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The smallest chance of getting pregnant. We calculate successful days for conception. Nutrition and lifestyle of men and women

You are most likely to get pregnant while the egg is passing through the fallopian tubes. She is already mature and ready for fertilization. The period of the menstrual cycle when it is possible to become pregnant is called ovulation in medicine. For those who want a child, it is very important to know what ovulation is and be able to recognize it by special signs.

Ovulation and its main signs

Ovulation is essential part menstrual cycle. The cycle consists of three important phases: follicular (or menstrual - “menstrual”), ovulatory (follicle development, egg development, egg release, release of estradiol, luteinizing hormone) and the secretory phase (formation corpus luteum and the possibility of maintaining pregnancy if fertilization occurs). The ovulatory phase of the menstrual cycle is the only one of the three phases when a sperm can fertilize an egg, so it's clear which days are most likely to get pregnant.

Ovulation is a natural and regular process that occurs during female body accompanied by an active release of female sex hormones. Against this background, a characteristic symptomatology arises.

Distinctive features of ovulation:

  • increased sexual arousal (respectively, due to sex hormones);
  • swelling of the mammary glands (also, the action of hormones);
  • vaginal discharge of a transparent color, odorless (discharge, due to which spermatozoa easily move along the genital tract to the egg);
  • mood swings (because there are changes in hormonal level);
  • rise in temperature in anus;
  • pain in the lower abdomen (not too common) feature, but still there are dull, pulling, or even sometimes sharp pains appearing against the background of spasms or rupture of the follicle).

In the human body, everything is interconnected, and any woman must learn to determine the period of ovulation. And not only to get pregnant or protect yourself, but also to have an idea about your health. After all prolonged absence ovulation, irregular periods, frequent mood swings may indicate the approach of menopause. And this condition can and should be corrected with medication.

Methods for determining the ovulation period

There are at least five of the most common methods for determining ovulation:

  • calendar is a method of calculating ovulation within a regular menstrual cycle;
  • express testing is a novelty in diagnostics that allows for independent and 100% determination of ovulation at home;
  • diagnostic - studies conducted using diagnostic equipment in outpatient clinics that show when you can get pregnant (folliculometry);
  • visual - includes taking an anamnesis and examining a gynecologist;
  • objective - independent observation by a woman of characteristic symptoms ovulation.

Factors affecting the regularity of the menstrual cycle

The regularity of the menstrual cycle is an important indicator in the process of planning a pregnancy. There are certain factors that allow you to normalize the cycle:

On the days you are most likely to get pregnant, you need to limit yourself to use alcoholic beverages Don't overexert yourself physically. It is also important to avoid stress, irritability, nervous anxiety.

This question often arises in a woman, even one who uses contraception. This is largely due to the fact that a woman does not know how and when pregnancy occurs and what conditions are needed for this.

What we will understand:

  • What days of the cycle is it possible to get pregnant
  • Is coitus interruptus effective?
  • If a condom has flown or torn - is there a possibility of pregnancy - what to do
  • Is it possible to determine from whom the pregnancy occurred if there were different partners
  • Errors in reception contraceptive pills- is pregnancy possible?
  • emergency contraception
  • How and when to check for pregnancy

What days of the cycle is it possible to get pregnant?

Not all women get pregnant well and simply, for some women this is a problem. In addition, even healthy women are normal may not get pregnant in every menstrual cycle. Here are a few important nuances on this occasion:

  • One of the conditions for pregnancy is the presence of ovulation (the release of an egg from the follicle) - ovulation normally does not occur in every menstrual cycle healthy woman, several times a year ovulation may not occur or occur incorrectly.
  • If you have an irregular menstrual cycle- ovulation may occur rarely or not at all
  • In order for pregnancy to occur, the presence of ovulation alone is not enough - many other factors play a role

So, in order to to get pregnant it is important not only that you ovulate, but also required the presence of the following conditions:

  • Must be passable the fallopian tubes
  • Your partner's sperm must be capable of fertilizing an egg
  • You or your partner should not have other diseases or conditions that could prevent pregnancy.

As you can see, there are a lot of conditions, and a lot of couples turn to clinics with the problem of infertility, although they did not suspect before that this could happen to them and even protected themselves from pregnancy.

Important thought! Unprotected intercourse, even on dangerous days, does not mean that you will definitely become pregnant, there is a possibility, but it is not one hundred percent.

It is known that there are so-called "dangerous days" that is, those days in a woman's cycle when she can become pregnant. These days are calculated regarding the following data:

  • Normally, ovulation most often occurs in the middle of the menstrual cycle (if you have 28 days, then on day 14, if 26 - on 13, if 21, then on 11), however, the time of ovulation may change, both in the direction of an earlier onset , and later
  • An egg released from the follicle during ovulation lives an average of 48 hours.
  • Spermatozoa that have entered the genital tract of a woman on average remain viable for 72 hours, however, isolated cases have been described when their life span was more than 1 week

Given these data, it was suggested that 5 days before the middle of the cycle and 5 days after - there are days that are dangerous in relation to conception. So, with a 28-day cycle, the period from 9 to 19 days of the cycle is considered dangerous days.

Important! The first day of the cycle is considered the first day of the onset of menstruation (when bloody issues, and not “daub”), and not the day the menstruation ends.

Conclusion: if unprotected intercourse occurred in this period of the cycle, there is a chance of pregnancy (the closer to the middle of the cycle, the higher the probability). If sexual intercourse was immediately after menstruation (up to day 9) or later than day 19 of the cycle, the probability of pregnancy is extremely low, but it is not completely excluded, since the time of ovulation sometimes shifts or spermatozoa can be very tenacious. This rarely happens, but the facts are known.

