{"version":"1.0.0","segments":[{"startTime":1.135,"endTime":3.435,"body":"Today we talk about ovulation"},{"startTime":3.935,"endTime":6.195,"body":"because timing is everything."},{"startTime":7.415,"endTime":10.133,"body":"I'm, Dr. Mark Amols, and this"},{"startTime":10.473,"endTime":13.373,"body":"is Taco about Fertility Tuesday."},{"startTime":26.593,"endTime":29.273,"body":"Today we're diving into the science and"},{"startTime":29.313,"endTime":31.093,"body":"art of timing ovulation."},{"startTime":31.793,"endTime":34.553,"body":"Because when it comes to conception, knowing."},{"startTime":34.593,"endTime":37.413,"body":"When the egg is on the move is half the battle."},{"startTime":37.873,"endTime":40.529,"body":"Now I am revisiting this episode."},{"startTime":40.681,"endTime":43.329,"body":"I did this one back in season"},{"startTime":43.401,"endTime":46.121,"body":"four, but I think it's worth coming back to"},{"startTime":46.137,"endTime":49.001,"body":"it to go over a little bit more in depth and a little bit of"},{"startTime":49.017,"endTime":51.653,"body":"a different angle. Essentially, ovulation"},{"startTime":52.073,"endTime":54.985,"body":"is when the body releases an egg from"},{"startTime":55.009,"endTime":55.713,"body":"the ovary."},{"startTime":55.833,"endTime":58.773,"body":"And this usually happens about midway through the cycle."},{"startTime":59.433,"endTime":61.712,"body":"And that is then, what allows you to get"},{"startTime":61.744,"endTime":64.736,"body":"pregnant. Now, not everyone ovulates"},{"startTime":64.776,"endTime":67.72,"body":"on the same day. Some people may ovulate earlier in"},{"startTime":67.728,"endTime":70.584,"body":"the cycle, such as before day 14 or even"},{"startTime":70.64,"endTime":73.52,"body":"later in the cycle, and that will then affect"},{"startTime":73.688,"endTime":76.232,"body":"their length of their menstrual cycle."},{"startTime":76.344,"endTime":79.321,"body":"You've heard me talk about before that just because you get, a menses."},{"startTime":79.393,"endTime":80.923,"body":"Doesn'T mean you're ovulating."},{"startTime":81.089,"endTime":82.959,"body":"And so what is important is that."},{"startTime":83.007,"endTime":85.087,"body":"When you ovulate, you usually get your."},{"startTime":85.151,"endTime":86.759,"body":"Period about two weeks later."},{"startTime":86.807,"endTime":89.751,"body":"And that's because after you ovulate, what happens is"},{"startTime":89.783,"endTime":92.783,"body":"the sac that released the egg starts to"},{"startTime":92.799,"endTime":94.327,"body":"produce progesterone and does."},{"startTime":94.351,"endTime":97.287,"body":"It for about two weeks. This is actually how a"},{"startTime":97.311,"endTime":97.583,"body":"lot of."},{"startTime":97.599,"endTime":100.05,"body":"Those programs that determine when you're ovulating,"},{"startTime":100.0,"endTime":102.865,"body":"work. What they do is, is they"},{"startTime":102.905,"endTime":105.569,"body":"take your cycle, let's say it's 28 days."},{"startTime":105.737,"endTime":108.403,"body":"They subtract 14 days from it and say,"},{"startTime":108.459,"endTime":110.575,"body":"okay, you're offul laying on day 14."},{"startTime":111.235,"endTime":113.323,"body":"If you have a 35 day cycle."},{"startTime":113.419,"endTime":115.187,"body":"Then what it's doing is subtracting 14."},{"startTime":115.251,"endTime":117.923,"body":"From 35 and telling you you're ovulin day"},{"startTime":117.979,"endTime":120.699,"body":"21. But the thing is, it's not"},{"startTime":120.747,"endTime":123.507,"body":"perfect because when you get a menses, you."},{"startTime":123.531,"endTime":125.255,"body":"Don'T know if it's due to ovulation."},{"startTime":125.955,"endTime":128.467,"body":"Or if it's just bleeding that's occurring."