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5 March, 2019

Fertility. Myths and realities about what facilitates a pregnancy

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* There are many false beliefs about what makes or hinders pregnancy. Therefore, it is necessary to dismantle myths and solve the main pre-existing doubts that couples have while looking for pregnancy.

No one doubts that to get pregnant it is essential to have sex on fertile days. However, the chances of achieving this depend on three factors: the age of the woman, the quality of the semen and the degree of fertility of the man and women. There are many false beliefs around this topic.

Therefore, at HC Fertility Center we believe it is necessary to dismantle myths and resolve the main pre-existing doubts that couples have while seeking a pregnancy.

Trying on day 14 after menstruation is enough: FALSE

The most practical thing is to have relationships between three days before and the day of ovulation. To know what that day is, you must look at the usual duration of menstrual cycles. If the cycle is 28 days, ovulation is likely to occur on the 14th day of the cycle, but if it is 27, the 13th. Although it is not always accurate, so it is better not to restrict the attempt to a single day. We know that sperm can wait three days for the oocyte with vitality in the tubes and fertilize it for the next 24 hours. The most practical, then, is to guide sexual relations to those four days.

• It is good to take folic acid before pregnancy: TRUE

Folic acid should be taken before pregnancy since its intake helps to prevent serious alterations of the spinal cord and brain and other defects such as cleft lip. The development of the neural tube of the embryo starts very early, before even knowing that you are pregnant, so it is good to start a month before taking it.

The main food sources of folates are vegetables. However, they are sensitive to all culinary processes and their content is lost in cooking water, steam or oil, and if taken raw there are also differences in the degree of absorption of folic acid in the diet. Therefore, it is recommended to take pharmacological folic acid, which is better absorbed than that of food.

  • Ovarian age has direct equivalence with age: FALSE

The chances of getting pregnant in each cycle are related to ovarian age, which may be a few years or more than the age of the woman. However, the best indicator is the blood level of the anti-mullerian hormone. The count of basal antral follicles on ultrasound is also a good indicator. Women are born with a predetermined number of oocytes that they lose each month since puberty. Some are born with a smaller endowment, others lose more than the usual each cycle. That is why it is important to ask about the ovarian reserve in the gynecological review.

• The quality of the semen increases with the ejaculations: TRUE

In fact, semen quality is significantly better in males with a higher number of ejaculations and increases in direct proportion to a higher frequency. It is also a good stimulus for the formation of sperm in the testicles. As with muscles, the function trains the organ.

• Female orgasm facilitates pregnancy: TRUE

When women have an orgasm, uterine contractions occur that facilitate the transport of sperm to the egg. Likewise, orgasm facilitates ovulation.

• There are postures that promote pregnancy. FALSE

It is not unusual to find women who raise their legs, during and after intercourse, because they think that this way they will retain a greater amount of sperm in the bottom of the vaginal sac and favor fertility, but this depends on the shape of each woman’s uterus. The same happens with certain postures, there is no serious study that relates certain postures with greater fertility.

• Curettage reduces the chances of a new pregnancy: FALSE

Curettage does not reduce the chances of a new pregnancy, unless it has caused intrauterine scars or adhesions. In fact, some work suggests that performing a microlevel before a fertility treatment increases your chances of success * Many women and couples ignore false statements and advice. The best thing, in any case, is to resort to experts who can solve our doubts in a reliable way and who assess individually the situation of each patient.

Sources: Asociación red nacional de infértiles. Redinfertiles.com / Quiero quedarme embarazada ya!: Guía imprescindible de fertilidad/ HC Fertility Center

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