Sources: Asociación red nacional de infértiles. Redinfertiles.com / Quiero quedarme embarazada ya!: Guía imprescindible de fertilidad/ HC Fertility Center
Clearly to get pregnant it is essential to have sex on fertile days. However, the chances of achieving it depend on three factors: the age of the woman, the quality of the semen and the degree of fertility of the man and woman. There are many false beliefs around this topic.
At HC Fertility Centre we believe it is essential to dispel myths and the main pre-existing doubts that couples have while trying for a pregnancy.
• Trying on day 14 after menstruation is enough: FALSE
The best time is to have relationships between three days before and the day of ovulation. To know which day that 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. This is not always accurate, so it is best 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 for the next 24 hours. It is recommended to engage in sexual relations in those four days.
• It is good to take folic acid before pregnancy: TRUE
Folic acid should be taken before pregnancy since it 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, even before knowing that you are pregnant, so it is good to start taking it a month earlier.
The main food sources of folates are vegetables, but they are sensitive to cooking and their goodness is lost in hot water, steam or oil. There are also differences in the degree of absorption of folic acid when eaten raw. It is recommended to take pharmacological folic acid, which is more easily absorbed.
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 from puberty. Some are born with a smaller endowment, others lose more than the usual in each cycle. That is why it is important to ask about the ovarian reserve in the gynaecological review.
• The quality of the semen increases with the ejaculations: TRUE
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
Some women raise their legs, during and after intercourse thinking that this way they will retain a greater amount of sperm at the bottom of the vaginal sac and improve 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 micro-level before a fertility treatment increases your chances of success.
* Many women and couples ignore false statements or advice. It is always best to resort to experts who can clear your doubts reliably and who assess the situation of each individual patient.