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How Many Babies Can a Woman Have at a Time

Tips for trying to conceive*

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*Trying to excogitate facts medically edited by: Melissa Conrad Stöppler, MD

  • If you lot are trying to get significant (conceive), y'all have the best chance of success if you are aware of your menstrual bike and changes that happen to your body during that time.
  • It helps to know when y'all are fertile and able to get pregnant. A woman's fertile time is usually a few days per month in the middle of her menstrual cycle and represents the time when a woman ovulates.
  • There are three ways to rails your fertile times: one) basal body temperature method, ii) calendar method, and 3) cervical mucus method (ovulation method).
  • Many women experience miscarriages or pregnancy losses, or cannot conceive at all (infertility).
  • Infertility in women can exist caused past age, health problems (like PCOS), uterine fibroids, endometriosis, and pelvic inflammatory affliction, and negative lifestyle factors.
  • Infertility in men may exist caused infertility in men are sperm factor defects, negative lifestyle choices (alcohol and drugs), toxins (pb, pesticides), STDs, diabetes, and prostate or testicle bug.
  • There are several treatment options for infertile couples including drugs, surgery, intrauterine insemination (bogus insemination), assisted reproductive technology, third political party aid, adoption, and foster care.

This commodity offers tips for those desiring to have a babe, offers advice on what to do when trying to excogitate to determine your fertile period, and discusses options for those who are having problem conceiving.

Fertility awareness: The menstrual bike

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Being aware of your menstrual bicycle and the changes in your body that happen during this time can aid you know when you lot are virtually likely to get pregnant. Come across how the menstrual cycle works.

  • The average menstrual cycle lasts 28 days.
  • The normal cycles can vary from 21 to 35 days.

The amount of time before ovulation occurs is unlike in every woman and fifty-fifty can be dissimilar from month to month in the same woman, varying from thirteen to 20 days long. Learning about this part of the cycle is important considering it is when ovulation and pregnancy can occur. After ovulation, every woman (unless she has a health problem that affects her periods or becomes significant) will have a period within xiv to 16 days.

Knowing when you're most fertile will help y'all programme or prevent pregnancy. In that location are three ways you can keep track of your fertile times, including:

  1. Basal body temperature method
  2. Agenda method
  3. Ovulation method (cervical fungus method).

Charting your fertility pattern

Basal body temperature method

  • Basal body temperature is your temperature at rest as soon as you awake in the morning.
    • A woman's basal body temperature rises slightly with ovulation.
    • So past recording this temperature daily for several months, y'all'll be able to predict your most fertile days.
  • Basal body temperature differs slightly from woman to woman.
    • Anywhere from 96 to 98 degrees Fahrenheit orally is average before ovulation.
    • Subsequently ovulation, most women have an oral temperature betwixt 97 and 99 degrees Fahrenheit.
    • The temperature ascension can exist a sudden bound or a gradual climb over a few days.
  • Usually, a adult female'south basal body temperature rises past only 0.4 to 0.8 degrees Fahrenheit.
    • To find this tiny modify, women must use a basal torso thermometer.
    • These thermometers are very sensitive. Most pharmacies sell them for about $10.
  • The rise in temperature doesn't show exactly when the egg is released.
    • But nigh all women have ovulated within three days after their temperatures fasten.
    • Torso temperature stays at a higher level until your menstruation starts.
  • Y'all are most fertile and almost likely to get meaning:
    • Two to three days before your temperature hits the highest point (ovulation)
    • 12 to 24 hours afterwards ovulation
  • A homo'southward sperm can live for upwardly to three days in a woman's body.
    • The sperm can fertilize an egg at whatever indicate during that time.
    • So if you have unprotected sexual activity a few days before ovulation, you lot could become pregnant.
  • Many things can affect basal torso temperature.
    • For your nautical chart to be useful, make sure to take your temperature every forenoon at near the aforementioned time.
    • Things that tin alter your temperature include:
      • Drinking alcohol the night before
      • Smoking cigarettes the night before
      • Getting a poor night's slumber
      • Having a fever
      • Doing anything in the morning before you lot have your temperature -- including going to the bathroom and talking on the phone