Important! Definition "dangerous days" very conditional and only matters if your menstrual cycle is regular. If your cycle is not regular, it means that you may or may not ovulate at all or occur rarely and at the most different days. Therefore, when irregular cycle pregnancy can happen even if sexual intercourse was during menstruation or a few days before it began - that is, in fact, on the most “safe” days.

Thus, to the question: Could I get pregnant if I had unprotected intercourse on such and such a day of the cycle? it is impossible to answer with complete certainty - even if it was a safe day, there is a minimal chance of pregnancy. At the same time, sexual intercourse even on dangerous days may not lead to pregnancy, since only the presence of ovulation is not enough for pregnancy to occur.

What then to do - read below in the paragraph emergency contraception.

Is coitus interruptus effective?

This method, oddly enough, is one of the most common methods of contraception, at the same time its reliability is extremely low.

This is due to the fact that spermatozoa are released from the penis not only at the time of ejaculation, but also during the sexual intercourse itself. With repeated sexual intercourse, spermatozoa can be released from the penis throughout the entire act, unless the partner has gone to the toilet during the break. Thus, no matter how excellent the reaction, it will not play a big role in preventing pregnancy.

In cases where coitus interruptus is effective, most often there are additional factors(safe day, infertility of one or both partners), the share of the same method in preventing unwanted pregnancy very low.

Therefore, if you are using this method of contraception, then the question “Could I get pregnant?” - will always remain open until the onset of menstruation or its delay.

If a condom has flown or torn - is there a possibility of pregnancy - what should I do?

Let me remind you that a condom is a method of contraception that allows not only to avoid unwanted pregnancy, but also to protect against sexually transmitted infections.

Condom not one of the most reliable methods of contraception and for the most part this is due to errors in its use. most common mistake is incorrect putting on a condom on the penis (advice: carefully read the instructions).

Although condoms are a fairly durable product, but sometimes they are not able to resist violent passion, which leads to their rupture or slipping with the ensuing consequences. Great importance also has the quality of the condoms used (tip: buy brand name condoms).

Another common situation- a condom is put on only at the end of sexual intercourse, before ejaculation - this is not correct, since the most active spermatozoa are released some time before ejaculation. Therefore, with this approach, protection against pregnancy is reduced.

Thus, if the condom fell off, or broke, or you put it on at the end of intercourse, all this can lead to pregnancy, but remember that for pregnancy to occur, it is not enough just to get sperm into the vagina, so even if this happens, pregnancy may not occur . The question "Could I get pregnant?" - remains open again.

Is it possible to determine from whom the pregnancy occurred if there were different partners?

I am often asked the question - Who did I get pregnant from if there were sexual intercourse with different partners during one menstrual cycle

I will answer right away - it is impossible to reliably determine before the birth of a child. Let's think logically - most likely get pregnant from the partner with whom there was sexual intercourse on "dangerous days", that is, from 9 to 19 days of the cycle with a 28-day cycle. However, you remember that there are situations when ovulation can be shifted in time or spermatozoa can remain viable. long time but it doesn't happen that often. Therefore, solving the question “from whom could I get pregnant?” one can only assume that the pregnancy came from the partner with whom the sexual intercourse was closer to the middle of the cycle, that is, on “dangerous days”.

You can definitely answer this question only after the birth of the baby by conducting a paternity test. Indirect sign(if you do not want to do a special test) that will suggest paternity, maybe the blood type of the child - only if your partners had different groups blood, then according to the laws of inheritance, it is possible to clearly determine which of the partners cannot exactly be the father of the child.

Mistakes in taking contraceptive pills - is pregnancy possible?

Hormonal contraceptives are one of the most reliable methods of contraception, however, with errors in taking these drugs, pregnancy is possible.

The instructions for each drug always have rules - how to behave if a pill was missed or it was taken later. I will try to explain why these rules exist, and what happens when there are errors in the reception - then it will become more clear how to proceed.

While taking contraceptive pills, several processes occur in your body that prevent pregnancy: the maturation of follicles in the ovaries is blocked, the activity of the fallopian tubes will change, active growth the mucous membrane of the uterus (where the fertilized egg attaches), and the viscosity of the mucus in the cervical canal also changes (which makes it difficult for sperm to pass into the uterus).

Every day when you take a pill, you maintain a certain concentration of the drug in the blood. One tablet only works for 24 hours, after this time, the concentration of the drug in the blood begins to fall and this gives a signal that all processes suppressed in the body begin to resume. First of all, this concerns the growth of follicles (it is in them that the egg matures, which is released during ovulation).

When you take a pill on time, the concentration of the drug does not fall, but stays at the same level, effectively blocking all the necessary processes.
There is a rule that if you forgot to take a pill on time, you need to take it as soon as you remember about it (there is 12 hours of acceptable delay), that is, nothing is activated during these 12 hours and if you manage to take the pill - all the contraceptive effect will continue.

If you miss a pill for more than 12 hours, then in this case you need to take - 2 pills while taking the next pill, that is, the next one + the missed one. This is usually followed by an indication that from this moment until the onset of menstruation, an additional condom must be used. For what? This is due to the fact that during the skipping of the pill, the concentration of the drug in the blood drops and there is a possibility that the growth of the follicles can resume, and (albeit belated) ovulation will occur.

