When are you most fertile? A guide to understanding your fertile window

Do you know when are you most fertile? Check out these top 10 questions about fertility and pregnancy timing. You have decided to start a family and embark on the exciting pregnancy journey. One of the most important aspects of this journey is to find out when are you most fertile so that you can try to conceive during that time. There is a duration called the fertile window when you are most fertile and has a high chance of getting pregnant. By understanding your fertile window, you can plan the right time to have sex and maximise the chances of conceiving. Here are some commonly asked questions about ovulation, fertile window, and fertility. 1. What is ovulation? Ovulation is when your body releases an egg from your ovary every month for fertilisation. It happens during the mid of your menstrual cycle and lasts only for a day. On an average, most women have their ovulation around the mid-cycle or the 14th day of a 28-days cycle. However, it can vary according to women. Some may ovulate earlier or later, depending on their cycle’s duration. 2. How can I determine when I am ovulating? There are a few ways to determine ovulation: –       Tracking the menstrual cycle One of the most common and easy ways to know your ovulation day is by tracking your menstrual cycle. Ovulation occurs in the middle of the cycle. If your menstruation cycle lasts 30 days, then the ovulation day may occur between the 14th to 16th day. –       Basal body temperature becomes high Basal body temperature is the temperature when your body is on complete rest. It increases when you are nearing ovulation. Typically, body temperature will be around 35.5 °C to 36.6 °C before ovulation. During ovulation, the temperature will be higher than usual. You may be nearing ovulation if your body is heaty some days after menstruating. It is best to keep track of your body temperature in the morning before you get out of bed. –       Cervical mucus changes to a wetter texture Cervical mucus is a fluid produced by the cervix. During the fertile window, the mucus becomes clearer, wetter, and stickier. It also has a raw egg-white texture which enables the intercourse to be smoother. 3. When are you most fertile? You are most fertile during your fertile window, which includes the days leading up to ovulation, the day of ovulation, and the day after ovulation. The fertile window lasts about 5-7 days for most women and occurs during the mid-cycle. If you have intimate relations during this time, your chances of getting pregnant are high. It’s important to remember that every woman’s cycle is different, and tracking ovulation can help you determine the timing of your fertile window. In addition, a fertility calculator or ovulation calculator can help you determine your fertile window, provided that your menstrual cycles are regular and ovulation occurs regularly. To use the calculator, you simply need to input the first day of your last menstrual cycle and your average cycle length, and it will estimate your fertile window. 4. Should I have sexual intercourse daily during my fertile window? It is not necessary to have intercourse every day during the fertile window. However, it is important to have intercourse regularly during the fertile window to increase the chances of conception. Typically, the fertile window is the six-day period that ends around the day of ovulation. The optimal time to have intercourse is in the days leading up to ovulation when you are most fertile. It is recommended to have intercourse every other day during this period to ensure that sperm is present when ovulation occurs. Ultimately, the decision of how often to have intercourse during the fertile window is up to you and your partner. Thus, always remember to maintain a healthy and supportive relationship, communicate openly about fertility goals and preferences, and seek medical advice if needed. 5. Does age affect my fertility? Age impacts fertility rate. Women are most fertile in their 20s and early 30s. However, the older you are, the less fertile you can be. Women have a lifetime supply of eggs in the ovaries. The average number of eggs you have during the first menstrual cycle is around 250 000 eggs. As your age increases, the number of eggs decreases. When you are 30 years old, the number of eggs will be less than 52 000. By 40, it drops even lower to around 9 000. Thus, it is best to get pregnant when your egg count facilitates pregnancy. You can opt for egg freezing earlier to get pregnant after your 30s. If you have been trying for more than six months without success, it is time to seek a doctor. 6. Can stress or lifestyle choices affect my fertility? Stress and certain lifestyle choices can impact your fertility. Chronic stress can disturb your menstrual cycle and affect ovulation, making it harder to conceive. Having constant stress can lead to shutting down the hypothalamic-pituitary-gonadal axis, a hormone-regulating mechanism that controls the reproductive system. It can disrupt the connection between your brain and ovaries, causing delays and absences in ovulation or irregular periods. Lifestyle choices like smoking, excessive alcohol consumption, unhealthy diet and irregular sleep cycles can also impact fertility negatively.  7. When are you least likely to get pregnant? You are least likely to get pregnant during your period. During period, you may have a low level of fertility. It is because no matured egg is released, making it harder to conceive. During menstruation, the unfertilised egg disintegrates and sheds with the uterus lining built for egg implantation. Another phase where getting pregnant is less probable is during the follicular phase or the first part of the menstrual cycle. This is because the ovary is getting ready to release an egg at this moment, and the cervical mucus is not conducive to sperm survival. The time between ovulation and menstruation,

Find Out How Much Is the IVF Treatment?

