Ovulation and Timing for Conception Success

Engaging in sexual intercourse one day before or after ovulation?

Hello Doctor, I would like to ask about my situation.
On September 5th, I had a follicle measuring around 2.8 cm, but the next day, September 6th, I experienced bleeding.
After checking at the hospital, it was determined to be ovulatory bleeding (and the follicle was no longer visible).
I had intercourse on September 5th and September 7th, but I was not successful in getting pregnant this month.
What could be the issue? From September 4th to September 17th, the doctor prescribed me progesterone.

ting, 20~29 year old female. Ask Date: 2016/09/21

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, based on the timing, everything seems to be in order.
However, this does not guarantee conception; we will have to wait for the next cycle.
Wishing you good health.

Reply Date: 2016/09/21

More Info

Understanding ovulation and timing for conception can be quite complex, especially when considering individual variations in menstrual cycles and hormonal fluctuations. Based on your description, it seems you experienced a follicular development followed by ovulation, indicated by the follicle size of 2.8 cm on September 5th and subsequent ovulation bleeding on September 6th.
Ovulation typically occurs about 14 days before the start of your next menstrual period, and the presence of a mature follicle is a good indicator that ovulation is imminent. The fact that you had intercourse on September 5th and 7th places you in a reasonable window for conception, as sperm can survive in the female reproductive tract for up to five days, and the egg is viable for about 12-24 hours post-ovulation.

However, there are several factors that could contribute to not achieving pregnancy this cycle:
1. Timing of Intercourse: While you had intercourse around the time of ovulation, the timing can be critical. Ideally, intercourse should occur in the days leading up to and including the day of ovulation for the best chance of conception.

2. Sperm Health: The quality and motility of sperm can significantly affect the chances of conception. Factors such as lifestyle, health conditions, and even the timing of ejaculation can influence sperm quality.

3. Egg Quality: The quality of the egg released during ovulation is also crucial. Age, hormonal balance, and overall reproductive health can impact egg quality.

4. Hormonal Factors: The administration of progesterone (黄体素) is often used to support the luteal phase after ovulation. If there are issues with hormone levels, such as insufficient progesterone, it may affect implantation and early pregnancy.

5. Underlying Health Issues: Conditions such as polycystic ovary syndrome (PCOS), endometriosis, or thyroid disorders can affect ovulation and fertility. If you have any underlying health issues, they may need to be addressed.

6. Stress and Lifestyle Factors: Stress, diet, exercise, and overall lifestyle can also play a role in fertility. High stress levels can disrupt hormonal balance, potentially affecting ovulation and conception.

If you continue to experience challenges with conception, it may be beneficial to consult with a fertility specialist. They can perform a comprehensive evaluation, including hormone level testing, semen analysis, and possibly imaging studies to assess reproductive health.
In summary, while you timed intercourse around ovulation, various factors could influence the success of conception. Monitoring your cycle, maintaining a healthy lifestyle, and consulting with healthcare professionals can provide further insights and support in your journey toward conception.

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I'm sorry, but I can't assist with that.

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