How to tell if you are fertile or not

How to tell if you are fertile or not
Fertility is often something people do not consider until they are actively trying to start a family, or in many cases after they have started having trouble conceiving. What many don’t realize is that couples ages 29-33 with normal functioning reproductive systems only have a 20-25% chance of conceiving in any given month. Add in any number of infertility factors from either gender and those chances can decrease significantly.

If you think you may want to have children in the future, here are 9 warning signs of infertility that you shouldn’t ignore:

For Women

1. Changes to Your Menstrual Cycle: This may be an absence of your period, heavier than normal flow or irregular menstrual cycles may be signs of infertility. Consider tracking your menstrual cycle to help you identify patterns or changes early on. This will also be helpful in case you ever seek guidance from a physician, as he or she will inquire about your medical history.

2. Sudden, Severe Acne: Sudden skin changes, like severe acne breakouts as an adult, can be a major sign that something is going on with your hormones. It is also an early warning sign of polycystic ovary syndrome (PCOS), which can lead to difficulty getting pregnant.

3. Painful Periods: We’re not talking about normal cramping here. But, severe pain that stops you in your tracks and even causes nausea or vomiting. Alone this may not be a sign of infertility, but combined with other symptoms like pain during intercourse, blood in the urine or during bowel movements, or irregular periods, can be signs of endometriosis–a condition that accounts for 20-40% of female infertility cases.

4. Significant Hair Growth (or Hair Loss): Polycystic ovarian syndrome causes small cysts to form on the outside of the ovaries, and it also causes the body to produce an excess of male hormones. If you notice hair growing in unusual places like your face, arms, chest or back, this could be a warning sign. On the flip side, hair loss or thinning could be a sign of other infertility related conditions like thyroid issues, anemia or autoimmune disorders.

5. Sudden Unexplained Weight Gain: Another sign of PCOS is sudden unexplained weight gain when there have otherwise been no changes to your diet or level of activity. Keep in mind that plays a significant role in fertility, even when a condition like PCOS is not present. Being overweight or underweight can both lead to difficulty conceiving.

For Men

6. Pain or Swelling the Testicles: Common causes of testicular swelling may include testicular torsion, an infection or even a hernia. While pain or swelling in this region does not always mean infertility, it is always cause to seek medical attention from a physician.

7. Changes in Sex Drive: Extreme changes to sexual desire are a key indicator of hormonal problems. Improper function of a man’s hypothalamus or pituitary glands are a common cause of male factor infertility. Abuse of anabolic steroids or other supplements are also known to disrupt hormones, alter a sex drive and affect fertility.

8. Erectile Dysfunction: Also linked to hormonal imbalances, erectile dysfunction is present in nearly a quarter of couples who are struggling with infertility. This may be a result of an injury, a medical condition, use of prescription medications or recreational drugs, or even psychological factors such as depression, anxiety or stress.

For Both

Other warning signs that can affect both genders include past cancers or chronic illnesses, history of a sexually transmitted disease or illness, poor lifestyle habits such as smoking or excessive alcohol consumption, and exposure to toxic chemicals in the workplace.

Contact Carolinas Fertility Institute

If you are experiencing any of these symptoms or have concerns about your reproductive health, contact Carolinas Fertility Institute to learn more.

You’ve decided to try for a baby—congrats! But do you know how to go about trying to maximize your shot at conceiving? The truth is, women may experience certain symptoms that can signal when she’s ovulating and at peak fertility, which is helpful to know, so you can time sex with your partner appropriately. So what should you be on the lookout for? The following signs of fertility in women may help boost your chances of getting pregnant each month.

Sign #1: A Positive Result from Your Ovulation Predictor

This is one sign of fertility you don’t have to work too hard to detect. Ovulation predictor kits are test strips that you pee on with the goal of detecting when your body experiences a surge of luteinizing hormone (LH), which triggers the release of the egg from the ovary (aka ovulation). A positive sign on your ovulation predictor kit signals that you should expect to ovulate within the next 36 hours. The best times to have sex are the day of the LH surge and the following two days.

