{"version":"1.0.0","segments":[{"speaker":"\u003e\u003e Speaker A","startTime":0.89,"endTime":3.674,"body":"Today we talk about timed intercourse"},{"speaker":"\u003e\u003e Speaker A","startTime":3.722,"endTime":6.252,"body":"cycles. I'm, Dr. Mark"},{"speaker":"\u003e\u003e Speaker A","startTime":6.306,"endTime":9.18,"body":"Amos, and this is"},{"speaker":"\u003e\u003e Speaker A","startTime":9.25,"endTime":11.82,"body":"taco. About fertility Tuesday."},{"speaker":"\u003e\u003e Speaker A","startTime":23.84,"endTime":26.624,"body":"I'm sure you've heard people talk about timed intercourse"},{"speaker":"\u003e\u003e Speaker A","startTime":26.672,"endTime":27.52,"body":"cycles."},{"speaker":"\u003e\u003e Speaker B","startTime":27.68,"endTime":29.476,"body":"Matter of fact, there are many things."},{"speaker":"\u003e\u003e Speaker A","startTime":29.498,"endTime":31.328,"body":"That can be a timed intercourse cycle."},{"speaker":"\u003e\u003e Speaker B","startTime":31.424,"endTime":34.196,"body":"Such as your gynecologist could do it."},{"speaker":"\u003e\u003e Speaker A","startTime":34.218,"endTime":36.756,"body":"For you, a fertility doctor could do it for"},{"speaker":"\u003e\u003e Speaker A","startTime":36.778,"endTime":37.252,"body":"you."},{"speaker":"\u003e\u003e Speaker B","startTime":37.386,"endTime":39.556,"body":"Today we're going to talk about what."},{"speaker":"\u003e\u003e Speaker A","startTime":39.578,"endTime":42.484,"body":"A timed intercourse cycle is, what makes it a timed"},{"speaker":"\u003e\u003e Speaker A","startTime":42.532,"endTime":44.936,"body":"intercourse cycle, and how."},{"speaker":"\u003e\u003e Speaker B","startTime":44.958,"endTime":47.704,"body":"They can be done. And another thing we're going to talk about"},{"speaker":"\u003e\u003e Speaker B","startTime":47.742,"endTime":50.504,"body":"is, is it worth being done?"},{"speaker":"\u003e\u003e Speaker A","startTime":50.702,"endTime":52.476,"body":"Is everyone a good candidate or are."},{"speaker":"\u003e\u003e Speaker B","startTime":52.498,"endTime":54.044,"body":"Some people going to be a bad."},{"speaker":"\u003e\u003e Speaker A","startTime":54.082,"endTime":56.124,"body":"Candidate and should just move on to things like"},{"speaker":"\u003e\u003e Speaker A","startTime":56.242,"endTime":59.084,"body":"iuis? Now, in general, the"},{"speaker":"\u003e\u003e Speaker A","startTime":59.122,"endTime":62.092,"body":"word timed intercourse means to time the"},{"speaker":"\u003e\u003e Speaker A","startTime":62.146,"endTime":65.104,"body":"intercourse. So technically, I mean, if you're just trying to get"},{"speaker":"\u003e\u003e Speaker A","startTime":65.142,"endTime":66.316,"body":"pregnant and you're timing."},{"speaker":"\u003e\u003e Speaker B","startTime":66.348,"endTime":68.924,"body":"Your intercourse, that's a timed intercourse"},{"speaker":"\u003e\u003e Speaker B","startTime":68.972,"endTime":69.6,"body":"cycle."},{"speaker":"\u003e\u003e Speaker A","startTime":70.02,"endTime":71.456,"body":"What we're going to focus on a."},{"speaker":"\u003e\u003e Speaker B","startTime":71.478,"endTime":74.416,"body":"Little bit more here is what do"},{"speaker":"\u003e\u003e Speaker B","startTime":74.438,"endTime":77.084,"body":"we do in the clinic for timed intercourse"},{"speaker":"\u003e\u003e Speaker B","startTime":77.132,"endTime":77.612,"body":"cycles?"},{"speaker":"\u003e\u003e Speaker A","startTime":77.676,"endTime":80.384,"body":"So, for patients who are just trying to get pregnant, it's"},{"speaker":"\u003e\u003e Speaker A","startTime":80.432,"endTime":82.816,"body":"perfectly fine to do timed intercourse cycles."},{"speaker":"\u003e\u003e Speaker B","startTime":82.928,"endTime":84.404,"body":"Matter of fact, a lot of people."