If you don’t do these things, you should! Basal body temperature charting is a wonderful way to learn more about your body’s reproductive rhythm. And using the OvaCue is simply the best way to ensure you identify your entire peak fertile period – that time of month when you’re most likely to conceive.

Good news! We’ve developed a site for women who’d like to have ALL of their fertility indicators charted and graphed in one convenient location – OvaGraph.com. At OvaGraph, you can enter your daily basal temperatures, OvaCue readings, cervical mucus status, intercourse days, ovulation test results, and much (much!) more. Want to share all of your fertility status with your ObGyn? No problem! You have your own unique link that displays your entire reproductive profile for that cycle, and previous ones as well. Not interested in sharing your fertile status with the world? No worries! Just configure your privacy settings to conform to your own comfort level. Click here to see the chart of Fairhaven Health’s own fertility specialist, Sarah.

Perhaps equally beneficial to trying-to-conceive women, OvaGraph also features a wonderful community of trying-to-conceive women who interact daily in the forum. Get your questions answered by other women in the same position (or by our product experts who log in daily to assist with interpretation) – or just get a bit of support from ladies who really know what you’re going through.

We invite you to come over to OvaGraph and establish your free account today!

While there is still much to learn about PCOS, it is now believed that the symptoms listed above, including the development of multiple cysts in the ovaries, appear when the ovaries are stimulated to produce excessive amounts of male hormones, particularly testosterone.  And, what stimulates the ovaries to produce abnormally large amounts of male hormones? The answer: Insulin.

What exactly does it mean to be insulin resistant?

Insulin is a hormone that is produced by the pancreas and participates in the metabolism of carbohydrates, lipids, and proteins. On the surface of each cell of the body there are insulin receptors, little doors that open and close to regulate the flow of glucose (the sugar that is used by your body’s cells for energy) into the cell.  These receptors, or doors, are activated by insulin.  Women who have PCOS often have insulin receptors that do not function efficiently. This causes a condition known as insulin resistance, which forces the pancreas to produce more and more insulin to push glucose into the cells. These elevated insulin levels have the detrimental effects described above. It estimated that anywhere from 30-50% of women with PCOS experience insulin resistance.

How is insulin resistance controlled?

Recently, I’ve seen quite a bit of discussion surrounding the benefits (or lack thereof) of taking the prescription medication known as Metformin for PCOS and insulin resistance. Metformin is a drug used to help control blood glucose in three ways; it decreases the absorption of dietary carbohydrates through the intestines, it reduces the production of glucose by the liver and it increases the sensitivity of muscle cells to insulin. Simply stated, it lowers insulin, glucose, and testosterone levels, which results in a decrease in the symptoms associated with PCOS. Therefore, addressing insulin resistance helps many women with PCOS restore cycle regularity and increase their chances of conception.

There is also a large amount of information available about lifestyle changes that could help control insulin resistance. Weight loss has shown to be helpful for women that may be overweight – yet, weight loss can be more difficult for those with PCOS. The combination of dietary changes and more aerobic exercise has been shown to help even if weight loss is not achieved. What dietary changes are most helpful? Eliminating high glycemic carbohydrates such as refined sugars, white bread, and refined corn and potato products and incorporating high-fiber foods (whole grain bread and brown rice) and non-starchy vegetables (broccoli, asparagus, green beans, etc) is recommended.

For women with PCOS that are trying-to-conceive, herbal supplements (such as, FertilAid for Women) can help to restore hormonal balance and encourage cycle regulation.

For women with irregular cycles, the use of the OvaCue Fertility Monitor’s oral sensor and optional Vaginal Sensor is ideal because the monitor is able to adjust accordingly to the irregularities that may occur that month. Irregular cycles are often related to a hormonal imbalance, which can make it difficult to use most monitors as they predict ovulation based on pre-determined levels of a specific hormone (which some women may not reach due to an imbalance). The OvaCue is different in the sense that it interprets each daily reading in correlation to previous readings, instead of having to reach a certain pre-determined level. The OvaCue uses an electrolyte method of detecting ovulation – reproductive hormones affect your electrolyte levels, allowing the monitor to detect the selection of your dominant follicle by interpreting the rise and fall of your electrolyte levels.

