Key takeaways

  • The fertile window is about six days: the five days before ovulation plus ovulation day itself. Sperm can survive up to five days in fertile cervical mucus; the egg lives only 12-24 hours.
  • "Day 14" only fits a 28-day cycle. A rough estimate of your ovulation day is your usual cycle length minus 14, so shorter cycles ovulate earlier and longer cycles later.
  • Having sex every 1-2 days through the fertile window (or 2-3 times a week all month) beats trying to hit one "perfect" day.
  • With well-timed sex, healthy couples have roughly a 25-30% chance of conceiving per cycle and about 85% over a year.
  • Avoid standard lubricants and saliva when TTC; many are toxic to sperm. Use a fertility-friendly lubricant if you need one.
  • See a specialist after 12 months of trying (6 months if you are 35 or older), or sooner if cycles are irregular or there are other risk factors.

How Ovulation Actually Works Each Cycle

Your cycle is counted from day 1, the first day of full menstrual bleeding (light spotting beforehand does not count). The cycle has two phases split by ovulation. The follicular phase runs from day 1 until ovulation. During it, the pituitary gland releases follicle-stimulating hormone (FSH), which prompts a group of small follicles in the ovaries to start maturing. By around day 7-8 one follicle becomes dominant; it produces rising estrogen, thickens the uterine lining, and eventually triggers a surge of luteinising hormone (LH). That LH surge is the immediate trigger for ovulation, releasing the mature egg about 24-36 hours after it begins.

The luteal phase runs from ovulation to your next period. The emptied follicle becomes the corpus luteum, which makes progesterone to support a possible pregnancy. If an embryo implants (usually 6-12 days after ovulation), it produces hCG, which keeps the corpus luteum going. If not, the corpus luteum fades after about 12-14 days, progesterone drops, and your period begins. The luteal phase is fairly fixed at 12-14 days. The follicular phase is what varies, which is why women with shorter or longer cycles ovulate earlier or later than the textbook "day 14."

Timing matters because of two very different survival times. Once released, the egg lasts only about 12-24 hours in the fallopian tube. Sperm, in contrast, can survive up to five days in the female tract when fertile cervical mucus is present to protect and guide them. This asymmetry is the whole reason the fertile window is six days long rather than one. (We cover this in detail in how long sperm survive in the female tract.)

The 28-day cycle is an average, not a rule. Studies of large numbers of cycles show only about 13-15% are exactly 28 days. Most adult cycles fall between 24 and 35 days, and the WHO considers 21-35 days normal. Cycle length shifts with stress, illness, travel, weight changes, thyroid problems and PCOS, and tends to become irregular again in perimenopause. This natural variability is exactly why methods that observe your own body (mucus, temperature, ovulation kits) usually beat methods that just count days.

A practical translation: if your cycle is consistently 26 days, you most likely ovulate around day 12; at 32 days, around day 18. If your cycles swing between 25 and 35 days, ovulation can land anywhere from day 11 to day 21, so "middle of the cycle" simply is not precise enough to target. If your cycles are very irregular, that is worth investigating on its own.

The Six-Day Fertile Window: Why It Is Not a Single Day

The fertile window is the span of days when sex can lead to pregnancy. Landmark research (Wilcox and colleagues, published in the New England Journal of Medicine in 1995) established it as the five days before ovulation plus ovulation day itself: six days in total. The two days before ovulation and ovulation day are the highest-probability days. The day after ovulation is close to zero, because the egg is no longer viable.

For healthy couples timing sex within this window, the chance of conceiving per cycle is roughly 25-30%, so even with perfect timing about 70-75% of cycles will not result in pregnancy. Cumulatively, around 60% conceive within three months, 80-85% within six months, and 85-90% within twelve. After 12 months of well-timed unprotected sex without success (or six months if you are 35 or older), a fertility evaluation is the right next step.

The single most useful mindset shift is from "one perfect day" to "identify the window and have sex often within it." Have intercourse every 1-2 days through the fertile window. The "every other day from cycle day 8" approach works well for regular cycles and removes timing anxiety. Daily sex during the window is also fine; there is no evidence that daily ejaculation in healthy men lowers sperm count enough to matter. The "save it up for ovulation day" strategy actually backfires, because long abstinence (over 5-7 days) increases the share of aged, dead sperm.