Agenda method

  • This involves recording your menstrual cycle on a calendar for viii to 12 months.
    • The showtime solar day of your period is Day 1, so circumvolve it on the calendar.
    • The length of your wheel may vary from month to month.
    • Write down the total number of days it lasts each time.
    • Using this record, you can find the days you are most fertile in the months ahead:
      1. To find out the kickoff day when you are virtually fertile, subtract xviii from the total number of days in your shortest cycle. Take this new number and count ahead that many days from the first day of your side by side period. Draw an X through this appointment on your calendar. The X marks the start twenty-four hour period you're likely to be fertile.
      2. To observe out the last day when you are most fertile, subtract eleven from the total number of days in your longest cycle. Accept this new number and count ahead that many days from the start 24-hour interval of your next menstruum. Depict an X through this engagement on your calendar. The time between the two Xs is your most fertile window.
  • This method always should exist used forth with other fertility awareness methods, specially if your cycles are not always the same length.

Cervical mucus method

  • Besides known every bit the ovulation method, it involves beingness aware of the changes in your cervical mucus throughout the month.
    • The hormones that control the menstrual bicycle also modify the kind and amount of mucus you have before and during ovulation.
    • Right after your period, there are unremarkably a few days when there is no fungus nowadays or "dry days."
    • As the egg starts to mature, mucus increases in the vagina appear at the vaginal opening, and is white or xanthous and cloudy and sticky.
      • The greatest corporeality of fungus appears but before ovulation.
    • During these "moisture days," it becomes clear and slippery, like raw egg whites.
      • Sometimes it can be stretched autonomously.
      • This is when you are almost fertile.
    • About four days subsequently the moisture days begin the fungus changes again.
      • There volition exist much less and it becomes sticky and cloudy.
    • You might take a few more dry out days before your menstruation returns.
      • Describe changes in your mucus on a calendar.
      • Label the days, "Sticky," "Dry," or "Moisture."
    • Y'all are almost fertile at the first sign of wetness afterward your period or a day or two before wetness begins.
  • The cervical mucus method is less reliable for some women, such as:
    • Women who are breastfeeding
    • Women taking hormonal birth control (like the pill)
    • Women using feminine hygiene products
    • Women with vaginitis or sexually transmitted infections (STIs or STDs)
    • Women who have had surgery on the cervix

To nearly accurately track your fertility, use a combination of all 3 methods. This is called the symptothermal method. You can also buy over-the-counter ovulation kits or fertility monitors to help observe the best time to conceive. These kits piece of work by detecting surges in a specific hormone called luteinizing hormone, which triggers ovulation.

Ovulation calculator

Use the post-obit ovulation reckoner to meliorate track your ovulation schedule:

Early Pregnancy Symptoms and Signs

Not all women have the same signs and symptoms during pregnancy, and the symptoms vary from mild to severe. Early symptoms that you might be pregnant include:

  • Low back pain
  • Implantation bleeding
  • Mood changes
  • Fatigue

Infertility

Some women desire children just either cannot conceive or keep miscarrying, which is known as infertility.

  • Lots of couples have infertility problems.
    • About one-3rd of the fourth dimension, information technology is a female problem.
    • In another i-3rd of cases, it is the man with the fertility problem.
    • For the remaining 1-third, both partners have fertility challenges, or no crusade is constitute.

Causes of infertility

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Some mutual reasons for infertility in women include:

Age

  • Women by and large have some subtract in fertility starting in their early 30s.
    • While many women in their 30s and 40s have no problems getting meaning, fertility specially declines after historic period 35.
  • As a adult female ages, normal changes that occur in her ovaries and eggs make it harder to become meaning.
    • Even though menstrual cycles continue to be regular in a adult female's 30s and 40s, the eggs that ovulate each month are of poorer quality than those from her 20s.
    • Information technology is harder to go pregnant when the eggs are poorer in quality.
  • As a woman nears menopause, the ovaries may non release an egg each month, which also can brand it harder to get pregnant.
  • Besides, every bit a woman and her eggs age, she is more than probable to expel, as well as have a baby with genetic problems, such every bit Down syndrome.

