How long should it take to get pregnant?

3 facts to help you set reasonable expectations

So you’ve decided to start trying to get pregnant. Or maybe you have already started, and now you are wondering what to expect. When we were young we were probably told that having sex even once is a risk for pregnancy, and we were warned to always use protection. So it seems reasonable that you would expect to be pregnant as soon as you threw away those birth control pills and condoms. Not so! Mother Nature is actually not very efficient when it comes to conception.

One of the most frequently asked questions by couples I see in the office is “what is normal?” Couples want to know what the chances are of pregnancy overall, and more specifically; they want to know what the chances are every month that they try. Here are three facts to help you set reasonable expectations:

1. Approximately 85% of couples will conceive within the first year.

For the majority of couples, conception will occur within the first year of unprotected sex. A small proportion will go on to conceive in the second year. If you are a woman under the age of 35, it is reasonable to seek medical advice if you have not conceived after a year of trying.
Duration of Trying % Pregnant
3 months 57%
6 months 72%
12 months 85%
24 months 93%

2. Your chance of conceiving is highest in the first 6 months of trying.
Conception rates decline over time. This means that in the first month your chances for pregnancy can be as high as 25-30%, but this declines to less than 5% by your 12 month of unprotected sex.

3. Fertility rates go down as age goes up.
The statistics described above are overall rates regardless of your age. When broken down into age groups, the chance of conception per month goes down with age. By the time a woman reaches 40 years of age her chance per month of becoming pregnant is less than 10%.

Now that you have some basic information on the statistics of conception, you probably want to know how long you should be trying to conceive before a visit to the doctor might be helpful. A lot depends on age, as you now know. If you are under the age of 35 and have a menstrual period every month, a year of trying is reasonable. After age 35, I would suggest you consult your doctor after 6 months of trying. If you are 40 or older, I recommend you have a general fertility evaluation by your doctor to ensure that everything is in working order as soon as you decide to become pregnant. That way, if there are any issues that come up in your testing you can address it immediately rather than losing precious time. Start by talking to your family doctor, or go to a walk-in clinic. You will need a referral to see a fertility specialist. Consultations and investigations done by fertility doctors are covered by provincial health plans the same way that a visit to any physician is covered, so don’t worry about the costs. I encourage you to get the advice and guidance you need to start your family.

46 thoughts on “How long should it take to get pregnant?

  1. Dr. Jackson
    I am a PCOS patient, first with Dr. Min and now with Dr. Vasse. Although I had 8 successful ovulations after treatment (Clomid or Letrozole), I am still not pregnant. Within these 8 ovulation, I had done 3 IUI and none of them gave me good luck.
    I am totally lost now. Between these treatment, I had natural ovulation twice too, which means that 10 successful ovulations failed to conceive a baby considering the pregnant rate is above 20% for a 30-years-old women. Is IVF the only solution for me?

    • Thank you for your question.

      In terms of the recommendations for treatments, I can tell you what the typical stepwise approach is.

      If someone is not ovulating regularly, I usually try to get them to ovulate with Clomid, Tamoxifen, or Letrozole for 6-9 cycles maximum. If the medication is working to achieve ovulation and a pregnancy is not conceived, it is reasonable to go to on to do what is called “superovulation with intrauterine insemination”. What this means is that the woman takes medications to make 2-4 egg follicles (instead of the normal one that is released in a month) and this is timed with an insemination at the time of ovulation with a concentrated sample of motile sperm. The drugs taken for “superovulation” can be either pills (which is sounds like you have taken), or injections. Taking the pills is a lot easier and costs less, but also has a slightly lower success rate when compared to the injections. If this is going to work, it will usually do so in the first 3-4 tries. If you haven’t tried injections yet, this may be an option for you to discuss with your doctor.

      That being said, IVF is the most effective treatment to achieve a pregnancy. If this is simply something that you do not want to do, the only other suggestion I can make for you is to have a surgery called “ovarian drilling”. This has an 80% chance of helping you to ovulate regularly so that you can continue to try naturally on your own at home. Keep in mind that this will have a much lower success rate than IVF given the treatments you have already tried have not been successful for you. I would only recommend this as a last option.

