Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY AI transcript and summary - episode of podcast The Diary Of A CEO with Steven Bartlett

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Episode: Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY

Author: DOAC
Duration: 00:12:22

Episode Shownotes

In this moment, world-renowned fertility expert Dr Natalie Crawford discusses how to improve your chances of conceiving. According to Dr Natalie, timing is a key factor in achieving pregnancy, and she explains that the optimal window for conceiving happens around the ovulation phase of a woman’s menstrual cycle. Dr Natalie

also addresses common misconceptions about fertility, including the idea that engaging in sex less frequently helps to preserve sperm. Instead, she explains that regular sex actually increases the likelihood of conception by ensuring access to healthy sperm. For those who are unable to rely on timing and frequency alone, Dr Natalie recommends alternatives such as intrauterine insemination. She also encourages women to gain a better understanding of their menstrual cycles, not only to support conception but also as an indicator of their overall health. Listen to the full episode here - Spotify- https://g2ul0.app.link//npnECkgMwOb Apple - https://g2ul0.app.link//4CUYrbmMwOb Watch the Episodes On Youtube - https://www.youtube.com/c/%20TheDiaryOfACEO/videos Dr Natalie: dr natalie crawford Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary

In this episode of 'The Diary Of A CEO', Dr. Natalie Crawford, a fertility expert, shares insights on naturally increasing the chances of conception. She emphasizes the importance of timing intercourse during the menstrual cycle, particularly within the five-day fertile window leading up to ovulation. Dr. Crawford dispels myths about fertility, advocating for regular intercourse to maintain a healthy supply of sperm, rather than saving it for ovulation. She stresses understanding menstrual cycles and age-related fertility, revealing the declining chances of conception as age increases. Overall, her advice focuses on practical steps to enhance natural conception opportunities.

Go to PodExtra AI's episode page (Moment 187: The Pregnancy Doctor REVEALS 3 Ways To INCREASE Your Chances Of Pregnancy NATURALLY) to play and view complete AI-processed content: summary, mindmap, topics, takeaways, transcript, keywords and highlights.

Full Transcript

00:00:03 Speaker_00
What the fertile window is, is going to be the five days before and then the day you ovulate. So an egg lives for 24 hours.

00:00:12 Speaker_01
The five days before you ovulate, okay.

00:00:13 Speaker_00
So the five days before you ovulate and then the day that you ovulate. The egg lives for 24 hours. It has to be fertilized while it is in the fallopian tube in those first 24 hours. Sperm can live in the female reproductive tract for five days.

00:00:28 Speaker_00
So that is why we will tell people to have sex before and then during ovulation. Put some of that sperm from the locker there a little bit earlier and then get some there right at the time when you're ovulating to see if you can fertilize that egg.

00:00:45 Speaker_00
If we think about understanding when your fertile window is based on your cycle length, so if we say your cycle is the entire process, and then your period is just the bleeding days, the entire process, if your cycles are on average 28 days, the corpus luteum lives 14 days, so 28 minus 14, you on average would ovulate on day 14.

00:01:07 Speaker_00
So the five days before and then day 14 are gonna be your most fertile days to try to target intercourse or avoid if you don't want to be pregnant. And if your cycles are 35 days, though, it's very different, right?

00:01:19 Speaker_00
Because now 35 days minus 14 is going to be... 21. There you go, 21. So your fertile window for that person is going to be cycle day 21. So now the five days before and day 21. So those are very different fertile windows, days they should be having sex.

00:01:36 Speaker_01
It's a lot, isn't it? Do we just have sex every day if we can?

00:01:39 Speaker_00
So absolutely, like if you can have sex every day or every other day and you don't have to track your cycles, if they are coming regularly and you're putting sperm in the presence of the egg by every day or every other day sex, absolutely.

00:01:53 Speaker_00
And that's one of the things that I see people do wrong the most is have less sex in the idea that they should save it up to put more sperm present when the egg is arriving.

00:02:03 Speaker_01
I have to say, I mean, there's a few things I wanted to say about this. So I think what's the first thing I wanted to say? First thing I wanted to ask is how long on average do different age groups need to try before they hit the bullseye?

00:02:20 Speaker_00
If you're age 30 and you're trying to get pregnant, you have a 20% chance of pregnancy per month. This means that the majority of people should be pregnant within six months.