The following questions arise:

  • If unprotected intercourse occurred during the missed pill, is there a chance of pregnancy, provided that the missed pill was taken according to the rules described above? I answer, most likely, there will be no pregnancy, since continued use of the drug will prevent the development of pregnancy, but there are exceptions.
  • If you do not use an additional condom after missing a pill - is pregnancy possible - there is a chance. It largely depends on which tablet was missed. The safest skip is skipping the last pills in the pack, as there is virtually no time left for the fertilized egg to attach to the uterine cavity (it takes about 4-5 days to do this).

Skipping the first pills in a pack is more dangerous in terms of the development of pregnancy, since during this period the follicle is just starting to grow and if it is on initial stage out of the overwhelming effect of the drug, then in the future it can continue to grow and achieve ovulation, despite taking the drug.

Important! If pregnancy occurred while taking hormonal contraceptives There are no medical indications for its interruption. As shown in numerous studies, hormonal contraceptives do not negative influence on the fetus and does not affect the course of pregnancy.

The contraceptive effect of hormonal contraceptives may also be reduced in other situations. For example, if you have diarrhea, vomiting, or if you start taking certain types of medicines(which ones are listed in the instructions).

If vomit happens within 1 hour after taking the pill - it is better to take another pill, since during this time the drug may not have time to fully absorb.

Diarrhea may also impair the absorption of the drug, which will be tantamount to skipping a pill. Contraceptive drugs very difficult to absorb gastrointestinal tract. They are first absorbed in the intestines, then enter the liver, where they go through the first stage of transformation. Then they are excreted with bile again into the intestinal lumen and only this time they are absorbed into the blood in active form. Thus, any digestive disorders can affect this difficult process the drug enters the bloodstream, so if you have problems with digestion while taking contraceptives, you need to play it safe once again and take additional measures protection (condom).

Conclusions:

  • hormonal contraception is very reliable only if you use it correctly, and you do not create situations in which the concentration of the drug in the blood drops.
  • If there is even the slightest doubt, use a condom until the onset of menstruation.
  • It is safest to skip the last pills in the pack
  • If you tend to forget to take pills on time, you can change the pills to another form - a vaginal ring (Nova-Ring) or a patch (Evra)
  • A pregnancy that occurs while taking hormonal contraceptives does not need to be interrupted by medical indications, since hormonal contraception does not adversely affect the fetus and the course of pregnancy.

emergency contraception

If unprotected intercourse still occurs, action must be taken. For these purposes, there is a so-called "emergency contraception"

For drugs for emergency contraception relate:

  • Postinor
  • Escapelle
  • Ginepriston

There is also a method based on a special regimen of conventional hormonal contraceptives, but I will not describe it here, as its effectiveness has been shown to be very low. Another option for emergency contraception is the introduction of an intrauterine device, but I do not really support this method, so I will omit the story about it.

How do these drugs work?

Postinor and Escapelle- contain the same substance, only in different dosage and therefore, to achieve the effect when using postinor, you need to take 2 tablets, and when using the drug escapelle - only one.

Ginepriston- contains another substance - mifepristone - 10 mg. This drug has similar effects, but they are more pronounced. Mifepristone blocks the receptors for progesterone, the main pregnancy hormone. This prevents the implantation of a fertilized egg and disrupts the ovulation process. In more high dosages this drug is used for medical interruption pregnancy, but at a dose of 10 mg for an already begun pregnancy, it acts.

Important! These drugs are not effective if the implantation of a fertilized egg has already occurred, that is, if the pregnancy has already happened, there will be no effect.

The effectiveness of these drugs ranges from 70 to 90%. The sooner after unprotected intercourse the drug is taken, the higher its effectiveness.

For each drug, the period during which it will be effective take a pill:

  • Postinor - no later than 72 hours after intercourse, the first tablet is taken, the second tablet is taken 12 hours after the first.
  • Escapelle - only one tablet is taken no later than 96 hours after intercourse
  • Ginepristone - only one tablet is taken no later than 120 hours from the moment of unprotected intercourse. For maximum effectiveness, 2 hours before taking the drug and 2 hours after - you must refrain from eating.

Of all the drugs presented, Ginepristone is the most effective.

Despite such large time intervals, practice shows that the pill should be taken as early as possible, especially if unprotected intercourse occurred during the period " dangerous days". The later the drug is taken, the less effective it will be, because these drugs do not affect a pregnancy that has already occurred.

After taking the drug, there may be various side effects: nausea, pain in the lower abdomen, headache, fatigue, dizziness, breast engorgement, vomiting, diarrhea, delayed menstruation for more than 7 days, or vice versa, their earlier onset.

If vomiting occurs within the first three hours after taking the drug, the drug should be repeated.

Many are concerned about the fact that after taking emergency contraceptives, the menstrual cycle gets off - this is true. This can happen. Menstruation may come earlier or later than expected (especially if the drug was taken at the beginning of the cycle) and may further interfere with the next menstruation. As a rule, such cycle disorders are temporary and quickly disappear either on their own or with the help of hormonal contraceptives.

Important! Emergency contraception should not be used on a regular basis. For permanent contraception, there are many convenient and effective means. Emergency contraception, even as the name implies, should only be used in " emergency cases”, maybe 1 or 2 times in a lifetime. Frequent use this type of contraception is highly contraindicated and can lead to persistent menstrual dysfunction.

What else is important to note.

  • After taking an emergency contraceptive drug, all subsequent sexual intercourse in this menstrual cycle should be protected, since the effect of the drug on subsequent sexual intercourse does not apply.
  • If there is a delay in menstruation for more than 5 days, it is necessary to check for pregnancy.
  • If you have an irregular menstrual cycle with a tendency to delay - a pregnancy test should be done approximately 20 days after intercourse (if menstruation does not start at that time). If the test is negative and menstruation does not come, the test should be repeated after a few days.