      I hope this is helpful for you. Good luck!

      • Hi Dr. Jackson,

        Thanks very much for your response!
        I have tried 6 cycles of Clomid (4 of them had ovulation at dose of 3 pills a day), and 3 cycles of Letrozole with IUI (3 ovulation). My husband has delayed semen liquefaction. But according to the nurse, the quality was good after sperm wash. I was a bit frustrated because of the constant failure.
        I have never tried superovulation with IUI. My husband and I was worrying that the problem was due to the fertilization itself. Neither Clomid nor Letrozole looks working for me. Does the FSH or HMG injection improve the quality of the eggs? My husband and I would like to try IVF directly, mainly because of considering the cost. Injection is kind of expensive and we are not covered by the insurance. If we are going to try 3 cycles of injection with low rate of pregnancy, we’d better choose the high rate IVF. From your professional opinion, should we try superovulation first?

        Thanks very much,

        • Hi Tansy,

          I’m sorry to hear you are feeling frustrated. It sounds like you have tried very hard to conceive a child.

          It is difficult for me to make a recommendation to you about the best option for next steps without knowing your complete medical history and results of your tests. I would suggest you meet with your doctor to review all of these options to help determine what the best treatment is for you and your husband. She can give you the statistics on the different treatments based on your individual situation and help you figure out what is best for you. I wish you good luck, and I hope that this adventure leads you to the family you are dreaming of.

  2. Hi Dr. Jackson,

    Why do conception rates decline of time (in terms of months of trying)? I’m not sure I understand. My husband and I conceived our first son on our 1st try…but we have been trying for our second one for over a year now. I am completely baffled and frustrated as I never expected to be dealing with this. I think I have luteal phase deficiency (looking forward to an official confirmation) and I feel completely let down by my body. We are currently undergoing the basic fertility workup. Is luteal phase deficiency a real thing or only something natural family planning fertility books talk about?

    Thank you.

    • Thank you for your question. The fact that conception rates decline over time is something that was discovered by studying couples attempting conception. Therefore it is based on statistical probabilities gathered from population studies. As time passes, the chances of there being an underlying fertility issue will increase. It sounds as if you have already begun seeking medical advice, so that is the most important next step.

      In terms of your question regarding luteal phase defiency, this is a diagnosis that is hotly debated, with no clear consensus. The textbook definition is a duration of less than 10 days from ovulation to onset of menses. If this is the case, some physicians will attempt a trial of progesterone supplementation in the second half of the menstual cycle (i.e. after ovulation). However, this does not have strong scientific support in research studies that have been done looking at this. It is worth discussing with your doctor to see if this is something worth trying. It will depend, of course, on the results of a complete fertility work-up.

      Good luck!

  3. Hi Dr. Jackson,

    Do you generally recommend vitamins and supplements to help increase the odds of getting pregnant (in addition to a prenatal)? Which ones? I am currently taking several different vitamins (Vit D3, omega 3, B complex, CoQ 10, PABA, prenatal, etc) and am wondering if they are helping or will increase my odds of becoming pregnant.


    • Folic acid is the most important prenatal vitamin to take, as it prevents abnormalities such as spinal cord defects and heart defects in the critical first trimester. The other vitamins you mentioned have not been shown with certainty to improve chances of conceiving. Some research is being done on CoQ10 to determine if it might improve egg quality. This has been shown in animal studies but has yet to be proven in humans. Omega 3 has been shown to be important in fetal brain development and is a great idea to take once your pregnant. And Vitamin D is a good idea because up to a third of women in the reproductive age group are deficient. However, I am not sure that it will improve your chances of conceiving a pregnancy.

