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39 doctors weighed in across 91 answers

Age: Age & lifestyle choices, like smoking, drugs & excessive alcohol use, may impact sperm production.

Answered 4/22/2014

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Dr. Victor Beshay answered

Specializes in Fertility Medicine

Avoid: Avoid excessive caffeine. Limit yourself to a small/medium cup of coffee and minimize sodas.

Answered 6/16/2014

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Avoid: Avoid using lubricants when trying to conceive, even water-based ones.

Answered 10/9/2014

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do tell your doctor you are pregnant before you take any medications.

Answered 9/29/2016

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Keep: Keep an accurate calendar of your menstrual cycle to predict ovulation days.

Answered 7/1/2016

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The: The rule of thumb is that lubricants like KY can interfere with sperm mobility.

Answered 3/16/2015

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Use: Use ovulation predictor kits if you have regular cycles; or see a rei to find why you're irregular.

Answered 4/30/2018

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Dr. Victor Beshay answered

Specializes in Fertility Medicine

Ovulation: Ovulation predictor kits are very good in tracking ovulation when trying to conceive.

Answered 4/8/2018

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Dr. Jeffrey Keenan answered

Specializes in Fertility Medicine

Infertility: Infertility is 40% related to the female, 40% to the male, and 20% is unexplained.

Answered 2/4/2014

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Dr. Jeffrey Keenan answered

Specializes in Fertility Medicine

Infertility: Infertility related to anovulation can be treated with clomid, (clomiphene) femara, tamoxifen, & injectable meds.

Answered 3/16/2013

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Dr. Jeffrey Keenan answered

Specializes in Fertility Medicine

The: The goal of reproductive surgery is to restore normal anatomy and function to reproductive organs.

Answered 12/22/2013

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Coping: Coping with infertility can be just as difficult as coping with a chronic illnesses.

Answered 8/21/2017

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Couples: Couples can meet with a counselor experienced with infertility issues to reduce stress & depression.

Answered 6/15/2017

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If: If you are over 35 and trying to conceive, six months is the recommended limit.

Answered 3/16/2013

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One: One of the difficulties with pcos patients is that their ovaries are very difficult to stimulate.

Answered 3/16/2013

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Support: Support groups like resolve are available with information and forums to help cope with infertility.

Answered 9/29/2016

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Trying: Trying to conceive requires patience. If you get stressed it will impede your progress.

Answered 3/16/2013

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Weight: Weight loss can improve fertility for women with pcos, and lowers the risk of diabetes.

Answered 8/7/2013

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It: It is a misunderstanding to say that a low afc or low amh indicates that you are 100% infertile.

Answered 4/22/2020

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Dr. Victor Beshay answered

Specializes in Fertility Medicine

Timing: Timing of intercourse in relationship to ovulation does not affect sex of your pregnancy.

Answered 1/8/2019

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Timing: Timing sex in relation to when you ovulate has no effect on having a boy versus having a girl.

Answered 9/29/2016

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

A: A chlamydia test once a year is recommended for women under 26, and may reduce infertility chances.

Answered 12/12/2013

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Although: Although good health is essential: excessive diet and exercise may be detrimental.

Answered 5/1/2016

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Careful: Careful monitoring of pcos patients during fertility treatment is necessary to prevent ohss.

Answered 3/16/2013

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Some: Some types of birth control are more reliable than others. Be consistent with each always!

Answered 9/29/2016

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A: A hysterosalpingogram is part of an infertility evaluation to test if the tubes are open.

Answered 5/15/2018

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A: A pelvic ultrasound is done to assess the uterus, the ovaries, and look for adnexal abnormalities.

Answered 7/1/2014

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A: A semen analysis needs to be done to make sure there is no male factor infertility.

Answered 9/20/2017

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Acupuncture: Acupuncture can safely be used prior to and while undergoing fertility treatments.

Answered 2/8/2014

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An: An endometrial biopsy is done cycle day # 26-28 to see if the uterine lining is developed adequately.

Answered 3/16/2013

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Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Fertility: Fertility specialists (rei) don't just offer ivf (in vitro fertilization) - there are other options.

Answered 8/20/2018

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Infertile: Infertile women need their hormone levels checked on cycle day 2-3 to see if they are normal.

Answered 11/22/2017

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Start: Start with a basal temperature chart so you know when you're ovulating and get a good ovulation kit.

Answered 3/16/2013

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Tubal: Tubal anastomosis is appealing to those who desire reversal & aren't comfortable with doing ivf.

Answered 3/16/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Don't: Don't have sex too frequently when you are fertile. It can lower sperm count & make conception hard!

Answered 8/12/2014

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Dr. William Carlos answered

Specializes in Critical Care

For: For him... Avoid hottubs, saunas, and tight-fitting underwear... Higher temps reduce sperm counts.

Answered 11/4/2014

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

For: For the male, boxer shorts are better than briefs. And keep the laptop off your lap.

Answered 9/29/2016

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Do: Do relax. Don't get too upset or anxious about it.

Answered 9/8/2013

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Dr. Jie Xu answered

Specializes in Obstetrics and Gynecology

Keep: Keep menstrual diary, use ovulation kits, have sex day before and day of ovulation.

Answered 12/19/2014

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Dr. Marvin Den answered

Specializes in Internal Medicine

Try: Try different sexual positions. Also time your activity with your time of ovulation.

Answered 2/9/2015

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Reduce: Reduce stress. Know your ovulation cycle. Enjoy sex without pressure of expectations of success.

Answered 5/14/2016

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Dr. Heidi Fowler answered

Specializes in Psychiatry

If: If at first you don't succeed, try, try again (but this time use an ovulation predictor calendar).

