Trying to Conceive: Answering the Infertility Questions
If you're trying to conceive and it doesn't happen easily or quickly, you will have questions. We hear questions over and over again. Often they are the same questions, so the board certified reproductive endocrinologists and the clinical medical team at RMACT have taken some of those questions and answered them so that you can find reliable answers when you most need them.
Very often it does take up to a year to become pregnant. If you are under 35, with no known medical reason for not becoming pregnant, then that's a reasonable amount of time to try. If you are over 35, then six months is what is recommended before seeking help from a fertility specialist.
Meanwhile, here are a few typical questions if you are hoping and trying to become pregnant. We hope that your path to fertility is short and uncomplicated. LR
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 gives 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.
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