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TRYING TO CONCEIVE
A Complete Guide to Baby Making Sex
By Rachel Gurevich
Updated October 15, 2019
Medically reviewed by Anita Sadaty, MD
Baby making isn't complicated if you and your partner have good fertility. The most important
thing is to have sex when you're most fertile. This is typically mid-cycle, and around week
two to three of your menstrual cycle in those with regular ovulation. There are a variety of
ways to detect this time.
Even so, you likely have questions beyond timing. Is there a difference between sex for fun
and conception sex? Does position matter? What about lying down afterward or the role of
female orgasm in fertility? How often should you be having sex?
Timing is critical when you're trying to conceive. Many of us got the impression in school that
sex any time can get you pregnant. This isn't entirely true.
You are more likely to get pregnant from sex that occurs on just three days out of the month.
At most, you are potentially fertile for seven days each month.
If you're experiencing ovulation signs, this is the ideal time to have sex to get pregnant. You
can detect ovulation using a number of methods, including ovulation predictor kits, basal
body temperature charting, or cervical mucus tracking.
What if you don't have any ovulation signs? You may not be ovulating. This is a possible
cause of female infertility.
Another common question is how often you should have sex to get pregnant. Some couples
go all out and have sex every day, all month. If you're into that, it's usually OK. In fact, it's
usually a good idea for your relationship to make sure you're having sex when you're not
ovulating, so that sex doesn't simply become a conception machine.
But most people get tired of this schedule, especially if it takes longer than a few months to
conceive. Plus, sex every single day may be a problem if your sperm count is low.
Having sex three to four times a week all month long is a good plan. While you can't get
pregnant from sex after ovulation, there may be other benefits to sex during this non-fertile
time.
The position doesn't matter that much for baby-making sex. As long as ejaculation happens
as close as possible to the cervix, it's good enough.
However, there is some debate on whether or not the missionary position (man on top) may
be best.
Truthfully, you can have sex in any position. Variety may help improve your sex life, and that
can help you cope better with the stress of trying to conceive.
It takes sperm between 2 and 10 minutes to travel up from the cervix to the fallopian tubes
(which is where they will meet the egg.) However, this movement occurs regardless of
whether you're standing up, lying down, or standing on your head.
No one is certain whether lying down after sex helps, however, there has been some
research on IUI (intrauterine insemination) treatment that indicates it might be helpful.
If you want to try it, remain on your back for just 15 minutes after sex. That is more than
enough time.
The female orgasm is not required for baby making, and plenty of women conceive without
it. But could it help?
The research isn't clear, but some studies indicate it just may give sperm a boost.
One theory is that female orgasm helps move the sperm up from the cervix to the fallopian
tubes. Another is that orgasm makes you feel sleepy, which increases your odds of
remaining horizontal after sex (which may or may not help with conception—see the
information just above this!)
Personal lubricants with spermicide are an obvious no-no when it comes to conception sex.
What about the regular lubricants? Unfortunately, lubricants like KY Jelly are not sperm-
friendly.
This is an especially important issue, since couples dealing with infertility may experience
stress during sex, which means fewer arousal fluids. (Plus, hormonal imbalance can lead to
less cervical mucus.)
The good news is there are fertility-friendly lubricants available. Some of the more popular
brands include Pre-Seed, Conceive Plus, and Astroglide TTC. You could also use plain (no
fragrance) baby oil.
How Can You Cope With Having Sex on Demand During Fertility Treatment?
Frustrated man sitting on edge of bed
momentimages/Getty Images
As part of fertility treatment, you may be told when to have intercourse ("doctor prescribed
sex"). If you're taking Clomid, your doctor will help you choose the best days to boost
conception.
Your doctor may tell you to use an ovulation predictor kit at home. Alternatively, she may
detect your most fertile days for you by using ultrasound and blood work to predict ovulation.
This can be very stressful for a couple. Some men may experience performance anxiety. To
cope, consider making a date of your "scheduled sex," maintaining a sense of humor about
the situation, and being patient with one another.
How Can You Improve Your Sex Life Now That You're TTC?
Man getting massage
monkeybusinessimages/iStockphoto
Trying to conceive can change your sex life, often for the worse if you’re trying for several
months (or years). You may feel alone and frustrated.
You should know that having trouble with sex when trying to conceive is common. There are
things you can do, though to improve your sex life.
Between 30 and 50 percent of women will experience painful sex sometime during their life.
Sex shouldn't be painful. If it hurts, something is wrong.
Surprisingly, only 1 in 4 women will ever tell their doctor about their pain.
What should you do if you want to get pregnant but sex hurts? What causes sexual pain?
Could it harm your fertility?
You should talk to your doctor if sex is painful. Painful sex not only interferes with your
relationship and ability to get pregnant but can be a symptom of a serious problem.
If sex is so painful that sexual intercourse isn't possible, there are other options for
conception. But first, talk to your doctor and have a thorough exam. Pain is often our body's
way of telling us that something isn't right. Listen to what it is saying.
If you're not getting pregnant and are starting to get anxious, talk to your doctor. And don't
forget that sex without the intention of making a baby is important as well.
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Article Sources
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Is the Female Orgasm Important to Get Pregnant?
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8 Signs of Ovulation That Help Detect Your Most Fertile Time
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12 Reasons Sex May Hurt -- And What You Can Do About It
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