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Pregnancy Advisor's has been a member since June 24th 2012, and has created 1112 posts from scratch.

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Ovulation Calculator After Miscarriage

Linda asks…

Just got my first period after miscarriage when will i ovulate?

i want to start trying again for a baby

Pregnancy Advisor’s answers:

Try using an online ovulation calculator. Every woman’s cycle is different.

Susan asks…

what wrong i cnt get pregnant after miscarriage?

i miscarried last year in janauary when i was 7weeks but havnt concieved since then is their any wrong should i go doctors?

Pregnancy Advisor’s answers:

My husband and I tried for a year to get pregnant then I went online to an ovulation calulator and it tells you exactly when to have sex. We had sex 2 days in a row at my most fertile and found out I was pregnant 2 1/2 weeks later! Unfortunately I had a miscarriage 5 days ago at 7 weeks pregnant. But I have heard that the next 3 cycles after a miscarriage are the most fertile so we’re going to try again using the ovulation calculator whenever it is safe. Try it and if you don’t get pregnant then ask a doc for assistance, good luck to you, I hope everything works out for your next one! =)

Betty asks…

My husbamd and i want to get preg how can we get preg fast and easy?

We have been trying to get pregnant for months we had to get on clomid but it doesn’t seem to help we have had a miscarriage please help I need tips on how to get preg fast n easy thanks for the help

Pregnancy Advisor’s answers:

Chart your menstruation to keep track of ovulation, there is only a small window of opportunity so use an ovulation calculator, all you need to do is have sex on all of those days, of your not in too big of a hurry don’t stress since 85% of couples conceive within a year

Jenny asks…

Question about miscarriage and ovulation please try read and answer?

If I had a miscarriage on the 2nd of November and it ended on the 7th November, when will i normally ovulate? I want to enter details into Fertility Friend but dont know if i should start the cycle from the first day of the miscarriage bleeding or the last day

Thanks!!
by the way – i was 5weeks pregnant and had an uncomplicated m/c.

Thanks

Pregnancy Advisor’s answers:

I am also sorry for your loss. I had a miscarrige a week ago with triplets. Anyway, If you just had a miscarriage and you’re trying to concieve again, the best thing to do is not to go and use any calulators. Calculators only give estimates. You should go and buy a Ovulation test kit. Unlike an online calculator or a calender, a Ovulation test kit can detect Ovulation just like a pregnancy test detects a pregnancy.
The reason the calender or calculator won’t work is because after you have a miscarriage the time it takes for horomones to go back to normal differ’s from person to person. My friend had a miscarriage and got pregnant again within the same month, others take 2 months to show a period.
The Ovulation test kit would be the best thing to use, but if you must use a calender or calculater, wait until your next period shows. Your period won’t be the same after the miscarrige, your body has it’s own agenda especailly when something like this happens. I hope you concieve again. Annesi

Ruth asks…

Has anyone used an ovulation test? Do they work?

Me and my husband want to try to have a baby, but my cycles are somewhat irregular. I’ve been pregnant twice before, but miscarried both times. My OB told me that she would test me once I’ve had three miscarriages to find out why I’m miscarrying, and if it can be fixed. She told us to wait 6 months before trying again and it’s been about 8 and we’re ready.

Are ovulation kits worth the money if your period is irregular or can they be inaccurate?

Pregnancy Advisor’s answers:

I typed in ovulation calculator into google and it brought up one it asks for the date of your last period and calculates it for you i got the date it said i would be ovulating then when it got close to that time i ran out and got an answer ovulation test it showed that i was ovulating i would try that and best of luck to you. :)

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Ovulation Calendar Temperature

Jenny asks…

How do you know when you are ovulating?

Without sticking my fingers to feel my uterus or without taking my body temperature does anyone know any other ways of knowing when you are ovulating? Thanks!

Pregnancy Advisor’s answers:

Try to use this ovulation calendar tool http://www.eovulation.com/ovulation-calendar/ to trace your cycle and find the date of ovulation.

Laura asks…

How much should my bbt go up when I am ovulating?

I’ve tracked it for the last couple days and got results like 97.22, 97.70, 97.53, 97.39, and 97.15. I’m just wondering how big of a jump to be expecting. I should ovulate next week according to the calendar.

Pregnancy Advisor’s answers:

I have to disagree 100% with Lola, when you ovulate your temperature will raise at least 0.4 degrees. Even though the range of temperatures before ovulation is different for every woman, the degree to which it will raise is standard.