},{"speaker":"\u003e\u003e Speaker A","startTime":84.442,"endTime":87.11,"body":"Will use, ovulation kits called opks,"},{"speaker":"\u003e\u003e Speaker A","startTime":87.77,"endTime":90.746,"body":"check when they're ovulating, and as soon as it shows they hit"},{"speaker":"\u003e\u003e Speaker A","startTime":90.768,"endTime":93.562,"body":"their peak and they're ovulating, you would have intercourse that day"},{"speaker":"\u003e\u003e Speaker A","startTime":93.616,"endTime":95.74,"body":"and again 24 hours later."},{"speaker":"\u003e\u003e Speaker A","startTime":96.27,"endTime":98.966,"body":"And the thought process behind here is that one, you're"},{"speaker":"\u003e\u003e Speaker A","startTime":98.998,"endTime":100.57,"body":"timing it around ovulation."},{"speaker":"\u003e\u003e Speaker B","startTime":101.07,"endTime":102.444,"body":"But the other, reason is because."},{"speaker":"\u003e\u003e Speaker A","startTime":102.482,"endTime":105.264,"body":"You maybe don't have enough time to have intercourse every"},{"speaker":"\u003e\u003e Speaker A","startTime":105.302,"endTime":108.096,"body":"other day for 20 days. And so"},{"speaker":"\u003e\u003e Speaker A","startTime":108.198,"endTime":110.924,"body":"that's a reasonable way to make sure you get the timing"},{"speaker":"\u003e\u003e Speaker A","startTime":110.972,"endTime":111.616,"body":"correct."},{"speaker":"\u003e\u003e Speaker B","startTime":111.798,"endTime":114.736,"body":"Now, for the average patient, just like."},{"speaker":"\u003e\u003e Speaker A","startTime":114.758,"endTime":117.732,"body":"We tell people for infertility, if you're not pregnant within six"},{"speaker":"\u003e\u003e Speaker A","startTime":117.786,"endTime":118.416,"body":"months and you're."},{"speaker":"\u003e\u003e Speaker B","startTime":118.448,"endTime":121.184,"body":"Over 35, you should see a doctor."},{"speaker":"\u003e\u003e Speaker A","startTime":121.312,"endTime":124.276,"body":"And if it's over one year and you're under 35, you should see"},{"speaker":"\u003e\u003e Speaker A","startTime":124.298,"endTime":127.256,"body":"a doctor because time request probably won't work for"},{"speaker":"\u003e\u003e Speaker A","startTime":127.278,"endTime":128.84,"body":"you if it hasn't worked by then."},{"speaker":"\u003e\u003e Speaker B","startTime":128.99,"endTime":131.892,"body":"The other situation, if you have comorbidities."},{"speaker":"\u003e\u003e Speaker A","startTime":131.956,"endTime":134.612,"body":"Such as endometriosis, irregular"},{"speaker":"\u003e\u003e Speaker A","startTime":134.676,"endTime":137.528,"body":"cycles, severe pain with your periods, you"},{"speaker":"\u003e\u003e Speaker A","startTime":137.534,"endTime":140.364,"body":"may have other issues going on. And you should see the doctor after"},{"speaker":"\u003e\u003e Speaker A","startTime":140.402,"endTime":143.084,"body":"six months, even under 35, if you're still not"},{"speaker":"\u003e\u003e Speaker A","startTime":143.122,"endTime":145.564,"body":"pregnant. But what about the situation"},{"speaker":"\u003e\u003e Speaker A","startTime":145.762,"endTime":148.472,"body":"where you are seeing your obGYN"},{"speaker":"\u003e\u003e Speaker A","startTime":148.536,"endTime":151.468,"body":"doctor and they say to you, here, let me give"},{"speaker":"\u003e\u003e Speaker A","startTime":151.474,"endTime":153.744,"body":"you some clomid or femara, which are two"},{"speaker":"\u003e\u003e Speaker A","startTime":153.782,"endTime":156.704,"body":"medications that can help make an extra"},{"speaker":"\u003e\u003e Speaker A","startTime":156.742,"endTime":159.568,"body":"egg or two and you have time to intercourse at home."},{"speaker":"\u003e\u003e Speaker A","startTime":159.734,"endTime":162.608,"body":"Usually the way this protocol works is on"},{"speaker":"\u003e\u003e Speaker A","startTime":162.614,"endTime":165.184,"body":"the third day of your period, you would start taking Clomid or"},{"speaker":"\u003e\u003e Speaker A","startTime":165.222,"endTime":168.036,"body":"femara, which are two types of medications that force you to make"},{"speaker":"\u003e\u003e Speaker A","startTime":168.058,"endTime":170.752,"body":"extra eggs. And then you have an intercourse"},{"speaker":"\u003e\u003e Speaker A","startTime":170.816,"endTime":173.748,"body":"either every other day, starting on day ten, all"},{"speaker":"\u003e\u003e Speaker A","startTime":173.754,"endTime":174.756,"body":"the way to day 20."