Path To Fertility Blogger Lisa Rosenthal  

Lisa Rosenthal has over twenty-five years of experience in the fertility field, including her current roles as Coordinator of Professional and Patient Communications for RMACT and teacher and founder of Fertile Yoga, a class designed to support, comfort and enhance men and women's sense of self. Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association, where she was Educational Coordinator, Conference Director and Assistant Executive Director

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Egg Freezing a Growing Trend - Dr. Hurwitz Speaks to CT News


Egg Freezing Trend for Women - Dr. Hurwitz Speaks to News

Dr. Hurwitz was recently interviewed about egg freezing by WFSB, the local CBS affiliate. The segment also includes an interview from Alyssa Sperber, an RMACT patient who froze her eggs three years ago. She is getting married next month. An early congratulations, Alyssa!


The segment ran last night on the Channel 3 Evening News. Read the full article, "Egg freezing a growing trend among women in their 30s" by Hena Daniels and Rob Polansky. Hear Dr. Hurwitz speak in the video clip below:

WFSB 3 Connecticut



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Guest Blogger - Tesa Baum and Meditation Ideas for Fertility and Holidays


Fertility and Holiday Meditation Ideas from Tesa Baum

fertility meditation ideas for the holidaysI promised you guest bloggers. And here's our first, Tesa Baum. A great way to start, by offering some help with the holidays and the craziness that we sometimes get into. Especially challenging for those of us in fertility treatment or sad that we are still without our babies.


Read beneath her blog post for her official bio and her beautiful picture. 


Meanwhile, here are her thoughtful and very helpful suggestions for the holiday season.

~Lisa Rosenthal


The Holiday Smackdown: Mindfulness vs. The Monkey Mind

Mindfulness is paying attention on purpose and non-judgmentally--in the present moment as if your life depended on it. Because it does, actually.


The Monkey Mind is a way to describe the agitated, easily distracted and incessantly moving behavior of ordinary human consciousness.


I have a confession. Even as a practitioner of holistic wellness and healing, I succumb to the monkey mind. I find that my mind is often wandering and thinking about my To Do List, going over my daily activities and plans for tomorrow, or replaying moments from the past. Yes, just like you, I find it is difficult for me to sustain focus, appreciate, and absorb the present moment, whether that moment feels pleasant or challenging.


Ironically, the Holiday Season, the time of year that gives us the most frequent and meaningful reasons to remain in the moment, is also the most favorable arena for The Monkey Mind to dominate our thinking. As our holiday season responsibilities escalate, we can become overwhelmed, sad, frustrated, lonely, scared and depressed, especially if we are feeling the loss of fertility, and so we struggle to attain balance. All bets are placed on The Monkey Mind.


This holiday season, together, let's shift the odds in favor of Mindfulness. Neither you nor I can simply stop thinking. But, by practicing a quick mindful meditation technique, we can become less attached to our thoughts and less swayed by every passing emotion.


What does this mean for grief, loss, sadness, and feelings of isolation during this holiday time? We don't want to feel trapped and consumed by these feelings. Unfortunately we begin to fear these feelings so much and then all we want to do is "move on". Mindfulness reminds us that pain and sorrow, like all else, is not permanent.


Does this mean that disturbing feelings will go away completely? And stay away? Of course not. But it does mean that they will change shape and form, they will ebb and flow, some days won't be great and some days you will start to smile. It means that our grief, like everything else, is only temporary. Once we accept this, even if only on a rational level, some of the need to avoid our grief starts to diminish. We can stop believing it is permanent, even when we feel it will last forever. Instead of battling your feelings, let them stay with you and treat them compassionately. Once you learn to stop looking at your negative feelings as a taboo, they can start to dissolve. Accept uncertainty and try to allow it to coexist with who you are. You will be pleasantly surprised how fleeting and impermanent these feelings can be. It takes a lot practice. Here's how you can start!


Tesa's Seven Minute Monkey Mind Smackdown Meditation


I am pretty sure that I am the first holistic healing practitioner to leverage WrestleMania terminology in a meditation technique! But, we all truly wrestle with this beast day in and day out. And, even though this technique doesn't require a lot of muscle, I want you to feel powerful in its defeat. Here are four simple steps to follow:

1.  Find a quiet place and set a timer for 7 minutes.

2.  Close your eyes, and establish a point of focus-your natural breath moving in and out.

3.  When your mind wanders, don't be critical of yourself. Allow the thoughts to come and go and gently bring yourself back to your point of focus.