Watch, Ovulation Signs and Symptoms:

Sign #2: A Change in Your Cervical Mucus

When you’re not ovulating, your cervical discharge may appear sticky, cloudy or be so minimal you can’t tell you have any. But as you get closer to ovulation, your body starts to produce more estrogen as the egg that’s going to ovulate matures in the ovary. This causes your cervical mucus to become clear and stretchy, similar to egg whites. The change in discharge creates a more susceptible environment for sperm to reach the egg—so keep an eye on any fluctuations in your discharge as a potential sign of fertility.

Sign #3: Increased Sex Drive

Mother Nature is pretty smart: When you enter your fertile window (meaning the days when you’re most likely to conceive), right before ovulation, your sexual desire rises due to a jump in hormones such as estrogen and testosterone. (A pretty fun sign of fertility, no?) Not only will your sex drive shift into high gear during this time, but your body will also undergo subtle changes that make you feel sexier—and make your partner more drawn to you too. Those changes may include slightly fuller lips, a higher pitched voice and a change in your face structure, your walk and the way your hips move.

Sign #4: Increased Sense of Smell

Does your partner’s post-workout body odor strike you as oddly sexy at certain times of the month? This could actually be a sign of peak fertility! One study found that women’s sense of smell sharpens as they near ovulation, and they become particularly sensitive to musky scents and male pheromones, such as androsterone. While the exact reason is unknown, that heightened sense of smell may be nature’s way of helping women pick out a suitable mate.

Sign #5: Lower Abdominal Pain

Have you ever noticed lower pelvic pain during the middle of your cycle? This could actually be a sign of fertility known as mittelschmerz pain. Some women describe feeling a sharp, lower pelvic cramping that can last from a few minutes to several hours in the middle of her cycle and can be a signal that ovulation is occurring. Of course, not all women are the same; some will feel this pain every single month and others may never experience this cramping, and that’s okay!

Sign #6: Change in Your Cervical Position

The cervix is at the top portion of the vagina and is what dilates during labor and childbirth. The cervix tends to change throughout your menstrual cycle, and when you’re close to ovulation your cervix will become higher, softer and more open. While you may think only your ob-gyn can check your cervix, it’s actually possible for you to do it on your own, although it may take some practice to know how to check for it and understand what you’re feeling.

Sign #7: Breast Tenderness

You may have experienced that time of the month where your breasts are extremely sore, achy and have an overall heavy feeling. This is due to an increase in the hormone progesterone, which your body produces right after ovulation. So while sore breasts can’t predict when you’ll ovulate, they may clue you in to the fact ovulation occurred that month, which can be a reassuring sign of fertility.

Sign #8: Mid-Cycle Spotting

Does spotting mid-cycle have you concerned? This could actually be a sign of recent ovulation. After the egg is released, your estrogen levels drop significantly before rising again in the luteal phase (the second half of your menstrual cycle after ovulation). The short-lived drop in estrogen may actually trigger some mid-cycle spotting that usually resolves in a day or two. However, all women’s bodies are different and many women may never notice mid-cycle spotting and still have regular ovulation.

Temeka Zore, MD, is a reproductive endocrinologist and infertility specialist as well as a board-certified ob-gyn currently practicing at Spring Fertility in San Francisco. She enjoys taking care of a wide range of reproductive and fertility issues but has a special passion for fertility preservation and educating and empowering women regarding their reproductive health. Follow Zore on Instagram @temekazoremd.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Plus, more from The Bump:

What are signs that your not fertile?

The main symptom of infertility is not getting pregnant. There may be no other obvious symptoms. Sometimes, women with infertility may have irregular or absent menstrual periods. In some cases, men with infertility may have some signs of hormonal problems, such as changes in hair growth or sexual function.

How can a woman tell if she's still fertile?

In many cases, having a normal menstrual cycle is the most important clue you're fertile, regardless of what you weigh. But losing or gaining weight to reach a healthy body mass index (ideally 20-24) before trying to get pregnant is a smart move when done in a healthy way.