If you would rather not track at all, the simplest evidence-based plan is sex 2-3 times a week throughout the cycle. This catches the fertile window in nearly every cycle regardless of when ovulation lands, needs no charting, and takes the pressure off intimacy. This is what bodies like NICE and the ASRM recommend as first-line; escalate to closer tracking only if months pass without success.

One more reassurance: even in regular cycles, actual ovulation lands two or more days off the prediction in roughly a third of cycles. That is precisely why covering several days beats trying to pinpoint one. And even when timing is perfect, most cycles still do not result in a pregnancy, because fertilisation may not occur and many very early embryos do not implant. This natural inefficiency, not a fertility problem, is why a single "unlucky" month means nothing. If month one passes without a positive test, this is completely normal.

Cycle Counting and the Calendar Method: A First-Pass Estimate

The calendar method uses your cycle-length history to estimate the next cycle's fertile window. It works reasonably well when your cycles are consistent (within 3-4 days of each other) and poorly when they vary by more than a week or when there is ovulatory dysfunction. For TTC, treat it as a useful first guess to be confirmed by mucus or an ovulation kit.

Here is the calculation. Track at least 3-6 cycles by recording day 1 of each period. Find your shortest and longest cycle. Your earliest likely ovulation is shortest cycle minus 14, so the fertile window starts about shortest cycle minus 19. Your latest likely ovulation is longest cycle minus 14. For example, if your cycles range from 26 to 30 days, your fertile window estimate is roughly cycle day 7 through day 17, within which you aim for sex every 1-2 days.

If your cycles are very regular, the window is narrower and more predictable. For a 28-day cycle, expected ovulation is day 14 (window days 9-15). For a 26-day cycle, ovulation is around day 12 (window days 7-13) — notice this woman is most fertile right after her period ends, which surprises many people. For a 35-day cycle, ovulation is around day 21 (window days 16-22).

The big limitation is that variability lives in the follicular phase, so a calendar estimate cannot pinpoint ovulation inside a given cycle. Women with PCOS and long anovulatory cycles cannot rely on it at all, and neither can those who are postpartum, breastfeeding or perimenopausal; they need confirmation methods instead.

A practical refinement is to log cycles in a free app (Flo, Clue, Ovia and similar) and let it estimate the window. These are essentially calendar calculators with extra features and are handy for record-keeping, but should not be relied on alone for TTC timing if your cycles vary. For a full walkthrough of combining methods, see how to track ovulation.

Cervical Mucus: The Free Real-Time Fertility Sign

Cervical mucus is fluid made by glands in the cervix, and its consistency changes dramatically across the cycle under the influence of estrogen and progesterone. Learning to read it is one of the most useful free TTC skills: it costs nothing, needs no equipment, and gives real-time information about where you are in your fertile window. Both the ASRM and Indian gynaecology practice recognise mucus observation as a valid fertility-awareness method.

The typical progression: right after your period there are often a few "dry" days with little mucus. As estrogen rises, mucus turns sticky, then creamy and white or yellowish (intermediate fertility). In the late follicular phase, 1-2 days before ovulation, it becomes "egg-white" mucus — clear, stretchy and slippery, able to stretch a few centimetres between fingers without breaking. This fertile mucus protects sperm and channels them through the cervix; it is the peak-fertility signal. After ovulation, progesterone makes mucus thick, scant and sticky again until the next period.

To track it, check several times a day from when your period ends until you confirm ovulation: by sensation (does it feel wet or dry), by looking at toilet paper after wiping front to back, and by sampling with a clean finger near the cervix. Record each day as dry, sticky, creamy, watery or egg-white. Your "peak day" is the last day of egg-white or slippery watery mucus; ovulation usually occurs on or within a day of it. The fertile days run from when mucus first turns wet through the peak day plus a day or two.

Limitations to keep in mind: vaginal infections, semen from recent sex, arousal fluid and some medications (certain antihistamines, clomiphene) can confuse or dry up mucus. Some women, especially over 35 or with low estrogen, naturally make little fertile mucus. If mucus is hard to read for you, ovulation kits or temperature charting are good alternatives or complements.

For best results, check at consistent times, avoid checking right after sex or urination, log daily, look at the whole-cycle pattern rather than any single day, and combine with one other method. Deeper coverage is in understanding cervical mucus.

