First things first, it is important to know what your luteal phase is and when it takes place. Your luteal phase begins at ovulation and ends the day before menstruation begins for your next cycle. It is during this phase that fertilization and implantation would occur. Many women don’t realize that they have a luteal phase defect until they are trying to conceive and begin tracking their ovulation.

A luteal phase lasting less than 10 days can be classified as a luteal phase defect. It is necessary for you to have 10 days or longer in your luteal phase in order for implantation to occur and sustain. With less than 10 days, the uterine lining begins breaking down too early – it is not prepared for implantation which causes an early miscarriage. As stated above, many women don’t discover this defect until they are trying to conceive, but there are a few symptoms to look for. Some women may experience frequent but light periods. Women who chart/track their ovulation, may notice that after ovulation their basal body temperature does not remain elevated during the luteal phase as it should due to the rise in estrogen after ovulation.

There are some known causes of luteal phase defect:

Poor Follicle Production: FSH levels are directly correlated to follicle production. It can be caused by two different issues – either your body is not producing enough FSH or your ovaries are not responding the FSH that it is producing. The corpus luteum produces progesterone, which is necessary to prepare your uterine lining for implantation. Inadequate follicle production in the first half of your cycle leads to poor corpus luteum quality. With inadequate progesterone levels, your uterine lining begins to breakdown, resulting in early menses and possible miscarriage.

Failure of the Uterine Lining to Respond: In this case, FSH levels may be adequate, along with healthy follicle development and corpus luteum, however, the uterine lining just isn’t responding to the normal levels of progesterone. The uterine lining will most likely not be prepared for implantation.

Premature Failure of the Corpus Luteum: The corpus luteum can fail when the initial quality of it is inadequate. The progesterone levels may begin low and drop even further after five to seven days after ovulation. Once these levels drop, menses onset early.

If you discover that you have a luteal phase defect, there are some over the counter remedies. Vitamin B6 is one over the counter option; taking B6 every day of the month can lengthen your luteal phase. B6 can be found in fertility supplements, such as FertilAid for Women. If those remedies don’t help – there are also medications that your doctor can prescribe. Luteal phase defect may sound a bit scary but luckily it is a fairly easy to diagnose and correct.

Clomid (Clomiphene citrate) is a fertility drug commonly prescribed to women that are trying-to-conceive to induce ovulation. Clomid is often prescribed to women with irregular cycles that either experience irregular ovulation or don’t ovulate at all. If you aren’t sure whether you are ovulating, you can determine this by tracking your menstrual cycles with ovulation predictor kits, fertility monitors, or even monitoring your body’s natural signs – the consistency of your cervical mucus and tracking your basal body temperature.

In order to understand how Clomid works, it is important to understand what is happening in your body as you approach ovulation. In the beginning of your cycle, estrogen levels are low which signal your body to produce FSH (follicle stimulating hormone). Estrogen levels begin to increase which triggers LH (Luteinizing Hormone). This surge is what releases the mature egg from the follicle. For ovulation to occur, enough LH and FSH must be produced to release the egg. Clomid is used to help your body produce enough LH and FSH. It tricks the body into thinking that there is not enough estrogen – which increases the production of LH and FSH, causing your body to ovulate. Generally, it is not recommend to take Clomid for more than six cycles, so if pregnancy is not achieved, a different treatment plan should be discussed.

While taking Clomid, it is common to experience a decrease in fertile-quality cervical mucus. It is extremely important to have a healthy environment to transport and protect the sperm when trying-to-conceive. Supplements, such as FertileCM can help increase the quantity and quality of fertile-quality cervical mucus and is safe to take along with Clomid.

Follicle Stimulating Hormone, commonly referred to as FSH, is a hormone that can directly influence your chances of conceiving and/or sustaining pregnancy. The level of FSH your body produces correlates to the quality and quantity of your remaining eggs. Typically, women that are trying-to-conceive want to see their FSH levels below 10mIU/ml. When FSH levels are too high or too low, becoming pregnant can become much more difficult as it affects your menstrual cycle and whether or not you ovulate.

