Fertility Program FAQs for Trying to Conceive

Dr. Mark Leondires, Medical Director of our fertility program at Reproductive Medicine Associates of Connecticut (RMACT), uses the term "subfertile". Not only is a lot more user-friendly than "infertile", it turns out to be a whole lot more accurate. Infertile would truly mean not to bother trying, it's not going to work. Subfertile means that there are may be a problem in becoming pregnant but there are also ways to overcome those problems.

 

Otherwise, no one would ever get pregnant in fertility treatment and, luckily, that is not the case. 

 

It may be that you are trying on your own at home. If so, please read below to make sure that you are optimizing your chances of conceiving. 

 

After all, timing isn't everything. But with fertility, infertility and especially subfertility, it's an awful lot.

 

These questions and answers and many more are questions that we are asked over and over again at RMACT and that have been answered either by our board certified reproductive endocrinologists or other specialized clinical staff. There are other questions in our FAQ section, which focuses on Infertility Answers and Pregnancy FAQs. And if there's a question that you have that is not there, please ask me. I'll find out the answer for you ~Lisa Rosenthal

 

At what time of the month is a woman fertile?


ovarian cycle chart for fertility program FAQsThe 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 you 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.

 

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Topics: Infertility, Ovulation, Infertility Basics, Medical Mondays

Lisa Rosenthal

Lisa has over thirty years of experience in the fertility field. After her personal infertility journey, she felt dissatisfied with the lack of comprehensive services available to support her. She was determined to help others undergoing fertility treatment. Lisa has been with RMACT for eleven years and serves as Patient Advocate and the Strategic Content Lead.

Lisa is the teacher and founder of Fertile Yoga, a program designed to support men and women on their quest for their families through gentle movement and meditation.

Lisa’s true passion is supporting patients getting into treatment, being able to stay in treatment and staying whole and complete throughout the process. Lisa is also a Certified Grief Recovery Specialist, which is helpful in her work with fertility patients.

Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association (now Path2Parenthood), where she was Educational Coordinator, Conference Director and Assistant Executive Director.

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