How and when to check for pregnancy

Despite all the precautions and even the use of emergency contraceptives, there is still a need to check whether the pregnancy has occurred or not.

There are 2 ways to do this:

  • Pregnancy test
  • Blood test for hCG

pregnancy tests sold almost everywhere (pharmacies, supermarkets, gas stations). It is important to purchase several tests of different brands or the same brand. Better just test in the morning, I use the first portion of urine. This is important as the first urine in the morning is the most concentrated and therefore contains the highest amount of hCG ( chorionic gonadotropin human - a substance that begins to be produced from the very beginning of pregnancy and its concentration in the blood and urine is rapidly increasing every day).

Test with a special chemical reaction determines the presence of hCG in the urine - the first strip on the test shows that the test is working normally, and the presence of the second strip indicates that there is hCG in the urine, and at the same time in the concentration that does not occur in the absence of pregnancy. Even if the second strip is barely visible, it still means that the test is positive..

If the pregnancy is of a very short duration (the first days of the delay), the test may not show anything during the day and in the evening (especially if you drank a lot of fluids that day). The test must be redone in the morning.

With each day of pregnancy, the concentration of hCG in the urine increases, so the test must be done for several days in a row.

False- negative result maybe (that is, there is a pregnancy, but the test does not show it - this happens in the case of a defective test or very early term pregnancy). It is necessary to redo the test (for example, using a test from another company) or repeat it the next day in the morning.

False positive test almost never happens (very rare case in the presence of certain diseases and conditions). That is, if the test showed the presence of a second strip, there is a pregnancy.

Important! In the presence of ectopic pregnancy test will also show positive result.

Once you have a positive pregnancy test result, you need to immediately consult a gynecologist. You will definitely be scheduled for an ultrasound approximately on the 10th day of delay. Whatever decision you make regarding your pregnancy (to keep or not) - the doctor must make sure that you have uterine pregnancy, that is, to see fertilized egg in the uterus. Until this fact is established, no decisions are made.

This is due to the fact that always there is a risk of ectopic (tubal) pregnancy. Therefore, delaying the visit to the gynecologist in the presence of positive test for pregnancy is unacceptable, since in the case of an ectopic pregnancy, urgent hospitalization is required, since this condition represents great threat to life.

Blood test for hCG is more exact method definition of pregnancy, since its result is presented in the form of specific numbers. If, when using a conventional test, it is necessary to determine the presence of a second strip by eye, then a number will be clearly indicated in the blood test for hCG, reflecting the amount of this substance in the blood.

Therefore, if you have doubts about the results of a regular pregnancy test, just take a blood test at the nearest laboratory, or contact a gynecologist, he will give you a referral.

When to take a pregnancy test?

If you have regular menstrual cycle- the test should be done in the first days of a missed period. It is not advisable to do it early, since the test can give a false negative result.

If you have a cycle irregular, with a tendency to delay, the test can be started approximately 20 days after unprotected intercourse and then every other day or every day (in the morning).

Many representatives of the beautiful half of humanity think that they can immediately become pregnant, as soon as they give up contraception. It's a delusion. To prepare the body for pregnancy, it is necessary to go through a whole adaptation cycle, especially after taking contraceptives. In addition, there are certain days that are most favorable for conception - ovulation.

It is almost impossible to get pregnant on any other day of the cycle. If sexual intercourse was two days before ovulation, the probability of conception is quite high - the spermatozoa in the vagina are capable of fertilization for another 48 hours. After ovulation, pregnancy is possible for two days.

Calculate lucky days for conception

Before proceeding with the calculation of the most suitable days for having sex for the purpose of conception, it is worthwhile to thoroughly study the whole principle of the female body, in particular, the organs of the reproductive system.

When menstruation occurs, on its first day, follicles appear on the ovary, which look like small sacs. In these sacs, eggs are formed, grow and mature (1 in each). During the week, the strongest follicle continues to grow and develop, while all the others simply stop growing.

With an average menstruation cycle of 28 days (the countdown starts from the 1st day of menstruation), after a 14-day period, this same follicle breaks through, giving way to an already adult egg. With a long menstrual cycle (35 days), this occurs approximately on the 17th day from the day the menstruation begins. After its appearance, the newborn egg begins its movement through the fallopian tubes, towards the uterine cavity.

From this it follows that the most favorable period with the greatest probability of becoming pregnant is the middle of the menstrual cycle and 1-2 days before and after it. Having sex on other days gives less chance conceive a child.

Let's not forget that the egg in the female body lives up to 48 hours, which increases the chances of pregnancy for those who have sex on days close to ovulation. Increases the chances of pregnancy and the fact that the activity of sperm in the female body lasts from 2 to 4 days.

The chance of pregnancy during the ovulation period

When ovulation reaches its logical conclusion, the egg activates the movement towards the uterus, passing through the fallopian tube, where it often occurs fertilization.

The movement of spermatozoa begins from the uterine canal, then they move into the uterine cavity, and only after all this they move into the fallopian tubes. The life span of an egg can only in some cases last up to 48 hours. Basically, her life span is rather short (no more than 2 hours from the moment of her birth). by the most favorable time, when the probability of getting pregnant is the greatest - this is the period of ovulation with possible minimal deviations (+/- 24 hours).

When will that day come? Determine the day of ovulation

So, from the foregoing, we can conclude that the ovulation period is the most suitable for women who dream of becoming pregnant. And in order to increase the likelihood of pregnancy, you need to learn how to correctly determine the middle of the cycle, in which there is a greater chance of becoming pregnant.