},{"speaker":"\u003e\u003e Speaker B","startTime":174.858,"endTime":177.504,"body":"Or you could do ovulation predator kits."},{"speaker":"\u003e\u003e Speaker A","startTime":177.552,"endTime":179.252,"body":"To determine when you're ovulating."},{"speaker":"\u003e\u003e Speaker B","startTime":179.396,"endTime":181.016,"body":"Or the other option is you can."},{"speaker":"\u003e\u003e Speaker A","startTime":181.038,"endTime":184.008,"body":"Come in for an ultrasound so the doctor can figure out when you're"},{"speaker":"\u003e\u003e Speaker A","startTime":184.014,"endTime":186.904,"body":"ovulating. And they'll give you HCG to make"},{"speaker":"\u003e\u003e Speaker A","startTime":186.942,"endTime":189.484,"body":"sure you trigger at a certain time so you know when to have"},{"speaker":"\u003e\u003e Speaker A","startTime":189.522,"endTime":192.172,"body":"intercourse, which is usually about 24 to 36 hours"},{"speaker":"\u003e\u003e Speaker A","startTime":192.226,"endTime":194.84,"body":"later. Now, there are some fertility"},{"speaker":"\u003e\u003e Speaker A","startTime":194.92,"endTime":196.876,"body":"doctors who will also do this."},{"speaker":"\u003e\u003e Speaker B","startTime":196.978,"endTime":199.128,"body":"They'll do time intercourse cycles"},{"speaker":"\u003e\u003e Speaker B","startTime":199.304,"endTime":200.35,"body":"and usually."},{"speaker":"\u003e\u003e Speaker A","startTime":200.68,"endTime":203.534,"body":"they'll monitor your ovulation and then"},{"speaker":"\u003e\u003e Speaker A","startTime":203.592,"endTime":206.454,"body":"they'll give you a trigger shot to make you ovulate. So they'll be doing"},{"speaker":"\u003e\u003e Speaker A","startTime":206.492,"endTime":209.446,"body":"follicle tracking, making sure the eggs are growing, and then give you"},{"speaker":"\u003e\u003e Speaker A","startTime":209.468,"endTime":212.294,"body":"a trigger shot. But the question is, does"},{"speaker":"\u003e\u003e Speaker A","startTime":212.332,"endTime":213.186,"body":"this work."},{"speaker":"\u003e\u003e Speaker B","startTime":213.308,"endTime":215.434,"body":"And who should try this?"},{"speaker":"\u003e\u003e Speaker A","startTime":215.632,"endTime":218.454,"body":"In general, it actually doesn't benefit"},{"speaker":"\u003e\u003e Speaker A","startTime":218.502,"endTime":221.494,"body":"people much at all. Matter of fact, the only patients"},{"speaker":"\u003e\u003e Speaker A","startTime":221.542,"endTime":223.906,"body":"who are probably going to benefit from timed."},{"speaker":"\u003e\u003e Speaker B","startTime":223.958,"endTime":226.286,"body":"Intercourse are going to be patients who."},{"speaker":"\u003e\u003e Speaker A","startTime":226.308,"endTime":228.138,"body":"Don'T have regular cycles."},{"speaker":"\u003e\u003e Speaker B","startTime":228.314,"endTime":231.05,"body":"Women who have polycystic ovarian syndrome,"},{"speaker":"\u003e\u003e Speaker B","startTime":231.21,"endTime":232.75,"body":"oligomenorrhea."},{"speaker":"\u003e\u003e Speaker A","startTime":233.17,"endTime":236.062,"body":"Amenarrhea, which respectively, those mean"},{"speaker":"\u003e\u003e Speaker A","startTime":236.116,"endTime":239.106,"body":"irregular cycles. Another one means not getting"},{"speaker":"\u003e\u003e Speaker A","startTime":239.128,"endTime":242.002,"body":"a period. They will benefit from taking"},{"speaker":"\u003e\u003e Speaker A","startTime":242.056,"endTime":245.026,"body":"Clomid or femara because they're not ovulating or they're not"},{"speaker":"\u003e\u003e Speaker A","startTime":245.048,"endTime":247.966,"body":"ovulating regularly. But if you've"},{"speaker":"\u003e\u003e Speaker A","startTime":247.998,"endTime":250.946,"body":"been trying for the last six months to a year and"},{"speaker":"\u003e\u003e Speaker A","startTime":250.968,"endTime":253.542,"body":"you haven't got pregnant, there is no"},{"speaker":"\u003e\u003e Speaker A","startTime":253.596,"endTime":256.278,"body":"reason taking Clomid or femara is going."