or the husband can withdraw to produce the specimen if either of these suggestions helps!
I hope this information is useful ( and not more graphic than you wanted!)
Good luck!
Dr B