Taco Bout Fertility Tuesday

Timing is Everything: The Truth Behind Timed Intercourse for Fertility

December 12, 2023 Mark Amols, MD Season 5 Episode 50
Taco Bout Fertility Tuesday
Timing is Everything: The Truth Behind Timed Intercourse for Fertility
Show Notes Transcript

Uncover the fascinating truths about timed intercourse in our latest episode, "Timing is Everything." Dr. Mark Amols takes you on an enlightening journey, revealing the effectiveness and secrets of this fertility technique. From understanding the optimal timing to exploring the roles of ovulation kits and fertility drugs, this episode is packed with essential insights. Whether you're exploring fertility options or simply curious, this episode will captivate and educate, shedding light on a topic shrouded in myths and half-truths. Join us for an engaging dive into the world of timed intercourse!

Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.

Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.

Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.

Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

>> Speaker A:

Today we talk about timed intercourse cycles. I'm, Dr. Mark Amos, and this is taco. About fertility Tuesday. I'm sure you've heard people talk about timed intercourse cycles.

>> Speaker B:

Matter of fact, there are many things.

>> Speaker A:

That can be a timed intercourse cycle.

>> Speaker B:

Such as your gynecologist could do it.

>> Speaker A:

For you, a fertility doctor could do it for you.

>> Speaker B:

Today we're going to talk about what.

>> Speaker A:

A timed intercourse cycle is, what makes it a timed intercourse cycle, and how.

>> Speaker B:

They can be done. And another thing we're going to talk about is, is it worth being done?

>> Speaker A:

Is everyone a good candidate or are.

>> Speaker B:

Some people going to be a bad.

>> Speaker A:

Candidate and should just move on to things like iuis? Now, in general, the word timed intercourse means to time the intercourse. So technically, I mean, if you're just trying to get pregnant and you're timing.

>> Speaker B:

Your intercourse, that's a timed intercourse cycle.

>> Speaker A:

What we're going to focus on a.

>> Speaker B:

Little bit more here is what do we do in the clinic for timed intercourse cycles?

>> Speaker A:

So, for patients who are just trying to get pregnant, it's perfectly fine to do timed intercourse cycles.

>> Speaker B:

Matter of fact, a lot of people.

>> Speaker A:

Will use, ovulation kits called opks, check when they're ovulating, and as soon as it shows they hit their peak and they're ovulating, you would have intercourse that day and again 24 hours later. And the thought process behind here is that one, you're timing it around ovulation.

>> Speaker B:

But the other, reason is because.

>> Speaker A:

You maybe don't have enough time to have intercourse every other day for 20 days. And so that's a reasonable way to make sure you get the timing correct.

>> Speaker B:

Now, for the average patient, just like.

>> Speaker A:

We tell people for infertility, if you're not pregnant within six months and you're.

>> Speaker B:

Over 35, you should see a doctor.

>> Speaker A:

And if it's over one year and you're under 35, you should see a doctor because time request probably won't work for you if it hasn't worked by then.

>> Speaker B:

The other situation, if you have comorbidities.

>> Speaker A:

Such as endometriosis, irregular cycles, severe pain with your periods, you may have other issues going on. And you should see the doctor after six months, even under 35, if you're still not pregnant. But what about the situation where you are seeing your obGYN doctor and they say to you, here, let me give you some clomid or femara, which are two medications that can help make an extra egg or two and you have time to intercourse at home. Usually the way this protocol works is on the third day of your period, you would start taking Clomid or femara, which are two types of medications that force you to make extra eggs. And then you have an intercourse either every other day, starting on day ten, all the way to day 20.

>> Speaker B:

Or you could do ovulation predator kits.

>> Speaker A:

To determine when you're ovulating.

>> Speaker B:

Or the other option is you can.

>> Speaker A:

Come in for an ultrasound so the doctor can figure out when you're ovulating. And they'll give you HCG to make sure you trigger at a certain time so you know when to have intercourse, which is usually about 24 to 36 hours later. Now, there are some fertility doctors who will also do this.

>> Speaker B:

They'll do time intercourse cycles and usually.

>> Speaker A:

they'll monitor your ovulation and then they'll give you a trigger shot to make you ovulate. So they'll be doing follicle tracking, making sure the eggs are growing, and then give you a trigger shot. But the question is, does this work.

>> Speaker B:

And who should try this?

>> Speaker A:

In general, it actually doesn't benefit people much at all. Matter of fact, the only patients who are probably going to benefit from timed.

>> Speaker B:

Intercourse are going to be patients who.

>> Speaker A:

Don'T have regular cycles.

>> Speaker B:

Women who have polycystic ovarian syndrome, oligomenorrhea.

>> Speaker A:

Amenarrhea, which respectively, those mean irregular cycles. Another one means not getting a period. They will benefit from taking Clomid or femara because they're not ovulating or they're not ovulating regularly. But if you've been trying for the last six months to a year and you haven't got pregnant, there is no reason taking Clomid or femara is going.

>> Speaker B:

To get you pregnant. As I've always joke around and talk about it.

>> Speaker A:

It doesn't even make sense. If most people are pregnant after just.

>> Speaker B:

Three months of having intercourse, why then.

>> Speaker A:

If you've been releasing twelve eggs over the last year that you're going to get pregnant because you took some clomid or from our to make a second.

>> Speaker B:

Egg to help get you pregnant, can.

>> Speaker A:

You imagine if your eggs were actually talking and they said, you know, Sally's been great, she's given us twelve eggs this year. But you know the rules. We can't let her get pregnant unless she releases two eggs for us.

>> Speaker B:

Hope she starts Femara.

>> Speaker A:

No, that doesn't make any sense, because if you were going to get pregnant and it was just a second egg, you got pregnant on egg number 8910, eleven or twelve, and that's why? Timed intercourse cycles don't really work for people who have regular ovulation, getting a.

