Q&A: What is considered actively trying?

What is considered "actively trying" to conceive? Some sources say that there may be infertility problems if a couple "actively trying" doesn't get pregnant within a year. Does this mean using some sort of ovulation predictor, or is it merely not using birth control?

I was diagnosed with endometriosis last October. I had a laparoscopy, but chose not to follow the operation with Lupron, despite my doctor's suggestion. I thought I'd try to get pregnant instead. My husband and I have not been using birth control since then, yet I'm still not pregnant. Granted, he's been out of town a lot on business. Now that he's back in town, we've decided to actively try, using the BBT method. Should we try that for a while, or go speak with an infertility specialist now? We're not getting any younger.

The best definition of "actively trying" is making sure that you are having intercourse each month at a time when pregnancy is possible. This does not mean you have to use ovulation predictor tests.

Pregnancy is possible each month starting about five days before ovulation and ending the day after ovulation. If you have consistent, regular menstrual cycles, you can estimate the time of ovulation and focus your intercourse at the time. If your cycles are irregular, an ovulation kit may be useful to determine the time of ovulation. Measurement of basal body temperatures (BBT) is not an effective way to predict ovulation because a woman's body temperature rises only after ovulation when the fertile period is ending.

If you are younger, under the age of 37, and have attempted pregnancy in this way for a year, then it is time to see a fertility specialist. If you are older, many experts recommend seeing the fertility specialist after six months.

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