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This question was answered on Thu 18, Sep 2008 01:48am by Dr Bhupinder K, MD

Trying to conceive for over a year but my insurance won't cover fertility doctors. what should i do?



    
Asked by berrygoodgirl (Female; 19; 11412 ) on Thu 18, Sep 2008 12:59am

My husband and I have been trying to conceive for over a year now. I'm 19 with no history of previous pregnancies. He does already have a child. The problem is that our insurance doesn't cover fertility specialists. So what should i do? I have irregular menstraul cycles and i'm not sure when i'm ovulating.

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Answer by Dr Bhupinder K, MD (doctor) on Thu 18, Sep 2008 01:48am:

Hello, Pregnancy occurs only during the time of ovulation. Ovulation is the release of a single, mature egg from a follicle that developed in the ovary. It usually occurs regularly, around day 14 of a 28-day menstrual cycle. Once released, the egg is capable of being fertilized for 12 to 48 hours before it begins to disintegrate. This is the most fertile period of your cycle: during ovulation your chances of conception are highest. The best timing of intercourse in order to conceive is day 10, 12, 14 and 16 (in case of late ovulation) of a 28 day cycle.To check when are you having ovulation,you can check the cervical discharge(more copius,elastic,clear and slippery) ,basal body temperature(raised) , cervical condition(soft,high,open and wet) or by ovulation predicter kits which are available over the counter. Regarding your primary infertility,various causes responsible for it are stress, age, taking up alcohol or certain drugs that causes infertility, food, coffee, and many causes beyond these. medical causes may be due to problems in ovulation,tubes,uterus,cervix,endometriosis,pituitary,hypothalamus or problems in male genitourinary tract. Exact cause for difficulty in conceiving can only be diagnosed by investigations to weed out the various possibilities and then confirming a diagnosis.For that pls consult a gynecologist. Hope it helps.Take care and pls do keep posting if you have any additional queries.

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