Jayne is a qualified counselor and psychotherapist, and she holds a diploma in nutritional therapy. At present, she is completing a master’s degree in counselling and psychotherapy. She is passionate about the influence of diet and lifestyle on mental health and well-being. Through her work in both private and not-for-profit settings, she hopes to empower others to take charge of their lives and improve their physical and mental health.\n"},"avatar":{"title":"","width":500,"height":500,"src":"https://post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/06/500x500_Jayne_Leonard.png"}}],"medicalReviewers":[{"id":6684,"name":{"display":"Tahirah Redhead MPAS, PA-C, MPH","first":"Tahirah","last":"Redhead MPAS, PA-C, MPH"},"userLogin":"tredhead","links":{"website":"","facebook":"","linkedin":"https://www.linkedin.com/in/tahirah-redhead-mpas-pa-c-mph-6b8712202/","twitter":"","instagram":"","tiktok":""},"link":"/reviewers/tahirah-redhead-mpas-pa-c-mph","type":{"value":"medical_reviewer","label":"Medical Advisor"},"nid":"","specialties":[],"guestTitle":"","bio":{"text":"
Tahirah Redhead is a board certified physician assistant specializing in obstetrics and gynecology. She is passionate about women’s health and centers her studies on health literacy and education surrounding contraceptive health. She is currently an OB-GYN PA in an underserved, minority community.\n
Education\n
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St. John’s University, BS\n
CUNY School of Public Health, MPH\n
SUNY Downstate Medical Center, MPAS\n\n
Certifications\n
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National Commission on Certification of Physician Assistants (NCCPA)\n
Basic Life Support (BLS)\n
Addiction Medicine Certification, American Society of Addiction Medicine\n
Infection Control & Barrier Precautions Certification\n\n
Professional Accomplishments\n
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Has a masterâs degree in public health with a focus in health policy & management\n\n
A person with a menstrual cycle lasting between 26 and 32 days will be most fertile between days 8 and 19 of their cycle. Ovulation, which is when the ovaries release an egg, is the most fertile period.
In theory, a person can become pregnant at any time in their cycle, but it is most likely to happen around ovulation. When ovulation happens will vary according to a personâs cycle.
The days during the menstrual cycle when a person is least likely to get pregnant are known as the âsafe period.â
This article describes how to calculate the fertile window to aid or avoid conception.
A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms âmale,â âfemale,â or both to refer to sex assigned at birth. Click here to learn more.
Ovulation occurs when one of the ovaries releases an egg. After release, the egg moves to the fallopian tube, where it will travel to the uterus over the course of 24 hours or so.
Pregnancy occurs if sperm travel to the fallopian tube and fertilizes the egg. If sperm does not fertilize the egg, the egg moves to the uterus and breaks down, ready to leave the body during the next menstrual period.
According to the ACOG, ovulation occurs around 14 days before a person expects to have their next period if their monthly cycle is 28 days.
Most people ovulate between days 11 and 21 of their cycle. The first day of their last menstrual period (LMP) is day 1 of the cycle.
Ovulation does not always occur on the same day every month and can vary by a day or more on either side of the expected date.
Doctors call the part of the cycle around ovulation the fertile window because the chance of pregnancy is highest at this time. For example, if ovulation occurs on day 14, a person can conceive on that day or within the following 24 hours.
However, their fertile window begins a few days before ovulation because sperm can survive for up to 5 days inside the female body. So, even if a person does not have sex on day 14 or 15, it is still possible to become pregnant if they had sex without using contraception on days 9 to 13.
According to research from 2018, the likelihood of conception rises from day 8, reaching its maximum on day 13 and decreasing to zero by day 30.
However, it is essential to note that these findings should only act as a guideline. Every person and every cycle is different.
It can be helpful for a person to chart their monthly cycle and note the signs of ovulation to help pinpoint the exact day of ovulation each month.
Some of these signs, such as basal body temperature, will continue to change after ovulation. For this reason, it is advisable not to use temperature to predict the fertile window.
It may be helpful for someone to track the signs over a few months to get an idea of what is typical for their body.
However, keep in mind that there are several variables, and the timing of ovulation can change month-to-month.
Another option is to use an ovulation predictor kit or fertility monitor.
Fertility aids measure the levels of specific hormones in the urine to determine the ovulation day each month. Some devices also identify days of peak fertility.
Using a combination of these methods may provide an individual with the best accuracy.