},{"startTime":128.531,"endTime":131.491,"body":"From the uterine lining, building up and then shedding out."},{"startTime":131.603,"endTime":133.647,"body":"So the question then comes, why does."},{"startTime":133.671,"endTime":135.435,"body":"Ovulation matter in this situation?"},{"startTime":135.935,"endTime":138.343,"body":"Well, it's because the egg"},{"startTime":138.399,"endTime":140.847,"body":"itself only survives for about 24"},{"startTime":140.871,"endTime":142.375,"body":"hours, but the."},{"startTime":142.415,"endTime":144.635,"body":"Sperm can survive up to five days."},{"startTime":145.255,"endTime":148.115,"body":"And so the timing is actually quite critical."},{"startTime":148.495,"endTime":150.687,"body":"It's not so critical that the"},{"startTime":150.751,"endTime":153.719,"body":"intercourse can't happen before the egg is"},{"startTime":153.767,"endTime":156.703,"body":"released, but it definitely can't happen after the"},{"startTime":156.719,"endTime":159.283,"body":"egg is release because even as little as,"},{"startTime":159.479,"endTime":162.323,"body":"let's say 12 to 20 hours, you could"},{"startTime":162.379,"endTime":163.295,"body":"miss ovulation."},{"startTime":163.635,"endTime":166.011,"body":"So you can see Determining when you."},{"startTime":166.043,"endTime":168.971,"body":"Ovulate actually matters and can be affecting"},{"startTime":169.003,"endTime":171.763,"body":"your chances of getting pregnant. If you're missing it,"},{"startTime":171.939,"endTime":174.571,"body":"a way to think of it is think of ovulation as catching a"},{"startTime":174.603,"endTime":175.175,"body":"flight."},{"startTime":175.555,"endTime":177.203,"body":"You don't want to be too early."},{"startTime":177.339,"endTime":180.243,"body":"But you also don't want to be too late. But if you get there a"},{"startTime":180.259,"endTime":183.051,"body":"little early, you're still fine. But if you get there too"},{"startTime":183.083,"endTime":186.057,"body":"late, you're not going to make the flight and you're"},{"startTime":186.081,"endTime":188.825,"body":"not going to get pregnant. So timing is"},{"startTime":188.865,"endTime":191.481,"body":"everything. So the question is then, how do you"},{"startTime":191.513,"endTime":194.401,"body":"determine ovulation? And so"},{"startTime":194.433,"endTime":196.113,"body":"there are several ways to do it."},{"startTime":196.289,"endTime":197.833,"body":"There are body signs that you can."},{"startTime":197.849,"endTime":200.205,"body":"Watch for, such as cervical mucus change."},{"startTime":200.865,"endTime":203.033,"body":"You can look for Mitchell Smirges, which."},{"startTime":203.049,"endTime":205.473,"body":"Is kind of a mild pelvic pain. Around the time of"},{"startTime":205.489,"endTime":208.441,"body":"ovulation, your libidom may increase"},{"startTime":208.473,"endTime":211.377,"body":"or your breast may become more tender. And you can also"},{"startTime":211.401,"endTime":214.397,"body":"look at things like basal body temperature, and those changes can"},{"startTime":214.421,"endTime":216.861,"body":"help you determine when you're ovulating. When it comes to"},{"startTime":216.893,"endTime":219.773,"body":"tracking, you probably want to use something like the basal body"},{"startTime":219.829,"endTime":222.733,"body":"temperature method or cervical mucus if you want to do"},{"startTime":222.789,"endTime":223.693,"body":"something natural."},{"startTime":223.829,"endTime":226.637,"body":"So let's look at these two methods. Let's start with the basal"},{"startTime":226.661,"endTime":227.677,"body":"body temperature."},{"startTime":227.821,"endTime":230.469,"body":"After ovulation, the temperature rises due to."},{"startTime":230.477,"endTime":232.629,"body":"The progesterone, causing a slight increase in."