[sws_ui_toggle title="Hello, my wife and I have been trying to conceive for over 9 months. We think she may have had a miscarriage month 2. Her family is very fertile, however she is over 40. I was recently tested and my hormones and sperm count are both excellent. Will this system work for women over 40? Thank you." closed="true" jui_theme="ui-smoothness" duration="500"]Regardless of a woman’s age, if she is ovulating, the OVWATCH can optimize the chances of pregnancy by accurately identifying the maximum fertility window where sexual relations have the potential to result in a pregnancy. The proper timing of intercourse or IUI relative to ovulation dramatically enhances the probability of conception. However, it becomes increasing hard to get pregnancy as a women enters her late thirties and early forties. Studies estimate that only 1 in 3 women between the ages of 40 and 44 who are trying to conceive will be successful. As one’s fertility declines, identification of the fertile window may be even more crucial. However, as time is of the essence, prompt evaluation and treatment by a fertility specialist should be considered. While simple treatments such as fertility tablets (clomiphene citrate or letrozole) may be all that is needed, injectable fertility medication or IVF may be required. Even in cases where a woman is much older (50 – 55 years of age) or has very poor function of her ovaries, IVF with a donor eggs gives women an outstanding chance to achieve a successful pregnancy.[/sws_ui_toggle]


[sws_ui_toggle title="I am taking Clomid, and using the OV Watch with it. Will the Clomid affect the way the OV Watch reads? Also I ovulate VERY late, even on the Clomid. Like cycle days 21-24 of a 32 day cycle. Is this normal? Anything I can do to help lengthen my luteal phase?" closed="true" jui_theme="ui-smoothness" duration="500"]Women who are taking clomiphene citrate for ovulation induction often ovulate later the traditional 14th day and it is not unusual to see evidence of ovulation several days later. However, if the second half of the cycle (ovulation to the start of menses) is less than 10-12 days, ovulation may not have occurred. A short second half of the cycle has been termed an inadequate luteal phase. In the past, an endometrial biopsy was performed to evaluate the synchrony of the endometrium with that of the ovary and ovulation. However, recent evidence indicates that an endometrial biopsy does not aid in the diagnosis or treatment of infertility and the results from the biopsy may not correlate the time in a woman’s cycle or the potential for a successful pregnancy. Many physicians often check blood levels of progesterone or routinely supplement this hormone to “assist” the pregnancy or restore the luteal phase. Although this practice is widespread, it has not been scientifically proven to be of benefit. Finally, fertility medications such as clomiphene citrate may have some role in “restoring” ovulation and correcting any mismatch between the uterus and ovary. The OVWATCH is a good method to identify the fertility window if a woman is ovulating on her own on in response to clomiphene citrate. The OVWATCH can also be used to accurately time intercourse or insemination (IUI). Preliminary evidence from an ongoing trial indicates that it is comparable to ultrasound and lab work performed in a physician’s office. In addition, clomiphene citrate is often used to induce ovulation in women who have chronically high LH (Polycystic Ovarian Syndrome: PCOS). Chronically high LH may cause false reading with monitors that rely on urine testing or pee sticks. The OVWATCH may be the most accurate means to correctly identify the fertile period in these women once ovulation has been restored with weight loss, diabetes therapies or fertility medications.[/sws_ui_toggle]