4.  When we start to get really heavy and all we want to do is run away, that’s when to simply say to the thoughts, “hello, I see you, welcome”. 

After completing this exercise, I feel extremely focused and I am able to really enjoy the moment. I am going to commit to this meditation practice each and every day during this holiday season. I hope that you commit too, both to practicing and to feeling more present.


In the New Year I will circle back on this topic and let you know the impact of my meditation. And, in the meantime, feel free to reach out to me and let me know your experience with this holiday survival tip.


Tesa Baum, R.M., CHT

path to fertility guest blogger tesa baumTesa is a Reiki Master Healer and Certified Hypnotherapy Practitioner.

Tesa is passionate about natural healing and helping people live their lives to the fullest.

Her goal is to help people experience inner peace, purpose, and inspiration. She is a member of the International Association of Reiki Professional (IARP) and has studied energy work, healing and meditation. She practices in Westport & Ridgefield, CT and Mt. Kisco, NY.  Tesa works with individuals of all ages, groups, and facilitates workshops.


The Center for Health and Healing Wellness Center


Westport Hypnosis Group



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Top CT Fertility Program Moving to Include State of the Art Lab


CT Fertility Program Moving to State of the Art Facility

RMACT logoBelow is the official press release for Reproductive Medicine Associates of Connecticut (RMACT)'s big news. I’m the unofficial announcement, which is cool because I get to do the happy dance.

We’re moving! So very excited to finally tell you all, officially.

We have had a wonderful home for over twelve years and are ready to move to someplace bigger, brighter, and able to handle a lab that is so unbelievably state of the art.

Happy, happy, happy.

It’s so much easier to leave behind the old place, knowing that the new place is being created so thoughtfully and with such purpose.

The purpose? 

To serve our patients better.

To ensure that the fertility treatment they get at RMACT is our very best effort, which will only continue to get better and better.

So yes, I’m doing the happy dance. A brand new facility for the brand new year.

Looking forward to moving into our new home and really making it our own ~Lisa Rosenthal


RMACT Moves to a New, Medically-Advanced Facility  

Fairfield County’s Leading Fertility Practice Moves Its Norwalk Location to iPark Corporate Offices at 761 Main Street, NORWALK, CT

In January 2015, Reproductive Medicine Associates of Connecticut’s (RMACT’s) main location in Norwalk, CT is moving into a new, state-of-the-art facility to better meet patients’ needs for comprehensive fertility and reproductive health care. The new office offers more conveniences and a bright welcoming environment, but the most important improvement is the new embryology lab, which has the latest technological advances and twice the space of the current lab.


RMACT’s new location, which is on the second floor of the iPark office complex (761 Main Ave, Norwalk, CT, 06851), is 1.3 miles from the current office. It is centrally located in Norwalk with easy access from Route 7 and the Merritt Parkway. The Norwalk office will continue to be RMACT’s primary location, which hosts appointments with five board-certified reproductive endocrinologists, fertility nurses, therapists, a nutritionist, acupuncturists, financial advisors and the third party reproduction team. This is also where the medical team conducts all of the fertility practice’s advanced surgeries and procedures such as in vitro fertilization (IVF) and comprehensive chromosome selection (SelectCCS), as well as provides weekend monitoring.“RMACT’s priority is our patients,” says Dr. Mark Leondires, Medical Director at RMACT. “We decided to move in order to upgrade the patient experience at every level and to take advantage of the latest technology for our new embryology lab, which will help us continue to provide the best infertility care and pregnancy rates in the state. This is good news for the 1,300 new patients we see each year.”


RMACT’s excellent live birth rates are proof of its superior care and support for its patients. Frozen embryo transfer cycles are the future of reproductive medicine based on many advances in the past 10 years. At RMACT our frozen embryo transfer delivery rates are 47.5% higher across all age groups compared to the national. 