  4. Hello Dr Jackson.
    My name is Isabelle and my husband and I were patients at the OFC in 2007-2008 and briefly in 2010. I was diagnosed with PCOS in my teens and always told I would probably need treatments to get pregnant. I was put on the pill at 18 by my gynecologist and took it until I was ready to try to get pregnant (at 36). We now have 2 beautiful daughters, one born in 2009 (after one IVF treatment) and one born in 2011 (after 2 Clomid Cycles with normal intercourse !!!). I started having regular menstrual cycles in January 2012 (exactly one month after I stopped breastfeeding my second daughter!). I have been getting my periods ever since. We are trying to conceive and I have been testing for LH surge with pharmacy tests. In the last 6 months, I was able to get positive tests 3 times. My cycles vary from 24 to 36 days and I have been also noticing ovulation symptoms like: increased libido and change in vaginal discharge. My last 2 cycles have been much shorter: 20 days and 22 days.
    My first question is: Can I assume that my ovaries are releasing at least one mature egg per cycle? (My husband and I would like to try conceiving the “natural” way this time).
    My second question is: If we decide to go back to OFC for assessment and/or treatment, do we have to redo all the tests again? (We are not covered by OHIP because we live in Quebec).
    Thank you so much for any info you can provide.
    Isabelle B.

    • Hello Isabelle,

      If your cycles are in the 21-35 day range then you are likely ovulating. However, with shorter cycles (<25 days) on a consistent basis, this can sometimes mean that your ovarian reserve is starting to decline, which happens as women age, but also in some cases earlier then expected. It is hard to know this without doing some baseline testing (see “basic fertility assessment” for more details on this). If you are approaching 40 I would recommend getting an assessment sooner rather than later as the effectiveness of treatments does decline quite a bit for women in their early 40’s. If you go to the OFC for assessment and you have a Quebec health card then you will have to pay for consultation and testing, and then request reimbursement from the Quebec Health plan. All consultations and treatments are now covered in Quebec, so if cost is prohibitive, you may wish to be referred to Montreal instead to avoid these fees. Good luck!

  5. Hi I was wondering what you can tell me about my cycles. I have been light I don’t even need a pad half the time I get brown/redish spot when I wipe for maybe 2-3 days before my priod. Then I have 2-3 days dark brown stringlike discharge and little blood clots. I would say I need a pad probly 2 days and half the time there isn’t much on there. It has been like that now past my year since seeing a Fertility specialst 5hours away from where I live.
    I was on Clomid for 5 cycles 4 non-IUI and 1 IUI then Letrozole 4 with 2 non- IUI and 2 IUI cycles and 2 on Letrozole with Prometrium suppositories with no luck. Any ideas why I am not getting Pregnant yet?
    Health Isues,
    PCOS,meds for deperssion,over waight 5’7” 250LBs

    Past year 2013 cycle history
    January 9, 2014 CD:62
    November 7, 2013 CD:27
    October 11, 2013 CD:33
    September 9, 2013 CD:25
    August 14, 2013 CD:19
    (2)July 1/26, 2013 CD:20/25
    August 14, 2013 CD:19
    June 12, 2013 CD:36
    May 6, 2013 CD:15
    (2)April 9/22, 2013 CD:18/13
    (2)March 3/21, 2013 CD:12/20
    February 17, 2013 CD:29

    Thank you for taking the time to reply back :)
    PS. Maried 8 years trying for 7 years 3 with specialsit
    will lose my husband so he can have a family without me :(


    • Hi Anita,

      I’m sorry you haven’t had success with achieving a pregnancy. It sounds like you’ve done quite a bit in terms of treatments. It is very difficult to comment on your individual circumstance, as I do not have all of your medical history or test results, and I cannot give specific medical advice on this site. In terms of lighter periods, that can sometimes happen when you aren’t ovulating (called breakthrough bleeding), in cases of a thin endometrial lining, or it may just be normal for you. I wish you and your husband luck and success in 2014.

