So you've made the big decision -- you're going to start a
family! But while you were certain that getting pregnant would be fast and
easy, after six months of trying it's just not happening.
Could something be wrong? Of course that's always a
possibility. But if you are young (between 18 and 34) and you and your partner
are generally healthy, doctors say more often than not some simple problems --
with easy fixes -- may be standing in your way.
Tubal cannulation is a procedure to help clear a blockage in the fallopian tubes, a common cause of female infertility. As many as 1 in 4 women who have difficulty getting pregnant have a blockage in the fallopian tubes.
Tubal cannulation is less invasive than fallopian tube surgery and it may help your doctor better understand why the blockage occurred.
The doctor inserts a tube called a catheter that is guided over a wire. Ultrasound or real-time moving X-rays of the fallopian tubes may...
Among the most common: Miscalculating your most fertile time of
"By far, the single most important thing stopping healthy
couples from getting pregnant is they are not having intercourse at the right
time -- and the reason for that is many women simply aren't calculating their
ovulation time, or most fertile period, correctly," says Steven Goldstein,
MD, professor of obstetrics and gynecology at NYU School of Medicine in New
Goldstein says that, while most women know they must ovulate in
order to conceive, many don't realize that waiting for this to happen before
having sex causes them to bypass their most fertile time.
"After ovulation, an egg is only viable for about 24 hours
-- so if you are waiting until you ovulate to have intercourse, chances are you
are going to miss the opportunity to get pregnant that month," says
Since sperm can live in your reproductive tract for up to 72
hours, doctors say having sex beginning at least three days before
ovulation dramatically increases your chance of conception.
"I tell my patients to start having sex a full five days
before they expect to ovulate -- this way even if they are off a day or two in
calculating their ovulation, the bases are still covered. It's better to have
sex too early, than too late," says Sharon Winer, MD, an obstetrician at
Cedars Sinai Medical Center in Los Angeles.
Indeed, a 10-year study published in the New England
Journal of Medicine in 1997 found that having sex beginning six days prior
to ovulation is the most conducive to achieving conception. In the same study,
not one pregnancy occurred when sex took place 24 hours after ovulation.