Ways to determine ovulation:

    • Using the calendar. This method is ideal for those women whose menstrual cycle is regular. In this case, it is worth noting that the 14th day from the start of menstruation is considered the day of ovulation. Although this method is old and repeatedly tested, the probability of error is quite high;
    • Measurement of basal temperature. This method is quite common and the disadvantage of it is the (not very pleasant) execution procedure itself. Basal temperature is measured in the rectum by inserting a thermometer into the anus. Temperature indicators change the next day after ovulation, by 0.2-0.4 °. An interesting and important fact is that 20% of women basal body temperature after ovulation does not change at all;
    • Determining ovulation with a test at home. It's modern and pretty exact remedy detection of ovulation. The test is quite easy to use and can be purchased at any pharmacy. The test detects the level of luteinizing hormone, which is considered a precursor to ovulation. If the test shows sharp rise this very hormone, which means that in the next 24 hours, the process of ovulation should take place;
    • ultrasound diagnostics. This method is the most accurate, but it has its drawbacks. Ultrasound only states the fact of ovulation, but does not reveal the possibility of its occurrence. Choosing this method, it is worth considering what it involves frequent visit medical institution(4-5 times);
    • Testing. With the onset favorable period(ovulation), you can visit a specialist and take an analysis of the mucous membrane of the cervix. But this method also has an error of 2-3 days;
    • Self control. If you learn to combine correctly calendar method, measurement rectal temperature and monitoring the state of mucus, then you can independently and almost accurately determine the onset of ovulation. In this case, the mucus before the process of ovulation becomes transparent, more sticky and stretched between the fingers.

  • We listen to the body. When is the most likely pregnancy? When the question of pregnancy arises, it should be approached with the greatest responsibility. If a woman wants to get pregnant the first time, then you must definitely learn how to determine the period of ovulation, that is, the period that is most suitable for conception. Listen to your body and learn to feel it.

It is very easy to put into practice all of the above recommendations. And all the “how?”, “When?”, “Why?” and why?" will fall off on their own. Do not be afraid and neglect the presence most symptoms. Having fully understood the method of detecting ovulation, when “everything falls into place” in the mind, it will not be difficult to conceive a child.

Didn't work the first time

Do not be upset and give up if you did not manage to get pregnant the first time. This is not a deviation or a pathology. The process of ovulation in the female body takes place in 8 cases out of 10.

Conception can also be affected by:

  • stop taking oral contraceptives;
  • stress;
  • wrong way of life;

It is perfectly normal for a woman under 30 not to get pregnant within a year. The older a woman is, the more difficult the process of conception becomes. If a woman of 30 years and older cannot become pregnant, you should not hesitate any longer, it is better to contact a antenatal clinic as soon as possible.

No need to get hung up on counting and calculating the days of ovulation and have sex on a schedule. Remember that the process should be fun, not an "obligation." How more woman fixes its attention on identifying the period of ovulation, the more it complicates the whole process of conception itself.

Few women do not think about the likelihood of becoming pregnant. Some are worried that this will not happen. The majority - as soon as possible dreams of knowing the joy of motherhood. Especially if the birth of a child is included in family plans.

It happens that a couple cannot have a baby for a long time. It happens and vice versa: a single unprotected contact immediately leads to pregnancy. What is the probability of getting pregnant the first time and what it depends on is completely unknown.

Conditions for successful conception

A healthy woman has everything she needs to conceive, carry and give birth to a baby. In the medical community, the ability to have children is called in one word - fertility. Nature has provided for the implementation of this ability a complex but effective mechanism:

  • With a regular menstrual cycle, the egg at the same time matures and leaves the follicle in the ovaries.
  • Through freely passable uterine (fallopian) tubes enters the uterine cavity. During this journey can be fertilized.
  • In case of a successful meeting with the spermatozoon, it attaches to the inner shell uterus. The resulting embryo survives, the placenta begins to develop from the chorionic villi.

What are the chances that the pregnancy will end successfully - depends on many things. To begin with, it is useful to know what can affect the likelihood of getting pregnant the first time. We note right away that it depends on both sexual partners.

Women's health

The key to good reproductive health serves a balanced hormonal background. In particular, its changes during the menstrual-ovarian cycle. Also important:

  • The general level of sex hormones, which should correspond to the age norm.
  • Maturity and health of the ovaries: These organs are responsible for the maturation of the egg.
  • The physical and psychological well-being of women.
  • Mood before intimacy.

Among doctors there are quite interesting opinions. For example, the influence of physique on conception. What is the probability of getting pregnant women with a different constitution? It is believed that harmoniously built, moderately plump women with wide hips have a greater chance of conceiving when unprotected contact than skinny ones with model looks.

As a scientific justification, the state of the hormonal sphere is put forward: it is estrogens and progesterone that give female body the most seductive forms. At the same time, these hormones contribute to the onset of pregnancy at the slightest opportunity for this.

However, this statement has not been proven, life gives everyone a chance and pregnancy occurs in thin people without any problems and long expectations.

Ovulation calculation

If menstruation comes regularly, you can calculate the day on which ovulation occurs (the release of an egg from the ovary).

The calendar method of pregnancy planning is simple, does not require medical manipulations, and can be used at home.

Having calculated the day of ovulation, you need to guess the proximity for it. Moreover, it is not necessary to wait for this very day: conception can occur if the only unprotected intercourse is carried out 2-3 days before ovulation.