Knowing your FSH levels is important in predicting how fertile you are. As your egg quality and quantity dwindle – your body tries to compensate and produces more FSH in order to stimulate ovarian function. This is commonly seen in women experiencing premature menopause or who are at the age when menopause is approaching. Low FSH levels can impact fertility and result in irregular cycles, which is commonly seen in women with PCOS (Polycystic Ovarian Syndrome). If your body is not producing enough FSH, it cannot sustain a healthy ovarian reserve.

You can easily test your FSH levels either at home or at the doctor’s office. Both tests are to be performed beginning on cycle day 3 (the 3^rd day of your menstrual cycle) and continue through cycle day 5. If you receive a positive at home FSH test, you should visit your doctor for further testing with a blood test.

Fortunately, if you discover that you have an imbalance of FSH – there are some supplements that can help to balance those increasing FSH levels. FertilAid for Women is a supplement that contains Vitex, which has been shown to not only keep FSH levels from increasing but to decrease FSH levels to an appropriate level in some women.   Dependent upon your FSH levels and your age, your doctor may want to proceed forward with more aggressive fertility treatments.

When trying-to-conceive, many women track their cycles to determine their most fertile days by using ovulation tests or fertility monitors.  Charting your cervical mucus consistency and basal body temperature can also indicate when your most fertile days are and help confirm when ovulation has occurred. Some women, more commonly women with PCOS or irregular cycles, may be unaware that they are experiencing multiple follicular stimulation in a single cycle.

If you have ever received two peak readings or a second lh surge in one cycle just a couple days apart– you may have unknowingly experienced multiple follicular stimulation. In order to achieve pregnancy, the follicle is released from your ovary and it must rupture for the egg to be released from the follicle. In cases of multiple follicular stimulation, your body releases the follicle, but it doesn’t rupture – therefore the egg is not released and you are unable to achieve pregnancy at that time. Your body realizes that this has happened and subsequently releases a second follicle 3-5 days later.

Typically, after ovulation, fertility monitors will register ‘low’ fertility, cervical mucus egg-white consistency will be gone, and there will be shift in basal body temperature. Women that experience multiple follicular stimulation will receive a second peak reading with their monitor and may continue to see any other natural fertile signs. If you receive a second peak reading, it is extremely important that you continue intercourse as you can only conceive after ovulation has taken place (i.e. conception will not result from the first follicle that was released).

It is important to track your cycle diligently so you are able to catch cycles where there may be a delay in the time when you are able to conceive that month. Using the OvaCue Fertility Monitor can help to identify the release of a second follicle so you don’t miss this opportunity to conceive. The combination of the oral sensor and optional vaginal sensor indicates ovulation with a dark pink/purple color on the OvaCue fertility calendar – if this color is seen a second time that cycle, you can conclude that secondary fertility has taken place. When this second set of peak days are identified, intercourse should be continued as ovulation didn’t occur as it should have with the first peak reading. This is one of the main reasons that women experience a cycle that is a couple days longer than usual. Women who experience irregular cycles or who have been diagnosed with PCOS should be especially cognizant of this.

I never cease to be amazed by the number of times I run into people who tell me that they have been trying to get pregnant for nearly a year, but have never been taught the most basic information about their bodies.  If only people were routinely taught the fundamentals of human reproduction in school, scores of couples would not be erroneously led to believe they have an infertility problem. This is where the Fertility Awareness Method (FAM) comes in.

The Fertility Awareness Method is an easy but scientific means of charting the woman’s menstrual cycle on a daily basis. It involves observing the two primary fertility signs: waking temperature and cervical fluid, and the optional third sign: cervical changes.

It is the most practical way that a woman can tell on a day to day basis what is going on in her body. Not only can she use it for pregnancy achievement or natural birth control, but it can alert her to numerous potential gynecological issues.

The hallmark of a healthy cycle is ovulation, and more specifically, when it occurs in the cycle. Charting easily allows women to know if and when they are ovulating. If a woman isn’t ovulating, it can be indicative of many possible causes which would need to be rectified if a woman wants to become pregnant.

But a doctor is only as good as the data he/she has to work with. So if a patient comes in with nothing to provide her physician, her doctor will have to start at Square One and conduct all sorts of potentially invasive and expensive diagnostic tests, many of which would be totally unnecessary if the woman were charting her cycles.

