Podcasts > The Diary Of A CEO with Steven Bartlett > Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

By Steven Bartlett

In this episode of The Diary Of A CEO podcast, Natalie Crawford, a pregnancy doctor, shares insights into increasing the chances of natural conception. She explains the fertile window and how cycle length determines its timing. Crawford also debunks common myths surrounding factors like sex positions and post-intercourse habits that are often mistakenly thought to impact fertility.

The discussion addresses the effect of age on female fertility, with Crawford noting a significant decline after 30. For couples facing challenges with regular intercourse, Crawford touches on alternatives like intrauterine insemination (IUI) and in vitro fertilization (IVF) to aid conception. The episode provides a practical understanding of the science behind pregnancy and conception.

Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

This is a preview of the Shortform summary of the Nov 15, 2024 episode of the The Diary Of A CEO with Steven Bartlett

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Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

1-Page Summary

The Fertile Window and Conception

Natalie Crawford shares that the fertile window spans the 5 days before ovulation and the day of ovulation. Since an egg survives for only 24 hours after ovulation and sperm can live in the female reproductive system up to 5 days, this window offers the highest chances of conception through intercourse.

Crawford explains cycle length determines when ovulation occurs and therefore the timing of the fertile window. She recommends having regular sex every day or every other day, rather than focusing solely on ovulation, to optimize chances of conception.

Fertility Myths Debunked

Crawford debunks several common fertility myths:

  • Propping up hips or urinating after sex does not impact fertility, as sperm enter the fallopian tubes within minutes.
  • Sex position has no bearing on fertility, as long as ejaculation occurs inside the vagina.
  • While female orgasm can facilitate sperm transport through uterine contractions, it's not essential for conception.

Age and Fertility Decline

Crawford notes fertility significantly declines with age, especially after 30. For women under 30, the chance of pregnancy per month is about 20%. This drops to 10-15% by age 35, 5-8% by 38, and 3-5% by 40.

Steven Bartlett adds that waiting until later in life to start a family can increase pressure and negatively impact the enjoyment of sex due to meticulously timing intercourse for peak fertility.

Alternatives for Conception

For couples facing challenges with regular intercourse, Crawford discusses alternatives like intrauterine insemination (IUI) where sperm is injected directly into the uterus, bypassing the need for intercourse.

She also mentions in vitro fertilization (IVF) and other assisted reproductive technologies that help couples with fertility issues conceive and allow for embryo preservation for future family planning.

1-Page Summary

Additional Materials

Counterarguments

  • While the fertile window is typically described as the 5 days before ovulation and the day of ovulation, individual variations in cycles can make predicting this window challenging, and some research suggests that the window may be narrower for some women.
  • The survival of sperm in the female reproductive system can vary, and not all sperm may remain viable for up to 5 days, which could affect the timing of intercourse relative to ovulation.
  • Regular sex every day or every other day may not be practical or desirable for all couples due to lifestyle, stress, or health issues, and such recommendations may not take into account individual circumstances or preferences.
  • While propping up hips or urinating after sex may not impact fertility for most, there could be individual cases or specific conditions where such actions might have an effect, although these would be exceptions rather than the rule.
  • The decline in fertility with age is well-documented, but there is significant individual variation, and some women may experience less of a decline or maintain higher fertility rates beyond the ages mentioned.
  • The psychological impact of waiting to start a family later in life can vary greatly among individuals, and some may not experience increased pressure or a negative impact on the enjoyment of sex.
  • While IUI and IVF are valuable alternatives for conception, they come with their own sets of challenges, risks, and emotional and financial considerations that are not addressed in the text.
  • Assisted reproductive technologies, while helpful, may not be accessible to all due to cost or availability, and success rates can vary widely, which is not mentioned in the text.

Actionables

- Track your menstrual cycle using a dedicated app to pinpoint your fertile window, entering data such as the start and end dates of your period, body temperature, and any physical symptoms you notice, which can help you identify patterns and predict ovulation more accurately.

  • By consistently logging this information, the app's algorithms can provide you with a personalized fertility calendar. For example, if you notice a slight rise in body temperature or changes in cervical mucus, these could be indicators of ovulation approaching, allowing you to plan intercourse accordingly.
  • Create a conception-friendly routine by scheduling regular intimacy sessions with your partner during the predicted fertile window, ensuring that you maintain a relaxed and enjoyable atmosphere to reduce pressure.
  • This could involve setting aside time for date nights, romantic activities, or simply quiet time together, which can help keep the experience enjoyable and stress-free. For instance, you might plan a special dinner at home or a relaxing evening walk, integrating these activities into your fertile period to maintain a positive and intimate connection with your partner.
  • Educate yourself on age-related fertility changes by attending a webinar or online course offered by a fertility clinic or reproductive health expert, which can provide you with a deeper understanding of how age impacts fertility and what steps you can take to plan your family.
  • These educational resources often offer insights into lifestyle changes, nutritional advice, and medical options that can support fertility. For example, a webinar might explain the benefits of certain vitamins or dietary adjustments that can improve egg or sperm quality, or discuss the process and success rates of assisted reproductive technologies for different age groups.

