While there are no guarantees that unprotected sex will lead to pregnancy, what we do know is that frequency plays an important role in increasing your chances.
A study involving 221 “presumably fertile couples” found that couples who have sex daily, or every other day, have a better chance of conceiving than those who limit intercourse to once per week.
The Practice Committee of the American Society of Reproductive Medicine along with the Society for Reproductive Endocrinology and Infertility has published a statement discussing the frequency of intercourse in order to optimize your natural fertility.
“The practice committee reviewed a study examining the optimal frequency of intercourse to improve the odds of getting pregnant.”
They state, “In one study involving 221 presumably fertile couples planning to conceive, the highest cycle fecundability [the chance of conceiving per cycle] (37% per cycle) was associated with daily intercourse. Intercourse on alternate days yielded a comparable pregnancy rate per cycle (33%), but the likelihood for success decreased to 15% per cycle when intercourse occurred only once weekly.”
They go on to state, “Although evidence suggests that daily intercourse may confer a slight advantage, specific recommendations regarding the frequency of intercourse may induce stress unnecessarily.”
The practice committee concludes, “Couples should be informed that reproductive efficiency increases with the frequency of intercourse and is highest when intercourse occurs every 1 to 2 days but be advised that the optimal frequency of intercourse is best defined by their own preference within that context.”
Source: Fertility and Sterility, Volume 90, Issue 5, Page S1, November 2008, Authors: Practice Committee of the American Society for Reproductive Medicine with the Society for Reproductive Endocrinology and Infertility.Learn More
For the man, there’s no escaping it as male infertility accounts for a significant amount of the cases where a couple can’t get pregnant. To alleviate fears and get you better prepared here are some quick facts you need to know.
1. What is a semen analysis?
A semen analysis is one of the 1st line investigation tests for the male partner after the couple have been trying to conceive unsuccessfully for more than 1 year. The test analyses the sperm count (to see how many), the motility rate (what percentage swim), the morphology (what percentage are normal) progression and volume.
2. Why is it done?
To assess the above parameters to ensure they do not fall below the normal levels. If they do, this can be the underlying cause of the couple’s infertility.
3. How should a man prepare before taking this test?
He needs 2 – 4 days of abstinence (so no sex) – not any more or less to evaluate the optimum live sperm count. Sperm die off every 3 days so if the man has a long period of abstinence you get lots of dead sperm and the count is not as accurate as it should be.
4. How is the semen analysis performed?
It is performed by masturbating and shooting the sample into a sterile container to be analysed by a qualified technician at a lab.
5. Can it be done at home?
Yes, as long as it can reach to the lab within 60 – 90 minutes of production. Men, who find it difficult to produce a sample via masturbation for religious reasons etc, can produce the sample using a specialised condom. These condoms and instruction on how to collect the sample must be obtained from our clinic.
6. Should a man feel embarrassed about this type of procedure?
Not at all. It is an easy test and non invasive.
7. Are there any risks involved in doing this?
No, it’s completely harmless.
8. What type of results can men expect from the tests?
Each result is individual – some men have normal counts, some have low counts and some men have no sperm at all. The tests results will determine what course of action you and your partner need to take to achieve your pregnancy.
9. Are there things that can affect the semen analysis?
Yes recreational drugs, some medications i.e. steroids, hormones, smoking and heavy alcohol as well as environmental factors use can drop sperm counts.
Yes be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there’s anything you need to do in advance. If a semen analysis is scheduled, you will need to refrain from ejaculating for 2-7 days prior to the collection.
In this section of our site, you will find numerous blogs covering everything fertility that you as patients have said you would like to talk about.
We use this platform to reach out and communicate to you, especially if you’ve been thinking about your fertility, talking about it, researching the IVF process or just reading about artificial insemination. We also cover IVF costs, In Vitro Fertilization (IVF) and all the other topics you ask us about.
We know sometimes it can seem and feel overwhelming, so we have broken down the information and made it as easy as possible for you to understand and to ultimately take charge of your fertility. This is what we do and we do it with relentless passion and pride.
Since we opened our doors in 2002 to provide IVF to couples from all across the Globe – USA, UK, Europe, Caribbean, Canada and even as far as Australia and Hong Kong – we have grown in every way, but mostly as a BIG family creating more and more “members” every day. This blog is about deepening our relationship with you and if through our stories, both written and video, we make you smile or even if you shed a tear, then we know we are serving our intended purpose. We enjoy having good, open and enlightening conversations with you and we would love it if you shared the posts you read. Together we can spread the word and make changes!