What is the probability of getting pregnant in this case and what does it depend on? It is quite high if the partner is healthy: especially hardy spermatozoa can enter the uterine cavity, pass into the fallopian tubes and wait there for several days until the egg cell approaches them.

To increase the effectiveness of the method, you can measure the basal temperature. These words mean the control of rectal temperature every morning at the same time. You need to start doing this a few days before the planned ovulation.

To be sure of the results, it makes sense to start a diary where to enter the daily readings of the thermometer. When the egg is released from the ovary, internal temperature slightly but noticeably increased. From that day and over the next few days, the probability of getting pregnant the first time is as high as possible.

Readiness for pregnancy

What is the chance of getting pregnant in a woman with gynecological problems? Usually the chance is low. Any pathology reproductive system adversely affects the ability to conceive. To make sure women's health and well-being, should undergo regular examinations in consultation. The chance of pregnancy increases if:

  • There are no genetic anomalies and hereditary diseases.
  • Balanced sexual and physical maturity.
  • The formation of internal genital organs is synchronized with the development of external ones.
  • glands internal secretion(not only sexual) work without failures and violations.
  • There are chronic diseases, but they are compensated or are in remission.
  • There was a psychological readiness for the beginning of sexual activity and motherhood.
  • We should not forget about such a simple concept as healthy lifestyle life: bad habits always reduce the likelihood of a normal pregnancy.

Regular preventive examinations by a gynecologist will allow you to track negative phenomena in time and eliminate them.

Regarding the last point, psychological readiness, it is often neglected. High anxiety and chronic stress have a destructive effect on all aspects of life.

The level of fear of sexual activity can reach such a degree that it will inevitably affect the functions of the gonads. After all, the most important - the pituitary and pineal glands - are located in the brain.

The influence of contraceptives

There is no paradox in that oral contraceptives may increase the chance of pregnancy. Their action is based on inhibition of the release of the egg from the ovaries. After the abolition of pills, the body tries to "catch up".

It often happens that the ability to become pregnant resumes within a few days after the end of taking contraceptives. Moreover, the probability of becoming pregnant with twins or triplets increases significantly: in the “rested” ovaries, several eggs mature at the same time. So if not twins, then twins or triplets the first time is quite real.

Man's health

For successful conception two people are required. Therefore, a lot also depends on the sexual partner. The most important thing for a man physical health and healthy lifestyle:

  • Good vitality.
  • No bad habits.
  • Safe working conditions.
  • Calm mental attitude.
  • Moderate physical activity.
  • Maturity for fatherhood.
  • Unburdened by genetic anomalies heredity.

It should always be remembered that approximately 40% of couples cannot have a child due to disorders from the stronger sex.

A very big threat to male infertility carries viral parotitis. Transferred in a complicated form, this childhood illness can permanently deprive a man of the opportunity to conceive. Regardless of the number of sexual acts or intimate partners.

Bad habits

Men who smoke and abuse alcohol are more likely to experience problems with spermatogenesis, impaired libido and potency.

There is another interesting observation, according to which the use of a "light" drug - marijuana - for some time deprives a man of the ability to have children. So, if a partner smokes weed, the chances of conceiving from him are reduced.

Age features

It is clear that a young couple is more likely to have a child than older people. However, there are two factors to consider here:

  • Early onset of puberty does not mean an increased chance of getting pregnant. Even if the egg is fertilized, in a girl who is too young, it may not attach to the wall of the uterus.
  • Ideal for pregnancy, in women, the age of 18-35 years is considered. The period when the body is fully ready for such a responsible process. In the future, fertility is maintained, but markedly reduced.
  • Menopause does not mean the loss of the ability to have children. People often perceive age as an insurmountable obstacle to pregnancy and absolutely in vain. With proper preparation, the likelihood of conceiving, carrying out and giving birth is no lower than that of young couples.

In medicine, there are cases when both very young girls and already elderly women become pregnant. However, it is very difficult to complete gestation normally in such cases.

Men are less limited by age limits. They can produce offspring even after 70 years. True, how many attempts will be required for this - no one undertakes to calculate.

It is unreasonably considered that folk wisdom can help rapid conception. According to beliefs, the chance of getting pregnant increases:

  • Late summer and autumn. The basis for this is probably the sufficient intake of vitamins from food during these seasons.
  • In early spring. The awakening of vital processes and forces does not bypass the human body.
  • If you add pumpkin to the menu. It is believed that the content of vitamin E - the vitamin of pregnancy - in this vegetable is so high that it significantly increases fertility.
  • With a dietary restriction of quickly digestible carbohydrates - potatoes, white bread. They can disrupt the normal course of ovulation.

Increasing the proportion of high-fat dairy products in the diet can also increase the chances of pregnancy. Sometimes bitter tinctures, such as wormwood, are recommended.

Doubtful advice without consulting a doctor should not be followed: you can apply serious harm health.

Poses for conception

There is an opinion that the posture also affects the likelihood of conception. There is a certain amount of rationality in this. After ejaculation, sperm must travel from the vagina to the uterine cavity and fallopian tubes. The most conducive to this process is the usual "missionary position".

However, studies on what is the likelihood of getting pregnant in different positions have not been conducted. On the contrary, there is a lot of evidence about when pregnancy occurs after a single act in an unconventional position.

A bit of math

Statistically, on a 28-day cycle, pregnancy is likely within 7 days (3 before and 4 after ovulation). And 7/28 is 25%. Removing from this time 4 days, which fall on the actual monthly, we get a probability of 29%.

In reality, while no one is able to express the probability of pregnancy in dispassionate and reliable numbers. Too many parameters and data have to be taken into account, and each person has an individual level of health.