Answered 10/31/2013

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Do: Do your best to relax, stress only makes it more difficult.

Answered 9/29/2016

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Before: Before you try to get pregnant, make sure that your vaccinations are up to date.

Answered 9/29/2016

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If: If you need to lose weight, try to get to a healthy weight before you become pregnant.

Answered 9/29/2016

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Do:: Do: limit the amount of alcohol you drink when trying to conceive.

Answered 5/12/2015

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Do:: Do: keep exercising and maintain a healthy weight when trying to get pregnant.

Answered 5/12/2015

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Don't: Don't pursue aerobic exercise, it's a physiologic stress and decreases pregnancy chances.

Answered 3/30/2013

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Don't:: Don't: smoke while trying to conceive. This decreases fertility rates for men and women!

Answered 5/12/2015

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Don't: Don't drink excessively, do take prenatal vitamin daily, don't smoke, do eat healthy foods.

Answered 11/9/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Always: Always follow your doctors directions and change only with consultation.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Don't: Don't transfer 2 embryos when 1 embryo will be just as (or almost as) successful.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Don't: Don't try to be too aggressive with ivf embryo transfer and get multiples.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Think: Think you may be pregnant? An HCG blood test is needed to confirm, even with a positive home test.

Answered 9/29/2016

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Just: Just have sex 2-3 times weekly and enjoy not having to worry about it.

Answered 5/5/2014

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Ovulation: Ovulation occurs 14 days prior to menses, so counting backwards can help you to plan for next cycle.

Answered 5/9/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Maximize: Maximize male fertility with sex or ejaculation about every other day during fertile time.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Make: Make sure you get tested for an accurate diagnosis before treatment.

Answered 3/30/2013

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Try: Try not to stress out when trying to conceive. Be patient, have faith, seek help when needed.

Answered 9/27/2014

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Seek: Seek stress reduction in the form of walking, meditation or yoga.

Answered 8/20/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

IVF: Myth: ivf is the last treatment you should consider. Fact: it may be the first treatment to consider.

Answered 11/21/2016

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

IVF: Ivf allows us to freeze eggs or embryos for cancer patients before cancer treatment.

Answered 8/21/2018

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Practice: Practice safe sex to prevent std which can affect fertility potential later.

Answered 10/8/2014

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Prevent: Prevent neural tube birth defects by replenishing your Folic Acid stores; take 400mcg/day before try.

Answered 6/25/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Men: Men should avoid smoking, alcohol, heat (sauna, hot tub), extreme exercise, drugs for fertility.

Answered 9/29/2016

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Progesterone: Progesterone is a critical hormone of pregnancy, therefore used frequently because safe.

Answered 11/27/2015

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Save: Save your fertility by not smoking at all or using alcohol more than 1 per day.

Answered 6/4/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Get: Get a fertility check of amh, fsh, antral follicle count if you plan to delay pregnancy.

Answered 2/25/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Donor: Donor sperm is safe and effective, but slightly lower success than a natural conception.

Answered 3/26/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Transfer: Transfer a single embryo after ivf whenever possible for safest pregnancy outcome.

Answered 6/10/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Vasectomy: Vasectomy reversal decision should include evaluation of female partner for fertility potential.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Vasectomy: Vasectomy reversal is very successful but success drops with years since vasectomy.

Answered 1/10/2020

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Many: Many fertility treatments are available, and some may even be covered by certain insurance plans.

Answered 2/25/2018

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Fibroid: Fibroid surgery can help fertility but likely only for largest or those in uterine cavity.

Answered 9/29/2016

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

IVF: Ivf stimulation management is critical to achieve the best egg quality.

Answered 9/29/2016

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Removing: Removing endometriomas (ovarian endometriosis) is probably harmful to fertility.

Answered 3/8/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

PGS: Pgs (embryo chromosome screening) can improve the choice of embryo for transfer but it is expensive.

Answered 3/30/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Clomid (clomiphene): Clomid (clomiphene) and Letrozole are almost equivalent medications, but Clomid (clomiphene) has the slight edge.

Answered 6/27/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Most: Most IUI cycles have a success rate of less than 20%/cycle and often as low as 5-10%.

Answered 1/15/2015

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: if you are 35 or older & haven't conceived after 6 months, see a specialist.

Answered 12/4/2013

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: infertility issues could lie with the man, the woman, or both.

Answered 5/13/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: if you are diabetic control blood sugar levels before becoming pregnant.

Answered 1/12/2015

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: Clomid (clomiphene) is a fertility medication that helps some couples to conceive.

Answered 6/24/2014

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: daily use ovulation predictor kits can be used by women with irregular periods.

Answered 5/16/2015

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Trying: Trying to conceive: have sex prior to ovulation to increase chances of sperm and egg union.

Answered 8/30/2013

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Dr. Barbara Lavi answered

Specializes in Clinical Psychology

When: If trying to conceive, focus on having fun with your partner. Avoid worrying about getting pregnant.

Answered 2/28/2014

4.9k views

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Dr. Heidi Fowler answered

Specializes in Psychiatry

Chances: Chances for conception may drop as much as 29% if significantly overweight.

Answered 10/20/2013

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Dr. Michael Opsahl answered

Specializes in Fertility Medicine

Don't: Don't smoke, use recreational drugs or excess alcohol. Be healthy before conception.

Answered 1/27/2014

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For: For the greatest protection against birth defects, start prenatal vitamins when you start trying.

Answered 1/16/2019

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Try: Try to be at your best health before and while you are attempting to conceive.

Answered 2/1/2015

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Keep: Keep track of your cycle lengths. Plan having well timed intercourse. Relax.

Answered 6/19/2015

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