WOMENS-HEALTH Messages for December, 2001: Re: mittelschmerz and timing intercourse

Re: mittelschmerz and timing intercourse

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 30 Dec 2001 15:03:59 -0600 (CST)

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In reply to: Florence: "mittelschmerz and timing intercourse"

As in the archives (many, many times) the answer is that intercourse up to 5 days prior to ovulation can result in pregnancy. The closer to ovulation, the more likely conception. Mittleschmerz usually correlates well to ovulation in most women.

Hope this helps and write back anytime for more information.

Dr. M

At Sun, 30 Dec 2001, Florence wrote: >
>If one feels ovulatory pain distinctly at day 14 of a regular 28-day
>cycle, when is the optimum time to have intercourse? I know the safe
>strategy is to have intercourse days 10-20 of a regular cycle, that an
>ovum lasts 24 hours and sperm a few days, but I wondered if we
>understand the timing of the ovulation/conception process any better
>than that.
>
>Lennart Nilsson's A Child is Born, indicates that mittelschmerz "makes
>it easier for the woman to calculate the most propitious time for
>conception." But I haven't read anywhere that says how long precisely it
>takes the ovum to get from the point of release to the inside of the
>fallopian tube and to lose the cover of nutrient cells around it so it
>is ready to meet the sperm.
>
>I've read that mittelschmerz marks the release of the follicle from the
>ovary. But mittelschmerz may last 12 hours or more and ovulation takes
>a matter of minutes. Does the release of the ovum happen at the peak of
>the bell-curve of ovulatory pain? If the pain is caused by fluid
>irritating the peritoneum (and not pain from swelling and eruption of
>the follicle itself) then one would think ovulation has already happened
>at the first sign of mittelschmerz. Mittelschmerz feels to me like my
>ovary is swollen, hot and about to burst...how sure are we that the pain
>isn't the follicle itself rather than secondary to the bursting?
>
>Also, do we know when the peak of ovulatory mucous happens compared to
>the actual moment of ovulation and/or mittelschmerz?
>
>Thanks!

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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Next message: Amy: "[Birth Control] Pregnancy after a tubaligation"
Previous message: Harvey S. Marchbein, M.D.: "Re: Dr's how long do you rec'd stay in clomid?"
In reply to: Florence: "mittelschmerz and timing intercourse"

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