Basal Body Temperature (BBT): Confirming Ovulation Happened

Basal body temperature is your lowest resting temperature, taken first thing in the morning after at least 3-4 hours of sleep, before getting up, drinking or doing anything. Progesterone is thermogenic, raising core temperature by about 0.3-0.5 degrees Celsius. So an ovulatory cycle shows a biphasic pattern: lower temperatures before ovulation (roughly 36.2-36.5 C), a sustained rise afterwards (about 36.6-37.0 C), and a drop when your period starts.

The strength and the catch are the same fact: BBT confirms ovulation but does not predict it. The rise happens 1-2 days after ovulation, so you cannot use it to time sex on ovulation day in real time. What it does give you is proof that ovulation occurred, the day it occurred (visible after the fact), and, over several cycles, a pattern that helps you anticipate timing next month.

In practice you need a digital basal thermometer (more sensitive than a fever thermometer, reading two decimal places; roughly Rs 300-1500 in India, with brands like Omron and BPL). Take your temperature the same way at the same time every morning and record it on a paper chart or app (Fertility Friend, Kindara and others auto-detect the shift). Look for a sustained rise of 0.3-0.5 C lasting at least three days above your baseline; that confirms ovulation on the day before the first high reading.

BBT is easily disrupted by inconsistent wake times, poor sleep, alcohol the night before, fever, jet lag and night feeds, so shift workers and new mothers often find it hard. Because the shift takes a few days to identify, BBT is not for narrow timing decisions, but it is excellent for confirming whether you are ovulating at all, which matters if ovulatory dysfunction is suspected.

Combined with mucus and ovulation kits, BBT forms the "sympto-thermal method." Mucus and kits predict ovulation prospectively (for real-time timing), BBT confirms it retrospectively, and the calendar estimates the rough timing. For TTC, using all three gives the most complete picture. A full how-to is in our dedicated basal body temperature guide.

Ovulation Predictor Kits (OPKs) in India: How They Work, Brands, Prices

Ovulation predictor kits detect the surge of luteinising hormone (LH) in urine that precedes ovulation by about 24-36 hours. Because the LH surge is the trigger for the egg's release, a positive kit is a reliable warning that the next 24-48 hours are your highest-probability days. OPKs look like home pregnancy tests: you wee on a stick or dip it, then read a test line and a control line after 5-10 minutes. The key difference is the interpretation — for OPKs the test line must be as dark as or darker than the control line to count as positive. A faint visible line is negative, because low-level LH is present all cycle.

OPKs are widely available across India through pharmacies (Apollo, MedPlus, Wellness Forever), online (Tata 1mg, Amazon, Flipkart, PharmEasy, Netmeds) and some supermarkets. Common options and approximate prices: i-Sure ovulation strips by Piramal (Rs 50-150 for 5-10 strips), i-can ovulation kit (Rs 100-200), Pregakem (Rs 150-300), Velocit (Rs 150-300), and the imported Clearblue Digital Ovulation Test (Rs 1500-3000 for 10). Cheaper strip-format kits detect the LH surge just as well as the expensive digital ones; the digital readers simply give a clear yes/no for those who find line-darkness hard to judge.

How to use them depends on cycle length. For a 28-day cycle, start testing around cycle day 10 (four days before expected ovulation). For other lengths, calculate expected ovulation as cycle length minus 14 and start four days before. Test once daily, then twice daily (early afternoon and evening) as the line darkens, to catch the surge precisely. Use afternoon or evening urine rather than first morning, since the surge often peaks midday to evening, and limit fluids for about two hours beforehand so urine is not too dilute. Once you get a clear positive, have sex that day and the next (ovulation day) — your two best days.

Watch for these pitfalls. Faint lines throughout the cycle are normal and negative. PCOS often raises baseline LH, which can produce repeated false-positive kits; women with PCOS may need follicular-monitoring ultrasound instead. Clomiphene cycles also disrupt OPK accuracy. Some women have a brief surge that once-daily testing misses, which is why twice-daily testing during the expected window catches more.

After a positive, you have roughly 24-36 hours until ovulation; sex on the positive day and the day after covers the two highest-probability days. If you missed the surge but had sex in the two to three days before, you are likely still covered by waiting sperm. For brand comparison and step-by-step usage, see ovulation test kits in India.