Rather, another approach, philosophical and mathematical, will be more evident here. According to him, the probability of getting pregnant in any case is always 50%. That means you either get pregnant or you don't.

The best thing you can do is not get hung up on conception, relax and have fun. Eliminate nervousness and tension nervous system you can quickly achieve the desired effect. Even the first time.

Some people find it difficult to prevent pregnancy, while others fail to conceive a child, despite all efforts. It can take a whole year for a healthy couple to conceive a child, and for many couples it takes even longer. Fortunately, there are ways to improve fertility and improve your chances of conceiving.

Steps

How to prepare your body for pregnancy

    Get checked out by a gynecologist. Even if you don't have fertility problems known to you, it's helpful to get tested. Some illnesses can be exacerbated by pregnancy. The doctor will examine the pelvic area and prescribe several simple tests blood. Before pregnancy, it is important to diagnose the following diseases:

    Get to your desired weight before pregnancy. Scientists have found that it is more difficult for women with clinical obesity to conceive and carry a child. However, too low weight can also negatively affect fertility. Talk to your doctor about your ideal weight and try to gain or lose weight before pregnancy.

    • In women with clinical deficiency weight (with a body mass index below 18.5), menstruation may stop, making it difficult to conceive.
  1. Take prenatal vitamins. If you start doing this before pregnancy, you can prepare the body for the arrival of a child. For example, receiving folic acid before pregnancy may reduce the risk of spina bifida and other neural tube problems. Select special vitamins or ask your doctor to prescribe them.

    start eating healthy foods to increase fertility. healthy diet will help you increase your fertility and chances of getting pregnant. Eat lean protein, whole grains, fruits and vegetables. You will benefit from the following products:

    • lean protein: chicken breast skinless, non-greasy Ground beef, beans;
    • whole grains: brown rice, whole grain pasta wheat flour, whole grain wheat bread, oatmeal;
    • fruits: apples, oranges, grapes, blueberries, strawberries, melons;
    • vegetables: broccoli, bell pepper, tomatoes, spinach, carrots, cabbage of different types.
  2. Invite your partner to eat foods that improve sperm quality. Men should take a multivitamin that includes vitamins E and C, eat more fruits and vegetables, and limit alcohol, caffeine, fat, and sugar.

    Quit smoking. Smoking negatively affects not only pregnancy, but also the ability to conceive a child. Quitting the habit during pregnancy can cause severe stress so it's best to prepare ahead of time.

    • remember, that passive smoking also affects the ability to conceive. Avoid passive smoking.

    Advice A: Your partner should also quit smoking! Men who smoke regularly have reduced sperm quality and sperm count.

    Avoid alcohol to increase your chances of conception. Even one glass a day can adversely affect fertility. To maximize your chances of conceiving a child, completely give up alcohol. If you will drink alcohol from time to time, limit yourself to one serving. Eating more than two servings dramatically reduces a woman's fertility.

    • A man should also limit his alcohol intake, as alcohol reduces sperm count and negatively affects sperm quality.
  3. Limit your caffeine intake to 200 milligrams per day. This amount includes food (chocolate) as well as drinks (coffee, tea, cola). Women who drink more than three cups of caffeinated beverages a day are significantly less likely to conceive than women who drink two or fewer cups.

    • 1 cup (240 milliliters) of coffee contains approximately 100 milligrams of caffeine. Drink no more than two cups (580 milliliters) of coffee per day.
    • Tea and cola have less caffeine, but overuse the recommended amounts may be exceeded. Try to drink no more than two caffeinated drinks a day.
  4. Stop using contraceptives. When your body is ready for pregnancy, stop using contraceptives. If you are taking oral contraceptives, it may take 2-3 months before ovulation returns, which will affect the timing of conception. However, if you are using barrier methods contraception, pregnancy can occur immediately.

    • If you have installed intrauterine device, you will need to make an appointment with a gynecologist so that the doctor removes it.
  5. Contact a specialist for reproductive medicine or a sexologist, if needed. If you or your partner fail to feel interested in sex, you may be having trouble conceiving. A specialist will help you overcome these difficulties.

How to identify your most fertile days

    Keep track of your cycle with the app or calendar. To determine the most fertile days You need to keep track of your menstrual cycle. Download a special application (for example, Clue or Flo) or mark dates in regular calendar. You will need to mark on your calendar:

    • First day of menstruation. This is the beginning of the cycle, so you need to put one in front of this day. Number the remaining days until the end of the cycle, that is, until the day before the next menstruation.
    • Daily measurements of basal temperature.
    • Changes in cervical secretions.
    • Positive ovulation tests.
    • Days you had sex.
    • Last day of the cycle.
  1. Measure your basal body temperature. During ovulation, your basal body temperature rises slightly, so a higher body temperature is a sign that you are fertile. Keep a thermometer by your bed and take your temperature as soon as you wake up in the morning. Try to measure the temperature always at the same time so that the data is more accurate. Record your temperature every day. If a difference of up to 0.3-0.4 ° C persists for more than one day, this may indicate ovulation!

    • Fertility peaks in 2-3 days before increase in basal body temperature. If you notice recurring patterns in temperature changes, you can calculate the perfect time to conceive.

    Advice: Buy a special thermometer to measure basal temperature. Do not use conventional thermometer, since it will not show small fluctuations.

    Watch for changes in cervical secretions. If your vaginal discharge is clear and sticky egg white you are most likely fertile. Have sex within 3-5 days of the onset of such discharge. When the discharge becomes cloudy and dry, the chance of conception will decrease.