00:02:28 Speaker_00
Infertility is defined as trying for a year and not getting pregnant within that year. It's kind of going off the curve of that standard deviation.

00:02:37 Speaker_00
Importantly, trying to get pregnant means that you're having intercourse, you're ejaculating inside, and you're having regular periods. If you're not able to complete the active intercourse and you're not having regular periods, people should not wait

00:02:52 Speaker_00
X amount of time to come see a doctor, you should go be seen right away.

00:02:57 Speaker_01
When my friends tell me that they've started trying, I always think, God, doesn't that just ruin the fun? You know what I mean? Because I have this one friend, he was telling me that, because they're trying now.

00:03:07 Speaker_01
Sex has become such a chore, and if he's away when she's most fertile, then she gets annoyed at him.

00:03:16 Speaker_01
And I just think, God, it's so crazy what's happening with sex in that regard, that we're now, because we're having kids later and later and we're leaving things a little bit later than ever before,

00:03:27 Speaker_01
we're now having to treat making kids almost like, as you say, like a chore. It's becoming like, I don't know, there's something about that. I'm like, oh gosh, like, it's going to become a job.

00:03:35 Speaker_00
Well, it's a good point because if you're waiting later and you still want to have more than one child, there's a lot of pressure on it.

00:03:42 Speaker_00
If you're starting at 35 and you have that 10 to 15% chance per month, if you're starting at 38 and now it's 5 to 8% per month, if you're 40, it's 3 to 5%.

00:03:51 Speaker_01
Isn't pressure like the opposite of sex?

00:03:54 Speaker_00
Right? It doesn't sound very fun.

00:03:56 Speaker_00
I think that one, having realistic goals is helpful because if you're trying to start your family at 37 and you want four kids, it is very unlikely to happen without intervention like IVF saving embryos for the future, which we can absolutely do.

00:04:11 Speaker_00
And we do that for people sometimes so that they can go have fun with their sex life again. Two, You feel like you have to track your cycles and time intercourse appropriately when you're older, because there's so much that you can't do, right?

00:04:26 Speaker_00
You only have so many eggs, you only have so much time, and you're trying to do what you can. Understanding your cycle tracking for a woman is a reflection of her full health. How's your brain interpreting your entire body?

00:04:37 Speaker_00
So it is helpful because if you have irregularity, it is a sign that things are not working normally. That being said,

00:04:45 Speaker_00
Regular sex is good for so many reasons and in a relationship that if you can establish sex more frequently as just part of your relationship, it becomes less burdensome that you're here recording a podcast at this time or somebody's out of town this one given month.

00:05:02 Speaker_00
If we remember that sperm live in the female reproductive tract for up to five days, most of the sperm is going to live there for two to three days. So five is kind of like the longest it can.

00:05:13 Speaker_00
What we have is that, okay, half sex two or three times a week.

00:05:17 Speaker_01
What about couples that can't?

00:05:19 Speaker_01
Because I've sat here and interviewed so many sex therapists and sexologists, if that's even a thing, and we often speak about sexlessness, people having sex less and less than ever before because they're so busy and they're so stressed in their lives and you must meet so many couples in your practice that, you know, you look at them and go, well, really the problem here is you're just not having sex with each other.

00:05:39 Speaker_00
And sometimes it's situational, truck drivers, pilots, there's just a job where it is too hard to have that intercourse during the fertile window.

00:05:47 Speaker_00
But then also, yeah, high performing people or who just don't prioritize or don't enjoy that part of the relationship. We certainly do what we call IUI or intrauterine insemination.

00:05:58 Speaker_00
And this is where you take the sperm and you're putting it inside the uterus. So instead of intercourse, we are taking an ejaculated sample and then processing it and putting it in the uterus.

00:06:08 Speaker_01
Wait, so I could just ejaculate in a Petri dish, get a little pipette and psst?

00:06:16 Speaker_00
I mean, you can't do it yourself, but... Why? Well, because most of the ejaculate of your sperm is actually meant to protect the sperm from the acidity of the vagina. So most of that is not ever going to see the inside of a uterus.

00:06:30 Speaker_00
And if we put the whole sample up in the uterus, it would cause a huge inflammatory or infectious process.

00:06:37 Speaker_00
But if we clean that sample and we pellet out, centrifuge it and get just the sperm, we can then put the sperm into the uterus and avoid having all that protective ejaculate sample with it.