  6. I was a patient of the OFC in Jan 2011, I was told that my BMI was to high and that the drugs would not work. I have since gone to kingston where we tried six IUI’s using menopur and bravellle, when that didn’t work I wen to my family dr to treat the symptopms of PCOS who intern sent me to an OBGYN, who said I shouldn’t give up and put me on three courses of metformin and clomid, and then five cycles of letrozol. Next month will be my sixth cycle letrozol. I have tried everything to get my weight down including becoming a paitent of Dr. Bishops, but once I hit a certain number it goes back up, and then I have to work super hard to try and reach the lowest number again. I’m 34 and am fighting the clock. I want to try IVF or IVM but am affaird the Ottawa Fertitlity clinic will not treat me again until I have a BMI of 30 which I have not had since I was 12 years old. I don’t want to give up because being a mother has all I ever wanted. At what point to do you have to give up on your dreams of becoming a parent.

    • Thank you for your questions. It sounds like you have been trying to conceive for a very long time now, and I know that struggling with weight loss at the same time adds a great deal of stress to an already stressful situation. At the OFC, our BMI policy is to be below a BMI of 35 for treatment. We decided to set this limit for many reasons, including difficulties being able to see the ovaries with ultrasound which can be risk of someone is taking drugs to stimulate multiple egg follicles. If doing IVF, it can be unsafe to insert a needle into the ovaries to drain the egg follicles if we can’t see properly as there is a risk of damaging bowel or blood vessels. Also, given that we are not in a hospital and administering sedation, if a patient runs into difficulties breathing and requires intubation, this can be very challenging when weight is up, and ultimately puts the patient at significant risk.

      Now, I realize that even with good reason for setting these limits, this causes frustration for patients in situations similar to yours as losing weight is not easy, and for many is a lifelong struggle. I think you have a few options moving forward. The first would be to look at alternative ways to lose weight, including gastric bypass surgery if you think that might be something that would help you. I recognize that this is not for everyone, but research shows incredible success with this surgery for lifelong weight reduction. The other option is to look for other clinics that have different BMI cut-offs than ours. I know that not every clinic has the same limit we do, and you may be able to find somewhere that would offer you treatment. There are many clinics in Toronto, and it would be a matter of you calling them to see what their policy is on this, and then having your doctor refer you. Wishing you success in your quest to create your family.

  7. Hi Dr. Jackson
    I’m trying to fall pregnant. I went for an opp to remove my PSOC. I’m on folic acid and famara for almost 3 months. My dr increased my famara but no luck of ovulating yet. What can I try. We really want a child. Please give me some advise

    Kindest regards

    • For some people with PCOS, they will not respond to oral medications. This happens more commonly in women who are overweight. If this is the case for you, you may want to try to bring your BMI below 30 before trying again. If weight is not an issue for you, alternatives may include using injections of gonadotropins (FSH) to stimulate egg follicle growth. You would need to see a fertility specialist to have this kind of treatment.

  8. Hi pls I need your help fast I was on clomid in my first and second cycles and hcg trigger with iui which came out with 1BFP but miscarried at 7weeks and second one negative now am on letrozole to try on my own my question is why was the first cycle successful and the second cycle failed

    • I’m sorry you haven’t had success thus far. Unfortunately this is not a question I can answer. You will have to speak to the doctor that is treating you to help understand why treatments have not been effective yet. There is no treatment that is 100% effective, so it may be a matter of time and patients. I wish you luck.

  9. Hi Dr. Jackson,

    My spouse and I have been trying to conceive since July. I know it is not a long time but it is already taken a toll on me and I have become very upset about it. In July I had my period from the 4th to the 6th and then I used the First Response Ovulation predictor sticks which showed an LH surge on the 17th (being 14 days in). My period is like clockwork and always comes between 26-28 days. We had sex every single day from July 5 until July 20 and I am wondering how could we possibly have missed it? A lot of people mention missing their ovulation time or not knowing if they ovulated but having had sex every single day and a confirmation on the stick…what could have possibly gone wrong? The sperm just didn’t meet the egg?

    We are both 27 years old, never smoked, rarely ever drink and have maybe 1 coffee a day. I have been taking prenatals since December 2013.