},{"startTime":232.637,"endTime":235.237,"body":"The temperature of about 0.4"},{"startTime":235.381,"endTime":237.725,"body":"to 1 degree Fahrenheit, or"},{"startTime":237.845,"endTime":240.289,"body":"0.2 to point 5 degrees Celsius."},{"startTime":240.437,"endTime":243.321,"body":"Now, as I mentioned, this occurs from the rising progesterone,"},{"startTime":243.353,"endTime":244.241,"body":"which means it doesn't."},{"startTime":244.273,"endTime":246.249,"body":"Occur until after you ovulate."},{"startTime":246.337,"endTime":247.153,"body":"So it's not going to be able."},{"startTime":247.169,"endTime":250.001,"body":"To predict when you ovulate. It's just going to be able to tell you"},{"startTime":250.033,"endTime":251.369,"body":"you did ovulate."},{"startTime":251.497,"endTime":254.449,"body":"So what you're looking for is a slight rise in the temperature. Now, if"},{"startTime":254.457,"endTime":255.257,"body":"you're going to do this."},{"startTime":255.321,"endTime":258.177,"body":"You really want to get a thermometer that's going to measure to"},{"startTime":258.201,"endTime":260.857,"body":"the 100 degree. That way"},{"startTime":261.001,"endTime":262.809,"body":"you can actually see the difference."},{"startTime":262.857,"endTime":264.969,"body":"So, such as Instead of a 97.5."},{"startTime":265.017,"endTime":268.005,"body":"You want 97.55 to be able to measure"},{"startTime":268.045,"endTime":270.477,"body":"2. The way you do this is you're."},{"startTime":270.501,"endTime":272.093,"body":"Going to take your temperature first thing."},{"startTime":272.109,"endTime":274.677,"body":"In the morning, immediately after you wake up."},{"startTime":274.821,"endTime":277.637,"body":"Now, you don't want to get out of bed, you don't want to drink water,"},{"startTime":277.741,"endTime":280.693,"body":"you want to move around, just take it right there in the bed. At"},{"startTime":280.709,"endTime":283.421,"body":"the same time, try to do it the same time every"},{"startTime":283.453,"endTime":286.425,"body":"day. Now, you can take the temperature either orally,"},{"startTime":286.765,"endTime":289.469,"body":"you can use actually rectally, or vaginally"},{"startTime":289.637,"endTime":291.825,"body":"but obviously use the method you like most."},{"startTime":292.425,"endTime":295.401,"body":"Then take that temperature, record it"},{"startTime":295.553,"endTime":295.913,"body":"you."},{"startTime":295.969,"endTime":297.168,"body":"There, can write down on paper."},{"startTime":297.216,"endTime":299.264,"body":"Or you can use several apps out there."},{"startTime":299.424,"endTime":301.376,"body":"Prior to ovulation, your body temperatures can."},{"startTime":301.4,"endTime":303.0,"body":"Be closer to around 97 to"},{"startTime":303.032,"endTime":305.736,"body":"97.7. Post ovulation"},{"startTime":305.88,"endTime":308.648,"body":"it will usually rise by 0.4 the 1 degree"},{"startTime":308.696,"endTime":311.4,"body":"Fahrenheit and usually stays elevated for about 3"},{"startTime":311.432,"endTime":311.96,"body":"days."},{"startTime":312.112,"endTime":314.56,"body":"And so you'll see this rise after ovulation has"},{"startTime":314.592,"endTime":315.16,"body":"occurred."},{"startTime":315.272,"endTime":317.724,"body":"The great thing about this method is it's free."},{"startTime":318.064,"endTime":320.992,"body":"But the frustrating thing about this method is one, you have"},{"startTime":321.008,"endTime":323.744,"body":"to be very precise. So inconsistent"},{"startTime":323.784,"endTime":326.392,"body":"timing is going to affector the accuracy of"},{"startTime":326.408,"endTime":326.872,"body":"it."},{"startTime":327.008,"endTime":329.256,"body":"Additionally, external factors such as poor sleep."