},{"speaker":"\u003e\u003e Speaker B","startTime":256.284,"endTime":259.254,"body":"To get you pregnant. As I've always joke around and"},{"speaker":"\u003e\u003e Speaker B","startTime":259.292,"endTime":260.086,"body":"talk about it."},{"speaker":"\u003e\u003e Speaker A","startTime":260.188,"endTime":263.014,"body":"It doesn't even make sense. If most"},{"speaker":"\u003e\u003e Speaker A","startTime":263.052,"endTime":264.294,"body":"people are pregnant after just."},{"speaker":"\u003e\u003e Speaker B","startTime":264.332,"endTime":266.65,"body":"Three months of having intercourse,"},{"speaker":"\u003e\u003e Speaker B","startTime":267.47,"endTime":268.074,"body":"why then."},{"speaker":"\u003e\u003e Speaker A","startTime":268.112,"endTime":270.858,"body":"If you've been releasing twelve eggs over the last year"},{"speaker":"\u003e\u003e Speaker A","startTime":270.944,"endTime":273.786,"body":"that you're going to get pregnant because you took some clomid or from our to make"},{"speaker":"\u003e\u003e Speaker A","startTime":273.808,"endTime":274.202,"body":"a second."},{"speaker":"\u003e\u003e Speaker B","startTime":274.256,"endTime":276.766,"body":"Egg to help get you pregnant, can."},{"speaker":"\u003e\u003e Speaker A","startTime":276.788,"endTime":278.72,"body":"You imagine if your eggs were actually"},{"speaker":"\u003e\u003e Speaker A","startTime":279.49,"endTime":282.446,"body":"talking and they said, you know, Sally's been"},{"speaker":"\u003e\u003e Speaker A","startTime":282.468,"endTime":285.294,"body":"great, she's given us twelve eggs this year. But"},{"speaker":"\u003e\u003e Speaker A","startTime":285.332,"endTime":288.234,"body":"you know the rules. We can't let her get pregnant unless"},{"speaker":"\u003e\u003e Speaker A","startTime":288.282,"endTime":290.078,"body":"she releases two eggs for us."},{"speaker":"\u003e\u003e Speaker B","startTime":290.164,"endTime":291.626,"body":"Hope she starts Femara."},{"speaker":"\u003e\u003e Speaker A","startTime":291.738,"endTime":294.706,"body":"No, that doesn't make any sense, because if you were going to"},{"speaker":"\u003e\u003e Speaker A","startTime":294.728,"endTime":297.646,"body":"get pregnant and it was just a second egg, you got pregnant"},{"speaker":"\u003e\u003e Speaker A","startTime":297.678,"endTime":300.466,"body":"on egg number 8910, eleven or twelve, and"},{"speaker":"\u003e\u003e Speaker A","startTime":300.488,"endTime":303.302,"body":"that's why? Timed intercourse cycles don't really work"},{"speaker":"\u003e\u003e Speaker A","startTime":303.356,"endTime":305.718,"body":"for people who have regular ovulation, getting a."},{"speaker":"\u003e\u003e Speaker B","startTime":305.724,"endTime":308.226,"body":"Period every month or with confirmed"},{"speaker":"\u003e\u003e Speaker B","startTime":308.258,"endTime":309.19,"body":"ovulation."},{"speaker":"\u003e\u003e Speaker A","startTime":309.85,"endTime":312.726,"body":"Now, it isn't wrong for your doctor to do it. I"},{"speaker":"\u003e\u003e Speaker A","startTime":312.748,"endTime":314.246,"body":"mean, there's really no harm just."},{"speaker":"\u003e\u003e Speaker B","startTime":314.268,"endTime":317.194,"body":"Wasting time and maybe money, but there's really no"},{"speaker":"\u003e\u003e Speaker B","startTime":317.232,"endTime":318.506,"body":"benefit now if you're not."