    It seems really frustrating because everyone I know who is either pregnant or has had children including my own mother told me they got pregnant within one cycle…we are trying again this month by having sex every other day but wondering if there is anything else we can do. I don’t want to wait one whole year as I know it will take a mental toll and wondering if we give up within 6 months or less can we just jump into IUI or IVF or do we have to absolutely try for over a year to even be allowed to try those options.

    • The monthly chances of pregnancy with unprotected intercourse are at the very most 25% per month. It is very normal for it to take many months to conceive. With regular menstrual cycles and regular intercourse, it is unlikely that you have missed your ovulation time. It is just that the egg either did not fertilize, or if it did, it may not have implanted. This can happen if the egg or embryo that month are not normal. It’s just part of natural reproduction and does not mean that there is a problem. I would give it a try for a little longer before you jump to investigations or treatments. If you are over 40, it is worth having a fertility work up as time is of the essence, but if you are young I would give it some time.

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  12. Hi, I have two questions. First, I was wondering if you could tell me why some doctors prescribe Letrozole (Femara) days 3-7 and others prescribe it days 5-9 or 4-8? What’s the difference? Also, have you seen many women get pregnant on their fourth round (or more) of Letrozole even after the first three rounds resulted in ovulation but no pregnancy?

  13. Hello can I continue using clomic or folic acid even when am pregnant.what is the cause of seeing period for just 8 hours?

  14. Hi Dr Jackson

    My fiance and I have been trying to conceive for over 14 months and no luck so far. I am 28 and he is 30 years old after some couple of tests ,my doctor got me started on chlomid. Now I am wondering what could be the next step as we feel we cannot wait any longer.

    And the only time I seem to get my period is when I am on a pill. Could a ferility clinic be a sound step to take ?

  15. Hi dr.jackson

    Am 40yrs old. I was on contraceptive pills for 8yrs after my first child. I stop taking it 6mons ago trying to conceived. I had my first dose of prescribed Clomid 50mg and take it on the 5th cycle on nov 17,2014. Due to his work schedule, we only have sex at least 2x a week.( he is a truck driver that comes home 1x a week ) we had sex only nov.24 since i take it. how I can i conceived with this? How long will i keep taking clomid? What if am ovulating and he’s out for work and when he’s home am not ovulating, this is so frustrating that sometimes i cried at night thinking about it.what will i do, pls help me

  16. HI, Im 24 ttc 2 years. after 3 months trying – pregnant,natraul misscariage at 11 weeks blighted ovum – after 3 months all remains out. 10 months later chemical. now 5 cycles after chemical on gonalf and ovitrol – what are my chances? – I want a baby so badly. me and my hub have done all reguler checkups:
    sperm test,hormonal checkup for me + blood clotting + hystroscopy… all ok (my cycles are 25 days – and took alot of antibiotics after both miss because of Inflammation (throat,Urinary tract))

  17. Hello Dr. Jackson.

    I’m almost 40 and am currently going to a fertility clinic. This month is my 3rd round of clomid (150mg) and we will be doing back to back IUI (this will be try #2). I have regular periods and ovulations, this month I have 7 follicles. My husband has low motility, but the sperm wash was very successful last time, so I’m not too worried this time.
    My questions are:
    Can I do anything, other than eat well, drink water, stay healthy and positive to help myself??
    Are women only given the “trigger” if they do not ovulate on their own?
    What are ideal follicle and lining sizes at time of ovulation?
    My first IUI I wasn’t given any suppositories? I don’t have any lining issues, is this why?
    Any thoughts on taking Bromelain supplements 1-5 dpo?

    It’s still early days, but it’s so easy to get stressed and that doesn’t help. Any information will help ease my mind and get a second opinion.

    Thank you

  18. I m shakthi I had irregular periods. I just want to know what is the best medicine for get pregnancy. Now I use ovacare tablets and I had injection of 11 day.