Sex Frequency, Position Myths and Fertility-Friendly Lubricants

Sex frequency is a common worry. The evidence-based recommendation is intercourse every 1-2 days during the fertile window, or 2-3 times a week throughout the cycle if you are not tracking. Daily sex during the window is fine too; there is no evidence that daily ejaculation in healthy men reduces fertility, and some evidence that it improves sperm quality by shortening storage time. The "save it up" approach backfires: long abstinence raises the share of aged, dead sperm, and the timing imprecision means saved sperm may arrive on the wrong day.

Sexual position has no meaningful effect on conception. Sperm reach the cervical canal within minutes of ejaculation, well before body position could matter. The familiar advice to "lie with your legs up against the wall for 30 minutes" comes from a single very old, uncontrolled observation and has never been validated. You can use the toilet after sex without affecting your chances; the relevant sperm have already passed through the cervix. Whichever position works for the two of you is the right one.

Lubricants matter more than most couples realise. Many popular products in India — KY Jelly, Durex Play, several Manforce lubricants — contain ingredients and have a pH or osmolality that is harmful to sperm, and can immobilise or kill them within minutes of contact. While TTC, avoid standard lubricants during the fertile window, and never use saliva, whose enzymes also damage sperm.

Safer options are "fertility-friendly" or "sperm-friendly" lubricants, designed to be pH-balanced and not toxic to sperm. In India these include Pre-Seed (around Rs 600-1500, the original fertility-friendly lubricant, FDA-cleared as not harmful to sperm), Conceive Plus (about Rs 800-1800), BabyDance and Yes Baby. They cost more than ordinary lubricants, but for TTC the difference is worth it. For dryness, longer foreplay or a small amount of water also helps; water is not harmful to sperm even if it offers limited lubrication.

Finally, the emotional side is real. Scheduled "performance" sex for TTC can erode intimacy and trigger anxiety, which can in turn dampen desire. It helps to keep TTC sex as one expression of intimacy among many (cuddling, non-penetrative play), to plan unpressured romantic time in the luteal phase, and to talk honestly about how it feels. A counsellor or fertility-focused therapist (roughly Rs 1000-3000 per session in India) can defuse the pressure. We explore this fully in the emotional journey of conceiving as a couple.

Common Mistakes Indian Couples Make When Timing Conception

Assuming ovulation is always day 14. Day 14 only fits a consistent 28-day cycle, who are a minority. A 26-day cycle ovulates around day 12, a 30-day around day 16, a 33-day around day 19. Timing sex only to day 14 in a 26- or 33-day cycle can miss the fertile window entirely. The fix: know your cycle history (track 3-6 cycles), estimate ovulation as cycle length minus 14, and confirm with mucus or an OPK rather than trusting the calendar alone.

Believing the days right after your period are "safe." Women with shorter cycles (24-26 days) can enter the fertile window within a day or two of their period ending, because ovulation falls around day 10-12 and the window opens five days earlier. Waiting until "later" in the cycle to try can mean missing the best days. See your chances of conceiving right after a period.

Having sex too rarely. With perfect timing the per-cycle chance is only about 25-30%, so once or twice a whole cycle is not enough. Sex every 1-2 days through the window (or 2-3 times a week all month) gives far better cumulative odds and provides backup if a brief LH surge was caught at the wrong moment.

Using harmful lubricants. KY Jelly, Durex Play, most Manforce lubricants and saliva can kill or immobilise sperm. Couples who switch to a fertility-friendly lubricant or none at all in the fertile window sometimes see a difference after months of trying.

Too much anxiety, too little patience. Healthy couples often take four to six cycles even with good timing, and cumulative success reaches 85-90% by twelve cycles. The evaluation cutoffs are 12 months of well-timed sex under 35, or six months at 35 and over; going earlier is usually premature unless there are clear risk factors. Layering OPKs, BBT and multiple apps can also become obsessive and reduce intimacy, so find a balance. If you are in your early-to-mid thirties, realistic timelines still favour patience over panic.

Preconception Health: What to Do in Parallel With Timing

Timing is one piece of the puzzle; preconception health is the other. The months between deciding to TTC and conceiving are a chance to optimise factors that affect both your odds and pregnancy health. The single most important step is folic acid: 400-800 mcg daily, starting at least a month before conception and continuing through the first trimester, cuts neural tube defects (such as spina bifida) by roughly 70%. It is cheap and over-the-counter in India — Folvite (about Rs 30-80 per strip) or generic folic acid IP. Higher doses (4-5 mg daily) apply to women with a previous affected baby, those on anti-epileptic drugs, diabetes, or a BMI over 30. See folic acid before conception for the full guidance.