},{"startTime":329.28,"endTime":332.192,"body":"Or being ill or even alcohol drinking can also affect the"},{"startTime":332.208,"endTime":332.8,"body":"readings."},{"startTime":332.952,"endTime":334.576,"body":"It's definitely a great method if you."},{"startTime":334.6,"endTime":337.36,"body":"Like to use something natural and don't want to use things like"},{"startTime":337.392,"endTime":338.504,"body":"ovulation kits."},{"startTime":338.664,"endTime":340.248,"body":"Now when it comes to cervical mucus."},{"startTime":340.296,"endTime":343.176,"body":"Monitoring, this is actually something that can show"},{"startTime":343.2,"endTime":345.976,"body":"you something before you ovulate so you can actually know"},{"startTime":346.04,"endTime":348.962,"body":"when to have intercourse. Cervical mucus is"},{"startTime":348.978,"endTime":349.762,"body":"a fluid produced by."},{"startTime":349.778,"endTime":352.602,"body":"The glands in the cervix. This fluid changes throughout the"},{"startTime":352.618,"endTime":353.226,"body":"menstrual cycle."},{"startTime":353.25,"endTime":355.29,"body":"In response to hormonal fluctuations."},{"startTime":355.442,"endTime":357.586,"body":"Therefore, during ovulation it's going to help."},{"startTime":357.61,"endTime":360.522,"body":"The sperm survive and travel to the egg, whereas at other"},{"startTime":360.538,"endTime":362.294,"body":"times it's going to act as a barrier."},{"startTime":363.314,"endTime":365.906,"body":"Now estrogen is going to be the main source of"},{"startTime":365.97,"endTime":368.014,"body":"affecting this cervical mucus."},{"startTime":368.634,"endTime":371.538,"body":"Shortly after your period when you have very low fertility, you're going"},{"startTime":371.546,"endTime":371.89,"body":"to notice."},{"startTime":371.922,"endTime":374.678,"body":"That there's little to no mucus and it's usually very"},{"startTime":374.726,"endTime":376.326,"body":"thick and sticky and dry."},{"startTime":376.51,"endTime":378.126,"body":"This is because the estrogen levels are."},{"startTime":378.15,"endTime":381.126,"body":"Going to be low in your body during this time. Now when it comes"},{"startTime":381.15,"endTime":384.094,"body":"to pre ovulation, before you're able to get pregnant, but"},{"startTime":384.134,"endTime":386.19,"body":"close too, the mucus starts to become."},{"startTime":386.222,"endTime":388.198,"body":"A little bit creamy, kind of white."},{"startTime":388.246,"endTime":390.974,"body":"Like and lotion like. Now the estgen levels are"},{"startTime":391.014,"endTime":392.062,"body":"rising, so."},{"startTime":392.078,"endTime":394.982,"body":"It'S occouraging the mucus production. Now"},{"startTime":394.998,"endTime":396.254,"body":"when you get the peak fertility."},{"startTime":396.294,"endTime":399.246,"body":"Which is where your ovulation window is going to occur, now the"},{"startTime":399.27,"endTime":402.01,"body":"mucus becomes clear, ended up being"},{"startTime":402.082,"endTime":404.294,"body":"slippery and also very stretchy."},{"startTime":404.594,"endTime":407.578,"body":"One of the ways people are able to determine if it's changed is"},{"startTime":407.586,"endTime":407.706,"body":"they."},{"startTime":407.73,"endTime":409.65,"body":"Notice when they pinch the mucus between."},{"startTime":409.682,"endTime":411.106,"body":"Their thumb and finger, they can stretch."},{"startTime":411.13,"endTime":413.866,"body":"It several centimeters, whereas before they"},{"startTime":413.89,"endTime":416.89,"body":"couldn't do that. After you ovulate at that"},{"startTime":416.922,"endTime":419.242,"body":"point the mucus becomes very thick and"},{"startTime":419.298,"endTime":421.834,"body":"sticky and sometimes even goes away."},{"startTime":421.914,"endTime":424.226,"body":"And this is because now progesterone dominates after"},{"startTime":424.25,"endTime":424.938,"body":"ovulation."