Evaluating
Fertility
By Mel Ng
If you are planning a family and want to time your baby-making sex
you are most likely to feel the need to assess your fertility in
order to optimize chances of pregnancy so that you may know when
to consult a doctor. Knowing how to evaluate your fertility goes
a long way to allay concerns of couples wanting to start a family.
Evaluating fertility provides a greater insight into matters like
ovulation, the best time to conceive, and other fertility related
issues like age and chances of pregnancy without treatment.
Both male and female
fertility is dependent upon hormonal cycles which in turn determine
when a woman can become pregnant and when males are most fertile.
The female reproductive cycle is approximately 28 days and a three
to six day variation is considered to be normal. Ovulation occurs
on the fourteen days before the next menstrual period is due. A
woman’s fertility is at its peak on the day of ovulation and
lasts till the fourth day prior to the start of the next period.
The question that is
on the minds of most couples who are desirous of starting a family
is of how to ascertain the exact days of ovulation and whether it
is occurring or not. There are quite a few ovulation calculators
available with doctors as well as on the Internet that make it possible
to ascertain fertility levels. What you need to do is to simply
enter the first day of your last menstrual period and the calculator
tells you the next ovulation date. Such calculators, however, do
not work if your menstrual cycle is irregular and longer than 35
days or shorter than 21 days.
But there are other ways
of ascertaining fertility. If you can track your cervical mucus,
it can tell you with a fair degree of accuracy, whether you are
ovulating or not. The cervical mucus is thin, profuse, clear and
stretchy just before ovulation. After ovulation, the cervical mucus
becomes thick, tacky, scanty and sticky. You can observe this change
in the character of cervical mucus by seeing or feeling it.
You can also
determine the occurrence of ovulation by using the Basal Body Temperature
method. The body temperature varies during ovulation and after it.
The hormone, progesterone, produced by the corpus luteum triggers
off an increase in the body temperature after ovulation by 0.5 to
1.0 degrees. The Basal Body temperature method of assessing fertility
is a simple procedure that requires you to note your oral temperature
every morning before engaging in any activity. This is important
because eating, drinking and even moving about change the body temperature
and render the procedure ineffective. The basal thermometer allows
you to measure the smallest increase in temperature as it has a
least count that can measure up to a tenth of a degree. And therefore,
if you record your basal body temperature on a chart on the onset
of menstruation and note the temperature fluctuations throughout
the period of the menstrual cycle, you can get a fair assessment
of the timing of your ovulation. A rise of about 0.5 degrees in
temperature on or about fourteen days in the cycle would suggest
that ovulation has occurred.
Blood tests to determine
ovulation are expensive and inconvenient. You can, however, opt
for the ovulation predictor kits that are available in the market.
These simple and affordable kits measure the Luteinizing Hormone
(LH) surge that happens shortly before ovulation. Home urinary tests
are accurate as much as the surge in LH is concerned but do not
establish ovulation as a certainty.
In case you are having
difficulty in conceiving, the most foolproof method of ascertaining
fertile periods is to visit your doctor as they are fully equipped
with the latest advances in technology for treatment. You should
choose the doctor on the basis of your specific requirements for
consultation. Family doctors or general practitioners are not fully
trained to treat your reproductive system and are most likely to
direct you to a specialist. Obstetricians or gynecologists are better
trained for women’s health issues. A fertility specialist
or reproductive endocrinologist is trained in the field of reproductive
medicine, treatment of reproductive problems and for performing
advanced reproductive techniques like in-vitro fertilization.
Fertility in men is mainly
associated with their ability to produce sperm and transporting
it out their body so as to enter the reproductive tract of the partner.
Men can do this any time of the month but the quantity and quality
of the sperm can be affected by stress, anxiety, and medical conditions
like prostrate enlargement or infertility. Sterility is often mistaken
for infertility in men and it should be noted that infertility does
not mean a total inability to make your partner pregnant. With advancement
in medical research, infertility is now defined with temporal and
physical elements. You should assume infertility only if a concerted
effort at conception has been made with unprotected intercourse
and failed.
Fertility Facts Offers
extensive articles and resources on fertility, infertility, fertility
treatments, getting pregnant and pregnancy.
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