Infertility is defined as inability for normal couples to achieve pregnancy after 12 months of actively attempting. If you have not reached 12 months of trying, you are normal; do not stress out. The more you stress out about the process, the more likely you are to inhibit ovulation.

Ovulation generally occurs 14 days prior to the first day of your period. Therefore, you will have to follow a few periods and count backwards to see on what day you ovulate. For example: If there are 30 days between the start of one cycle to the start of another cycle, this person would ovulate on day 16. That is 16 days after the start of her period. 30-14=16.

It is best to have intercourse everyday or every other day starting 4-5 days prior to ovulation and continuing 4-5 days after ovulation. This will make husbands very happy!

You can keep temperature charts or do ovulation kits if you like, but is unnecessary for 8 months if you have regular periods. If your periods are very irregular or greater than 35 days apart, then keeping charts may be helpful. If there is no ovulation, make an appointment for further evaluation.


  1. Semen Analysis- We must make sure that your spouse makes good swimmers. This can be done in the privacy of your home and transported to the lab for evaluation. Check with the lab for specific instructions.

  2. Thyroid levels and prolactin levels should be normal prior to starting any treatments.

  3. Hysterosalpingogram is a test done in the radiology department to make sure your uterus is shaped normally and your tubes are open. This is done on day 7-10 of your cycle. The first day that our office is open after you start your period, call us and we will arrange for this test on day 7-10 of your cycle. You can use fertility drugs during this cycle.

  4. Clomid is a drug we use to stimulate ovulation. You take the drug on day 3-7 of your cycle. Day 1 is the day you start bleeding. You only take the pill 1 time per day for 5 days. This drug has a low likelihood of twins (<5%) and only very rarely more than twins. This drug can make you moody and irritable, but this only means it is working for you.

  5. We are able to do other more sophisticated treatments as needed based on your history.

  6. Of note: many infertility treatments are not covered by insurance and will require out of pocket expenses. Check with your individual insurance carrier.