},{"startTime":425.106,"endTime":428.084,"body":"That thickens the mucus to block the sperm from getting"},{"startTime":428.164,"endTime":431.052,"body":"into the uterus. Now, I think it"},{"startTime":431.068,"endTime":433.82,"body":"may be obvious that I've never done this method myself,"},{"startTime":433.892,"endTime":435.624,"body":"since I do not have the"},{"startTime":436.444,"endTime":439.1,"body":"tools to be able to do this. But I can give you some"},{"startTime":439.132,"endTime":440.584,"body":"methods that you can do."},{"startTime":441.044,"endTime":442.988,"body":"One method, which is sometimes the easier."},{"startTime":443.036,"endTime":446.036,"body":"Room one, is called a toilet paper method. This is where"},{"startTime":446.06,"endTime":448.532,"body":"you basically take some toilet paper, wipe the vaginal"},{"startTime":448.588,"endTime":451.348,"body":"opening after, let's say, using the restroom, and then."},{"startTime":451.356,"endTime":453.596,"body":"You look at the paper to see if there's mucus, and then you can."},{"startTime":453.62,"endTime":456.184,"body":"Kind of touch it and see how it looks."},{"startTime":456.964,"endTime":459.772,"body":"The other method, which is probably the most reliable method,"},{"startTime":459.828,"endTime":462.596,"body":"is going to be using your fingers, where you insert"},{"startTime":462.66,"endTime":462.836,"body":"one."},{"startTime":462.86,"endTime":464.812,"body":"Or two clean fingers into the vagina."},{"startTime":464.908,"endTime":467.476,"body":"Near your cervix, then collect the"},{"startTime":467.5,"endTime":470.308,"body":"mucus by wiping along the vaginal walls,"},{"startTime":470.476,"endTime":470.756,"body":"pull."},{"startTime":470.78,"endTime":473.716,"body":"Your fingers out, and then examine the mucus and see if you can stretch"},{"startTime":473.74,"endTime":475.964,"body":"it. And if you can stretch it more than a couple"},{"startTime":476.004,"endTime":476.824,"body":"centimeter."},{"startTime":477.284,"endTime":480.024,"body":"If you can, then you know you're in the prime time."},{"startTime":480.704,"endTime":483.688,"body":"The other method out there is looking at your underwear, where you can look."},{"startTime":483.696,"endTime":486.336,"body":"At the mucous stains on your underwear throughout the day."},{"startTime":486.52,"endTime":489.512,"body":"It's not very precise, but if you don't want to really do much, you."},{"startTime":489.528,"endTime":491.016,"body":"Can kind of look in and see the changes."},{"startTime":491.08,"endTime":493.52,"body":"And over time you may be able to recognize the differences."},{"startTime":493.632,"endTime":494.8,"body":"Now, I think it's important to know."},{"startTime":494.832,"endTime":497.656,"body":"That people have, like, polycystic ovariiant syndrome or have irregular"},{"startTime":497.72,"endTime":498.288,"body":"cycles."},{"startTime":498.416,"endTime":500.472,"body":"You may find this method is not."},{"startTime":500.648,"endTime":503.52,"body":"As easy to predict because the hormones don't"},{"startTime":503.552,"endTime":506.156,"body":"have the fluctuations and may be very frustrating."},{"startTime":506.32,"endTime":508.196,"body":"Usually all these different methods, such as."},{"startTime":508.22,"endTime":510.988,"body":"Basal body temperature checking cervical"},{"startTime":511.036,"endTime":513.904,"body":"mucus, or even things like ovulation predictor kits,"},{"startTime":514.404,"endTime":517.292,"body":"all require regular menstrual cycles. And if you"},{"startTime":517.308,"endTime":519.58,"body":"don't have that, it can become very frustrating."},{"startTime":519.732,"endTime":521.228,"body":"I appreciate that this is a very."