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As a couple with a problem getting pregnant, it is of the utmost importance that you fully understand what it takes to achieve a conception.

At the time of ovulation, the fallopian tube will pick up the new egg after it burst out of the ovarian wall. Within seconds, the fimbria (the end of the fallopian tube) will snatch the egg up and draw it inside the tube. If an is not fertilised it will only remain alive for a maximum of twenty four hours after which it dies and is absorbed by the body, or it disintegrates and comes out with the flow of the menstrual period. To put it in perspective, the size of the egg is about as big as a full stop – like this one.

If on the other hand an egg does get fertilised it happens within a couple of hours after ovulation, and will happen while the egg is in the fallopian tube. Contrary to popular belief, fertilisation does not take place in the uterus. It can take even a couple of hours for the sperm to reach the egg in the fallopian tubes. Once an egg has been fertilised there are vibrating, tiny hairs called cilia which draw the egg back into the uterus. The fertilised ovum will reach its final destination and begin to burrow into the nutritious lining of the uterus after about one week of \’travelling\’ to reach there.

If you are having a problem getting pregnant, it is important to remember that conception requires three things to take place: the sperm, the egg and most importantly a conduit for the egg and sperm to travel safely in the hostile vaginal environment.

This medium which affords safe passage to the sperm and egg is an eggwhite-like cervical fluid which is especially fertile. This fertile fluid will afford the fragile sperm safety whilst it travels to the cervix and the waiting egg. This amazing fertile mucus is produced with rising levels of oestrogen in the first part of the cycle, and is at its best at the time of ovulation. In this type of cervical fluid, sperm can survive inside for up to five days – so it is entirely possible to have intercourse at the beginning of the week, and not become pregnant till the end of the week!

As it would be a total disaster for a pregnant body if the lining of the uterus were to disintegrate as it usually does in normal cycles, the body does an amazing trick and stops this from happening. The body will start to produce a hormone called Human Chorionic Gonadotropin (HCG) when a fertilised egg burrows into the uterus, which stops the lining from being discarded. It does this by sending a message to the \’corpus luteum\’ or the nourishing lining, and tells it to remain alive. The corpus luteum will continue to maintain itself for a couple of months till the placenta is ready to take over and the placenta will then maintain the lining as well as provide oxygen and nourishment to the growing foetus.

If you have ever received a false negative pregnancy test then it is because the test has been done too soon – these tests measure HCG in the blood or urine, and as it can sometimes take so long for an egg to burrow and start releasing the hormone, then the test will come back negative. If a woman is charting her cycle, and even charting her cervical fluids, then these kind of false-negative results are unlikely to occur, because she will know the rhythm of ovulation, and therefore will know more accurately when implantation has occurred.

Couples with a problem getting pregnant need to fully understand the ins and outs of what it takes to achieve conception, because contrary to what we are all told as teenagers, sometimes it is not so easy to become pregnant.

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