  19. Me and my boyfriend have been together for 14 months. Been having unprotected sex the whole time. I haven’t gotten pregnant even thow were planning on having a baby. I’m 18 n he’s 23 how come we can’t get pregnant?

  20. Hi,
    I have been trying to get pregnant for almost an year starting Nov 2013. Nothng worked till May 2014. So went to Gyn. Doc did a scan and said I have few mild cysts which can be treated with medicines. She gave me Clomid or Fertyl 50mg tablets. Then I used to take progesterone tabs after 21 day of my cycle. Now this month I had 3 follicles which ruptured on the same day. And started taking duphaston n Naturogest. Now I am in 35th day of my cycle and got few brown spotting in the beginning. Now its getting sever. Please help me if this spotting or bleeding is coz of more follicles. I am worried. I need a baby.

  21. Hi Dr.

    We have are on our 7th cycle now and every month is a huge disappointment. I posted here in July and we have still not had any success. We are both 27 and saw a fertility specialist who told us all of our results were normal.

    We did the 6th cycle with Clomid and I had 4 follicles, we timed intercourse perfectly and were monitored and told when to have intercourse, yet it was still a failure for us.

    We are torn between continuing on with Clomid alone or mixing IUI with Clomid. I know everyone keeps telling us the same rant that we are young but at age 27 I would have assumed that by cycle 7 we would have been pregnant for sure. We feel so defeated because even though we took Clomid as prescribed by our fertility Dr. to increase our chances, we have no idea why it did not work when I had 4 great sized follicles.

    I understand we have to be trying for a year to really feel like something is `wrong`with us but we have done all the test and they say nothing is wrong, what are our chances with fertility treatment vs trying on our own now, do we still need to wait it out for the year before jumping to IVF. We really do not want to waste any more time.

  22. My husband and I have been trying to concieve for over a year now. We started seeing a fertility specialist after 8 months of no conception on our own. Been doing fertility treatments for 5 months now. Letrozole and timed intercourse. Also had 2 injections for 2 separate cycles to help promote ovulation. Husband was checked and his motility and count is normal. I have a mild case is PCOS (ance, hormone imbalance, irregular periods) but not overweight.
    It’s been hard on us, especially in the bedroom when we are basically ” forced” to be intimate because the doctor says we have to. We are going to try one more month of pills and then try the sperm wash/ injections.
    I just can’t seem to understand why none of this working. We are young, healthy, doing everything the doctor says and still nothing.
    Is there anything you can recommend? Is it possible that I am allergic to my husbands sperm or that the acidity from my vagina is killing it?
    Please help!
    Thank you

  23. My husband and I have been trying to conceive since August 2014. We had a chemical pregnancy in September 2014 which was discouraging and have since not had any luck. I know they say to try for a year, but the pressure of it all is just starting to take a toll on our intimacy. It is frustrating. His father had low sperm count and it took years for his parents to conceive his sister (albeit their lifestyle wasn’t tip-tip at the time). I myself have gone for blood work and everything looks fine and I’ll have my routine exam in February. Should my husband start taking Fertil-Pro… I’ve read good things about it and figured it couldn’t hurt… especially since we likely won’t be able to see a fertility specialist until after a year of trying. Thoughts?

  24. I had ovulation problem, so I have been taking clomiphene (100 mg) for four months, starting from the 3rd day of my cycle for 5 days. I am also taking an injection on 7th, 9th, and 11th day of my menstruation. Then, my doctor recommends us to have coitus on the specific day (12-14) after ultrasound (to see the size of follicles) and an injection (to release eggs). My doctor says the size of follicles is fine, and there are more than 5 healthy follicles every month in each ovary. However, I couldn’t get pregnant for 3 months. Therefore, last month, semen analysis was performed to test my husbands’ defect and hysterosalpingography (HSG) was done to test my uterine cavity. Our result was very good. Yesterday, I had menstruation, so we are worried. We are waiting your advice, Dr. Jackson.
    [I am 27 years old and my husband is 33 years old]

  25. Dr Jackson,
    My husband and I have been trying to conceive for 18 months. I have been ovulating every month, cycles range between 28-35 days. I have been on 50 mg of clomid twice and two rounds of femara. I have had 3 rounds of IUI. All infertility tests for my husband and myself have come back negative. I have not had the laproscopic test for endometeriosis yet. That is what the next step could possibly be.. but this really scares me. I am in health care field, so maybe I know too much but not enough. What are your thoughts on laproscopic surgery? I am 30 years old and in good health.