How Much Is the IVF Treatment for Couples with Fertility issues?  For many couples, starting a family is a dream they hope will come true. Unfortunately, not everyone can conceive naturally. This is where I believe, In-vitro fertilisation (IVF) becomes a viable option. IVF has been around for many years and has helped millions of couples achieve their dreams to get pregnant and have a child. However, a common question that arises is “how much is the IVF treatment?”, but before getting into the details of the costing or price, I think it is important to first understand the essentials of the IVF treatment. What is IVF Treatment? In vitro fertilisation (IVF) is a fertility treatment that involves fertilising an egg with a sperm outside of the womb in a laboratory dish, after which the resulting embryo is transferred back into the womb. Typically, IVF is used when other methods of conception, like Intrauterine insemination (IUI), have failed. It is often considered the last resort for couples trying to conceive. The IVF procedure starts with the use of fertility drugs to stimulate the ovaries to produce multiple eggs, which are then harvested and fertilised with sperm in a laboratory. After fertilisation, the resulting embryos are monitored to track their development before being transferred into the womb, where they implant and develop into a healthy pregnancy. Who can benefit from IVF treatment? IVF is suggested for couples facing severe infertility problem. Some of the problems include: Fallopian tube blockage Fallopian tube blockage can prevent the sperm from reaching the egg, making it difficult to conceive naturally. IVF can bypass this fertility problem as it would not involve the fallopian tube during fertilisation. It works by retrieving the eggs from the ovaries and fertilising them with sperm in the lab. The resulting embryos can then be transferred to the uterus.  Polycystic ovary syndrome (PCOS) PCOS can make it difficult for women to ovulate regularly due to imbalance in hormone level. It may be caused by the increased level in testosterone, luteinising hormone (LH) or from having insulin resistance. These problems can make the conception more challenging. IVF can help by using medication to stimulate ovulation and retrieving the eggs for fertilisation in the lab. Endometriosis Endometriosis is a condition where the tissue that lines the uterus grows outside of it, sometimes in the fallopian tubes, and can cause pain and affect fertility. For couples with endometriosis, IVF can be an option because it bypasses the need for the sperm and egg to meet in the fallopian tubes, which may be affected by the condition.  Uterine fibroids Uterine fibroids are growths that can develop in the uterus and affect fertility. Depending on the size and location of the fibroids, they can interfere with the implantation of a fertilised egg. IVF can help by transferring the fertilised eggs directly into the uterus.  Problems in sperm production or function Men having problems with sperm production or function indicates fertility problems. The problem in sperm includes low sperm count, sperm with poor motility or abnormally sized sperm. If any of these problems are found during a sperm analysis, then IVF may be suggested. Alternative options for fertility treatment besides IVF. IVF is not the only option for couples struggling with fertility problems. There are other fertility treatments available that may be less invasive and costly. Before knowing how much is the IVF treatment, get to know the other alternative options that can also aid fertility problems. Some of the alternative treatments besides IVF include: –       Intrauterine Insemination (IUI) IUI involves placing washed sperm directly into the womb. IUI treatment begins with monitoring the woman’s natural menstrual cycle to determine the optimal time for the procedure. Sperm is then collected, washed and concentrated in the laboratory. The concentrated sperm is then inserted into the uterus lining using a thin catheter. This process increases the chances of the sperm reaching and fertilising the egg, resulting in a successful pregnancy. IUI treatment is often used in cases of unexplained infertility or when the male partner has a low sperm count or mobility. It is also suggested by doctors for women who have mild fertility problems such as mild endometriosis.  –       Intracytoplasmic Sperm Injection (ICSI) ICSI is a form of assisted reproductive technology (ART) that can be used to treat male infertility factors, such as low sperm count, poor sperm motility, or abnormal sperm shape. ICSI involves the injection of a single sperm directly into the cytoplasm of the egg using a specialized pipette, bypassing the natural barriers to fertilization. The fertilized egg, now called an embryo, is then cultured in a laboratory for a few days before being transferred into the woman’s uterus. ICSI has been shown to be an effective treatment option for couples experiencing male infertility factors, as well as for those with unexplained infertility or other fertility issues. How much is the IVF Treatment? The cost of undergoing IVF treatment can vary significantly and is influenced by several factors, including medical history and the clinic chosen to perform the procedure. In Malaysia, the average cost of a single cycle of IVF treatment ranges between RM 14,000 to RM 25,000, with some reputable clinics charging up to RM 25,000 per cycle. Additionally, medications or other procedures may incur additional fees depending on your specific fertility problem. Couples may require multiple treatment cycles before achieving a successful pregnancy, so it’s important to consult with a doctor and understand the personalized cost of treatment. Fortunately, financial assistance is available to those who may struggle to afford IVF treatment. I often advise my patients to explore government programs, insurance coverage, or financial assistance programs related to fertility treatments.  I believe that you can determine the best course of action to pursue your dream of starting a family.by gathering enough information and speaking with your doctor regarding your condition.  Financial Aid in Malaysia Many families do crowd-funding where grandparents, parents, siblings, aunts, uncles and