It is not difficult to use your BBT to detect ovulation. Some women will have a slow rise, one that goes up 0.2 degrees for a day or two and then up to the 0.4 degree “High temperature level”. If you are confused, then use an online charting program like www.fertilityfriend.com and they will do the hard work for you.

For your own knowledge, your BBT raises after ovulation because of the influence of progesterone on your body. After ovulation, the follicle that released the egg triggers the production of progesterone which makes your cervical mucus dry up and your temperature rise. If you are trying to get pregnant you might also try to monitor your cervical mucus because that is what will tell you that ovulation is approaching, by the time your temperature rises you have already ovulated and it may be too late to catch the egg since the egg is only viable for 12-24 hours. Good luck, hope you get your ++++ soon!

Sharon asks…

Can anyone provide me with some ovulation calender websites?

Anyone know any free ovulation calender websites?
Best answer gets 10 points?
Also how accurate are they?
Thanks

Pregnancy Advisor’s answers:

Ovualtion calendars are not accurate. They work on a myth. A calendar does not know your body- it is only trying to guess when you are ovulating based on the myth that women ovulate on the 14th day of their cycle.

The day of ovualtion is different for each woman. Even if two woman have the same length cycle, they can ovualte on different days. The day of ovualtion can change each cycle. Anything can affect ovualtion- stress, illness, medication, travel, holidays-anything different………

The only way to know for sure when you ovualte is to chart your waking temperature and observe your cervical mucus. Read the book: Taking Charge of Your Fertility by Toni Weschler. The book explains your cycle, charting and how to get pregnant. It is a great book and a must read! Check out the website: http://www.fertilityfriend.com/

In order to get pregnant you need fertile cervical fluid/mucus. The cervical mucus consistency varies through a woman’s cycle. The consistency of your cervical mucus changes during the cycle due to hormonal fluctuations. You are considered most fertile when the mucus becomes clear, slippery, and stretchy. Many women compare mucus at this stage to raw egg whites. The amount of this thin mucus will steadily increase until you experience your ‘mucus peak’. This is the last day of this phase where the chance of conception is high. It is closely tied to ovulation. During this phase, the sperm’s survival rate is higher. Here is some information of cervical mucus.

Stages of Cervical Fluid: Post Menses
Stage 1: Lasting 2 – 3 days CM is Sticky or Gummy
Stage 2: Lasting 2- 4 days: CM is Creamy, Milky, Lotion Like – Beginning of your fertile period
Stage 3: Lasting 1-5 days: Egg white Cervical Fluid – At this time you are very fertile.
Stage 4: Dry, Moist or Sticky (Infertile)

Here is a more detailed description:

http://www.babyhopes.com/articles/cervical-mucus.html

http://www.fertilityuk.org/nfps401.html – this one has pictures

Betty asks…

Do these online ovulation and fertility calendars really work?

Do they really predict when you are most fertile or are they just a joke? Has anyone found them useful, or have they helped you get pregnant?

Pregnancy Advisor’s answers:

It never hurts to try, if you’re not sure however, there are ovulation tests you can take which are similar in use to pregnancy tests. Though be aware that you will only have 12-24ish hour window to successfully conceive if the test is positive. Http://www.firstresponse.com/ovTest.asp here is a link to ovulation tests.

If you’re irregular or just want to be certain, it is recommended that you engage in sexual relations at least 2 or 3 times a week in order to cover your fertile times since sperm can live for 3 – 7 days.

If you do not want to take an ovulation test, you can pick up a basal thermometer from most health stores. Http://www.early-pregnancy-tests.com/bbt-basal-body-temperature.html here is a web site on how to use them. When ovulating, most women’s temperatures will rise ~.04 degrees. You need to take this test as soon as you wake up, as doing things such as using the restroom or talking on the phone will fluctuate your temperature.

Helen asks…

Can you get pregnant two days after ovulation?

Me and my husband made love 2 days after my “predicted” ovulation date and he ejaculated inside me… my expected period should be sept 26, im just wondering if there is a high, medium or minimal chance of getting pregnant. Thank you.

Pregnancy Advisor’s answers:

The chance of getting pregnant 2 days after ovulation through intercourse is extremely low, because the egg is rarely viable by that point and even if it is, the cervical mucus “shuts the door” and becomes less hospitable to the sperm. This happens even if it’s just ONE day post-ovulation. At that time, insemination still can result in good chances of pregnancy but natural intercourse can’t.