},{"startTime":521.276,"endTime":523.812,"body":"Strange method, but it's simple,"},{"startTime":523.948,"endTime":526.588,"body":"it's free, and it's highly effective because"},{"startTime":526.716,"endTime":529.476,"body":"this tells you when to have intercourse."},{"startTime":529.66,"endTime":532.34,"body":"Whereas with basal body temperature, it only tells"},{"startTime":532.372,"endTime":535.182,"body":"you you have ovulated, but it's already"},{"startTime":535.238,"endTime":538.23,"body":"too late by the time you find that out. The next method"},{"startTime":538.302,"endTime":540.674,"body":"is going to be ovulation predictor kits."},{"startTime":541.014,"endTime":543.702,"body":"And when you hear this, it seems like it's looking at"},{"startTime":543.758,"endTime":545.582,"body":"ovulation, but they actually don't."},{"startTime":545.718,"endTime":547.254,"body":"What they look at, they detect the."},{"startTime":547.294,"endTime":550.03,"body":"LH surge that occurs 24 to"},{"startTime":550.062,"endTime":552.554,"body":"36 hours prior to ovulation."},{"startTime":553.254,"endTime":556.19,"body":"Now, as I mentioned, you have to have regular cycles for this"},{"startTime":556.222,"endTime":558.87,"body":"to be as predictive. But using ovulation"},{"startTime":558.942,"endTime":561.904,"body":"predictor kits. This is similar to the cervical mucus."},{"startTime":562.024,"endTime":564.456,"body":"It will give you when you're going to ovulate."},{"startTime":564.56,"endTime":565.904,"body":"So you can get the timing down."},{"startTime":565.944,"endTime":566.964,"body":"A little bit better."},{"startTime":567.624,"endTime":570.304,"body":"Now, because it only detects LH and."},{"startTime":570.344,"endTime":573.296,"body":"Not ovulationl it can have false"},{"startTime":573.36,"endTime":575.864,"body":"positives. People who are going to have false."},{"startTime":575.904,"endTime":577.256,"body":"Positives are going to be people who."},{"startTime":577.28,"endTime":580.28,"body":"Either have high LH levels, like people."},{"startTime":580.312,"endTime":583.224,"body":"With polycystic ovarian syndrome or women who are"},{"startTime":583.264,"endTime":584.2,"body":"near menopause."},{"startTime":584.312,"endTime":587.096,"body":"We are re going to have elevated LH and FSSH levels"},{"startTime":587.2,"endTime":589.324,"body":"that can falsely make it look positive."},{"startTime":589.894,"endTime":591.342,"body":"One of the other ways that you."},{"startTime":591.358,"endTime":593.99,"body":"Can check ovulation is you can check."},{"startTime":594.102,"endTime":596.998,"body":"Ultrasound monitoring to see the actual follicles"},{"startTime":597.046,"endTime":597.358,"body":"growing."},{"startTime":597.406,"endTime":599.803,"body":"That can let you know, when you're going to ovulate."},{"startTime":599.987,"endTime":601.603,"body":"And the other method is to look."},{"startTime":601.627,"endTime":604.299,"body":"At things like progesterone levels."},{"startTime":604.475,"endTime":607.251,"body":"If you check progesterone and it's elevated"},{"startTime":607.291,"endTime":609.675,"body":"above 4, you know, you ovulate"},{"startTime":609.843,"endTime":612.419,"body":"now similar to the basal body"},{"startTime":612.475,"endTime":615.203,"body":"temperature, it's only telling you ovulated,"},{"startTime":615.387,"endTime":618.307,"body":"but it's already too late. So if we're going to"},{"startTime":618.339,"endTime":621.323,"body":"rank each one in the best prediction for"},{"startTime":621.347,"endTime":622.031,"body":"ovulation."},{"startTime":622.691,"endTime":624.803,"body":"Probably the number one thing is going."},{"startTime":624.827,"endTime":627.627,"body":"To be an ultrasound because clearly you can see every"},{"startTime":627.699,"endTime":628.819,"body":"step of the way."