Ovulation occurs when an egg is released from one of your ovaries and travels through the fallopian tubes to await fertilization. On average, the egg will live approximately 12-24 hours awaiting fertilization from sperm. If conception doesn’t occur, the unfertilized egg, uterine lining, and additional blood will be shed during menstruation. If conception does occur, the egg will implant in the uterine wall within about 6-12 days.

Understanding ovulation is very important if you are trying to conceive. Here are a few common myths and misconceptions.

A Woman Can Get Pregnant Only One Day During Her Cycle. It is true that ovulation (meaning the dropping of one or more eggs) generally only occurs on one day of the cycle, but a woman can actually get pregnant from having had intercourse 4-5 days before ovulation occurs. The reason for this is that sperm can live for up to 5 days in a healthy reproductive tract.

A Normal Menstrual Cycle is 28 Days, and Ovulation Occurs on Day 14 of the Cycle. The reality is that every woman’s cycle is different, and generally ranges from 24-36 days. Ovulation days can also depend on the woman and can occur many days before or after the 14th day of her cycle. You will not necessarily be fertile on the 14th day of your cycle. Fertility Charting, and the use of ovulation microscopes and other predictor devices are recommended to test for your window of fertility.

Women Can Ovulate More Than once During Her Cycle. This is not true. Ovulation only occurs once during the cycle of a healthy woman. It is true that more than one egg may be released during ovulation, but this almost always occurs within 24 hours of each other.

Women Ovulate on the Same Day Each Month. While most women ovulate towards the middle of their cycle, the actual day can change month to month, even in women with regular cycles. This is one reason that tracking for ovulation is so important!

Polycystic Ovary Syndrome, also known as PCOS, is a hormonal imbalance that can adversely affect fertility due to an inconsistent menstruation cycle. PCOS is actually quite common, as it affects as many as 1 in 5 women. Most women with PCOS grow many small cysts on their ovaries, which is why it is called polycystic ovary syndrome. The cysts are not harmful, but lead to hormone imbalances and cycle irregularity. When a menstruation cycle is not regular, ovulation is difficult to predict (if it happens at all), making it difficult to pin-point optimal fertile days.

There is debate surrounding what causes PCOS. Many specialists believe that PCOS is genetic, others believe it is a result of weight gain. Other possible causes include: Insulin resistance (which can be connected to obesity), environmental chemical pollution, and abnormality of the hypothalamic-pituitary-gonadal axis (organ/hormonal disorder).

Symptoms often emerge in the sufferer’s teen years around the time of puberty, and include weight gain, acne, abnormal hair growth on the face, back, and fingers and toes. These are only a few symptoms of PCOS, and are the most recognizable.

Treatment of PCOS is largely dependent on the symptoms experienced by an individual woman. One of the most commonly recommended treatments is weight loss (this is only recommended for obese women). After successful weight loss efforts, many women with PCOS begin to experience cycle regularity. They may also see a decrease of other physical symptoms, or even a complete cessation of them. Specialists and doctors may also recommend attaining cycle regulation with progestins and proper supplementation such as FertilAid, which has been reported by many PCOS sufferers to have played a key role in regulating their cycles.

Polycyctic Ovary Syndrome (PCOS), is a rather complicated syndrome that, to some degree or another, affects about one in ten childbearing age women, some of whom are experiencing infertility as a result.

PCOS symptoms tend to be experienced gradually, usually in the early teens, after the first menstrual period. The first symptom is generally weight gain. Hormonal changes that lead to this weight gain include the release of androgens which are hormones that cause the typical male physical characteristics. These changes in hormones spur on symptoms such as:

• Few or no menstrual periods
• Hair loss
• Hirsutism: Increased hair growth in strange places such as back, chest, face, fingers and toes
• Anovulation: The inability to ovulate or release a mature egg from the ovary each month
• Obesity
• Acne
• Skin Tags: Excess flaps of skin generally found around the armpit or groin
• Acanthosis Nigricans: Areas of thick, darker skin found behind the neck, thighs or vulva
• Sleep Apnea or snoring
• Depression
• Male-pattern baldness or hair thinning/loss
• Lower abdomen pain

PCOS Sufferers have many other symptoms and health problems that are not noticeable without doctor consultation. These symptoms can be detected by a doctor during diagnosis. They include, but are not limited to: Insulin resistance, type 2 diabetes, high cholesterol, ovarian cycts, high blood pressure, and infertility.