FAM allows women and their health practitioners to determine many potential problems relating to their cycle, including:
• not ovulating
• delayed ovulation
• luteal phase defects
• unsuitable cervical fluid production
• hormonal imbalances
• insufficient progesterone levels
• miscarriages

The Fertility Awareness Method is incredibly simple. When the alarm rings, you simply slip the digital thermometer in your mouth until it beeps, about a minute. Then whenever you use the bathroom, observe what it feels like when you wipe herself (always from front to back!) Does it feel dry? Creamy? Slippery? Then in the evening, record it. That’s it!

Yet it’s amazing how many women are initially put off by the thought of “so much work.” But do you begrudge brushing your teeth every day? FAM doesn’t take anymore time to chart your two fertility signs each day! And scores of women have the same reaction to learning how to chart: initially, they are incredibly excited about the sense of control they finally feel over their bodies.

But that excitement often evolves into anger when they realize all of the years that they thought they were infertile, only to discover that they simply needed to understand their particular cycles. Or when they realize all the side effects and physical ramifications they endured over the years with most methods of birth control. Or they feel humiliated when they remember all the times they ran off to the gynecologist, seemingly every month, for what turned out to be absolutely normal and healthy cyclical cervical fluid.

So what is the most practical take-home message I could give you when trying to get pregnant? Learn the empowering benefits of charting your cycle! Then have sex on those few days each cycle when you have slippery cervical fluid at your vaginal opening. And keep in mind that it won’t necessarily be Day 14, since women may ovulate earlier or later in the cycle than that day.

Good luck!

By Toni Weschler, Fairhaven Health guest contributor

Toni Weschler is the author of “Taking Charge of Your Fertility”, a national bestseller widely regarded as the preeminent guide to helping women conceive naturally. For over 20 years she has been a committed educator having started “Fertility Awareness Counseling and Training Seminars (FACTS) back in 1986. She recently completed another book, “Cycle Savvy: The Smart Teen’s Guide to the Mysteries of Her Body” which helps teenage girls to better understand their bodies on a day-to-day basis.

Many women decide to go off of their birth control pill once they have decided it is time to begin trying for a baby. Unfortunately, many women picture this to be a much smoother process then it ends up being.  To better understand why this can often be a difficult transition we must first understand exactly what it is that birth control does to your hormones.

There are many different types of birth control; some that stop your period completely or give you very few a year, and others that regulate your period into a 28-day cycle. As they all work a bit different – they have a very similar effect. Birth control works to change the levels of your hormones, specifically estrogen and progesterone. By altering and controlling these hormones, they can help to prevent pregnancy in multiple ways – by stopping your ovaries from producing eggs, altering the thickness of the wall of your cervix (which prevents the entry of sperm into the uterus), or by changing the lining of your uterus so the egg can’t attach and implant.

Once birth control is discontinued, many women report having irregular cycles or having no menstruation for many months. It can take a while for your body to return to the cycle you had before beginning birth control pills. This can be especially frustrating for women that were hoping to conceive shortly after going off of the pill. Dealing with irregular cycles (or no cycle at all) can make predicting ovulation nearly impossible. Herbal fertility enhancing supplements, such as FertilAid for Women, contains vitex and other herbs to help regulate your cycle and correct any hormonal imbalances that might be present – this in turn should help to normalize your cycle. Many women begin taking this supplement post-pill to help see a regular cycle sooner and increase their chances of conceiving.

Fertility coaches, also known as infertility life coaches, help a couple to steer their way through the difficult decisions and treatment options that may be presented throughout their bout with infertility. As many know, this time can be especially trying on your relationship as well.  Family and friends may not know what to say or how to help. A fertility coach can help to lay out all the information necessary while providing full support throughout your decisions.

Fertility coaches can be there every step of the way whether for advice on medical procedures, prescription medications or even alternative treatment options. They can walk you through the entire process (and confusing medical terminology) while explaining the benefits and/or consequences to each option. This helps a couple to feel more prepared and confident when picking the option that is right for them and are better equipped to communicate more effectively with their doctor. Some even help determine if insurance will help to cover your specific treatment choice. If infertility persists, fertility coaches can help support the couple as they determine if they want to consider adoption or a life without children.