},{"speaker":"\u003e\u003e Speaker A","startTime":318.528,"endTime":320.906,"body":"Ovulating completely different, because now it helps you"},{"speaker":"\u003e\u003e Speaker A","startTime":320.928,"endTime":323.594,"body":"ovulate. So then the next question comes up"},{"speaker":"\u003e\u003e Speaker A","startTime":323.632,"endTime":326.154,"body":"is, do you need to do the"},{"speaker":"\u003e\u003e Speaker A","startTime":326.192,"endTime":328.778,"body":"ultrasounds? Technically, Clomin and"},{"speaker":"\u003e\u003e Speaker A","startTime":328.784,"endTime":331.242,"body":"Femar are very weak drugs. That's why"},{"speaker":"\u003e\u003e Speaker A","startTime":331.296,"endTime":334.254,"body":"ogoins give it out all the time. And really, there are very few"},{"speaker":"\u003e\u003e Speaker A","startTime":334.292,"endTime":336.974,"body":"twins and triplets from it, because it's just not that"},{"speaker":"\u003e\u003e Speaker A","startTime":337.012,"endTime":339.554,"body":"strong. And so you technically don't have to do"},{"speaker":"\u003e\u003e Speaker A","startTime":339.592,"endTime":342.558,"body":"monitoring, especially if you have irregular cycles and don't"},{"speaker":"\u003e\u003e Speaker A","startTime":342.574,"endTime":345.294,"body":"get your period. You can just take the clomid"},{"speaker":"\u003e\u003e Speaker A","startTime":345.342,"endTime":348.242,"body":"cycle days three through seven, have your course"},{"speaker":"\u003e\u003e Speaker A","startTime":348.296,"endTime":350.114,"body":"cycle days ten through 20 every other."},{"speaker":"\u003e\u003e Speaker B","startTime":350.152,"endTime":351.838,"body":"Day, and then just check a progesterone."},{"speaker":"\u003e\u003e Speaker A","startTime":351.854,"endTime":354.79,"body":"Level to verify you ovulated and then you know it's working."},{"speaker":"\u003e\u003e Speaker B","startTime":354.94,"endTime":356.454,"body":"And the nice thing about that is."},{"speaker":"\u003e\u003e Speaker A","startTime":356.492,"endTime":359.302,"body":"It'S cheap, doesn't cost much, and you get to do everything from home."},{"speaker":"\u003e\u003e Speaker A","startTime":359.436,"endTime":362.326,"body":"Now, let's say your doctor does choose to monitor you and"},{"speaker":"\u003e\u003e Speaker A","startTime":362.348,"endTime":365.318,"body":"actually brings you in for ultrasounds and finally notices one of the"},{"speaker":"\u003e\u003e Speaker A","startTime":365.324,"endTime":368.202,"body":"fogles are ready. At that point, you may say, well,"},{"speaker":"\u003e\u003e Speaker A","startTime":368.256,"endTime":369.946,"body":"maybe I should take that trigger shot, then."},{"speaker":"\u003e\u003e Speaker B","startTime":369.968,"endTime":372.794,"body":"That way it will help me get pregnant. Well,"},{"speaker":"\u003e\u003e Speaker B","startTime":372.832,"endTime":373.766,"body":"actually, it won't."},{"speaker":"\u003e\u003e Speaker A","startTime":373.878,"endTime":376.746,"body":"A trigger shot itself is not going to help you get pregnant. Your"},{"speaker":"\u003e\u003e Speaker A","startTime":376.768,"endTime":379.582,"body":"chances are no better with a trigger shot than just"},{"speaker":"\u003e\u003e Speaker A","startTime":379.636,"endTime":381.774,"body":"ovulating naturally when your body's ready."},{"speaker":"\u003e\u003e Speaker B","startTime":381.892,"endTime":384.126,"body":"What the trigger shot will do is."},{"speaker":"\u003e\u003e Speaker A","startTime":384.148,"endTime":386.942,"body":"It will make sure you have to have a marathon of sex over maybe"},{"speaker":"\u003e\u003e Speaker A","startTime":386.996,"endTime":389.966,"body":"ten days, because it's going to be too difficult. And so you can say,"},{"speaker":"\u003e\u003e Speaker A","startTime":389.988,"endTime":392.062,"body":"listen, we just have an intercourse on this one day."},{"speaker":"\u003e\u003e Speaker B","startTime":392.196,"endTime":395.102,"body":"That's what the trigger shot will do."