Health problems

  • Some women accept diseases or weather that bear on their hormone levels, which tin can crusade infertility.
    • Women with polycystic ovary syndrome (PCOS) rarely or never ovulate.
      • Failure to ovulate is the most mutual cause of infertility in women.
    • With primary ovarian insufficiency (POI), a woman's ovaries stop working usually before she is 40.
      • It is not the same as early on menopause.
      • Some women with POI get a period at present and then.
      • Simply getting significant is hard for women with POI.
    • A condition called luteal phase defect (LPD) is a failure of the uterine lining to be fully prepared for pregnancy.
      • This tin keep a fertilized egg from implanting or result in miscarriage.
  • Common problems with a adult female's reproductive organs, like uterine fibroids, endometriosis, and pelvic inflammatory disease tin can worsen with age and also touch on fertility.
    • These conditions might cause the fallopian tubes to be blocked, so the egg tin't travel through the tubes into the uterus.

Lifestyle factors

  • Certain lifestyle factors likewise tin harm a woman'southward fertility.
    • Examples include smoking, alcohol use, weighing much more or much less than platonic body weight, a lot of strenuous exercises, and having an eating disorder.
    • Stress also can affect fertility.

Dissimilar women, some men remain fertile into their 60s and 70s, just as they age, they might begin to accept bug with the shape and movement of their sperm. They as well have a slightly college risk of sperm gene defects, or they might produce no sperm or besides few sperm.

  • Lifestyle choices also can touch the number and quality of a man'southward sperm.
    • Booze and drugs can temporarily reduce sperm quality.
  • Researchers are looking at whether ecology toxins, such equally pesticides and atomic number 82, too may exist to blame for some cases of infertility.
  • Men also can have health problems that bear on their sexual and reproductive part.
    • These tin can include:
      • sexually transmitted infections (STIs)
      • diabetes
      • surgery on the prostate gland
      • a severe testicle injury or problem.

When to come across your doctor

You should talk to your doctor about your fertility if:

  • You are younger than 35 and have non been able to conceive after one year of frequent sex activity without birth control.
  • Yous are historic period 35 or older and have not been able to conceive later six months of frequent sex without birth control.
  • You believe you or your partner might accept fertility problems in the future (even before you begin trying to get pregnant).
  • You or your partner has a problem with sexual function or libido.

Happily, doctors tin can help many infertile couples proceed to have babies.

QUESTION

The start sign of pregnancy is virtually often: Encounter Reply

Options for infertile couples

If y'all are having fertility bug, your doctor can refer you to a fertility specialist, a doctor who treats infertility. The doctor volition demand to test both you and your partner to find out what the problem is. Depending on the problem, your dr. might recommend treatment.

  • About 9 in 10 cases of infertility are treated with drugs or surgery.

Don't delay seeing your dr., as age also affects the success rates of these treatments.

For some couples, adoption or foster care offers a manner to share their love with a child and to build a family.

Infertility treatment

Some treatments include:

  • Drugs -- Various fertility drugs may be used for women with ovulation problems. It is important to talk with your doctor about the drug to be used. You should understand the drug'south benefits and side effects. Depending on the type of fertility drug and the dosage of the drug used, multiple births (such as twins) can occur.
  • Surgery -- Surgery is done to repair damage to a woman's ovaries, fallopian tubes, or uterus. Sometimes a homo has an infertility trouble that tin can exist corrected past surgery.
  • Intrauterine insemination (IUI, bogus insemination) -- Male sperm is injected into a part of the adult female'south reproductive tract, such equally into the uterus or fallopian tube. IUI often is used along with drugs that crusade a woman to ovulate.
  • Assisted reproductive engineering science (Fine art) -- Fine art involves stimulating a adult female'southward ovaries; removing eggs from her torso; mixing them with sperm in the laboratory; and putting the embryos dorsum into a woman's body. Success rates of ART vary and depend on many factors.
  • Third-party assistance -- Options include donor eggs (eggs from another woman are used), donor sperm (sperm from some other human are used), or surrogacy (when some other adult female carries a infant for you).