For trying-to-conceive women, treatments of PCOS include fertility medications: Clomiphene (pills) and Gonadotropins (shots) can be used to stimulate the ovary to ovulate. Natural fertility supplements, such as FertilAid for Women, are popular with PCOS sufferers as well. If you would like more information about PCOS and ways to cope, see a fertility specialist or doctor. You may also wish to start a diet and exercise program to help lessen or cease your symptoms and inability to conceive.

One of our Facebook Fan Page friends just asked us, “I have heard that it is harder to get pregnant when you have an anteverted (tipped) uterus, Is this True?”

I would like to address this for her, and share the information with all of you who may be wondering about this. A tipped uterus, which is also known as retroverted or anteverted uterus, is one that that is tilted backwards or forwards away from your belly (as opposed to the more usual straight up and down uterus). About 20% of women are born with a tipped uterus, but in some cases it is caused by childbirth. A tipped uterus is not one of the most commonly discussed factors of infertility and is typically only thought to be problematic when trying to conceive after all other possible reasons for fertility problems have been ruled out.

In a small percentage of women, fertility may be affected by having a retroverted uterus due to the impediment of sperm flow to the uterus for implantation. Many specialists recommend intercourse ‘from behind’ or with the ‘missionary position’ with a pillow propped under your lower back. If you would like to rule this out as a possible reason for conception difficulties, you may see an ObGyn or fertility specialist for a routine pelvic exam. There are procedures such as uterine suspension that can be performed to straighten your uterus which may help improve conception odds.

Biologically speaking, the more birthdays you celebrate, the more fertility challenges you may face. Keep in mind that not everyone has trouble getting pregnant after 35. Statistics do show, however, that your chances of getting pregnant within a given month at age 30 are about 20%. At age 40, your chance of getting pregnant in any given month is just 5%! So why is this the case? As you age and come closer to menopause, your ovaries respond less well to the hormones that are responsible for helping the eggs ovulate. Coupled with your body being less likely to produce mature eggs for ovulation, risk of miscarriage and birth defects raise significantly. There are fertility treatment options that may help women over 35, such as IVF, but the success of treatments like this also decrease with age. Hormone balancing fertility supplements such as FertilAid can certainly help with cycle regulation and more consistent ovulation. Eat right (be sure to get enough folic acid in your diet), limit caffeine, alcohol and smoking, and maintain a generally healthy and active lifestyle. If you are over 35 and are trying to get pregnant, we recommend seeing a fertility specialist who can provide you with as many options, resources, and information as possible.

Progesterone is a female sex hormone that is secreted by the corpus luteum to prepare the endometrium for implantation of the fertilized egg. Without continuing progesterone production, the endometrium would shed and menstruation would ensue. Therefore, progesterone plays a significant role in reproduction. Thus, progesterone…

• Helps create a fertile, warm environment in the womb and promotes the survival of the fertilized egg through healthy implantation.
• Strengthens and maintains the secretory endometrium which sustains the embryo throughout pregnancy.
• Prevents the premature shedding of the secretory endometrium (menstruation).

During a woman’s cycle, progesterone levels rise rapidly at ovulation to provide a fertile environment for the fertilized egg. Here, progesterone is also responsible for the increase in body temperature at ovulation that lasts through most of the luteal phase. Beginning with ovulation, the corpus luteum produces progesterone for several days (and the concomitant temperature increase is in most cases easily measurable through methods of BBT/fertility charting).

If fertilization and implantation take place, the placenta takes over the role signaling progesterone production and in further maintaining a supportive environment for embryonic and fetal development. If fertilization does not occur, progesterone levels fall dramatically (usually after 10-12 days) triggering the shedding of the secretory endometrium (menses).