[sws_ui_toggle title="It took me 8 months to conceive my 1st son, then another 9 months to conceive the 2nd. My husband and I are trying to get pregnant again. I am 23 years old. Is there anything that can help us make this happen faster? Thank you for your time. Kathy in New York" closed="true" jui_theme="ui-smoothness" duration="500"]Numerous studies have indicated that fertility can be optimized and the time to conception shortened with correct timing of sexual relations. In general, if a woman has a 28-day cycle, ovulation will occur 14 days after the start of her menses. However, menstrual cycles may vary from one individual to the next so it is beneficial for each woman to determine her own fertility window. The fertility window is the 4 to 5 days before and the day of ovulation. Sperm can remain in the female reproductive tract for several days and pregnancy can occur even if ovulation is several days after intercourse. However, the chances of pregnancy are slim if the sperm arrive even just one day after ovulation. Traditional methods of fertility testing (temperature charting or urine testing) rely on the surge in hormones (LH and/or estradiol) and may only give short notice of the impending ovulation or false positive results in some cases. In addition, some women have chronically elevated levels of LH associated with PCOS (polycystic ovarian syndrome) and the urine testing may give false positive results. The OVWATCH senses fluctuations in the salts (chloride) found in a woman’s sweat that occurs prior to ovulation. In addition, the entire fertility window (4 – 5 days preceding ovulation) is identified in almost 6 times more women than the older methods, thermometers or pee sticks. The longer window of opportunity reduces the stress of many couples and can increase the pregnancy rate by two-thirds over just 6 months.[/sws_ui_toggle]


[sws_ui_toggle title="I have used the Clearblue Easy ovulation monitor in combination with a basil thermometer for 15 months. No luck and my gyno says I have been ovulating, my tubes aren’t blocked and my husband is fine. How will this watch make a difference?" closed="true" jui_theme="ui-smoothness" duration="500"]Up to one in five couple that have difficulty getting pregnant have no identifiable cause for their delay in conception. If a couple has no evidence of tubal disease, normal ovarian function or hormone levels, open fallopian tubes and adequate sperm function, yet has not gotten pregnant within one year of trying, they are classified as having “unexplained” infertility. Up to one in four women will have difficulty getting pregnant at some point in their life. Unfortunately, only one out of three women will get pregnant in the early forties and the chance of conception decreases the longer a couple has been dealing with infertility. While the OVWATCH may increase the chances of pregnancy and be more accurate than the pee sticks or temperature monitor, couples that have attempted timed intercourse for several months without success should consider more aggressive approaches. Fortunately, many couple will have success after they are evaluated by a reproductive endocrinologist and move to advance treatment options. Even with unexplained infertility the addition of a fertility medication such as clomiphene citrate will increase the chances of conception. Utilization of intrauterine insemination (IUI) or artificial insemination further increases the potential for pregnancy.[/sws_ui_toggle]


[sws_ui_toggle title="Hello there Dr. I had an ectopic pregnancy and want to get pregnant. Is the OV Watch suitable for me? Will it be accurate?" closed="true" jui_theme="ui-smoothness" duration="500"]The fallopian tubes or a history of an ectopic pregnancy have no direct impact on the function of the ovary or the ability of OVWATCH to accurately identify the fertile window. However, timing of sexual relations and optimizing one’s fertility may be even more crucial when one fallopian tube is not functioning. In fact, an ectopic pregnancy implies that the microscopic function of the fallopian tubes is not normal allowing the pregnancy to continue in the fallopian tube instead of being transported to the uterine cavity. In addition, often when one tube has been damage or removed, the other tube is not normal. Even if the remaining tube is open or patent, the damage or abnormal function due to infection or scar tissue may prevent normal function of the microscopic fingers within the fallopian tube that transport a fertilized egg or embryo to the uterine cavity. Therefore, women with tubal disease or those who have had an ectopic are at increased risk of another ectopic pregnancy in the same tube or on the other side. These women may also find it more difficult to conceive. In many cases more aggressive treatment with fertility medications or in some cases, IVF may be required. In addition, after pregnancy occurs close follow up with a woman’s healthcare provider is important to rule out an ectopic pregnancy. Finally, if either fallopian tube is filled with fluid (hydrosalpinx), the fluid may have a detrimental impact on a pregnancy and many experts recommend removal of that tube prior to IVF.[/sws_ui_toggle]