Since opening its doors in 2002, RMACT has helped shepherd into the world more than 5,000 babies from 46 states and eight countries. RMACT’s passion is to help everyone who wants to be a parent, succeed.


About Reproductive Medicine Associates of Connecticut (RMACT)


RMACT specializes in the treatment of infertility, including assisted reproductive technologies (ART) such as intrauterine insemination (IUI), in-vitro fertilization (IVF), and Comprehensive Chromosomal Screening (SelectCCS). RMACT, Fairfield County’s largest fertility clinic and egg donation center, is one of 11 leading In Vitro Fertilization (IVF) centers nationwide chosen by In Vitro Sciences to participate in its Centers of Excellence program. RMACT has offices in Norwalk, Danbury, Stamford and Trumbull, and an affiliate New York fertility clinics serving Putnam and Dutchess counties. RMACT also offers infertility treatment financing and support services, such as nutrition counseling, psychological counseling, acupuncture and yoga, through RMACT’s Integrated Fertility and Wellness Center.


The RMACT team includes lead physicians Drs. Mark P. Leondires, Spencer S. Richlin and Joshua M. Hurwitz, as well as fertility specialists Drs. Cynthia M. Murdock, and Shaun C. Williams. All five physicians are Board-Certified Reproductive Endocrinologists and are members of the American Society for Reproductive Medicine (ASRM), the Society for Assisted Reproductive Technology (SART) and the Fairfield County and Connecticut Medical Societies. Each has received numerous awards, and all five are Castle Connolly "Top Doctors." RMACT’s IVF laboratory is accredited by the College of American Pathologists (CAP), and CLIA; other accreditations include the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Institute for Ultrasound in Medicine (AIUM). For more information visit http://www.RMACT.com or find us on Facebook.



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Free Fertility Test in Trumbull, CT - December 4, 2014


Free CT Fertility Test in Trumbull, December 2014

free fertility testingOne of the advantages of having a multi-physician practice is how much more you get to see the actual doctors. With four offices and five doctors, you will be seeing a doctor every time for morning monitoring. Not to mention our wonderful PA, Diana D’Amelio. Having our five fertility doctors, Mark Leondires, Spencer Richlin, Joshua Hurwitz, Cynthia Murdock and Shaun Williams, also means that we can plan more events, free and open to the public.


We have an event coming up on December 4, 2014 that we would like you to share with your friends. Friends that may not have children yet. Maybe they are not even in committed relationships yet. Maybe they don’t even want to have children at all.


Having information allows all of us to make the most educated decisions that we can. Having a test that shows fertility potential offers a peek into the future. It let’s us know a little more about what to expect, when and if we do decide that we want children.


Waiting to build your family, to have children, until the time is right and the partner is in place is a thoughtful stance on an immensely important topic. We just want to make sure that you have all the information in place to make that decision in a comprehensive way.


We have the test. We’re offering it free and open to the public, no strings attached. Doctors and nurses who will share what the test is; what it can tell you and what it doesn’t tell you. It’s not dependent on when your period is, you can come regardless of whether you just had your period or are expecting it at any moment.


Information is powerful. Come and find out your fertility potential. Register here.

Free AMH Fertility Testing

Thursday, December 4, 2014 from 6:00pm – 7:30pm



115 Technology Dr, Trumbull, CT 06611, USA



Fertility Testing - A blood test is now able to tell women, more easily than ever before, about their potential to become pregnant. This blood test, known as Anti-Mullerian Hormone (AMH), helps doctors determine your chances of becoming pregnant now and in the future. What is Your Ovarian Reserve?


FREE Fertility Testing Seminar


FREE testing is now available from RMA of Connecticut! There will be a brief presentation and a blood test. (You can take the test while on the birth control pill or at any time during your menstrual cycle.)


Our doctors and nurses will be present to discuss how AMH testing can indicate reproductive health. Participants will receive a call from an RMACT clinical staff member with test results within 10 business days.


Registration is recommended. Please join us! Get the information you need to plan for your future family. Light refreshments will be included.


Please RSVP - events@rmact.com with the subject "AMH 12/4"


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Medical Monday - Infertility Insurance Tips You Can Count On


Medical Monday - Infertility Treatment Insurance

infertility insurance coverage tipsThe language of infertility can be daunting. IUI, HSG, ICSI, IVF, and more.