},{"speaker":"\u003e\u003e Speaker A","startTime":395.156,"endTime":397.806,"body":"It will give you the timing. But again, as long as you're having"},{"speaker":"\u003e\u003e Speaker A","startTime":397.828,"endTime":400.614,"body":"intercourse every other day, it's not going to matter, you're going to hit the day"},{"speaker":"\u003e\u003e Speaker A","startTime":400.652,"endTime":403.586,"body":"eventually. So then the question is, well, why do we do trigger shots"},{"speaker":"\u003e\u003e Speaker A","startTime":403.618,"endTime":406.406,"body":"with IUI? Well, that's because it's a little bit"},{"speaker":"\u003e\u003e Speaker A","startTime":406.428,"endTime":409.414,"body":"easier for the clinic, because then we can get the timing correct, we can let you know"},{"speaker":"\u003e\u003e Speaker A","startTime":409.452,"endTime":412.438,"body":"when your partner needs to come in, give their sperm sample. So it's a"},{"speaker":"\u003e\u003e Speaker A","startTime":412.444,"endTime":415.126,"body":"little bit different in that situation. But technically, the trigger"},{"speaker":"\u003e\u003e Speaker A","startTime":415.158,"endTime":418.106,"body":"shot doesn't make more become mature than"},{"speaker":"\u003e\u003e Speaker A","startTime":418.128,"endTime":420.97,"body":"you just ovulate naturally. So"},{"speaker":"\u003e\u003e Speaker A","startTime":421.04,"endTime":423.946,"body":"this is actually quite common with obgns. They usually do"},{"speaker":"\u003e\u003e Speaker A","startTime":423.968,"endTime":426.814,"body":"give out clonum for marine. Again, it's not wrong. It's just probably"},{"speaker":"\u003e\u003e Speaker A","startTime":426.852,"endTime":429.422,"body":"not going to benefit you unless you fall into that group of"},{"speaker":"\u003e\u003e Speaker A","startTime":429.476,"endTime":430.91,"body":"irregular ovulation."},{"speaker":"\u003e\u003e Speaker B","startTime":431.25,"endTime":433.614,"body":"But, what about fertility doctors? Do they do"},{"speaker":"\u003e\u003e Speaker B","startTime":433.636,"endTime":434.254,"body":"it?"},{"speaker":"\u003e\u003e Speaker A","startTime":434.436,"endTime":437.182,"body":"Well, I see lots of fertility doctors do different"},{"speaker":"\u003e\u003e Speaker A","startTime":437.22,"endTime":437.614,"body":"things."},{"speaker":"\u003e\u003e Speaker B","startTime":437.716,"endTime":440.542,"body":"I know at our clinic, usually we only do time"},{"speaker":"\u003e\u003e Speaker B","startTime":440.58,"endTime":442.622,"body":"intercourse if someone's not."},{"speaker":"\u003e\u003e Speaker A","startTime":442.66,"endTime":445.634,"body":"Ovulating regularly, or if a patient just asks for it and we tell them"},{"speaker":"\u003e\u003e Speaker A","startTime":445.656,"endTime":447.614,"body":"it's not going to work, but they want to do it, we're like, that's."},{"speaker":"\u003e\u003e Speaker B","startTime":447.646,"endTime":449.988,"body":"Fine, but we don't suggest it."},{"speaker":"\u003e\u003e Speaker A","startTime":450.518,"endTime":453.334,"body":"The main area I see time intercourse, I'll see some doctors do"},{"speaker":"\u003e\u003e Speaker A","startTime":453.356,"endTime":453.734,"body":"it."},{"speaker":"\u003e\u003e Speaker B","startTime":453.836,"endTime":456.16,"body":"And people are ovulating, and, it's."},{"speaker":"\u003e\u003e Speaker A","startTime":456.192,"endTime":459.14,"body":"Probably because the patient wants to do it, maybe that's why they're doing it."},{"speaker":"\u003e\u003e Speaker A","startTime":459.162,"endTime":461.888,"body":"But if your doctor is asking you to do time intercourse"},{"speaker":"\u003e\u003e Speaker A","startTime":461.936,"endTime":463.06,"body":"cycles and you're."},{"speaker":"\u003e\u003e Speaker B","startTime":463.092,"endTime":466.088,"body":"Ovulating regularly every month, there really is no"},{"speaker":"\u003e\u003e Speaker B","startTime":466.126,"endTime":468.792,"body":"benefit. You're basically doing the same thing you."