Other nutrition basics: check and correct iron (most Indian women run at least mildly deficient), vitamin D (deficiency is very common), and vitamin B12 (especially in vegetarians). Ensure iodine through iodised salt, and eat a balanced diet rich in protein, fruit, vegetables and whole grains. A balanced Indian diet built around dals, leafy greens, fruit, dairy or fortified alternatives, eggs or fish and whole grains supports both partners preconception.

Weight matters at both ends. A very low BMI (under 18.5) can stop ovulation through hypothalamic amenorrhea, while a high BMI (over 30) is linked to insulin resistance, ovulatory dysfunction and lower egg quality. The target is roughly BMI 19-29 before TTC; for women above 30, even a 5-10% loss can restore ovulation.

Lifestyle factors: stop smoking (Quit Tobacco India helpline 1800-11-2356), minimise or avoid alcohol while actively TTC, avoid recreational drugs, keep caffeine under about 200 mg/day (roughly two cups of coffee), and reduce male-partner heat exposure (hot tubs, saunas, laptop on the lap). These changes help both partners.

Medical screening preconception ideally includes rubella immunity (get MMR a month before TTC if not immune), thyroid function (aim for TSH below 2.5 mIU/L; an underactive thyroid affects conception — see thyroid and fertility), a prolactin check if periods are irregular, diabetes screening for those at risk, and HIV/Hepatitis B/Syphilis and STI screening for both partners (chlamydia can silently damage tubes). For male partners, a semen analysis is reasonable if there is any concern. The full workup is in the pre-pregnancy medical checkup.

When to See a Fertility Specialist: India Pathways and Costs

The standard cutoffs for evaluation are 12 months of well-timed, regular, unprotected sex without conception if you are under 35, or six months if you are 35 or older. These reflect cumulative conception rates: by 12 months 85-90% of healthy couples have conceived, so non-conception by then carries a meaningful chance of a treatable issue. From 35, declining ovarian reserve makes the wait shorter; at 40 and over, evaluating within three months (or before starting) is reasonable.

See someone sooner, regardless of how long you have tried, if any of these apply: irregular, very long (over 35 days) or very short (under 21 days) cycles suggesting ovulatory dysfunction; known PCOS or thyroid or prolactin problems; a history of pelvic surgery, pelvic inflammatory disease, endometriosis or ectopic pregnancy; previous chemotherapy or pelvic radiation; a male partner with known fertility issues; or low ovarian reserve markers such as a low AMH level.

The initial evaluation in India usually includes, for the woman: a history and exam (consultation roughly Rs 500-2500 at private chains, or free at government tertiary infertility clinics including AIIMS centres), a day 2-4 hormone panel (FSH, LH, estradiol, AMH; about Rs 2000-5000), TSH/free T4/prolactin (Rs 800-2000), a transvaginal ultrasound for antral follicle count (Rs 800-2000), and a hysterosalpingogram to check the tubes (HSG, Rs 2500-6000). For the male partner: a semen analysis by WHO 2021 criteria (Rs 500-2000, with 2-7 days abstinence beforehand).

Treatment depends on findings. Ovulatory dysfunction is treated with ovulation induction using letrozole (now better-evidenced for PCOS) or clomiphene, plus follicular monitoring and timed intercourse. Male-factor problems may need intrauterine insemination (IUI, about Rs 8000-20000 per cycle) or, for severe cases, IVF/ICSI. Blocked tubes typically need IVF. Unexplained infertility is usually treated in an escalating sequence of ovulation induction, then IUI, then IVF (Rs 100,000-300,000 per cycle in India). If you are weighing options, IUI vs IVF compares them.

Government and insurance support is limited. Ayushman Bharat (PMJAY) does not currently cover routine fertility treatment for most beneficiaries; CGHS and ESI cover some investigations for eligible employees; most private insurance excludes fertility care, though some IT and multinational employers now offer it. Government infertility clinics at tertiary teaching hospitals offer subsidised or free care where accessible. For most couples the costs are largely out of pocket and substantial, so ask about EMI options and multi-cycle packages. The emotional cost is high too; free counselling support such as iCall (9152987821) is worth seeking.