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Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

The science and biology of fertility and conception

Understanding the timing of the fertile window, cycle length, and sexual frequency is critical for conception. Natalie Crawford shares insights on each of these elements.

The fertile window is the 5 days before ovulation and the day of ovulation.

Crawford explains that the fertile window encompasses not just the day of ovulation but also the five days leading up to it because the egg survives for only 24 hours after ovulation. Essentially, the egg needs to be fertilized within this narrow time frame to achieve conception. Additionally, since sperm can live in the female reproductive system for up to five days, intercourse during this window increases the chances of sperm meeting the egg.

Cycle length determines when ovulation occurs and the timing of the fertile window.

The timing of ovulation is dependent on an individual’s menstrual cycle length. Crawford points out that in an average 28-day cycle, ovulation typically occurs on day 14. For a longer cycle, such as a 35-day cycle, ovulation is more likely to happen around day 21.

Having regular sex every day or every other day is an effecti ...

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The science and biology of fertility and conception

Additional Materials

Clarifications

  • The fertile window is the timeframe during a woman's menstrual cycle when she is most fertile and has the highest chance of conceiving. It includes the 5 days before ovulation and the day of ovulation itself. This period is crucial because an egg can only be fertilized for about 24 hours after ovulation, while sperm can survive in the female reproductive system for up to 5 days, increasing the likelihood of conception when intercourse occurs during this window.
  • In a typical 28-day menstrual cycle, ovulation usually occurs around day 14. For longer cycles, like a 35-day cycle, ovulation is more expected to happen around day 21. The length of the menstrual cycle influences when ovulation occurs, with ovulation typically happening about halfway through the cycle. Understanding one's cycle length helps predict the timing of ovulation and the fertile window for conception.
  • Regular sex, either daily or every other day, is recommended for conception as it increases the chances of sperm meeting the egg during the fertile window. This approach ensures a consistent supply of sperm in the reproductive tract, increasing the likelihood of successful fertilization. It is more effective than trying to time intercourse solely around ovulation day. This strategy optimizes the chances of conception, especially when menstrual cycles ...

Counterarguments

  • The fertile window can vary significantly among individuals, and not all women have a textbook 28-day cycle or ovulate exactly 14 days before their next period.
  • While sperm can live up to five days in the female reproductive system, the most fertile days are typically closer to ovulation, and sperm quality can vary, affecting this timeframe.
  • Cycle length alone is not always a reliable indicator of ovulation timing, as some women may experience irregular cycles or conditions like polycystic ovary syndrome (PCOS) that can affect ovulation.
  • Ovulation can sometimes occur outside the typical window even in women with regular cycles, making prediction based on cycle length alone less accurate.
  • Having sex every day or every other day may not be necessary or practical for all couples due to lifestyle, stress, or other factors that can affect libido and sexual health.
  • The strategy of having regular intercourse may not address underlying fertility issues that could be present in either partner, and some couples may require m ...

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Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

Debunking myths and misconceptions around getting pregnant

In the journey to conceive, couples often encounter myths and misconceptions about what can improve their chances. Here, we address some common beliefs that have no impact on fertility.

Propping up the hips or urinating after sex does not impact fertility.

Couples trying to conceive may hear advice about positioning hips after sex to increase the likelihood of pregnancy, but science says otherwise. Sperm are highly efficient swimmers that enter the fallopian tubes within minutes, so there's no need to prop hips up on a pillow or keep feet in the air.

Furthermore, urinating after intercourse won't flush sperm out because they enter the cervix within two minutes and can remain there for up to five days. While urination after sex isn't a contraceptive, it is recommended to help prevent urinary tract infections.

Sex position does not matter for fertility, as long as ejaculation occurs.

Another common myth is that certain sexual positions can improve the chances of conception or even influence the sex of the baby. However, the truth is that any position is suitable for conception as long as ejaculation occurs inside the vagina. The size of the penis or vagina does not affect sperm's ability to reach and ferti ...

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Debunking myths and misconceptions around getting pregnant

Additional Materials

Clarifications

  • Sperm entering the fallopian tubes within minutes after ejaculation is a natural process facilitated by the sperm's ability to swiftly navigate through the female reproductive system. Once released into the vagina, sperm travel through the cervix and into the uterus, reaching the fallopian tubes where fertilization typically occurs. This rapid journey is aided by the sperm's motility and the chemical signals present in the female reproductive tract. The efficient movement of sperm towards the egg is crucial for successful fertilization to take place.
  • Sperm can survive in the female reproductive tract for several days, with some studies suggesting they can live up to five days. This ability allows sperm to wait for the egg to be released during ovulation, increasing the chances of fertilization. The cervix acts as a reservoir for sperm, providing a conducive environment for their survival and eventual journey towards the egg. This prolonged survival time is one of the reasons why conception can occur even if intercourse happens a few days before ovulat ...

