Do I have a fertility problem?

The most commonly accepted definition of infertility is failure to conceive over one year of unprotected intercourse. This will happen to 10 to 15% of couples, and presumes that you have intercourse frequently enough to have the sperm and egg meet. How often is that? If you have regular periods every twenty eight to thirty days, ovulation should occur around day fourteen to sixteen. (Day one is the first day of your period.) It may be that you only need to pay closer attention to sex every other day beginning around day 12. Sperm will live in the tubes for three to five days waiting for an egg to pop out. I have had many couples having problems who succeeded just by changing their timing of sex. It takes longer to conceive when you are older. After 35 it is not uncommon to take 8 to 12 months to conceive. Earlier in life it is common in the first 3 to 6 months. What should I be doing? If you think you may have a fertility problem, keep track of your periods and mark when you had intercourse. 40% of fertility problems are male, and it might be worth going ahead and getting a semen analysis done through his family doctor. He needs to abstain from ejaculation for 48 hours prior to providing the sample. May men have problems with their virility and egos all tied up in their sperm counts. Be sensitive in how you approach the topic, and tell him that you will be going to the gynecologist after the results are obtained. Feel free to bring him along to the initial consultation. The basic evaluation is fairly simple to understand. There have to be sperm of good quality. They have to meet with the egg at the right time. The passageway (cervix, uterus, and tubes) must be open. And finally the uterus must be able to accept the fertilized egg. There are tests to address each of these steps. Call and make an appointment to discuss your situation. It doesn't hurt to take a few of the above mentioned steps to get a head start. Don't keep basal body temps. It creates too much stress. Stress and anxiety are among the hardest of things to deal with is these situations. We can check for ovulation by measuring blood tests for progesterone. Good luck. It will happen.

Patient Education

Having your baby at Methodist Mansfield

Methodist Mansfield is a great place to have your baby. Dr. Daum delivered the first baby at Methodist Mansfield on December 26th, 2006. Since that day the hospital has grown, but retains the small hospital feeling that many women enjoy. The NICU is now considered a level III A nursery,... Read More

Am I in Labor?

Labor at term is about trying to decide if it is time to go to the hospital. If it is timed properly, it will prevent frustrating visits to the hospital which result in going back home. Many women have described a  contraction as "The baby balls up". What is really... Read More

Pregnant! What not to eat.

You have probably heard that there are foods that should be avoided during pregnancy. Most of the restrictions are directed at avoiding mercury which has gotten concentrated in fish. The fish to be avoided are the predatory fish from the ocean, and include tuna, shark, mackerel, and salmon. In fact, most fish should... Read More

Essure Tubal Sterilization

There has been a good bit of advertising recently about the Essure method of tubal sterilization. Essure is not new, and has been on the market for a number of years. The Essure method of sterilization  requires placement of a device in each tubal opening, where it opens into the... Read More

What's with the NEW Pap Smear Guidelines?

With the advancement of DNA technology, it has been determined that 99% of cervical cancers are caused by Human Papilloma Virus (HPV). There are many subtypes of HPV, and a small number have been detected in cervical cancers. These subtypes are called  high risk HPV subltypes. The highest risk types are types 16... Read More

American College of ObGYN Patient Information Website

The American College of ObGYN (ACOG) is the governing body for ObGYN doctors in America. They have created a very informative and helpful patient information page that covers a wide variety of topics for patients. If you have any questions about women's health, this website is a great resource. If... Read More

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