Clinical Library

Ovulation usually occurs about 14 days before the next period. The fertile window spans roughly 5 days before ovulation through 1 day after, because sperm can survive up to 5 days. Urinary LH kits, cervical mucus tracking, or ultrasound monitoring improve timing accuracy.

Egg quantity and quality decline with age, especially after 35 and more sharply after 40. Miscarriage risk also rises. Many people conceive in their late 30s, but time-to-pregnancy lengthens. Egg freezing before decline accelerates is an option some choose after counseling.

Yes. Polycystic ovary syndrome often causes irregular ovulation, but lifestyle changes, metformin, or ovulation-inducing medications help many people conceive. Weight management, if indicated, and monitoring with a reproductive endocrinologist improve outcomes.

Endometriosis can affect fertility by distorting anatomy, altering inflammation, and impacting egg quality in severe cases. Many with mild disease conceive naturally. Surgery, IVF, or both may be recommended depending on stage, age, and duration of trying.

Eggs must travel through fallopian tubes to meet sperm. Blockage from prior infection, endometriosis, or surgery can prevent natural conception. Hysterosalpingography or sonohysterography assesses patency; IVF bypasses the tubes when needed.

Anti-Müllerian hormone reflects ovarian reserve (remaining egg supply) but does not predict natural conception month-to-month. Low AMH may suggest fewer eggs and potentially shorter reproductive timeline, while normal AMH does not guarantee pregnancy. Interpret results with a specialist.

Most people can attempt conception after one normal period, once emotionally ready. Recurrent pregnancy loss (two or more) warrants evaluation for chromosomal, hormonal, anatomical, or clotting disorders. Early prenatal care supports the next pregnancy.

Both hypothyroidism and hyperthyroidism can disrupt ovulation and increase miscarriage risk. TSH should be optimized before conception, especially in known thyroid disease or positive thyroid antibodies. Treatment is safe and improves outcomes.