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Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

The Impact of Age on Fertility

Age is a critical factor when it comes to fertility, and understanding its impact is essential for those planning a family.

Fertility declines with age, with significant drops after age 30.

Fertility naturally declines as women age, with women under 30 having about a 20% chance of pregnancy per month. Natalie Crawford notes that this likelihood decreases with age, especially after 30. For women starting a family at 35, the chance of pregnancy per month is about 10 to 15 percent. By the time they reach 38, their chances dip to 5-8% per month. At age 40, the chances of getting pregnant drop further to 3-5% per month.

Waiting until later in life to start a family can increase pressure and negatively impact the enjoyment of sex.

Steven Bartlett discusses the emotional and ...

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The Impact of Age on Fertility

Additional Materials

Clarifications

  • As women age, their chances of getting pregnant per month decrease. Women under 30 have about a 20% chance of pregnancy monthly. By age 35, this chance drops to 10-15%, at 38 it's 5-8%, and by 40, it decreases to 3-5% per month.
  • Meticulously timing intercourse for peak fertility can lead to a sense of pressure and obligation, potentially overshadowing the natural spontaneity and pleasure of the act. Couples may find themselves focusing more on the goal of conc ...

Counterarguments

  • While fertility does decline with age, advancements in reproductive technology such as IVF can help older women conceive, which is not mentioned in the text.
  • The statistics provided are averages and may not reflect the individual variability in fertility; some women over 30 may have higher fertility rates than suggested.
  • The text does not acknowledge that men's fertility also declines with age, which can be a contributing factor when older couples are trying to conceive.
  • The psychological impact of trying for a baby later in life can vary greatly among individuals; not all couples experience increased pressure or a decrease in sexual enjoyment.
  • The text does not consider the potential benefits of starting a family later in life, such as increased financial stability and emotional maturity.
  • The text implies ...

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Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

Alternatives to traditional intercourse for conception

Couples facing challenges with regular intercourse due to various circumstances have alternatives available for conception, such as intrauterine insemination (IUI) and in vitro fertilization (IVF).

Intrauterine insemination (IUI) can be an option when regular intercourse is not possible.

Crawford discusses how IUI serves as a helpful method for couples where natural conception is problematic. She describes scenarios such as one partner having a career like a truck driver or pilot, which makes them absent during the fertile window, or cases where partners are high-performing individuals who may not prioritize or enjoy sexual intimacy.

IUI involves directly injecting sperm into the uterus, bypassing the need for intercourse.

She further explains the IUI procedure, where sperm are taken, processed, and then inserted directly into the uterus without the rest of the ejaculate. This part of the ejaculate typically serves to protect the sperm from the acidic environment of the vagina, but IUI bypasses this requirement by allowing the sperm to be placed directly where fertilization occurs.

IVF and other assisted reproductive technologies can help couples with fertility challenges.

Thes ...

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Alternatives to traditional intercourse for conception

Additional Materials

Counterarguments

  • While IUI and IVF are valid alternatives for conception, they can be financially burdensome for some couples, as these procedures can be expensive and are not always covered by insurance.
  • Assisted reproductive technologies may not always align with certain individuals' or couples' personal, ethical, or religious beliefs, leading them to seek other methods or accept infertility.
  • The success rates of IUI and IVF can vary greatly depending on a range of factors, including age and underlying fertility issues, and are not guaranteed to result in pregnancy.
  • There is a potential for emotional and psychological stress associated with the use of assisted reproductive technologies, which can be a significant challenge for some couples.
  • The preservation of embryos in IVF raises complex ethical questions about the status of these embryos, their use, and their disposal, which can be a point ...

Actionables

  • You can start a conception journey journal to track your thoughts, feelings, and the steps you're taking towards assisted reproduction, which can help you process the experience and make informed decisions. Write down your daily reflections, research notes, and any questions you have for medical professionals. This can be a therapeutic way to navigate the emotional complexities of fertility treatments and ensure you're prepared for appointments and decisions.
  • Create a financial plan specifically tailored for fertility treatments, considering the costs of procedures like IUI and IVF, as well as potential future expenses like embryo preservation. Use budgeting apps or financial planning tools to set aside funds, explore insurance options, and investigate any available financial assistance programs for assisted reproductive technologies to ensure you're financially prepared for the journey ahead.
  • Engage in community for ...

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