},{"startTime":628.995,"endTime":630.227,"body":"When it's going to occur."},{"startTime":630.339,"endTime":632.391,"body":"So it's going to have the most predictive value."},{"startTime":633.051,"endTime":634.683,"body":"The second one is going to be."},{"startTime":634.707,"endTime":637.419,"body":"The cervical mucus checking. That's going to give"},{"startTime":637.435,"endTime":639.871,"body":"you a few days prior to oulation."},{"startTime":641.031,"endTime":643.127,"body":"Tracking apps, if you have regular cycles."},{"startTime":643.199,"endTime":645.879,"body":"Are probably going to give you approximately the right day."},{"startTime":645.935,"endTime":647.295,"body":"And so if you start, let's say."},{"startTime":647.343,"endTime":649.807,"body":"Five days before, you're probably going to be"},{"startTime":649.839,"endTime":652.815,"body":"good. Now next is going to"},{"startTime":652.823,"endTime":655.391,"body":"be basal body temperature. Again, this is the point where you're just"},{"startTime":655.431,"endTime":658.119,"body":"verifying you are ovulating and"},{"startTime":658.255,"endTime":661.079,"body":"you use the prior month to go, okay, I got to start a little bit"},{"startTime":661.135,"endTime":663.983,"body":"earlier because I ovulated on day 15 this month. And that"},{"startTime":664.007,"endTime":666.639,"body":"will help you then predict when to two"},{"startTime":666.695,"endTime":667.409,"body":"intercourse."},{"startTime":667.575,"endTime":669.013,"body":"The last thing is going to be."},{"startTime":669.077,"endTime":672.029,"body":"Checking a progestero level on day 21. And"},{"startTime":672.045,"endTime":674.973,"body":"that's because this is definitely after the fact"},{"startTime":675.077,"endTime":677.781,"body":"you've already ovulated. There's no chance of getting pregnant"},{"startTime":677.821,"endTime":680.613,"body":"now, but it's one of the"},{"startTime":680.757,"endTime":681.493,"body":"best ways."},{"startTime":681.557,"endTime":683.621,"body":"Because it's very specific to ovulation to."},{"startTime":683.661,"endTime":686.637,"body":"Know did you really ovulate or not. You"},{"startTime":686.669,"endTime":689.213,"body":"have ovulation predictoratesits are positive and you didn't"},{"startTime":689.237,"endTime":692.053,"body":"ovulate. But progesterone will not go up"},{"startTime":692.157,"endTime":695.055,"body":"unless you ovulated. So it's very Precise,"},{"startTime":695.223,"endTime":698.103,"body":"but unfortunately it's just too late to"},{"startTime":698.127,"endTime":700.999,"body":"be useful when it comes to predicting"},{"startTime":701.135,"endTime":702.327,"body":"when you're going to ovulate."},{"startTime":702.439,"endTime":703.951,"body":"So I think there's a couple important."},{"startTime":704.031,"endTime":707.011,"body":"Points to talk about. Number one,"},{"startTime":707.511,"endTime":710.103,"body":"ovulation isn't always on day 14."},{"startTime":710.287,"endTime":713.207,"body":"It is normal for people to have fluctuations in there. And"},{"startTime":713.239,"endTime":715.223,"body":"so don't think because you didn't."},{"startTime":715.247,"endTime":716.951,"body":"See it positive on day 14, if."},{"startTime":716.991,"endTime":719.884,"body":"Your temperatures didn't, rise around that time, the cervical mucus"},{"startTime":719.916,"endTime":721.938,"body":"didn't happen at time that something's wrong."},{"startTime":722.068,"endTime":723.51,"body":"That may be your body, as long."},{"startTime":723.534,"endTime":725.978,"body":"As it's consistent every single month."},{"startTime":726.998,"endTime":729.326,"body":"Now, just like I Talked about earlier,"},{"startTime":729.422,"endTime":732.014,"body":"OPKs don't guarantee ovulation"},{"startTime":732.206,"endTime":734.806,"body":"because they only look at LH and so you need"},{"startTime":734.822,"endTime":737.718,"body":"agesterone level to guarantee that you did ovulate."