Then there's the infertility treatment insurance. A whole other language to learn. Our finance department has been doing this for twelve years and want to share the things that they've learned are important for you to know.


We're here to help, of course. Educating yourself though is empowering and ultimately, hands back some of the control to you. 


Let us know if you have any questions. I'll pass them on to our extremely capable finance department. ~Lisa Rosenthal

10 Tips About Infertility Insurance Coverage

When obtaining information on infertility insurance coverage, don’t rely on just a phone call to the insurer. If you simply call and ask about coverage for a certain procedure, you risk getting incorrect information.


Instead, we strongly suggest that you request a written pre-determination letter or document from your insurance company detailing your exact benefits and any requirements that must be met in order to ensure coverage. This written document is your most effective tool if you need to challenge a decision or file an appeal for payment with your insurance company at a later date.


Establishing a point of contact with a representative at the insurance company is a good idea and may make follow-up easier. Keep a log of all phone conversations with your insurance company, including the date and time of the conversation and the name of the person with whom you speak.


During that conversation, get answers to these important questions:


  • What specific procedures do I need to follow to ensure that my infertility treatment is covered? For example, do I need separate referrals or authorizations for each office visit, blood work, ultrasound or procedure?
  • What are the qualifying criteria for receiving my infertility benefit? (i.e. previous attempts, a certain number of IUIs before being able to move onto IVF)
  • Is there a maximum dollar amount associated with infertility treatment? If so, what is it and how much have I used to date?
  • Is there a limit to the number of attempts allowed for intrauterine inseminations (IUI)?
  • Is there a limit to the number of attempts allowed for in vitro fertilization (IVF)?
  • Do I have prescription coverage?
  • Do I have a separate prescription plan?
  • Must I get my prescriptions from a particular pharmacy?
  • Is there a separate phone number I need to call to find out about my drug benefits?
  • Does fertility medication require prior authorization?


Visit RMACT's page about affording treatment for additional information.


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National Proclamation, Politics Aside, for National Adoption Month


November is National Adoption Month

national adoption month presidential seal   luigi crespo   flickr creative commonsPolitics aside, whether you like President Obama or not. Whether you identify yourself as a Republican, Democrat, Independent or some other variation on a theme. Whether you are so disgusted with politics that you plan on never voting again or are planning on moving out of the country. 


All those things aside, there are days that are claimed as this or that. Whole weeks devoted to celebrating, supporting or mourning for different causes and groups. 



Photo: Flickr Creative Commons, Luigi Crespo


National Adoption Month could be seen as just another one of those causes and groups. 


I would like to thank President Obama for making National Adoption Month 2014 a stand out. For proclaiming that creating permanent families is a vital and essential part of the american culture. For supporting that adoption is bipartisan and not political. 


Adoption is about creating families. It's about extending families and our concepts of families. It's about supporting a child's right to have a family.


Thank you, President Obama, for recognizing that National Adoption Month is for all of us to celebrate. 

Presidential Proclamation -- National Adoption Month, 2014





Every year, adoptive parents welcome tens of thousands of children and teenagers into supportive and loving families. 

These mothers and fathers provide their sons and daughters with the security and stability of a safe environment and the opportunity to learn, grow, and achieve their full potential.  During National Adoption Month, we honor those who have opened their hearts and their homes, and we recommit to supporting all children still in need of a place to call their own. 


Over the past decade, more than 500,000 children have been adopted.  However, there are still too many children waiting to be part of an adoptive family.  This month -- on the Saturday before Thanksgiving -- we will observe the 15th annual National Adoption Day, a nationwide celebration that brings together policymakers, practitioners, and advocates to finalize thousands of adoptions and to raise awareness of those still in need of permanent homes.


To help ensure there is a permanent home for every child, my Administration is investing in programs to reduce the amount of time children in foster care wait for adoption and to educate adoptive families about the diverse needs of their children, helping ensure stability and permanency.  We are equipping State and local adoption organizations with tools to provide quality mental health services to children who need them, and -- because we know the importance of sibling relationships -- we are encouraging efforts to keep brothers and sisters together.  Additionally, last year I was proud to permanently extend the Adoption Tax Credit to provide relief to adoptive families.  By supporting policies that remove barriers to adoption, we give hope to children across America.  For all those who yearn for the comfort of family, we must continue our work to increase the opportunities for adoption and make sure all capable and loving caregivers have the ability to bring a child into their life, regardless of their race, religion, sexual orientation, or marital status.