    • It may be enough for you to go to the toilet and collect the discharge with toilet paper, but you can also collect it by inserting a clean finger into the vagina.
  2. Use an ovulation kit. Buy an ovulation test kit from a pharmacy or online. Urinate on the end of the strip or dip it into a urine jar and wait a few minutes before checking the result. If you used a simple test, ovulation will be indicated by two strips of the same color or two strips, one of which is darker than the control. If you have digital test, a positive or negative value message will appear on the screen.

How to conceive a child

    Have sex before, during, and after your most fertile days. Once you're fertile, start having sex regularly! You're more likely to get pregnant if you have sex every day before, during, and after your fertility window. However, if you don't get the chance to have sex that often, try doing it every 2-3 days before, during, and after your period of maximum fertility.

    • If you use lube, buy a water-based lube made specifically for conception.

    Advice: Create a cozy environment, do not demand much from your partner, and try to treat the process as an opportunity to be alone with each other before the baby arrives.

    Continue measuring your basal body temperature. This will allow you to collect as much more information about your menstrual cycle and determine the fertile days of your next cycle. If menstruation does not occur, and the basal temperature at this time is higher than usual, this may be a sign of pregnancy.

    • If the temperature stays at elevated level within 14 consecutive days after ovulation, there is a high probability that pregnancy has occurred.
  1. Look for signs of implantation. Some women experience bleeding during implantation - you may find a small amount of blood on the linen due to the attachment of the zygote to the wall of the uterus. As a rule, this occurs 6–12 days after fertilization. It's perfect normal phenomenon, because of which you should not worry, but if something bothers you, contact your doctor.

    • Bleeding during implantation may be accompanied by mild cramping, headaches, nausea, mood swings, chest and back pain.
  2. Take a pregnancy test at home if you don't have your period. After the end of the ovulation period, a waiting period begins. Wait until your next period and if it doesn't, take a test. Home pregnancy tests are about 97% accurate, but they can give a false negative result if taken too early. Test again in a week if the first test came back negative but you have signs of pregnancy.

    • Remember that most couples don't get pregnant right away. Out of 100 couples who try to conceive every month, only 15-20 succeed. However, of all couples, 95% achieve pregnancy within two years!

How to seek help for fertility problems

  1. Set a time limit after which you will seek help, taking into account age, duration of attempts, and health status. It can be difficult for you to just wait, but it is necessary. If you set a deadline for seeing a doctor, it will be easier for you to relax and prepare for next ovulation. Help should be sought at the following cases:

  2. Get tested for detection common problems with fertility. Everything from illness and stress to too much exercise and medication can negatively affect fertility. Some drugs make it difficult or prevent conception. Tell your doctor about all medications food additives and vitamins you are taking, and talk about special drinks and foods you eat so your doctor can identify possible reasons difficulties.

    • Get tested for sexually transmitted infections. Some infections reduce fertility, and some can cause infertility if left untreated.
    • Some women develop a tissue obstruction in the vagina that prevents sperm from reaching the egg (it can be removed), and some have diseases that affect the menstrual cycle (for example, polycystic ovaries).
  3. Get an extended fertility screening. If both you and your partner are found to be healthy by your therapist, you should have a fertility test and semen analysis.

    • Men should have their semen analyzed to assess the quality of the semen and the amount of sperm that are released during ejaculation. Men may also have a blood test to check hormone levels and an ultrasound to check ejaculation and look for blockages in the vas deferens.
    • Women are usually given hormone tests to check their hormone levels. thyroid gland and the pituitary gland, as well as other hormones during ovulation and at other periods of the cycle. Hysterosalpingography, laparoscopy and pelvic ultrasound are more complex procedures that allow you to study the condition of the uterus, endometrium and fallopian tubes. These procedures make it possible to identify scars, blockages and diseases of the pelvic organs. The doctor may also order an ovarian reserve test and tests for genetic diseases associated with infertility.
  4. Make an appointment with a fertility specialist or a family planning and reproduction center. Your gynecologist may refer you to a fertility specialist or a specialty clinic so that you can go through everything. necessary research and procedures. The reproductive specialist will prescribe tests and examinations, make a diagnosis and treat problems that may cause difficulties with conception. Find a trusted doctor and make an appointment.

    • Make a list of questions you would like to ask your doctor before your appointment. Go through the questions with your partner so you don't forget anything. Write down questions about cost, side effects and effectiveness of treatment.
    • Don't expect to be tested or treated at your first appointment. Just talk to your doctor, ask questions, and find out what options you have.
    • Do not think that you are obliged to agree to a certain treatment in the clinic after the first appointment. Go to several centers and do not start treatment until you find a clinic that suits you best.
  5. Ask your doctor about intrauterine insemination (IUI). In this procedure, a partner's or donor's sperm sample is taken, cleaned of seminal fluid, and then placed directly into the uterus using a thin catheter. Usually, the procedure is carried out the day after the increase in hormone levels during ovulation on an outpatient basis. This procedure is painless and non-invasive. IUI can be used up to 6 months before other procedures. Intrauterine insemination can help in the following cases:

    • endometriosis;
    • unexplained infertility;
    • sperm allergy;
    • infertility due to male factors. Warnings
      • Trying too hard to conceive, especially if you follow a strict schedule, can be stressful, and the physical and emotional intimacy between partners can suffer.
      • The decision to become a parent should be taken seriously. Think about whether you and your partner are really psychologically ready for the arrival of a child.
      • Before you stop using barrier methods of contraception, make sure you and your partner are free of infections.