TTC FACT SHEET - MOVED UP FOR NEWBIES!

iVillage Member
Registered: 05-04-2008
TTC FACT SHEET - MOVED UP FOR NEWBIES!
61
Tue, 05-27-2008 - 3:26am

I am reposting this up here where it is easier to find........It is full of some great information for us all!


TTC and Breastfeeding Messageboard
http://messageboards.ivillage.com/n/mb/listsf.asp?webtag=iv-ppttcbf&nav=start

Common Abbreviations

2WW - the time from ovulation until either a positive pregnancy test or a menstruation usually 14 days
AF - Aunt Flo, menstruation
AO - anovulatory, having a cycle with no ovulation
BBT - basal body temperature
BCP - birth control pills
BD - baby dance, intercourse for conception
BFN - big fat negative (pregnancy test)
BFP - big fat positive (pregnancy test)
CD - cycle day (menstrual)
CM - cervical mucus, normal vaginal discharge
CP - cervical position
DPO - days past ovulation
EWCM - egg white cervical mucus, the most fertile type
FMU - first morning urine (best sample for a pregnancy test)
HPT - home pregnancy test
LP - luteal phase, the time from ovulation to menstruation, usually 14 days
LPD - luteal phase defect, an LP of less than 10 days
m/c - miscarriage
O - ovulation
OPK - ovulation predictor kit/test
PG - pregnant
POAS - pee on a stick, take a pregnancy test
More abbreviations http://parenting.ivillage.com/ttc/0,,435c,00.html

When will I get my periods back? What factors influence that?
On average, nursing moms will have their first post partum period around the 16 month mark. However, a few women will get their cycles back either much earlier or much later than this. Both cases are normal. Exclusive breastfeeding (no bottle, pacifiers, finger sucking, solids) offers 98% birth control for the first 6 months. The likelihood of pregnancy occurring increases once supplemental feedings or pacifiers are added. The chances of ovulation will also improve with night weaning, or if the baby is regularly going 4 hours without suckling at the breast. Even when your menstrual cycles return, there may be high levels of prolactin (a hormone present during breastfeeding) in your body. Prolactin suppresses ovulation and causes luteal phase defects, which can also hinder conception. Some women ovulate about 2 weeks prior to their first period. However, it's also common to be anovulatory for the first few cycles. For a more detailed explanation of how a nursing mother returns to full fertility, read
Breastfeeding and Fertility By Kelly Bonyata, BS, IBCLC
http://www.kellymom.com/bf/normal/fertility.html#transition .

Is there anything I can do to get my fertility back sooner?
Here are some things to try:
Night weaning.
Switching up your usual nursing schedule.
Regularly going more than 4 hours without nursing or occasionally going more than 8 hours without nursing.
The introduction of pacifiers, solids or formula.
Vitex, vitamin B complex, other herbs and diet therapy.
Time alone plays a large roll. Even in some women who choose to wean fully in order to conceive, their ovulation still may not come back for several months. Weaning, will not guarantee a quick return to fertility.
Sleep in darkness. Studies show, women who have carefully reduced night lighting in their bedrooms typically experience improvement in their mucus or temperature patterns (BBT) within one to three cycles. Night darkness can also improve the ambiguous mucus of the breastfeeding mother as well as heavy bleeding, prolonged bleeding or constant spotting. "Fertility, Cycles, and Nutrition" by Marilyn M. Shannon
Low tech ways to help you conceive:
http://www.fertilityplus.org/faq/lowtechfaq.html

Do I have to temp?
Temp taking (basal body temperature) can be helpful for confirming if and when ovulation takes place. However, temping can be unreliable while breastfeeding, especially if you are co-sleeping or night nursing. The fastest and easiest way to track your fertility is to chart your cervical mucus (http://www.billings-centre.ab.ca/ ). During infertile breastfeeding phases, you will experience dry or sticky vaginal discharge day after day. As fertility begins to return ( http://www.kellymom.com/bf/normal/fertility.html#transition) your body will sporadically produce creamy, watery or egg white consistency cervical mucus. A good rule of thumb is to have intercourse on any day where watery or egg white cervical mucus is present. At some point, if conception has not occurred, you may want to start keeping a BBT chart, using OPKs or a saliva scope to help pinpoint if and when you are ovulating and also to help detect a luteal phase defect.
How do I know when I'm ovulating?
Typically, women experience watery, slippery, clear or egg white consistency cervical mucus around the time of ovulation. However, patches of fertile cervical mucus typically appear several times before the first ovulation, in a nursing mother. Simply take note of your cervical mucus when you use the toilet. You may begin to notice clear mucus on your underwear or toilet paper. Track your cervical mucus on a calender.