The oral sensor uses your average cycle length to determine when to look for specific trends in your oral readings. Once this trend is detected (also known as your ‘cue peak’), the monitor is able to predict when ovulation may occur, which generally happens about 5-7 days past the detection of the ‘cue peak’. The ‘cue peak’ is indicated by a light blue square (the selection of your dominant follicle) and signifies the beginning of your fertile window. However, women with irregular cycles or ovulatory disorders may stray from the average and ovulate a little early or late from the original prediction.

The vaginal sensor allows additional information to be interpreted and cross reference data received from the oral sensor. The vaginal sensor is monitoring electrolyte levels in your cervical mucus – the rise and fall of both estrogen and progesterone. It can detect when estrogen levels increase just prior to ovulation and when your estrogen levels decrease and progesterone increases – signaling ovulation. For women with a hormonal imbalance – ovulation may actually occur earlier or later than the average 5-7 days (after the dominant follicle is selected). The vaginal sensor is able to notify you a day or two in advance of when ovulation occurs. If ovulation is occurring earlier than predicted – the colored day will turn to a high/peak fertility day (dark blue) when I may have previously been a ‘possible’ fertility day. If ovulation ends up occurring later than first predicted, your fertile window will actually be extended out (continued dark blue days) until ovulation is confirmed with a pink square.

Some women may experience ovulation confirmed twice on the OvaCue, which indicates Secondary Fertility.  The OvaCue can help you detect this secondary fertility when you use both the oral and vaginal sensor.

In order to understand how Clomid works, it is important to understand what is happening in your body as you approach ovulation. In the beginning of your cycle, estrogen levels are low which signal your body to produce FSH (follicle stimulating hormone). Estrogen levels begin to increase which triggers LH (Luteinizing Hormone). This surge is what releases the mature egg from the follicle. For ovulation to occur, enough LH and FSH must be produced to release the egg. Clomid is used to help your body produce enough LH and FSH. It tricks the body into thinking that there is not enough estrogen – which increases the production of LH and FSH, causing your body to ovulate. Generally, it is not recommend to take Clomid for more than six cycles, so if pregnancy is not achieved, a different treatment plan should be discussed.

While taking Clomid, it is common to experience a decrease in fertile-quality cervical mucus. It is extremely important to have a healthy environment to transport and protect the sperm when trying-to-conceive. Supplements, such as FertileCM can help increase the quantity and quality of fertile-quality cervical mucus and is safe to take along with Clomid.

Knowing your FSH levels is important in predicting how fertile you are. As your egg quality and quantity dwindle – your body tries to compensate and produces more FSH in order to stimulate ovarian function. This is commonly seen in women experiencing premature menopause or who are at the age when menopause is approaching. Low FSH levels can impact fertility and result in irregular cycles, which is commonly seen in women with PCOS (Polycystic Ovarian Syndrome). If your body is not producing enough FSH, it cannot sustain a healthy ovarian reserve.

You can easily test your FSH levels either at home or at the doctor’s office. Both tests are to be performed beginning on cycle day 3 (the 3^rd day of your menstrual cycle) and continue through cycle day 5. If you receive a positive at home FSH test, you should visit your doctor for further testing with a blood test.

Fortunately, if you discover that you have an imbalance of FSH – there are some supplements that can help to balance those increasing FSH levels. FertilAid for Women is a supplement that contains Vitex, which has been shown to not only keep FSH levels from increasing but to decrease FSH levels to an appropriate level in some women.   Dependent upon your FSH levels and your age, your doctor may want to proceed forward with more aggressive fertility treatments.

If you have ever received two peak readings or a second lh surge in one cycle just a couple days apart– you may have unknowingly experienced multiple follicular stimulation. In order to achieve pregnancy, the follicle is released from your ovary and it must rupture for the egg to be released from the follicle. In cases of multiple follicular stimulation, your body releases the follicle, but it doesn’t rupture – therefore the egg is not released and you are unable to achieve pregnancy at that time. Your body realizes that this has happened and subsequently releases a second follicle 3-5 days later.