},{"speaker":"\u003e\u003e Speaker A","startTime":468.798,"endTime":471.096,"body":"Were doing before, but you're just taking extra"},{"speaker":"\u003e\u003e Speaker A","startTime":471.15,"endTime":473.928,"body":"medication. And statistically, it's not going to help"},{"speaker":"\u003e\u003e Speaker A","startTime":473.966,"endTime":476.68,"body":"you because you've already released enough eggs and should have got"},{"speaker":"\u003e\u003e Speaker A","startTime":476.702,"endTime":479.276,"body":"pregnant if that was the problem. So then the question"},{"speaker":"\u003e\u003e Speaker A","startTime":479.33,"endTime":482.328,"body":"is, what should you do? Well, realistically,"},{"speaker":"\u003e\u003e Speaker A","startTime":482.376,"endTime":485.34,"body":"at that point, you should go on to what are called artificial inseminations, also"},{"speaker":"\u003e\u003e Speaker A","startTime":485.362,"endTime":486.76,"body":"known as iuis."},{"speaker":"\u003e\u003e Speaker B","startTime":486.952,"endTime":489.888,"body":"If you find that you haven't got pregnant within one"},{"speaker":"\u003e\u003e Speaker B","startTime":489.926,"endTime":492.288,"body":"year of trying, then at that"},{"speaker":"\u003e\u003e Speaker B","startTime":492.326,"endTime":495.1,"body":"point, doing time intercourse cycles."},{"speaker":"\u003e\u003e Speaker A","startTime":495.132,"endTime":498.092,"body":"Is a waste of time. Jump right ahead to iuis."},{"speaker":"\u003e\u003e Speaker A","startTime":498.188,"endTime":501.148,"body":"Now, when I say trying, as I always say, you don't"},{"speaker":"\u003e\u003e Speaker A","startTime":501.276,"endTime":504.134,"body":"have to actually try you to have an intercourse at least"},{"speaker":"\u003e\u003e Speaker A","startTime":504.504,"endTime":507.188,"body":"two times a week. In the end, is it"},{"speaker":"\u003e\u003e Speaker A","startTime":507.226,"endTime":509.54,"body":"wrong to do time intercourse? Absolutely"},{"speaker":"\u003e\u003e Speaker A","startTime":509.642,"endTime":510.292,"body":"not."},{"speaker":"\u003e\u003e Speaker B","startTime":510.458,"endTime":512.624,"body":"I mean, I did with my wife."},{"speaker":"\u003e\u003e Speaker A","startTime":512.704,"endTime":515.632,"body":"Hoping that maybe it would work. And we know there was zero chance of it"},{"speaker":"\u003e\u003e Speaker A","startTime":515.658,"endTime":516.808,"body":"working. Why?"},{"speaker":"\u003e\u003e Speaker B","startTime":517.006,"endTime":518.404,"body":"Because it was cheap."},{"speaker":"\u003e\u003e Speaker A","startTime":518.564,"endTime":519.88,"body":"It was something we could do at."},{"speaker":"\u003e\u003e Speaker B","startTime":519.902,"endTime":522.008,"body":"Home, and we didn't have to involve any"},{"speaker":"\u003e\u003e Speaker B","startTime":522.046,"endTime":524.808,"body":"doctors. But just like I"},{"speaker":"\u003e\u003e Speaker B","startTime":524.846,"endTime":526.04,"body":"discussed, it had."},{"speaker":"\u003e\u003e Speaker A","startTime":526.062,"endTime":527.64,"body":"No chance of working because I had."},{"speaker":"\u003e\u003e Speaker B","startTime":527.662,"endTime":529.912,"body":"A male factor issue and my wife."},{"speaker":"\u003e\u003e Speaker A","startTime":529.928,"endTime":532.86,"body":"Was offering you lang regularly. Now, I'm sure there's people out there say,"},{"speaker":"\u003e\u003e Speaker A","startTime":532.882,"endTime":535.836,"body":"well, I did it and I got pregnant. And that's absolutely true."},{"speaker":"\u003e\u003e Speaker A","startTime":535.97,"endTime":538.88,"body":"No one's going to question that. But it doesn't mean it was from the time to"},{"speaker":"\u003e\u003e Speaker A","startTime":538.902,"endTime":539.532,"body":"intercourse."},{"speaker":"\u003e\u003e Speaker B","startTime":539.628,"endTime":542.332,"body":"It's very possible that the timed"},{"speaker":"\u003e\u003e Speaker B","startTime":542.348,"endTime":545.28,"body":"intercourse maybe made you be further on"},{"speaker":"\u003e\u003e Speaker B","startTime":545.302,"endTime":545.44,"body":"top."