Dealing with infertility can be quite an emotional rollercoaster for a couple – and having to make such important and possible life-changing decisions can put an even bigger toll on your relationship. Having a fertility coach to talk with allows the couple to discuss each of their own fears and concerns, as different as these concerns may be, in a safe environment.  Individual, couple, and group sessions are available dependent upon the fertility coach. Many offer sessions over the phone or online to provide a certain type of comfort and confidentiality if that is what the couple prefers.  Fertility coaches can help you to look forward in your battle against infertility and lend a hand in helping you choose the best option for you.

Endometriosis is a condition that affects around 5-15% of women of reproductive age. Each month, a woman’s body sheds endometrial tissue from the uterus through menstruation. Endometriosis occurs when this tissue grows outside of the uterus, in areas such as ovaries, fallopian tubes, and areas around the uterus. This tissue outside of the uterus responds to hormones just as it would inside the uterus. It attempts to breakdown and shed but it is unable to do so as it has no natural outlet.

Endometriosis can cause internal bleeding, scarring, abnormal bleeding, inflammation, severe pain during menstruation or during sex, and can often be the cause of infertility. That said, many women don’t experience any symptoms and only discover that have endometriosis once they begin trying-to-conceive.

There are several non-surgical and surgical treatments for endometriosis. A woman may undergo hormone therapy, which can be used in two different ways; hormones to make your body think you are either pregnant or going through menopause. Some hormone therapy may be used to decrease the amount of estrogen your body is producing, as estrogen feeds the growth of tissue. Some surgical options include laser laparoscopy or hysterectomy. The route chosen would depend upon the reason for treatment, whether it be to reduce pain or for treatment of infertility.

Many women with endometriosis have reported positive results when taking a natural fertility supplement such as FertilAid for Women. FertilAid contains a number of fertility enhancing herbs such as vitex (chasteberry) that help to regulate the hormones and correct any imbalances that might be present.

Knowing what you should and shouldn’t be doing when trying-to-conceive can greatly improve your odds of getting pregnant. First things first, it is important that you are having sex at the right time of the month. Timing intercourse during your “fertile window”, the days leading up to ovulation, will dramatically increase your odd of conceiving. See Am I Ovulating, to learn when you ovulate.

If you are having a hard time predicting your ovulation due to an irregular cycle, natural fertility enhancing supplements can help to regulate your cycle and boost your fertility. FertilAid for Women, promotes hormonal balance, which helps to regulate ovulation and improve overall reproductive wellness. FertilAid for Men is designed to increase sperm count and motility by supporting the healthy formation of sperm. When you are trying-to-conceive, make sure you are taking your prenatal vitamins – including folic acid,  as it can help to reduce the chances of neural tube defects.

Now for a couple things to steer away from…no smoking or drinking when trying-to-conceive. It is a good idea to decrease your caffeine intake as well. Also, something you may not have thought of – if you are taking any prescription medications, talk with your doctor to make sure you are not negatively impacting your chances of conceiving.

The simple answer is….Yes!  Not only is it safe to combine the two supplements as they were formulated to be taken together but it is highly recommended for women to use both to maximize conception efforts.  FertilAid for Women is a supplement designed to regulate your ovulation and correct any hormonal imbalances that might be present, which in turn should help to normalize your cycle over time. Additionally, it is a complete prenatal supplement providing the maximum recommended amount for women that are trying-to-conceive. The fertility enhancing herbs as well as the prenatal vitamins provide the best nutrition when trying-to-conceive. FertileCM promotes the production of fertile-quality cervical mucus.  It has also been shown to strengthen the uterine lining and support female arousal and sexual sensitivity. Fertile-quality cervical mucus is essential when trying-to-conceive, as it needs to nourish and protect the sperm while in transit. FertileCM helps to ensure that your cervical mucus is the appropriate pH balance conducive to conception. As you can see, the combination of the two supplements helps to maximize your conception efforts in many ways. You can begin taking both supplements (3 times a day) at any point in your cycle and are to be taken throughout your entire cycle.