Typically, after ovulation, fertility monitors will register ‘low’ fertility, cervical mucus egg-white consistency will be gone, and there will be shift in basal body temperature. Women that experience multiple follicular stimulation will receive a second peak reading with their monitor and may continue to see any other natural fertile signs. If you receive a second peak reading, it is extremely important that you continue intercourse as you can only conceive after ovulation has taken place (i.e. conception will not result from the first follicle that was released).

It is important to track your cycle diligently so you are able to catch cycles where there may be a delay in the time when you are able to conceive that month. Using the OvaCue Fertility Monitor can help to identify the release of a second follicle so you don’t miss this opportunity to conceive. The combination of the oral sensor and optional vaginal sensor indicates ovulation with a dark pink/purple color on the OvaCue fertility calendar – if this color is seen a second time that cycle, you can conclude that secondary fertility has taken place. When this second set of peak days are identified, intercourse should be continued as ovulation didn’t occur as it should have with the first peak reading. This is one of the main reasons that women experience a cycle that is a couple days longer than usual. Women who experience irregular cycles or who have been diagnosed with PCOS should be especially cognizant of this.

There are many different types of birth control; some that stop your period completely or give you very few a year, and others that regulate your period into a 28-day cycle. As they all work a bit different – they have a very similar effect. Birth control works to change the levels of your hormones, specifically estrogen and progesterone. By altering and controlling these hormones, they can help to prevent pregnancy in multiple ways – by stopping your ovaries from producing eggs, altering the thickness of the wall of your cervix (which prevents the entry of sperm into the uterus), or by changing the lining of your uterus so the egg can’t attach and implant.

Once birth control is discontinued, many women report having irregular cycles or having no menstruation for many months. It can take a while for your body to return to the cycle you had before beginning birth control pills. This can be especially frustrating for women that were hoping to conceive shortly after going off of the pill. Dealing with irregular cycles (or no cycle at all) can make predicting ovulation nearly impossible. Herbal fertility enhancing supplements, such as FertilAid for Women, contains vitex and other herbs to help regulate your cycle and correct any hormonal imbalances that might be present – this in turn should help to normalize your cycle. Many women begin taking this supplement post-pill to help see a regular cycle sooner and increase their chances of conceiving.

If you are having a hard time predicting your ovulation due to an irregular cycle, natural fertility enhancing supplements can help to regulate your cycle and boost your fertility. FertilAid for Women, promotes hormonal balance, which helps to regulate ovulation and improve overall reproductive wellness. FertilAid for Men is designed to increase sperm count and motility by supporting the healthy formation of sperm. When you are trying-to-conceive, make sure you are taking your prenatal vitamins – including folic acid,  as it can help to reduce the chances of neural tube defects.

Now for a couple things to steer away from…no smoking or drinking when trying-to-conceive. It is a good idea to decrease your caffeine intake as well. Also, something you may not have thought of – if you are taking any prescription medications, talk with your doctor to make sure you are not negatively impacting your chances of conceiving.

There are many ways to help you determine not only if you are ovulating but also when you are ovulating; increased levels of luteinizing hormone (LH) and estrogen, and changes in your basal body temperature and cervical mucus.

Just prior to ovulation, your body experiences a rise in estrogen, which in turn stimulates a surge in LH. You can detect your estrogen surge with saliva fertility monitors and your Lh surge can be detected in your urine using ovulation predictor kits. Electronic monitors, such as the OvaCue, are very easy to use and can help predict your fertile window with even more accuracy – using your saliva to detect ovulation as well as an optional vaginal sensor to confirm ovulation.

After ovulation, progesterone levels rise (could be a little as four tenths of a degree). You can detect this rise if you are charting your basal body temperature. Another sign to look for is the consistency of your cervical mucus. As you approach ovulation your cervical mucus should become clear and slippery, also known as ‘fertile-quality’ cervical mucus. Keeping track of all of these ovulation signs can help determine if and when you are ovulating and are most fertile.