However, keep in mind that you don’t really know 100% for sure when you really ovulated. If you’re making an educated guess based on calendar, mucus, temperature, LH kits, you still can not know for sure that it’s accurate. Hopefully, you didn’t really ovulate until 2 days after you think you did and you get pregnant this month. Best wishes!

Http://fertilityfile.typepad.com/fertilityfile/2007/09/am-i-truly-ovul.html

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Ovulation Signs And Symptoms Trying To Conceive

Ruth asks…

What were your early signs of pregnancy and when did you experience them post ovulation? (10 points)?

Hi there could you tell me what signs you had post ovulation onwards and the timing of which it happened?.

I’ve been experiencing hot flushes and nausea at the same time but it only lasts for about half an hour to an hour in the evening and then it stops? Not sure if i’m pregnant.

I’m approx 11 days before my period starts
We are trying to conceive. I’ll award ten points for the most detailed answer :) thanks.

Pregnancy Advisor’s answers:

People will tell you that you can’t have symptoms that early, but I sure did. When I got pregnant I ovulated (and had sex) May 15. My husband works a lot so the month before that he was away on business, came back on the 15th for my birthday, we had sex, and then he went away on business again on the 16th. So I know that’s when I got pregnant! My breasts were tender and went up about 1/2 size by the 21st. I had nausea by the 21st and was throwing up later that night. I just “knew” I was pregnant, but everyone told me there was no way I could know. I took two tests 5 days before my period was due, and yep, pregnant! Hubby came home, didn’t believe me (“you can’t be pregnant from one time!”) so we took a blood test at the doctor, and I was pregnant. I don’t remember getting hot flashes but I was so overwhelmed and I had that gut feeling, it’s like you know something’s in there. People say it’s impossible so maybe it was just chance, or maybe it’s because at the first ultrasound we found out it was twins! Double the babies, maybe you get symptoms earlier?
Anyway, that’s just what happened to me hope it helps in some way.
It must be exciting TTC the wait would kill me! Try to think of something else then test 5 days before and if negative, keep testing til it’s either positive or you get your period.
I hope for you that this is it!

Mandy asks…

How soon after conceiving can you take a pregnancy test?

My partner and I are trying to get pregnant we have sex 11 days after my last period… Is it possible that i am pregnant and how soon can a pregnancy test be done.

Pregnancy Advisor’s answers:

Dear Monique, Happy New Year and I truly wish you a very Happy and healthy New Year, and hopefully with a Bundle of joy. All symptom’s seems there, all said, Pregnancy tests are designed to tell if your urine or blood contains a hormone called human chorionic gonadotropin (hCG). This hormone is produced right after a fertilized egg attaches to the wall of a woman’s uterus. This usually happens but not always about six days after fertilization. If you’re pregnant, levels of hCG continue to rise rapidly, doubling every two to three days. You should know that waiting at least a week after a missed period may give you the most accurate result. Results may also be more accurate if you do the test first thing in the morning, when your urine is more concentrated. Follow instructions.B4 you decide when to take a pregnancy test, it helps to understand how they work. The tests detect pregnancy hormone, human chorionic gonadotropin (hCG), in your urine. Some tests also detect a variation of this hormone, known as hCG (H-hCG). The regular hCG is produced only after an embryo implants in to the endometrium, while H-hCG begins to be released earlier, some time after fertilization.When pregnancy tests tell you how much hormone they detect, they usually tell you how much hCG the test requires. A woman’s level of H-hCG, though, is typically higher than hCG. The majority of pregnancy tests are not sensitive to the hormone H-hCG. If a pregnancy test does detect H-hCG, you’re more likely to get a positive result early. If a pregnancy test is not sensitive to H-hCG, and only detects regular hCG, getting an early positive result is less likely. The great majority of pregnancy tests on the market, unfortunately, are not great at detecting H-hCG. It’s important to know that these tests assume a 14-day luteal phase. (That’s the time between ovulation and when you get your period.) If your luteal phase is usually 12 days, four days before your missed period would be 9 days after ovulation. Way too early to test.If you have a luteal phase of 15 days, though, 4 days before your missed period is 12 days after ovulation. You still may not have enough hormone that early, but you’ve got a much better chance than someone with a shorter luteal phase. If you read the instructions carefully, they are promising 99% accuracy on the day of your missed period & not for early results. If U expect your period on Wednesday, Thursday would be the day of UR missed period. Something else to consider is whether you know if your period is even late. If you chart your basal body temperature and you know how long your average luteal phase is and you see that you’re two days past your longest luteal phase, then you can be pretty darn sure your period is late. If you don’t chart your cycles, though, how can you know if your period is late? What if your cycles are irregular? If you want to avoid false negatives, or “false positives”, the best time to take a pregnancy test is after your period’s late. If your cycles are irregular or you don’t chart your cycles, I wouldn’t take a test until you’ve past the longest menstrual cycle you usually have. If your cycles range from 30 to 36 days, the best time to take a test would be day 37 or later. Also, if you’ve have had an hCG trigger shot like Ovidrel, then you should not take an early pregnancy test. An early test may detect the remains of the fertility medication. If you feel as if you just can’t resist, carefully consider how you’ll feel if the results are negative. If a negative test doesn’t bother you, and you have cash to spend on pregnancy tests, go ahead. If a negative result is going to make your heart ache or if you’d rather not waste money on extra tests, though, then wait until you’re late. If your test was negative after your first or even second try at a particular treatment like Clomid, don’t be so quick to think this is a sign of future failure. Three to four trials of a given treatment are commonly needed before you know if the treatment will work for you or not. Even if this is your fourth trial, this doesn’t mean changing treatment or tweaking certain aspects of the treatment won’t help. You should take your test on you 28th day or later. At least two weeks (or maybe more) after ovulation. I hope your doctor is monitoring you closely. So DEAR I WOULD WAIT AS LONG AS POSSIBLE SENDING YOU A LOT’S OF BABY DUST TOWARDS YOU. SOME INFORMATION ARE “FY”I ONLY LIKE CLOMID & OTHERS SO YOU WILL HAVE FULL IDEA ABOUT ALL. IF U NEED MORE INFO TO INCREASE UR CHANCES OF PREGNACY I WILL BE GLAD TO HELP YOU.. Good Luck Best wishes Have a Happy Healthy successful New Year.

Sharon asks…

Could increased cervical mucus be a sign of pregnancy and no breast tenderness like normal?

My husband and I have been trying to conceive this month and I’m about 9 days past ovulation. Normally I get sore breasts about a week before my period (due in four days) and so far I have nothing. I’ve also had a large increase in the type of cervical mucus that I normally receive before my period, however this began a few days after ovulation and has continued to increase. Does this just mean my period is right around the corner? Any insight?

Pregnancy Advisor’s answers:

I think there is a pretty good chance you are pregnant. I remember not getting some of my typical PMS symptoms before finding out I was pregnant, and I think that increased cervical mucas is pretty common as well. Good luck and baby dust! :)

Lisa asks…

How early can pregnancy symptoms happen?

I ovulated around the weekend of March 10th and now for the past four days i have been this feeling of sea sickness. I can still function but I get waves of feeling ill and then it goes away. Could this be a early sign of pregnancy? We have been trying to conceive, and I have never felt like this before my periods. I took a test but it came back negative. I tested when I was ten days past ovulation.

Pregnancy Advisor’s answers:

I also ovulated on the 10th. For the past week I have had terrible pain in my nipples, I am really exhausted, have a backache, a dull headache and also the coming and going feeling of sickness. I keep telling myself that it is PMS because I don’t want to get my hopes up but this is about 20 times worse than any PMS I have ever had… And usually with PMS I have bloating, cramps, and feeling blue as well… Even yesterday a friend of mine hugged me and I thought that I was going to cry because of the pain in my breasts… Are you charting? If so how do your temps look? I haven’t tested yet, but my temps are still up. I am expecting AF on Sunday so I will wait until next week to test because I don’t want to test too early… They say for the best results not to test until after your missed period so maybe testing was too early for you… Good Luck! =)

Linda asks…

How soon could I have pregnancy symptoms?

My and my hubby have been trying to conceive and I tested positive with an ovulation kit this past Friday and Saturday, Oct.3 and Oct. 4. We had sex that Friday and Saturday we didn’t but 22 hrs. later on Sunday we did again. Could I have gotten pregnant? We also had sex four days before and the day prior to ovulating. I took an early pregnancy test at home and I know it is too soon and of course it was negative. Then on the way to work on the train today I felt like fainting. Is fainting a early pregnancy sign?