More help charting cervical mucus:
http://www.fertilityuk.org/nfps25.html#indicatorsoffertilityslug
http://www.billings-centre.ab.ca/
Other indicators of ovulation are:
Cervical Position: Around the time of ovulation, your cervix will be high, very soft and the opening or os will be open in order to allow sperm to enter the uterus. Read more info on checking and charting cervical position here (http://www.sisterzeus.com/cervob.htm)
Tender breasts
Ovulation pain
Increased sexual drive

You may also want to invest in:
OPKs - Ovulation strips are urine tests much like a pregnancy test. They detect lutenizing hormone (LH), which peaks 12-48 hours before ovulation. OPK's are different from pregnancy tests in that you may not use first morning urine (FMU), your urine sample should be concentrated (dark yellow) but taken later in the day. In addition, to reflect a positive on an OPK, the second test line must be as dark or darker than the control line.
Saliva scope - a small microscope that can be purchased online or at most drug stores. Saliva scopes detect the estrogen surge which begins a few days before ovulation and ends a day or two after ovulation. Simply put a drop of saliva on the slide, let it dry and examine it under the microscope. A few days before ovulation, you will begin to see a ferning pattern. The benefit of saliva scopes is that there is nothing more to buy after the initial investment.

I had one AF early on, but haven't had another one in 2 months. What's going on?
It's common for nursing mothers to experience irregular or long cycles at first. It doesn't necessarily mean that you are not ovulating. If you're having a hard time pinpointing ovulation, and you have already tried charting your cervical mucus, you can try other methods of charting and ovulation predicting to help you.
Basal body temperature charting
Ovulation predictor tests
Saliva scope
Fertility Monitors: Cue Fertility Monitor, Clear Blue Fertility Monitor
In addition, you may try to encourage your hormones to regulate:
Herbs like Vitex and red raspberry leaf
A good diet, a prenatal vitamin, flax oil or fish oil, a B complex vitamin
Sleeping in total darkness
Getting 15 minutes of bright sunlight first thing every morning

Will nursing cause me to m/c if I get pg? Is it safe to nurse during pregnancy?
Studies show that nursing during pregnancy is safe. There is a theoretical risk to those women who have had recurrent miscarriages or are at risk for pre term labor. Nursing causes contractions which are smaller than those that occur during sex. It's therefore believed that any woman who has permission from their care provider to have sex, can also breast feed. For more info please read:
A New Look at the Safety
of Breastfeeding During Pregnancy
by Hilary Dervin Flower, MA
http://www.kellymom.com/tandem/articles/bfpregnancy_safety.html

Myths vs Facts:
Breastfeeding During Pregnancy and Tandem Nursing
http://www.kellymom.com/tandem/resources/myth-fact.html
Breastfeeding During Pregnancy LLL
http://www.lalecheleague.org/NB/NBpregnancy.html

NursingTwo.com!
http://www.nursingtwo.com/index.html
How Tandem Nursing
Birthed Me as a Mother of Two
by Hilary Dervin Flower
http://www.nursingtwo.com/articles/tandem_nursing_birth.html

The Medical Stance: Nursing during Pregnancy
http://www.unmc.edu/olson/education/pregbfng.htm
What is vitamin B6 for?
Vitamin B6 is sometimes used to help regulate hormone levels (as well as many other uses). It can be helpful especially in nursing women who tend to have hormone levels, non conducive to conception. Vitamin B6 is generally used to promote ovulation and lengthen the luteal phase (the time from ovulation to menstruation). Luteal phases of less than 10 days are considered too short for conception (luteal phase defect). Vitamin B6 is best absorbed when taken as a B complex. When taken for fertility, doses of 50-200 mg are usually recommended and considered safe.