Throughout November, we recognize the thousands of parents and kids who have expanded their families to welcome a new child or sibling, as well as the professionals who offer guidance, resources, and counseling every day.  Let us reaffirm our commitment to provide all children with every chance to reach their dreams and realize their highest aspirations.


NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim November 2014 as National Adoption Month.  I encourage all Americans to observe this month by answering the call to find a permanent and caring family for every child in need, and by supporting the families who care for them. 


IN WITNESS WHEREOF, I have hereunto set my hand this thirty-first day of October, in the year of our Lord two thousand fourteen, and of the Independence of the United States of America the two hundred and thirty-ninth.





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The Truth About Adoption - National Adoption Month


The Truth About Adoption

Each year, November is recognized as National Adoption Month. To honor this, I wanted to share the following with you. It was shared by Suzanne Gilbert via Facebook and created by Kate Dahlquist. For me, it captures the truth about adoption. Does it resonate with you?


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the truth about adoption




Secondary Infertility? Watch Dr. Shaun Williams Discuss


Dr. Williams Speaks About Secondary Infertility and More

If you've had a baby and are having trouble becoming pregnant again, you will be interested in hearing what Dr. Shaun Williams, physician at RMACT (Reproductive Medicine Associates of Connecticut), has to say about secondary infertility.


In this video, Dr. Williams participates in Modern Moms, a series of table top discussions for women in Fairfield County, CT. He answers questions and discusses secondary infertility, male infertility, supplements and fertility, egg maturity, age and fertility, IVF, and embryo biopsy (also know as SelectCCS or Comprehensive Chromosome Screening). Let us know if you have questions.




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Changes as PathtoFertility Turns 5 - Fertility Journey Support


PathtoFertility Turns 5: Changes Announced

Path to Fertility bannerPathtoFertility is turning five later this month! While PathtoFertility and I are very close, sometimes even indistinguishable from one another, we are not one of the same. (However, for today’s blog when I refer to “we,” I do mean PathtoFertility and me.) PathtoFertility is the first responsibility that I focus on in the morning and it is one that I look forward to every single day. It’s quite an accomplishment, just staying together that long. For that opportunity and honor, I have some folks to thank.


Starting with the physician team of our fertility doctors at RMACT: Drs. Mark Leondires, Spencer Richlin, Joshua Hurwitz, Cynthia Murdock and Shaun Williams. The many other RMACT team members find ways to weave PathtoFertility into conversations with patients on a regular basis and so support our mission of offering extended support and education through the blog. A few special callouts to Robin Mangieri, Greg Zola and Cara Murray for all the professional and personal support that they give on a day to day basis.


PathtoFertility is a living and ever-changing site, with new writing every weekday. With that in mind, we’re (PathtoFertility and I) inviting others to participate with us in a more formal way in the future. We will have guest bloggers on a regular basis. We will have our medical professionals writing and updating us on information regarding fertility treatment and the scientific advancements that occur so frequently. We will have professionals in the field talking to us about the political, sociological, personal and emotional pieces of the infertility and fertility fields. We will have men and women who have experienced infertility, fertility treatment, adoption and childfree living share their experiences, thoughts and feelings with us.


It’s been a very special time for me to have had PathtoFertility for so long all to myself. The relationship that I have with this blog is powerful, consistent and alive. Writing every single day, talking to you, through PathtoFertility, is one of the greatest joys in my life. It is a strong constant in my life, what I arrange my schedule and time around.

Fertility Journey Support: What Will Change and What Won't

And now I’m going to be more generous and start sharing! Look for guest bloggers on a regular basis. I will be searching far and wide with others to share here so that you can count on PathtoFertility being more global, while still staying true to our mission statement:


The Path to Fertility is a place for comprehensive information on infertility treatment in a sensitive and compassionate way. Blogger Lisa Rosenthal has a long history of fertility patient advocacy, support and infertility education that provides comfort, helpful suggestions and a smile or two to those undergoing or considering fertility treatment. The Path to Fertility is here for you, to keep you company on your journey. We welcome and encourage your comments and feedback.