Pregnancy Advisor’s answers:

The egg takes 5 days just to get to the uterus and another 3 days to develop a placenta and another 2 days (total of 12 days past ovulation)to make enough hcg to cause pregnancy symptoms and is the soonest a hpt can detect a pregnancy.

Fainting is caused by lowering of blood pressure. Just standing with your knees locks for awhile can cause this. The blood volume increases during pregnancy which makes it unlikely to allow low blood pressure but as the uterus gets big (beyond the 6th month) laying on your back can cut off the artery which can cause blood pressure problem as well as endanger the fetus.

The first common symptoms are tireness (from increase blood production & demand on the body), spotting, cramping or butterfly feeling (due to implanting. This is usually the first symptom to show up if you get it), high sense of smell, nausea and changes in breast.

You seemed to have had sex on the right days so you have a 20 to 25% chance of conceiving this month.

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Ovulation Period Calculator

Linda asks…

Ovulation calculator as BC?

How accurate is using an online ovulation calculator to NOT get pregnant?I have somewhat irregular periods of about 35 days give or take away a few days.Do those few days either way make a difference or not? I have also been known to get my period a week early or a week or two late .I only have sex once or twice a month when i get a bad craving for sex and it a fling with ex.bf the only guy i have ever been active with.Can this work?
My friend says she uses this method combine with the pull out method and has never gotten pregnant?

Pregnancy Advisor’s answers:

Not a good idea for avoiding pregnancy

Maria asks…

Ovulation calculator questions?

I used an online calculator, which im not sure on how accurate they can be or are, but anywhoo. It said the days I would be most fertile would be the 19th and the 24th, which were the beginning and the end of the fertile period, I am assuming. Does this mean that I will be ovulating both days, somewhere in between, or only on the first day?

Pregnancy Advisor’s answers:

Ovulation days are the 16-12 days before your next expected period. These 6 days (19-20-21-22-23-24) are considered the most fertile days for you and easy to conceive. Best of luck

Betty asks…

My period is every 2 weeks I want to get pregnant am I even ovulating?

came of the pill 6 weeks ago as my and my partner want a baby. I am having my period every 2 weeks. so I carnt even use a ovulation calculator as the lowest days are 20 not 14. what’s going on with me.

Pregnancy Advisor’s answers:

Your body is probably just a little wonky right now becuase you went off the pill.. Your hormones are just a little off right now, they will go to normal soon.. YOu can figure out when you are ovulating if you buy ovulation strips from the drug store. They are pricey but if you odn’t want to wait you can have them tomorrow.. If you can wait a month, you can order “LH” strips off of ebay, they are just as effective and much cheaper. Good luck:)

Jenny asks…

How many times did you take a pregnancy test before missed period?

We are ttc, and so far though my period is not due yet I have already taken 2 pregnancy tests. I want so badly to have another child. According to my ovulation calculator it says to try next Monday, but I am so excited I want to try every other day until then just in case. Have you ever been like this. Or am I the only one?
When I mean try, I mean take another test. Im already a couple days past ovulation. I did have inercourse every couple days or so.

Pregnancy Advisor’s answers:

5 times

Lizzie asks…

Can you use an ovulation calculator?

To NOT get pregnant?I have somewhat irregular periods of about 35 days give or take away a few days.Do those few days either way make a difference or not?
I have also been known to get my period a week early or a week or two late .

Pregnancy Advisor’s answers:

You can use a fertility chart to try to prevent pregnancy, but just keep it mind that it is not fool proof. Just like it can’t guarantee a pregnancy when you’re ttc, it can’t guarantee that you won’t get pregnant either. Sometimes you can misinterpret the data or your body does something unexpected, so be careful.

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Lh Hormone Surge And Pregnancy

Betty asks…

How do you know when you’re ovulating?

My husband and I are trying to get pregnant and I figured that if we have sex every day for a month then we should stand a good chance? I don’t know when I’m ovulating to just try then.