},{"speaker":"\u003e\u003e Speaker A","startTime":545.462,"endTime":548.368,"body":"Of things, and maybe you guys were having intercourse at the m more"},{"speaker":"\u003e\u003e Speaker A","startTime":548.406,"endTime":550.732,"body":"appropriate times, whereas originally you weren't."},{"speaker":"\u003e\u003e Speaker B","startTime":550.908,"endTime":553.46,"body":"Or it was just chance, but in."},{"speaker":"\u003e\u003e Speaker A","startTime":553.482,"endTime":556.228,"body":"The end, as we talked, it doesn't even make sense."},{"speaker":"\u003e\u003e Speaker A","startTime":556.426,"endTime":559.348,"body":"If you can release twelve eggs in a year and not"},{"speaker":"\u003e\u003e Speaker A","startTime":559.386,"endTime":562.196,"body":"get pregnant, why would one month making"},{"speaker":"\u003e\u003e Speaker A","startTime":562.25,"endTime":564.856,"body":"two eggs get you pregnant? But you didn't get pregnant after twelve"},{"speaker":"\u003e\u003e Speaker A","startTime":564.91,"endTime":567.64,"body":"eggs. At that point, you're better off just going on to"},{"speaker":"\u003e\u003e Speaker A","startTime":567.662,"endTime":568.66,"body":"iuis."},{"speaker":"\u003e\u003e Speaker B","startTime":568.852,"endTime":571.028,"body":"In the end, there's no harm."},{"speaker":"\u003e\u003e Speaker A","startTime":571.156,"endTime":574.094,"body":"It's just potentially wasting time. And at"},{"speaker":"\u003e\u003e Speaker A","startTime":574.08,"endTime":576.874,"body":"some clinics, even money, I've heard of some clinics"},{"speaker":"\u003e\u003e Speaker A","startTime":576.906,"endTime":579.582,"body":"charging almost as much as iuis to do time"},{"speaker":"\u003e\u003e Speaker A","startTime":579.62,"endTime":581.598,"body":"intercourse cycles, which is insane"},{"speaker":"\u003e\u003e Speaker A","startTime":582.018,"endTime":584.462,"body":"because the chances are really not much"},{"speaker":"\u003e\u003e Speaker A","startTime":584.5,"endTime":585.134,"body":"better."},{"speaker":"\u003e\u003e Speaker B","startTime":585.316,"endTime":586.414,"body":"In the end."},{"speaker":"\u003e\u003e Speaker A","startTime":586.596,"endTime":589.454,"body":"The most important treatment is in treatment that you think is"},{"speaker":"\u003e\u003e Speaker A","startTime":589.476,"endTime":592.402,"body":"best for you and your doctor. And you talk about the reason"},{"speaker":"\u003e\u003e Speaker A","startTime":592.44,"endTime":595.282,"body":"I do these podcasts is so you can have a little bit more information,"},{"speaker":"\u003e\u003e Speaker A","startTime":595.48,"endTime":598.434,"body":"so you can question things or ask things, so you can be in"},{"speaker":"\u003e\u003e Speaker A","startTime":598.456,"endTime":601.122,"body":"charge of your care. As always, I hope"},{"speaker":"\u003e\u003e Speaker A","startTime":601.16,"endTime":603.894,"body":"this podcast helps someone, or maybe help one of your"},{"speaker":"\u003e\u003e Speaker A","startTime":603.916,"endTime":606.774,"body":"friends. I really appreciate everyone who listens. As"},{"speaker":"\u003e\u003e Speaker A","startTime":606.796,"endTime":609.558,"body":"I always say, if you love it, please tell your friends about us."},{"speaker":"\u003e\u003e Speaker A","startTime":609.628,"endTime":612.358,"body":"Give us a five star on your favorite medium. As always."},{"speaker":"\u003e\u003e Speaker A","startTime":612.428,"endTime":615.286,"body":"Come back again next week. I look forward to talking you"},{"speaker":"\u003e\u003e Speaker A","startTime":615.292,"endTime":617.702,"body":"all again next week on Talk about"},{"speaker":"\u003e\u003e Speaker A","startTime":617.82,"endTime":619.238,"body":"fertility Tuesday."},{"speaker":"\u003e\u003e Speaker B","startTime":623.098,"endTime":626.028,"body":"You close."}]}