Indian Myths About Timing Conception, Corrected

Myth: You can only get pregnant on day 14 of your cycle

  • False. Day 14 is the expected ovulation day only for a 28-day cycle, and most cycles are not exactly 28 days. A 26-day cycle ovulates around day 12, a 30-day around day 16, a 33-day around day 19. With a six-day fertile window (five days before ovulation plus ovulation day), timing sex only to day 14 in a non-28-day cycle can miss the window completely.
  • The fix: know your cycle history by tracking 3-6 cycles, estimate ovulation as cycle length minus 14, and confirm with cervical mucus or an OPK (Rs 50-300 in India). Have sex every 1-2 days through the window, not just on one day.

Fact: The six-day window includes the five days before ovulation because sperm survive that long

  • True. Sperm can survive up to five days in fertile cervical mucus, while the egg lasts only 12-24 hours. So sex in the five days before ovulation can lead to pregnancy when sperm are still alive and waiting. The two days before ovulation and ovulation day are highest-probability, but the whole six-day window is fertile.
  • This is why "right after period" can be fertile, especially with short cycles (24-26 days) where ovulation may be day 10-12. The blanket idea that the days after a period are safe is wrong for many women.

Myth: Standing on your head or keeping legs up after sex helps you conceive

  • No evidence. Sperm capable of fertilisation enter the cervical canal within minutes of ejaculation, well beyond the influence of gravity by the time you would get up. The "legs up against the wall" advice comes from a single old, uncontrolled observation and has never been validated. You can use the toilet after sex without affecting your chances.
  • What does matter is using a fertility-friendly lubricant (Pre-Seed, Rs 600-1500; Conceive Plus, Rs 800-1800) or none during the fertile window, rather than standard lubricants like KY Jelly, Durex Play or Manforce, which can kill sperm. Saliva should not be used either, and sexual position has no significant effect.

Fact: Try for 12 months under 35, or six months at 35+, before evaluation — but go earlier with specific flags

  • True. Standard criteria are 12 months of well-timed, regular, unprotected sex under 35, or six months at 35 or older. These follow cumulative conception rates: by 12 months 85-90% of healthy couples have conceived, so non-conception by then meaningfully raises the chance of a treatable issue.
  • Go earlier for: irregular cycles (over 35 or under 21 days), known PCOS or thyroid issues, a history of pelvic surgery, PID, endometriosis or chemotherapy, a male partner with known fertility issues, low AMH, or any woman 40 or older. It is also worth understanding that male-factor issues account for a large share of cases, so both partners should be evaluated. IUI runs about Rs 8000-20000 and IVF Rs 100,000-300,000 per cycle in India.

Frequently asked questions

Can I get pregnant right after my period ends?

Yes, especially if your cycles are short. In a 24-26 day cycle, ovulation can be as early as day 10-12, and because sperm survive up to five days, the fertile window can open within a day or two of your period ending. The idea that the days right after a period are "safe" is wrong for many women.

What is the single best day to have sex to conceive?

The two highest-probability days are the day before ovulation and ovulation day itself. But chasing one "best" day is the wrong strategy. Have sex every 1-2 days through the fertile window, or 2-3 times a week all month, so you are covered regardless of exactly when ovulation lands.

Which is more reliable for timing: an ovulation kit or cervical mucus?

Both predict ovulation before it happens, so both are useful for timing. OPKs detect the LH surge 24-36 hours before ovulation and give a clearer signal, while cervical mucus is free and gives a real-time read of fertility. Using them together, and adding BBT to confirm ovulation happened, gives the most complete picture.

How long does it take a healthy couple to conceive?

With well-timed sex, roughly 25-30% conceive each cycle. Cumulatively, about 60% conceive within three months, 80-85% within six months, and 85-90% within twelve. Taking four to six cycles is completely normal, not a sign of a problem.

Do lubricants affect my chances of conceiving?

Many standard lubricants (and saliva) can immobilise or kill sperm. While trying to conceive, avoid them during the fertile window and use a fertility-friendly lubricant such as Pre-Seed or Conceive Plus if you need one, or use longer foreplay instead.

When should we see a fertility specialist?

After 12 months of well-timed, unprotected sex without success if you are under 35, or six months if you are 35 or older. Go sooner if you have irregular cycles, known PCOS or thyroid problems, a history of pelvic infection or surgery, a male partner with known issues, or are 40 or older.

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