},{"startTime":737.838,"endTime":740.678,"body":"Now, once you've done, you are ovulating, then the"},{"startTime":740.758,"endTime":743.138,"body":"ovulation predictor kits are pretty predictable."},{"startTime":743.678,"endTime":746.342,"body":"The only time they're not very predictable is when you have"},{"startTime":746.35,"endTime":749.304,"body":"irregular cycles because then you could have"},{"startTime":749.336,"endTime":752.008,"body":"something like polycystical ovarian syndrome. And in those"},{"startTime":752.048,"endTime":754.84,"body":"situations it will give inconsistent results"},{"startTime":754.984,"endTime":757.976,"body":"and you'll have inconsistent patterns and you really won't know when"},{"startTime":757.992,"endTime":760.904,"body":"you're ovulating. One thing I would say is"},{"startTime":760.936,"endTime":761.152,"body":"that."},{"startTime":761.2,"endTime":763.088,"body":"If you find that your cycles are."},{"startTime":763.128,"endTime":766.016,"body":"Not very regular, you probably need to see a"},{"startTime":766.032,"endTime":768.944,"body":"fertility specialist because trying to use these"},{"startTime":768.976,"endTime":771.8,"body":"things is not going to be very useful for you. It doesn't matter if you're using the"},{"startTime":771.824,"endTime":774.36,"body":"app basal body temperature, if you have"},{"startTime":774.384,"endTime":777.108,"body":"irregular cycles, something is going wrong."},{"startTime":777.588,"endTime":780.484,"body":"In the end, ovulation is the cornerstone of"},{"startTime":780.516,"endTime":783.068,"body":"conception and with the right tools and"},{"startTime":783.108,"endTime":785.628,"body":"awareness, you can take control of your fertility"},{"startTime":785.668,"endTime":788.564,"body":"journey. Stay curious, stay"},{"startTime":788.636,"endTime":791.46,"body":"informed and keep listening because I'm"},{"startTime":791.484,"endTime":793.892,"body":"here to help you every step in the way."},{"startTime":794.06,"endTime":796.108,"body":"Hopefully this episode was helpful for you."},{"startTime":796.148,"endTime":799.1,"body":"Or maybe you know someone who's trying to get pregnant and"},{"startTime":799.124,"endTime":800.58,"body":"may benefit from this."},{"startTime":800.764,"endTime":803.452,"body":"If you listen to the past episode, hopefully this was a little bit of."},{"startTime":803.46,"endTime":805.91,"body":"An update and maybe made you feel a little bit"},{"startTime":805.934,"endTime":808.91,"body":"more informative than you did in the past. If you"},{"startTime":808.934,"endTime":809.854,"body":"ever want me to update."},{"startTime":809.886,"endTime":811.086,"body":"An episode or want me to do."},{"startTime":811.102,"endTime":813.966,"body":"An episode, always feel free to reach out to me through"},{"startTime":814.022,"endTime":817.006,"body":"either my social media or through my"},{"startTime":817.062,"endTime":817.374,"body":"email"},{"startTime":817.446,"endTime":820.238,"body":"tbftirectionfertility.com"},{"startTime":820.358,"endTime":822.302,"body":"I'm more than happy to do that episode."},{"startTime":822.43,"endTime":823.47,"body":"Most of all, if you like the."},{"startTime":823.494,"endTime":826.334,"body":"Episode and you like the show, please give us a five"},{"startTime":826.366,"endTime":829.182,"body":"star review on your favorite medium. Tell your friends"},{"startTime":829.23,"endTime":832.11,"body":"us, but most of all, keep coming back. I look forward"},{"startTime":832.134,"endTime":834.656,"body":"to talking you again next week on Taco Bell"},{"startTime":834.752,"endTime":835.368,"body":"Fertility Tuesday."}]}