[sws_ui_toggle title="How does the OV-Watch compare in accuracy to The Clear Plan Fertility monitor? Have you had 40 and over women report better results with OV-Watch compared to other methods such as Clear Plan etc.? Could the OV-Watch be helpful with a medicated IUI cycle? How might the OV-Watch be more helpful in a medicated IUI cycle than other available monitors? Thank you very much in advance for your answers!" closed="true" jui_theme="ui-smoothness" duration="500"]Many women express frustration with the monitors such as Clear Plan Fertility monitor and several have sent me their inaccurate results. Several condition including early menopause or decreased function of the ovary and PCOS (polycystic ovarian syndrome) may give false reading due to chronic high LH or estradiol levels. In addition, even if the monitor is accurate, reliance on LH / estradiol levels, cervical mucous, or temperature chances limits many women to hours or a day notice of the approaching ovulation. Timing is especially of the essence as a woman enters her late 30s or early 40s. The OVWatch accurately predicts ovulation and gives a couple 4 or 5 days to achieve conception each month, dramatically reducing the stress of “timed intercourse”. Research conducted by fertility specialist at Duke University indicates that the OVWACH is as good or better than the tradition methods in predicting a woman’s fertility and was almost 6 times more likely to predict a 4 or 5 day window of opportunity. The OVWatch can also be used to determine if ovulation is occurring spontaneously and to accurately predict the fertility window in woman on clomiphene citrate. Accurate determination of ovulation and early consultation with a fertility specialist are of paramount importance when a woman wishes to become pregnant in her later reproductive years.[/sws_ui_toggle]


[sws_ui_toggle title="For the past year my period has come on the 22nd of every month. These last three months however my period comes very late or not at all. I am trying to conceive and cannot chart my days because I never know when my period is coming. What can I do to increase my chances of conceiving soon? I am 34 years old and am desperately trying to conceive. Please help." closed="true" jui_theme="ui-smoothness" duration="500"]The length of the menstrual cycle (from the first day of menstrual flow until the start of the next) may vary from 21 – 35 days but 28 days is the most common. Cycles that are at or near either end of the range (21 or 35 days) may not be associated with ovulation. In addition, as a woman gets older or approaches menopause, her cycle will often shorten as the function of the ovary declines. An irregular or absent period typically indicates that a woman is not ovulating regularly. If the irregular cycles are associated with other signs of hormone dysfunction or imbalance, such as acne or abnormal hair growth, the conditions is often classified as PCOS or polycystic ovarian syndrome. The name of this condition reflects the fact that the ovaries often have many small cyst or fluid filled pockets that contain immature eggs. The lack of ovulation may also be associated with abnormal thyroid or pituitary function and other hormonal problems. If a woman is not pregnancy, a complete lack of menses may be associated with failure of the ovary or menopause. This condition can occur at any age but is just over 50 is the norm and it is rare before 40 years of age. Women who have irregular or absent cycles should be evaluated by a women’s healthcare professional or fertility specialist. Fortunately, in most cases, women who do not ovulate regularly respond well to treatments including weight loss, medication to enhance the processing of sugar (Metformin) or fertility pills such as clomiphene citrate. While urine hormone kits have traditionally been used to monitor the return of ovulation and time intercourse or insemination, the OVWATCH has many potential advantages and may further increase a woman’s chance of success during treatment by identifying the maximum fertility window.[/sws_ui_toggle]


[sws_ui_toggle title="My husband and I have been trying to get pregnant for over a year. We both have very stressful lives in NYC. I have been on clomid for 2 months and it doesn’t seem to be working. How do you feel about the OV Watch? Is it okay to use it while on clomid?" closed="true" jui_theme="ui-smoothness" duration="500"]Difficulty in getting pregnant can add tremendous stress to a couple’s already hectic life. In addition, traditional methods of ovulation detection may compound the problem by being inaccurate or only giving a couple 12 to 24 hours notice prior to ovulation. The OVWATCH reduces the stress of having to “drop everything” and rush home for intercourse by giving most women 4 to 5 days’ notice before ovulation. While the egg can only live in the female reproductive tract for a day before conception is no longer possible, sperm remain alive and can achieve a pregnancy for up to 7 days. Identification of this fertile window and the impending ovulation several days in advance, gives couples the luxury of a “long weekend of opportunities” or several days to have sexual relations. In essence, the pressure is off. Finally, the increased opportunity for pregnancy may result in 66% more pregnancies in just 6 months compared to other methods of ovulation prediction. [/sws_ui_toggle]