>> Speaker B:

Period every month or with confirmed ovulation.

>> Speaker A:

Now, it isn't wrong for your doctor to do it. I mean, there's really no harm just.

>> Speaker B:

Wasting time and maybe money, but there's really no benefit now if you're not.

>> Speaker A:

Ovulating completely different, because now it helps you ovulate. So then the next question comes up is, do you need to do the ultrasounds? Technically, Clomin and Femar are very weak drugs. That's why ogoins give it out all the time. And really, there are very few twins and triplets from it, because it's just not that strong. And so you technically don't have to do monitoring, especially if you have irregular cycles and don't get your period. You can just take the clomid cycle days three through seven, have your course cycle days ten through 20 every other.

>> Speaker B:

Day, and then just check a progesterone.

>> Speaker A:

Level to verify you ovulated and then you know it's working.

>> Speaker B:

And the nice thing about that is.

>> Speaker A:

It'S cheap, doesn't cost much, and you get to do everything from home. Now, let's say your doctor does choose to monitor you and actually brings you in for ultrasounds and finally notices one of the fogles are ready. At that point, you may say, well, maybe I should take that trigger shot, then.

>> Speaker B:

That way it will help me get pregnant. Well, actually, it won't.

>> Speaker A:

A trigger shot itself is not going to help you get pregnant. Your chances are no better with a trigger shot than just ovulating naturally when your body's ready.

>> Speaker B:

What the trigger shot will do is.

>> Speaker A:

It will make sure you have to have a marathon of sex over maybe ten days, because it's going to be too difficult. And so you can say, listen, we just have an intercourse on this one day.

>> Speaker B:

That's what the trigger shot will do.

>> Speaker A:

It will give you the timing. But again, as long as you're having intercourse every other day, it's not going to matter, you're going to hit the day eventually. So then the question is, well, why do we do trigger shots with IUI? Well, that's because it's a little bit easier for the clinic, because then we can get the timing correct, we can let you know when your partner needs to come in, give their sperm sample. So it's a little bit different in that situation. But technically, the trigger shot doesn't make more become mature than you just ovulate naturally. So this is actually quite common with obgns. They usually do give out clonum for marine. Again, it's not wrong. It's just probably not going to benefit you unless you fall into that group of irregular ovulation.

>> Speaker B:

But, what about fertility doctors? Do they do it?

>> Speaker A:

Well, I see lots of fertility doctors do different things.

>> Speaker B:

I know at our clinic, usually we only do time intercourse if someone's not.

>> Speaker A:

Ovulating regularly, or if a patient just asks for it and we tell them it's not going to work, but they want to do it, we're like, that's.

>> Speaker B:

Fine, but we don't suggest it.

>> Speaker A:

The main area I see time intercourse, I'll see some doctors do it.

>> Speaker B:

And people are ovulating, and, it's.

>> Speaker A:

Probably because the patient wants to do it, maybe that's why they're doing it. But if your doctor is asking you to do time intercourse cycles and you're.

>> Speaker B:

Ovulating regularly every month, there really is no benefit. You're basically doing the same thing you.

>> Speaker A:

Were doing before, but you're just taking extra medication. And statistically, it's not going to help you because you've already released enough eggs and should have got pregnant if that was the problem. So then the question is, what should you do? Well, realistically, at that point, you should go on to what are called artificial inseminations, also known as iuis.

>> Speaker B:

If you find that you haven't got pregnant within one year of trying, then at that point, doing time intercourse cycles.

>> Speaker A:

Is a waste of time. Jump right ahead to iuis. Now, when I say trying, as I always say, you don't have to actually try you to have an intercourse at least two times a week. In the end, is it wrong to do time intercourse? Absolutely not.

>> Speaker B:

I mean, I did with my wife.

>> Speaker A:

Hoping that maybe it would work. And we know there was zero chance of it working. Why?

>> Speaker B:

Because it was cheap.

>> Speaker A:

It was something we could do at.

>> Speaker B:

Home, and we didn't have to involve any doctors. But just like I discussed, it had.

>> Speaker A:

No chance of working because I had.

>> Speaker B:

A male factor issue and my wife.

>> Speaker A:

Was offering you lang regularly. Now, I'm sure there's people out there say, well, I did it and I got pregnant. And that's absolutely true. No one's going to question that. But it doesn't mean it was from the time to intercourse.

>> Speaker B:

It's very possible that the timed intercourse maybe made you be further on top.

>> Speaker A:

Of things, and maybe you guys were having intercourse at the m more appropriate times, whereas originally you weren't.

>> Speaker B:

Or it was just chance, but in.

>> Speaker A:

The end, as we talked, it doesn't even make sense. If you can release twelve eggs in a year and not get pregnant, why would one month making two eggs get you pregnant? But you didn't get pregnant after twelve eggs. At that point, you're better off just going on to iuis.

>> Speaker B:

In the end, there's no harm.

>> Speaker A:

It's just potentially wasting time. And at some clinics, even money, I've heard of some clinics charging almost as much as iuis to do time intercourse cycles, which is insane because the chances are really not much better.

>> Speaker B:

In the end.

>> Speaker A:

The most important treatment is in treatment that you think is best for you and your doctor. And you talk about the reason I do these podcasts is so you can have a little bit more information, so you can question things or ask things, so you can be in charge of your care. As always, I hope this podcast helps someone, or maybe help one of your friends. I really appreciate everyone who listens. As I always say, if you love it, please tell your friends about us. Give us a five star on your favorite medium. As always. Come back again next week. I look forward to talking you all again next week on Talk about fertility Tuesday.

>> Speaker B:

You close.