Gynecology – Infertility

If you are trying to become pregnant and are having difficulty, you may want to begin by monitoring your menstrual cycle. The first day of your menstrual cycle is known as cycle day one. Each day thereafter is counted, even after you have finished your period, until the next month’s period begins which is then back to cycle day one. A normal menstrual cycle lasts from 21-35 days with flow typically lasting two to seven days.

To help predict when and if you are ovulating, you may perform a basal body temperature chart, which is a chart that plots your daily temperature and may be found on a variety of sites on the internet, such as The morning after your menstrual flow has ceased is a good day to begin taking your temperature. You need to take it first thing in the morning using a mercury-type thermometer and holding it under your tongue for five minutes. Do this before getting out of bed, then plot the results on your chart. Approximately mid-cycle, you may notice a slight temperature rise indicative of ovulation. It is best to have intercourse on this day and every other day for a week. You may also try on ovulation predictor kit sold at your local pharmacy. Start this on cycle day 10 and every day until positive. Have intercourse when it is positive and every other day for a week.

If you have other health problems, or haven’t been able to get pregnant despite checking for ovulation, you may want to schedule an appointment with our providers for further evaluation. Also, remember to start taking prenatal vitamins preferably three months prior to getting pregnant. Avoid alcohol and anti-inflammatory products, such as aspirin or Motrin, if you could be pregnant. Consult your physician if you are taking other medications you are unsure about. Finally, if you are a smoker, please quit smoking prior to pregnancy.