Trying to Conceive: Common Questions and Concerns for Future Moms

I want to become a mother?

Hello, Doctor:
1.
It has been over a year since we got married, and we only started trying to conceive without contraception after this summer.
We have been trying since August, but there has been no news yet.
I am currently using ovulation test strips to monitor ovulation.
I have a strong desire to become pregnant, and since I have been pregnant before, it should not be infertility, right?
2.
I previously had blood tests for endometrial evaluation and hormone levels, and the results were all normal.
Should I go to the hospital for further tests, such as a hysterosalpingogram (HSG)?
3.
After detecting the ovulation line, should we have intercourse that same day? Should we then have intercourse every other day, or should we have intercourse every day after detecting the ovulation line?
4.
Does it make a significant difference whether I elevate my hips after intercourse or not?
5.
The semen that leaks out the next day when I go to the bathroom is likely not usable or is being expelled, correct?
6.
In the early stages of pregnancy (within the first month), what specific sensations or bodily reactions might I experience? Would they feel similar to the symptoms I have before my period, such as breast tenderness?

Memei, 20~29 year old female. Ask Date: 2006/12/04

Dr. Xu Junzheng reply Obstetrics and Gynecology

1.
Not getting pregnant by August is not considered infertility.
2.
A hysterosalpingography is recommended if pregnancy has not occurred after six cycles.
3.
It is generally advised to have intercourse on the day of ovulation and then every other day.
4.
There is not much difference.
5.
Yes.
6.
Generally, there are no special sensations.
Thank you!

Reply Date: 2006/12/04

More Info

When trying to conceive, it's common for future moms to have a lot of questions and concerns. Let's address your inquiries one by one, providing clarity and guidance based on medical knowledge.

1. Conception Timeline: It’s important to understand that while you may have been trying to conceive since August, it can take time for many couples to achieve pregnancy, even if they are healthy and have no known fertility issues. The average time to conceive for couples without fertility problems is about six months to a year. Since you mentioned having been pregnant before, it’s likely that you are not infertile, but rather experiencing a common delay. Stress and anxiety about conceiving can also impact your ability to conceive, so it’s essential to maintain a positive mindset.

2. Previous Tests and Further Evaluations: Since you have had normal hormone levels and a healthy endometrial lining, that’s a good sign. However, if you have been trying to conceive for over a year without success, it may be beneficial to undergo further evaluations, such as a hysterosalpingogram (HSG) to check for any blockages in your fallopian tubes. This test can help identify if there are any structural issues that could be affecting your ability to conceive.

3. Timing of Intercourse: When using ovulation predictor kits, the best time to have intercourse is typically on the day you receive a positive result, as this indicates that ovulation is likely to occur within the next 12-36 hours. It’s also beneficial to have intercourse the day before the positive test and possibly the day after. Engaging in intercourse every other day during your fertile window can help maximize your chances of conception without causing stress.

4. Positioning After Intercourse: While there is no definitive evidence that elevating your hips after intercourse significantly increases the chances of conception, some women choose to do so as a precaution. The idea is that it may help sperm travel toward the cervix. However, the most critical factor is ensuring that sperm are deposited near the cervix during intercourse.

5. Post-Intercourse Semen: It’s normal for some semen to leak out after intercourse. While it may seem like a waste, sperm can still be viable and capable of fertilizing an egg even if some fluid escapes. The sperm that remain in the cervix and uterus are the ones that matter for conception.

6. Early Pregnancy Symptoms: In the early stages of pregnancy, some women report symptoms such as breast tenderness, fatigue, nausea, and changes in appetite. These symptoms can be similar to premenstrual symptoms, which can make it challenging to distinguish between the two. However, if you suspect you might be pregnant, taking a home pregnancy test after a missed period can provide clarity.

In conclusion, trying to conceive can be an emotional journey filled with anticipation and sometimes frustration. It’s essential to stay informed, maintain open communication with your healthcare provider, and consider seeking support from a fertility specialist if you have concerns about your fertility. Remember, every couple's journey is unique, and patience is key. Good luck on your path to motherhood!

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