00:06:49 Speaker_01
If we talk about doing it the old-fashioned way, you know, sex, there's a lot of misconceptions around how to increase our odds of getting pregnant.

00:06:57 Speaker_01
You hear about women putting their legs in the air after sex or things like people think if you go for a wee then you're going to wee out all the sperm and that's not going to make you pregnant. Are any of these things true?

00:07:12 Speaker_00
There's so many myths when it comes to trying to get pregnant the good old fashioned way with intercourse. So certainly we can go through a few of them.

00:07:20 Speaker_00
One of them we already touched on, which is, oh, you should save up sperm for when you're ovulating. So we see that sometimes men will ejaculate less or couples will actually not have sex trying to save up for that exact day of ovulation.

00:07:34 Speaker_00
But there's no need to do that. As we know, we want to clear the pipes to keep the sperm coming out healthy and alive and not have dead sperm. And that you can have sperm survive in the reproductive tract for up to five days.

00:07:45 Speaker_00
So you want to be having intercourse up until that ovulatory day. So every other day sex, every day sex, every three day sex, those are all fine. Nobody ever needs to have less sex.

00:07:56 Speaker_00
So if you and your partner have sex every day, please don't have less sex because you're trying to get pregnant. Number two, the sperm are inside the fallopian tubes within minutes.

00:08:07 Speaker_00
They have gone from the vagina, gotten through that seminal fluid in the ejaculate, through the cervix, through the uterus and into the fallopian tube within minutes, under five minutes.

00:08:18 Speaker_00
So there's no need to prop your hips up on a pillow for 30 minutes or put your feet in the air. Truly the sperm are into the cervix within two minutes. And the cervix is where they then sit for up to the five days.

00:08:31 Speaker_00
So the two minutes time that it's going to take you to withdraw, get up, go to the bathroom, the sperm are fine. You're not going to pee out any sperm. You don't need to put any device in to keep sperm in place, keep your feet up, lay in bed.

00:08:45 Speaker_00
You can go and do whatever you want to do. And in fact, we know that urinating after intercourse for women decreases the risk of a urinary tract infection. So we try to encourage people to get up and be normal.

00:08:56 Speaker_00
I also tell people all the time, embryos implant, eggs fertilize when you are up and living your life. So you don't need to just be horizontal to have fertilization occur.

00:09:05 Speaker_01
What about sex positions? Are there any sex positions that are more conducive with...

00:09:09 Speaker_00
Yeah, whatever position allows for ejaculation. So this is where variety is the spice of life because as you alluded to earlier, sex can feel a little bit more of a chore when you're trying to get pregnant or you're struggling.

00:09:22 Speaker_00
So making sure that ejaculation can happen, there's not any position that is going to be better or worse or going to have higher chance of a boy or a girl or any of that kind of knowledge.

00:09:33 Speaker_01
If the female orgasms, does that increase the chance of fertility?

00:09:38 Speaker_00
We do know that orgasm does help, uterine contractions help get the sperm to the eggs faster. So we do know that. How do we know that? How do we know that?

00:09:51 Speaker_00
There have been studies looking at orgasm and then the speed of which sperm get to the fallopian tubes. We'll just say that.

00:09:57 Speaker_01
I was thinking of all the causal factors. I was like, maybe it's just bigger and that's just good.

00:10:02 Speaker_00
No, so yeah, just that those contractions are helping kind of propel the sperm up there.

00:10:06 Speaker_01
What about penis size?

00:10:08 Speaker_00
So penis size really doesn't matter. What's interesting is that penis size does tend to correlate with different race and ethnicity, also with vaginal length. So we tend to see different vaginal lengths in correlation with what tends to be a similar

00:10:21 Speaker_00
penis length based on that ethnicity or where that person originated from, which is super interesting. But you don't need to... You don't need a smaller penis or a bigger penis as long... The sperm doesn't need to get closer to the cervix.

00:10:36 Speaker_01
A lot of people obviously think that.

00:10:37 Speaker_00
Yeah, no, no. When you ejaculate, it goes. It gets right where it needs to go.

00:10:41 Speaker_01
Okay.

00:10:43 Speaker_00
Crazy.

00:10:44 Speaker_01
It's super interesting. I've learned so much about all of this stuff today.