Are there any other vitamins, foods or herbs that could help me conceive?
Vitex: An herb that is popularly used to restore menstruation and ovulation in breastfeeding women.
Vitex and breastfeeding: http://kellymom.com/herbal/milksupply/herbal-rem_c.html#vitex
More on Vitex:
http://www.health-pages.com/ct/
http://www.naturalfacts.com.au/vitex.html

Prenatal Vitamins: Doctors recommend that women who are TTC begin taking their prenatal vitamins, or other multi vitamins that include 400 mcg of folic acid, at least 3 months before conception. Folic acid is important in the prevention of neural tube defects. It must be taken before conception and during the first 8 weeks of pregnancy to be effective.
Good Diet: Studies show that breastfeeding women with a BMI of 25-30, conceive faster than thinner women.
BMI calculator: http://nhlbisupport.com/bmi/bmicalc.htm
The Infertility Cure: How Nutrition Makes a Difference
http://www.parentsplace.com/fertility/infertility/articles/0,,238716_620943-3,00.html

Red raspberry leaf tea: A nutritious tea containing calcium and other minerals, it is noted for it's toning effects on the uterus and uterine lining, it lengthens the luteal phase, sometimes used during pregnancy to prevent miscarriage, reduce nausea and constipation.
Fertility Blend Tea: studies show this tea which contains Vitex and other nutrients, actually does increase the odds of conception.

Evening Primrose oil, Flax oil, fish oil: provides essential fatty acids, helpful for improving fertility in all couples TTC, may help increase fertile cervical mucus
Green tea, white tea, red tea: provides antioxidants helpful for improving fertility in all couples TTC, may help increase fertile cervical mucus

False Unicorn Root: Uterine tonic, aids fertility in both sexes, also used to prevent miscarriage
Wild Yam - taken in low dosages it is known to increase fertility. Is sometimes used as treatment for a missed period or to correct low progesterone levels in the luteal phase.

More info on herbs for fertility:
http://sdsd.essortment.com/fertilityherbs_rgqs.htm
http://www.tryingtoconceive.com/store/hh.htm
http://www.conceivingconcepts.com/learning/natural/herbs.html
http://members.aol.com/kristachan/fertherbs.htm
http://www.pregnancy-info.net/herbal_supplements.html

Safety of herbs while breastfeeding: http://kellymom.com/herbal/index.html

Will OPKs, and HPT's work on me since I'm bfing?
Breastfeeding does not effect pregnancy tests or ovulation predictor test results. However, due to the nature of fertility while breastfeeding, it is possible to detect several hormone surges on an OPK, before the actual ovulation takes place. It's a good idea to keep having intercourse just in case. Read more FAQs on home pregnancy tests and ovulation tests:

HPT and OPK FAQ:
http://peeonastick.com/
http://www.fertilityplus.org/faq/hpt.html#faq
http://womens-place.com/~NaturalBlessings/uspregtestcomp.html
More HCG levels: HPT test sensitivity:
http://www.bobrow.net/kimberly/birth/hcglevels.html

When can I take an HPT?
A home early home pregnancy test is generally reliable on the day of the missed period. Or 14 days after ovulation. Example: A Dollar Tree cassette HPT detects 20 mIU/ml HCG. According to the chart below, the Dollar Tree test should give accurate results at 13 DPO.
Average HCG levels during early pregnancy:
10 DPO: 10 - 50 mIU/ml HCG
13 DPO: 20 - 100 mIU/ml HCG
16 DPO: 40 - 200 mIU/ml HCG
19 DPO: 80 - 400 mIU/ml HCG
22 DPO: 160-800 mIU/ml HCG

When should we have intercourse?
As a rule, have intercourse every other day or every day if possible while fertile cervical mucus is present. For the best chances of conception, have intercourse the day before O.
Chances of conception chart from:
http://www.epigee.org/guide/infert.html
If you bd 4 days before O =11% chance of conception
bd 3 days before O = 15 %
bd 2 days before O = 20%
bd 1 day before O = 26%
bd day of O = 15 %
bd 1 dpo = 9%
bd 2 dpo = 5%

Other helpful articles and resources
Baby making 101: Your Fertility Cycle
http://parenting.ivillage.com/ttc/ttcsigns/0,,43j1,00.html
Getting Pregnant While Breastfeeding By Hilary Flower, author of
Adventures in Tandem Nursing: Breastfeeding During Pregnancy and Beyond (a great book!):
http://www.nursingtwo.com/resources/ttc-while-bf.html
General TTC questions:
http://www.beyondfertility.com/preconception.htm

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iVillage Member
Registered: 05-04-2008
Wed, 06-04-2008 - 1:02am
bump
iVillage Member
Registered: 01-14-2004
Mon, 06-09-2008 - 7:56pm
Thank you!