Lets talk Fertility!Learn More
What Does Your Tube Have To Do with Getting Pregnant? The causes and treatment of Tubal Factor Infertility
“Both my tubes are blocked; do I have any chance to get pregnant? What are my options? How can I know if my tubes are ok? Can tubes be fixed? Can tied tubes be reopened?”
These are only few of the hundreds of questions I get asked every day and it’s understandable why there is a lot of confusion on this topic.
Allow me to address some of the major concerns around tubal factor infertility.
The fallopian tube connects the ovary, where the egg is released to the uterus or womb. Normally, the fallopian tube picks up an egg each month as it is ovulated and released from the ovary. Fertilization, the process in which a man’s sperm joins with an egg, takes place in the fallopian tube.
A blockage in the fallopian tubes will not allow the egg and sperm to meet.
Some infections like Chlamydia can also contribute to a tubal or ectopic pregnancy, which occurs when an egg is fertilized but, due to the damaged lining of the tube, it is unable to travel to the uterus, growing instead in the wall of the fallopian tube. This condition can result in rupture, internal bleeding and further tubal damage.
Tubal factor infertility accounts for about 25 – 30% of all cases of infertility and the condition includes cases of completely blocked fallopian tubes and cases where just one tube is blocked or there is scar tissue inside or around the tubes.
Here is the big surprise about tubal factor infertility, normally there are no symptoms that occur with a blocked or damaged fallopian tube.
If you have certain types of blockages, for instance due to endometriosis or PID (chronic inflammation of the pelvis due to Chlamydia infection), you might experience some pain in your lower abdominal area or you might experience some vaginal discharges that you’re not used to. But this is not always the case and, in most instances, the biggest clue is that you are not getting pregnant when you are trying or when you have an ectopic pregnancy. So you may be unaware for many years until you start trying to get pregnant. You think you are doing everything right, you are using your ovulation kit predictor but it isn’t working for you.
However if you’ve had an ectopic pregnancy or have been trying for over a year to get pregnant without success, it’s time to make an appointment with a fertility doctor.
If you are diagnosed with a blocked fallopian tube, rest assured that there are numerous treatment options.
The first would be to determine whether you have a blockage on one side, or both.
If you only have a blockage on one side then you might be prescribed some fertility drugs to help you ovulate on the fully functioning side to increase your chances.
If you have blockages on both sides there are two options, surgery or IVF (In Vitro Fertilization).
The most significant issues are success rates, the degree of tubal damage, the age of the female, and whether other infertility factors (male or female) are present.
IVF typically provides the best results; however, surgical approaches may be advisable if your tubes are only minimally damaged or when surgery is planned due to other pelvic findings such as hydrosalpinx or fibroids.
In case of tubal ligation, “tied tubes”, patients most often need IVF to bypass the blockage. In some rare cases, surgery can be done to reattach tubes after ligation, though with poor results.
The decision to have one of these therapies for tubal infertility should be based on several factors, which your fertility specialist should discuss with you. If you are interested in further information on this topic or would like to arrange a FREE telephone consultation with a fertility specialist then please contact us. Link to contact form please.
Let’s talk fertility!
– Dr Roberta Corona.Learn More
I was driving along this week and the song, Whistle While You Work, by Katy Tiz was playing. I was having one of those days where it felt like it was coming at me in all directions. But by the end of this song I couldn’t help but stop and smile and decided it was time embrace my inner child and whistle for the first time in years!
I puckered my lips, sucked in the air and out came this melodious tune (okay, so it sounded more like a screeching cat at first but let’s stick with melodious for now!) Then I exhaled and pushed the wind through my lips and again that sound was created. I did this a few more times until I could play my breath as a tune and then the corners of my mouth turned upwards and had no choice but to smile.
That small act got me thinking – what are those things that we are taking in and what are we pushing outto create our own growth, happiness, peace and contentment in our lives. For me these things are a foundation that if present can help ground you when the storms of life come our way. I think sometimes we look at the picture of our lives and believe we need to do something big like change our career, or relationship or life status but really if we are intentional with small decisions we can make those small changes be like building blocks that can have a big impact. These decisions to be good to ourselves and commit to the important facets of who we are may come in the form of simply making yourself a cup of tea before bed at night, committing to journaling your thoughts once a week, dedicating to your exercise routine, making time to have that chat with your friend, praying/mediating, reading blogs that inspire you and for me recently going onto Pinterest at night for 10 mins and searching “ Funnies” just so I can have a laugh!
Life throws things at us all the time and we need to be equipped when the storms come so chin up friends and if you get a chance this week, stop for a moment, smile, pucker your lips and whistle while you work it!
– Rachel de Gale.