Finding the crusade of infertility is frequently a long, complex, and emotional process. And treatment tin exist expensive. Many health insurance companies do not provide coverage for infertility or provide only limited coverage. Check your wellness insurance contract carefully to learn about what is covered. Some states have laws that mandate health insurance policies to provide infertility coverage.

Adoption

If infertility is a trouble for you, another option maybe adoption.

Adopting a baby or child tin can be one of the most rewarding experiences of your life. So many babies, children, and adolescents in the Usa and around the world need a family. Some of these are healthy infants, and many are children with special needs, including physical, emotional, or mental disabilities. If you do prefer a child with special needs, there are both federal and country sources of fiscal assistance available to help you afford the child's care.

There are two types of adoptions:

  • Open adoption -- The birth mother, and possibly the birth father, know something about the adoptive parents. They might even run into and exchange names or addresses.
  • Closed adoption -- The nascence mother and adoptive parents exercise not meet each other or know each others' names.

The laws of each state differ on whether, after some fourth dimension, the files of a airtight adoption can be opened later to reveal this information. State laws likewise differ on whether adoptions can be handled by an adoption agency or independently (such as through a medico, lawyer, advisor, or contained organization).

Most adoption agencies carefully screen and written report the adoptive parents. You tin learn more than nigh adoption through the resource at the end of this section.

Foster care

Another option for couples who take a lot of beloved to share with a kid includes foster care.

  • Unlike adoption, foster intendance is a temporary service that responds to crises in the lives of children and families. Simply information technology too tin be the first step to adopting a child.
  • Many foster children have been driveling or neglected or removed by a court society. Foster families are people who have these children into their homes to provide day-to-day intendance and nurturing.
  • Children in foster care may live with unrelated foster parents, with relatives, with families who plan to adopt them, or in group homes or residential treatment centers.
  • Even though foster care is viewed as a temporary service, many children take to stay in foster treat long periods.

Each child in foster intendance should take a plan that will permit him or her grow up in a permanent family unit.

  • For many children, the program is to return to the birth parents.
    • In these cases, foster families may piece of work with the nascence parents and the kid to assistance them both learn the skills they need to alive together once more.
    • Foster parents need to exist able to love the children who live in their home and allow become of them when information technology is fourth dimension to send them dorsum to their parents.
  • For other children, going back to their parents will not be possible, and the foster parents may become adoptive parents.
    • Or, they can continue other kinds of formal or breezy ties with the children they parent.

Every state has its own rules about foster parenting. Simply, the chances are adept that y'all tin can exist a foster parent in your state. There are many more than children in need of care than there are foster parents bachelor. To fill this gap, states are looking for people who want to aid children and can share their time and their homes.

States also give foster parents many different forms of support, like grooming and financial aid.

Counseling and back up groups

If you lot've been having issues getting pregnant, you know how frustrating it can feel. Not being able to get significant can be 1 of the most stressful experiences a couple has. Both counseling and back up groups can assistance you and your partner talk about your feelings and help y'all encounter other couples struggling with the same problems.

You will learn that anger, grief, blame, guilt, and low are all normal. Couples do survive infertility and can become closer and stronger in the procedure. Ask your medico for the names of counselors or therapists with an interest in fertility.

Daily Health News

Trending on MedicineNet

Medically Reviewed on 10/15/2021

References

SOURCE:

Office on Women's Health, U.Due south. Department of Health and Human Services. "Trying to conceive." Feb. 1, 2017. <https://www.womenshealth.gov/pregnancy/you-get-pregnant/trying-conceive>.

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Source: https://www.medicinenet.com/trying_to_conceive/article.htm

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