Chatelaine Magazine, (June, 1999)
A Special Report: Your Fertility
By Anna Bauer Ross

 

Many women leave decisions about their reproductive parts up to the gynecologist. But you can learn a lot about your reproductive health by practicing fertility awareness long before you’re ready to get pregnant.

Sort of an updated rhythm method, fertility awareness involves tracking your cycle. It can serve as a natural method of birth control (with a success rate between 80 and 98 percent), give you clues about your gynecological health or help you conceive.

To get pregnant, you need to have sex at the right time – either the days before or the day of ovulation. When an egg is released during ovulation, it lasts an average of just 12 hours. Pregnancy seems impossible by this count, but the sperm’s hardy five-day life span makes your fertile period longer. You can pinpoint those days exactly by becoming a meteorologist of your body and learning to read its signs.

There are three primary methods of fertility awareness and all involve keeping precise records over several months. Because each can have some discrepancies, experts advise using a combination. Debbie Garshon, a counselor at Planned Parenthood of Toronto, also warns that the following methods work primarily for women with regular periods, but they won’t work if you’re close to menopause, just starting menstruation or have irregular periods.

The temperature method involves checking your basal body temperature with a special thermometer that can measure temperatures in minute increments (it costs about $10, or up to 25 for a digital version, at drugstores). You take your temperature upon waking every day and chart the changes. Your temperature surges – between one-half and one degree – when you ovulate. So, after a few months, you’ll know when to expect the surge and can plan intercourse for the few days preceding. Remember that sickness, stress, lack of sleep or even alcohol can change your temperature. Sample charts, available from your doctor or books such as Taking Charge of Your Fertility (Harper Collins) by Toni Weschler, can make the graphing easier.

The calendar method counts the days of your cycle from the first day of your period to the day before your next. For example, if this number is 26, subtract 14, which leaves day 12. This is the "peak day" and you could release the egg for three days afterward. Fertility may also be high five days before the peak day. So days 7 to 15 would be the most fertile.

The cervical mucus method monitors the texture of cervical discharge daily to predict ovulation. Just prior to ovulation, gland secretions in the vagina are clear and plentiful and resemble the stretchy viscous texture of egg white – one of the most obvious signs of fertility. Tia Sarkar, co-owner of the Justisse Group in Toronto, which teaches fertility awareness and produces a guidebook, explains: "Unlike rhythm methods, which use retrospective information, this method supplies day-by-day information."
You can also track ovulation with devices that pinpoint changes in saliva – the $65 reusable Luna Fertility Indicator – or urine tests that measure the surge of luteinizing hormone and cost $40 to $60 for one month’s supply.