[sws_ui_toggle title="HI, my husband and I have been trying to get pregnant now going on 6 months. Both of us are under the age of 30. My cervical mucus each month is not very abundant. Can this be the cause of us not being pregnant yet? I keep reading about how the mucus should be abundant and really stretchy, but mine is more milky. When I was younger my mucus was very abundant, could there be a possible problem?" closed="true" jui_theme="ui-smoothness" duration="500"]The consistency of the cervical mucous reflects the surge in estrogen that occurs around the time of ovulation. Thick mucous may indicate that a woman is not ovulating. In the past, couples would undergo a post-coital test (PCT) to determine the quality of the cervical mucous and its interaction with motile sperm. However, the accuracy and benefit of this test has been questioned. In most cases, it is no longer a routine part of the infertility evaluation. In part because artificial or intrauterine insemination would bypass any potential problem with the cervix or the cervical mucous. Various methods to thin thick mucous including estrogen supplementation and cough syrup have been proposed but lack sound scientific evidence to support their use. Although the quality of the cervical mucous may be used to suggest ovulation, other criteria are more accurate and less subjective. The presence of a regular cycles with moliminal symptoms (moodiness, breast tenderness, bloating, etc) prior to the onset of bleeding, indicate that a woman is ovulating in most cases. Traditionally, women have also used changes in the basal body temperature or urine hormone levels to predict ovulation. However, traditional methods of ovulation detection often only give a couple 12 to 24 hours notice prior to ovulation. The OVWATCH gives informs women 4 to 5 days in advance of the approaching ovulation. While the egg can only live in the female reproductive tract for a day before the potential for conception is lost, sperm remain alive and can achieve a pregnancy for up to 7 days. Identification of the maximum fertile window and the impending ovulation several days in advance allows couples several days to have sexual relations. Finally, the increased opportunity for intercourse may result in 66% more pregnancies in just 6 months. However, women who do not have regular cycles or those who do not have evidence of ovulation should seek the assistance of a women’s healthcare provider or fertility specialist.[/sws_ui_toggle]


[sws_ui_toggle title="I have polycystic ovaries and I’ve been trying to get pregnant by in vain. Could I start using OV Watch? I really want to have a baby…" closed="true" jui_theme="ui-smoothness" duration="500"]Women with Polycystic Ovarian Syndrome (PCOS) often have infrequent or irregular menstrual cycles, difficulty getting pregnant and evidence of an imbalance between female and male hormones such as excess hair growth, oily skin or acne. This condition gets its name from the many small cyst or fluid collection that can be seen in the ovary on ultrasound. These cyst or follicles contain eggs that stopped their development and were not been released. In addition, many women with PCOS suffer from obesity and high insulin levels or the inability to efficiently process carbohydrates (sweets, white bread, fried foods, etc). Weight loss and exercise can dramatically improve the overall health and reproductive function of women with PCOS. Many PCOS patients also respond well to diabetes medications. Recent evidence indicates that metformin may improve the chances of a successful pregnancy regardless or a woman’s weight or blood level of glucose and insulin. It is also important to note that in most cases women who appear to have PCOS should be tested for other hormonal abnormalities such as thyroid, pituitary or adrenal dysfunction. If the symptoms of excess male hormones appear suddenly and progress rapidly, testing for a hormone-producing tumor should be considered.

If a woman has irregular menses, she should seek treatment by a women’s healthcare provider. If the menses are regular but a woman is unsure if she is ovulating, the OVWATCH is an excellence means to determine the presence of absence of ovulation. Again, if no evidence of ovulation is detected, proper testing and treatment by a specialist is crucial. Once treatment has begun, the OVWATCH may be used to monitor response and enhance success by identifying the optimum time for sexual relations or artificial insemination.[/sws_ui_toggle]