  26. Hi Dr., I have PCO and conceive on first try with Clomid. Now my son is 7 months and I would like to conceive again. I have been trying since I started my period when my son was two months. My periods are regular (26-29). I don’t know if I ovulated during this period. I started weaning my son at 5 months. Takes the breast 3 times a day now. Should I try clomid again ? Want to conceive as fast as possible. Thanks.

  27. Hello, I hope it’s still OK to post a comment here (I realise the thread is about a year old!)
    I am 41 years old and my husband is 51 years old and we started trying to conceive about 6 months ago. We are both very healthy/a normal weight etc and there is no history of fertility problems in our families (in fact, quite the opposite).
    Our first month trying, my period arrived 5 days late (which never, ever happens – I have a very regular 26-day cycle) and was a lot more painful than/different to usual. After a bit of research, I highly suspect a ‘near-miss’ or very very early miscarriage.
    Since then, nothing, nada, but my periods have changed. I now feel ovulation (quite usefully) and get pain a few days before my period, which has been confusing because it gets my hopes up every month that ‘something is happening’, only to be disappointed when my period arrives.
    My questions are these: can a very early miscarriage cause periods/cycle to change like this? If I did in fact sort of conceive in the first month, why have we now had no success for another 5? And also … given our ages, is it pretty normal for us to have had no luck in 6 months? (my 2 sisters and mother all conceived extremely easily multiple times at younger ages).
    We are about to make an appointment to see our doctor to get checked out, but just wondered if what we’re going through is ‘normal’ for our age. I am finding the experience very disappointing and stressful! I wouldn’t be so concerned if I was younger of course, but am just so aware that time is very very short for us.
    Thank you for reading!
    P.S. I had an internal ultrasound about a year ago and a fibroid was discovered – doctor said it shouldn’t affect conception. I was also told I was ovulating.

  28. Hello Dr. Jackson,

    Please help me and advise what should i do as next step.

    Me and hubby (i am 30 and he is 29 ) are trying to conceive for last 18 months. Recently just like 3 cycles ago I went for a check up and got to know that i don’t make enough eggs and the ones i do release, don’t have good quality. Husband was passed with his test. So for last 2 cycle i was on clomid but it has not worked. Both times i grew more follicles, they matured, lining was perfect but still no luck. I just don’t want to keep trying cycle by cycle. I want your advise please. Really depress.

  29. Hi doctor

    I’m off the family planning for 6 months and at the age of 30. I never used family planning after my 3rd child I started using it she is now 5 years old 6months ago I stopped with my family planning I have never seen my period. I’m always tied do I fist have to get my period before falling pregnant I would like to have another baby

  30. After three cycles with FSH injection not able to get pregnant but ovulation occurred please advise me what could be the reason…

  31. Hi there!

    I am coming to the fertility clinic, and as I am in a same sex relationship, I am having IUI. I am a very healthy 23 year old, and all of the ultrasounds and blood work done prior to the IUI’s came back normal.

    We are doing IUI without hormones, and have done three procedures within four months without any success. My cycles are very irregular, and range from 21 days to 30 days. Is there anything else that I should be doing before I proceed with the next IUI?


  32. Hi Dr.

    I am 25 years old and my husband and I recently decided to begin to have children. I have an irregular period which made it extremely difficult. I went to see my obgyn and I was prescribed medroxyprogesterone 10mg once a day for 7 days and letrozole 2.5mg twice a day on days 3-7 of my cycle. What are the odds of us conceiving within the next few months with both medicines combined

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