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iVillage Member
Registered: 08-16-2004
Tue, 06-10-2008 - 6:38pm
This thing can be found all over the internet now! LOL Oh I'll live on forever in the hearts of those ttc and breastfeeding!

iVillage Member
Registered: 05-04-2008
Wed, 06-11-2008 - 11:55am

LOL !! That is too funny - I guess you will live on in the land of TTC for generations to come!!!

Jasmine`

iVillage Member
Registered: 05-04-2008
Tue, 07-08-2008 - 12:51pm
BUMP
iVillage Member
Registered: 03-17-2006
Tue, 07-08-2008 - 5:55pm
LOVE IT! Thank you!

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iVillage Member
Registered: 05-04-2008
Tue, 07-15-2008 - 2:30am
Bump
iVillage Member
Registered: 07-08-2008
Mon, 07-21-2008 - 8:40pm

WOW!! All the info I've been needing and more! Thanks so much! I've been in this wondering what-if state for a while. One question: Do you know if you can ovulate multiple times without having AF? Could I be ovulating but just not seeing any signs? I've never paid too close attention to mucous or anything, but after reading all this great info, I'll probably start doing that, and more!


Bethann

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iVillage Member
Registered: 05-04-2008
Wed, 07-23-2008 - 3:18am

HI Bethann :) I am glad you found this board and this page !! Both have been very helpful to me in past too!

In answer to your question, you can't be ovulating if you are not seeing AF or pregnant already.....if you are O'ing, one or the other will occur.

Hope that some of the suggestions help you to get things moving and that your charting etc. is successful!

Good luck,
Jasmine
Mom to Declan (3 1/2) and Emmett (11 months)

iVillage Member
Registered: 07-08-2008
Fri, 07-25-2008 - 2:18pm

Hi, Jasmine! Thanks for the reply. So, I have ordered the TCOYF book on Amazon, and it'll be here Monday. Yay! It'll help make some sense of things and I can take it wherever I go. NICE!


I am taking Vitex (2nd day) 20 drops with breakfast and lunch. I'm wondering if I should up it to 3x per day. It's the Wild Oats brand that says 20-60 drops 2-3x per day, and the woman in the store said it would be fine to do the lesser # of drops. (I'm only 110 lbs, and she said it kinda goes by weight. Not that it would hurt to do more, I'm sure.) I realize that my BMI may make it harder to kick-start my cycle, but I eat like a pig, really! I was the same with pg #1, but had been off the pill for over a year. We just decided to let it happen and use no barrier. It was decided that if God wanted us to have a baby, we would. And- BAM! That moment, it happened. Well, it took around 9 months, but you get the picture.


Got a new prenatal, Just Once by Rainbow Light, that is less pills and only once a day than what I was previously taking (or forgetting to take a lot in my case.) This'll be easier to do, bc I'm busy with Levi! I'll still try to remember my Omega 3 pills, though.


Also, it was suggested to try the b-complex after trying this a while. I think she knew I was really trying to save some dough. After buying a book, BBT thermometer (MABIS Healthcare brand from Walmart, hopefully a good one) and a couple other products, it adds up fast! Would you choose a liquid B over the pills also? She suggested it for fast apsorbtion, which I kinda think might be best, too. I just need to be careful of cost, but want the good stuff. Any brand reccomendations would be awesome. I'm tempted to try it all, but Wild Yam is another $10, at least that for the Bs, etc. Yikes!


I called my doula, who is on the Nursing Mother's Council. She suggested accupuncture, which has great success also. The Whole Foods lady suggested reflexology, too. I may look into those soon. I've only been off Nor-QD for 2 weeks or so, though.


K, here is a BIG concern of mine. Sleeping in complete darkness. I do not use nightlites, but my room is practically ALL windows, none of which are covered. We have a beautiful view from the top of the world, and the house is on the market. It would be a shame to cover it, not to mention costly to make it look nice. But when that morning light creeps in, could it be affecting my cycle? I'm sure I get at least 6 hours of complete darkness. Also, I'm assuming the need to be in complete darkness means your WHOLE BODY, right? I entertained the though of getting a sleeping mask, but I don't know if that would trick my woman parts into fertility. Hmmmmm... My room was very dark when I concieved before.


I signed up at FF.com, but don't really get it yet. I tried to put in the date of my last period, but it was in Aug. 2006, which was not an option. I just stuck in 2007. I have an old calendar that can help me I'm sure, but gotta find it. Okay, I'm gonna wrap this long one up! Thanks!

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