Pregnancy Advisor’s answers:

That’s a good idea – having sex every other day (to preserve sperm quality and quantity rather than every day) will make sure that you hit your most fertile time for pregnancy without having to chart or bother with home Ovulation Predictor Kits (OPKs) etc. Some women choose to opt for this route when TTC and fair play to them :) However, I’m a self-confessed control freak when it comes to things like this and I’ve opted to chart my temps, track my Cervical Mucus ANNNDDDD use the OPK pee-sticks! I can say that I recommend charting the temperatures each morning with a Basal Thermometer, if you were to choose only one to follow. The rise and fall in your readings every day will show you IF you’ve ovulated as it is possible to go through a cycle sometimes where no ovulation takes place. You’d be looking at having a pattern similar to the one below to let you know you have ovulated:

http://www.fertilityfriend.com/Faqs/ovulation_chart.gif

Signing up with Fertility Friend is a great idea to keep your info organised :) If you decide to use the pee-sticks, buy them cheaply and in bulk from ebay and test from about Cycle Day 10 – 20 (depending on the length of your cycle). Mine can be irregular and testing at these times always ensures I get my positive reading:

http://www.babieseverywhere.com/serendipity/uploads/firstpositiveOPK.jpg

This is when you want to baby-dance straight away and the next day too! The OPKs pick up on the surge of Lutenising Hormone (LH) which is released to trigger the release of an egg (Ovulation). I’m a “pee-on-a-stick-addict” so these work well for me!

As for Cervical Mucus – this can be a handy verification that you’re about to ovulate. Taking 1000mg Evening Primrose Oil capsules daily from the day you start your period to the day of ovulation can help to increase the amount of fertile CM you have, which is what transports the swimmers!

Stage 1: Lasting 2 – 3 days CM is Sticky or Gummy (S)
Stage 2: Lasting 2- 4 days: CM is Creamy, Milky, Lotion Like – Beginning of your fertile period (C)
Stage 3: Lasting 1-5 days: Egg white Cervical Fluid – At this time you are very fertile. (E)
Stage 4: Dry, Moist or Sticky (Infertile)

Peak fertile cervical mucus is thin and stretchy. After ovulation, progesterone abruptly suppresses the peak mucus and the mucus pattern continues with sticky mucus for a day or two, and then returns to dryness.

Wishing you lots of luck and Baby-dust for the journey ahead! ****

Nancy asks…

When is the best time to try to get pregnant?

After your period ends or before? Or anytime?

Pregnancy Advisor’s answers:

Best time to try and get pregnant is around the time you ovulate. The best way to know when you will be ovulating is by using a Ovulation Prediction Kit (OPK) These look like a pregnancy test but instead monitor the level of the hormone LH which surges about 12-24 hours before you ovulate. As soon as you get a positive you need to have as much sex as you can in that 12-48 hours.

Sandra asks…

When is the best time of day to take an ovulation predictor test?

Pregnancy Advisor’s answers:

Ovulation predictor tests test for a surge in LH (leutenizing hormone). This hormone rises during waking hours, making the best time to take the test *at least 2 hours* after you woke up.

The first link below states: late afternoon urine is the best as it contains the highest concentration of LH.

The second link below states: The best time to use these tests is between 2 and 8 p.m. First morning pee is not recommended.

In any case, the WORST time to take the test is when you first wake up. This is a good time to take a PREGNANCY test, but not an ovulation test.

Linda asks…

What’s the difference between IUI and IVF?

Difference between:

“INTRAUTERINE INSEMINATION” & “IN VETRO FERTILIZATION”?

1) cost?
2) success rate ?
3) procedure?

I know that IUI less expensive but what am i looking at?

also, I read up on each but need a breakdown of procedure if possible.

& NEED PROS & CONS OF EACH! For example, why would I go with one procedure over the other?

Seriously considering. Please Help.

Thank you,
Pam

Pregnancy Advisor’s answers:

Here is some information for you:

IUI-
When a physician places semen into the reproductive tract of the patient, the process is called artificial insemination. The type of insemination and method of sperm processing depends on the details of each case. When sperm from the patient’s husband is used, we term the process artificial insemination with husband’s sperm (AIH). When sperm is obtained from an anonymous donor, the process is termed therapeutic donor insemination (TDI). Proper timing of artificial insemination is important to the success of the process. Once it is ovulated, an egg remains fertilizable for 12-24 hours. Once deposited in the reproductive tract of a woman, sperm retains the ability to fertilize an egg for 24-72 hours. Therefore, a well-timed insemination might occur anytime between 24 hours before and 12 hours after the egg(s) is(are) released.