The following table, based on research from 2015, summarizes a typical menstrual cycle lasting 28 days and how fertile a person is likely to be at each stage.
Day of cycle
Stage
Fertility
1 to 7
menstruation
least fertile stage
8 to 9
post-menstruation
possible to conceive
10 to 14
days around ovulation
most fertile
15 to 16
post-ovulation
possible to conceive
17 to 28
thickening of uterine lining
less fertile â unlikely to conceive
To get a more specific range of highest fertility windows based on the day of ovulation, a person can track the first day of their last period in a pregnancy calculator.
To maximize the chances of becoming pregnant, a person could time sexual intercourse to occur during the 2 to 3 days leading up to and including ovulation.
Having sexual intercourse on any of these days may provide a 20% to 30% chance of pregnancy.
Other tips to improve the chances of conception include:
Have regular sexual intercourse: Pregnancy rates are highest among partners who have sex every 2 or 3 days throughout the month.
Avoid smoking:Smoking tobacco reduces fertility and impacts the health of a developing fetus.
Limit alcohol intake:Alcohol intake can reduce fertility in males and females and harm a fetus.
Maintain a moderate weight: People who are overweight or underweight are more likely to have irregular ovulation.
Reduce stress: While the research on whether anxiety or stress can reduce fertility is not conclusive, it is clear that reducing stress can provide some benefits for a person trying to conceive.
Even if a person is having regular sexual intercourse and tracking ovulation, there can be reasons why the sperm cannot reach the egg.
Causes of male infertility include:
Sperm morphology: Differences in the size and shape of the sperm, also known as sperm morphology, can impact fertility.
Low sperm count: The male partnerâs ejaculate fluid does not contain sufficient sperm. Fertility doctors consider a person to have a low sperm count if they have under 15 million sperm per milliliter of semen â the fewer the sperm, the lower the chances of conception.
Low sperm motility:Low sperm motility means the sperm cannot move as efficiently to reach the egg.
There are a variety of medical conditions that can cause any of these problems with male fertility, including:
Some people may wish to track their fertility to prevent pregnancy. This is known as the fertility awareness method.
The Centers for Disease Control and Prevention (CDC) charts fertility awareness-based methods of contraception as having a failure rate of up to 23% with typical use.
The chances of pregnancy are lowest during a personâs period and on the days on either side of the period.
However, they may still become pregnant if they have ovulated early or late in their cycle, as sperm can survive in the body for several days.
People wishing to use the fertility awareness method may want to speak with their doctor first.
Ovulation and the fertile window can change from cycle to cycle, but they may also alter with age. Fertility naturally begins to decline in females in their 30s. By age 40, a personâs chance of conceiving drops to 10% per cycle.
The number of eggs and egg quality decrease with age. Ovulation may also become irregular.
Some medical conditions, such as endometriosis or PCOS, also make conception more difficult.
Birth control pills aim to prevent unintended pregnancy. The pill prevents pregnancy by releasing synthetic hormones that stop ovulation from occurring and the uterus lining from thickening.
So, even if the ovaries release an egg, a fertilized egg would be unable to implant in the wall of the uterus. The pill also thickens cervical mucus, making it harder for sperm to reach an egg.
According to the CDC, the typical use failure rate for the birth control pill is only 7%, making it a very effective birth control method.
Females under 35 years of age with no apparent health or fertility problems can try conceiving for one year before contacting a doctor about fertility.
Those over 35 years of age could seek medical advice after 6 months of trying to conceive.
A female with any of the following who wishes to become pregnant could also contact a doctor about fertility:
Here are the answers to some frequently asked questions about when pregnancy can occur.
Can I get pregnant 2 days before my period?
Days 17 to 28 before the first day of a personâs period are the days when the uterine lining begins to thicken. While a person is less likely to conceive during this time, conception is still possible.
How many days after your period can you get pregnant?
A female can get pregnant at any time during her menstrual cycle. The likelihood of pregnancy is highest during ovulation, which typically occurs on days 10 to 14.
Intermenstrual bleeding can occur between periods. To pinpoint the start of a menstrual cycle, a female must correctly identify their actual period.
Each personâs menstrual cycle is different. On average, it lasts 28 to 32 days. A person is most fertile during ovulation, which occurs around days 10 to 14.
A person can calculate the exact days of ovulation each month by counting from the first day of their period.
However, certain medical conditions may affect ovulation or impact the spermâs ability to reach the egg.
People who have been unable to conceive for over a year could talk with a fertility specialist.
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