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How to Get Pregnant / Pregnancy / Smartmum

I Can’t Get Pregnant, What Can I Do?

I Can’t Get Pregnant, What Can I Do?

I Can’t Get Pregnant, What Can I Do?

Trying to conceive? It usually takes healthy couples about 6 to 12 months to get pregnant. These 5 expert tips can boost your chances of getting pregnant.

Chart Your Ovulation Period

Increase your chances of conceiving by timing sex nearer your ovulation window. If you have a regular 28-day menstrual cycle, your most fertile period is usually on Day 14–15.

There are many ways to track your ovulation cycle. Many women use basal body temperature (BBT) to track a rise in temperature immediately after ovulation; others may use store-bought test kits that track their ovulation cycle, such as the Clearblue Digital Ovulation Test, or even an ovulation tracker via an app on the smartphone. Or you can simply monitor the changes in your body and make a note in your diary; for example, cervical mucus becomes thinner and clearer when ovulating.

Try Different Sexual Positions — And Remain in Bed!

Aim to have sex at least 3 times a week when you’re ovulating to boost your chances of conceiving. Alternate between morning and night or try different sexual positions to increase your chances of success.

After intercourse, remain in bed for up to 30 minutes, preferably lying on your back with a pillow under your pelvic region. This will help the sperm to travel up the womb and fertilise the egg. You can even try lifting your legs up in the air or resting them against the wall or bedhead to let gravity help.

Take Pregnancy Supplements

Some women experience anovulation, which is when a woman skips ovulation. Your doctor might prescribe fertility drugs such as clomiphene to enhance ovulation.

Increasingly, men are also experiencing lower sperm count due to a range of factors, from lifestyle to environmental toxins. “Many men have poor sperm count. This is a worldwide trend,” says Dr Tan Thiam Chye, an obstetrician and gynaecologist. “Thankfully, there are now supplements available to help improve sperm count and speed!”

Consult a Fertility Specialist/Gynaecologist

In general, young couples can try naturally for a year before consulting a doctor. However, women who are aged over 35 years should seek expert help earlier if they are unable to conceive after 6 months of trying.

At your first appointment, your doctor will discuss your medical and sexual history and advise the best course of action for you to conceive a baby. For some couples, it may be a matter of sperm count or womb problems. For others, it may be an issue of optimal sexual positions, says Dr Tan. “For example, I have seen husbands who are not practicing deep penetration, and only grazing the external vulva.”

Undergo Surgery or Treatment

“It is not uncommon for couples to face sexual dysfunction,” says Dr Tan. “I have treated men in their 30s and 40s who experience erectile dysfunction. Some women also have vaginismus, a condition which causes painful sex.”

If tubal blockages, fibroids or endometriosis are causing infertility, a gynaecologist may opt to perform surgery and clear the blockages. However, your gynaecologist may also recommend assisted reproductive techniques such as intrauterine insemination (IUI) or in vitro fertilisation (IVF) to help couples conceive if necessary.

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MBBS (S'pore), M.Med(O&G) (S'pore) Head & Senior Consultant Department of Obstetrics and Gynaecology KK Women's and Children's Hospital Director (Clinical), Office of Patient Experience Deputy Director (Education), KKH Campus Associate Professor Duke - NUS Graduate Medical School Singapore

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