Usually, a single insemination is planned for the expected day of ovulation each cycle. In special situations when the number of sperm for insemination is low or the timing is uncertain we will schedule insemination on two consecutive days. The day of insemination(s) may be determined by several means. Some woman will utilize a kit that detects the LH surge in her urine. Ovulation is most likely to occur on the day after the LH surge is first appreciated. These, patients are instructed to run an LH kit and call the office to schedule insemination for 18-30 hours after the LH surge is noted. An alternative means of scheduling insemination is to monitor the LH surge utilizing blood testing. Ultrasound evaluation of follicle growth may be incorporated into cycle monitoring.

IVF-
In vitro fertilization (IVF) involves the fertilization of eggs by sperm in a dish (outside the woman’s body). The embryos which result are transferred back into the woman’s body (ET). Although it is technically possible to perform IVF without the use of fertility drugs, only one egg would be collected and the chance for pregnancy would be low. With the use of fertility drugs many eggs (ova)are retrieved, improving the chances of success.

Injectable gonadotropins are used for most IVF procedures. In order to arrive at an ideal starting point a cycle of oral contraceptive pills is often prescribed prior to beginning gonadotropin injections. In addition, many patients are pretreated with a gonadotropin releasing hormone (GnRH) agonists, for example Lupron, drugs that turns off a patient’s own hormones.

The GnRH agonist down-regulation allows injectable gonadotropins to synchronize the development of multiple follicles. GnRH agonists also prevent a woman from triggering her ovulation prematurely (before the eggs can be collected). Alternatively,a GnRH-antagonist medication may be utilized beginning a few days before oocyte collection in order to prevent premature egg release.

In a typical IVF cycle the woman begins a package of oral contraceptive pills on or before the fifth days of her period. On the 18th day of that cycle injections of Lupron are begun. A period is expected around day 26. An ultrasound and blood tests are then performed to verify that the woman is in a good “starting position” to receive the injectable gonadotropin drugs.

The dose of gonadotropins ( taken daily or twice daily) is adjusted with hopes of obtaining 12 to 15 oocytes (eggs) for use during the IVF procedure. Progress towards ovulation is monitored every few days with ultrasound and blood tests. If she has not been treated with Lupron, the woman will begin the medication Ganerelix after ultrasound has determined that her leading follicle is 12-14mm. In size. When the patient’s follicles are ripe, ovulation is triggered with an injection of human chorionic gonadotropin (hCG).

My husband and I will be trying AIH, and if that doesn’t work we will be moving on to IVF. I wish you the best of luck!

Laura asks…

what are all the functions of follicle stimulating hormone and Luteinising hormone?

Pregnancy Advisor’s answers:

FSH (follicle stimulating hormone) regulates the development, growth, pubertal maturation, and reproductive processes of the body
In both males and females, FSH stimulates the maturation of germ cells.

In males, FSH induces sertoli cells to secrete inhibin and stimulates the formation of sertoli-sertoli tight junctions (zonula occludens).

In females, FSH initiates follicular growth, specifically affecting granulosa cells. With the concomitant rise in inhibin B, FSH levels then decline in the late follicular phase. This seems to be critical in selecting only the most advanced follicle to proceed to ovulation. At the end of the luteal phase, there is a slight rise in FSH that seems to be of importance to start the next ovulatory cycle.

In both males and females, (LH) Luteinising hormone is essential for reproduction.
In females, at the time of menstruation, FSH initiates follicular growth, specifically affecting granulosa cells. With the rise in estrogens, LH receptors are also expressed on the maturing follicle that produces an increasing amount of estradiol. Eventually at the time of the maturation of the follicle, the estrogen rise leads via the hypothalamic interface to the “positive feed-back” effect, a release of LH over a 24-48 hour period. This ‘LH surge’ triggers ovulation thereby not only releasing the egg, but also initiating the conversion of the residual follicle into a corpus luteum that, in turn, produces progesterone to prepare the endometrium for a possible implantation. LH is necessary to maintain luteal function for the first two weeks. In case of a pregnancy luteal function will be further maintained by the action of hCG (a hormone very similar to LH) from the newly established pregnancy. LH supports thecal cells in the ovary that provide androgens and hormonal precursors for estradiol production.

In the male, LH acts upon the Leydig cells of the testis and is responsible for the production of testosterone, an androgen that exerts both endocrine activity and intratesticular activity on spermatogenesis.

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