We will be keeping the focus on compassionate support with a special emphasis on “comprehensive” so that we can keep you firmly up to date with what’s happening in the field of infertility.


And there should be no worries for those of you who come mainly to read what I have to say. I am inspired each day by new situations that develop in the infertility and fertility worlds, as well as hearing from men and women who are actively trying to conceive. I still have plenty left to say!


PathtoFertility and I are growing and expanding as is warranted by turning five years old. I’m looking forward to sharing changes with you as we go forward, together. 


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Basics on Trying to Have a Baby - Medical Monday


Trying to Have a Baby - Medical Monday Basics

pregnant woman   medical monday basicsThere are basic questions that you need to know the answers to if you are trying to have a baby. Without the correct answers, you may not get pregnant even if nothing is wrong.

Sometimes it can be difficult to ask your physician about what you need to know. Sometimes, you don’t even know to ask or what to ask.

We make it easy on the RMACT (Reproductive Medicine Associates of CT) website. We spent a lot of time collecting frequently asked questions (FAQ’s) about pregnancy and fertility and then answered them. Who do we mean when I say “we” answered the questions?

Our board certified reproductive endocrinologists, who are sometimes also referred to as fertility doctors. But not all fertility doctors are board certified. Or reproductive endocrinologists. In fact, a physician can call themselves a fertility specialist without any specific training or skills.

The point here is that our doctors are the ones who answered these questions for you. Can you count on the answers being informative, helpful, accurate, clear and up to date? Absolutely. These are answers that you can count on to proceed with trying to have a baby.

Do you have some additional questions that are not addressed here? Please email me at FertileYoga@gmail.com or respond in the comment section of this blog. In either of those places, the questions will come directly to me so your information is secure and safe.

These questions and answers came straight from our website. I hope that they help clarify when and how to start trying to build your family. ~Lisa Rosenthal

Questions About Fertility

At what time of the month is a woman fertile?


The most fertile time of a woman’s cycle is just before or the of day ovulation. Ovulation usually occurs two weeks before a period starts, so it is necessary to count backwards from the anticipated start of the next period in order to find the most fertile time. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. For example, a woman with a 32-day period would likely ovulate around day 18 (32-14=18), while a woman with a 28-day cycle would ovulate around day 14 (28-14=14). We recommend every other day intercourse around the day of ovulation. That would mean days 12, 14 and 16 for women with 28 days cycles.


It is best to have intercourse before ovulation rather than afterwards, so a woman who ovulates on day 14 would have a good chance of conceiving if she has intercourse on either day 13 or 14. For women with irregular cycles you can extend the period of every other day sexual relations.


Alternatively, women with irregular cycles may want to use an ovulation predictor kit, which can be purchased over the counter at most local pharmacies. This involves testing your urine around the time of ovulation using a detector stick, which give you a visual reading. Additionally, there are electronic monitors which detect ovulation by tracking two hormones (estrogen and luteinizing hormone) starting with urine testing on day one of your menstrual cycle. The methods that utilize urine predictor sticks or urine ovulation detector machines are usually highly sensitive, accurate, and reliable.


How can a woman tell if she ovulates?

The simple, inexpensive way of finding out the approximate time of your ovulation is to take your basal temperature (that is, your body temperature at rest) every morning and record it on a chart. You can buy a Basal Body Thermometer at your local drug store. Save all your charts so you can review them with your doctor. Three or four months of charting should be adequate. If your temperature goes up after the middle of your menstrual month you likely do ovulate. In general you ovulate about two days prior to the temperature rise.


How often should we have intercourse?

It is a good idea to have intercourse every other day around the time you ovulate. Remember, every woman is different, and may not ovulate exactly on “Day 14.” And, just because you ovulated on “Day 14″ this month, doesn’t mean you will next month. It is preferable to have intercourse every other day rather than every day so that sufficient sperm will be available. To increase your chances of the egg becoming fertilized, do not douche or use lubricants immediately before having intercourse. See more pregnancy FAQs on RMACT's website.



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