Timed intercourse for couples trying to conceive

Manders, Marlies; McLindon, Luke; Schulze, Brittany; Beckmann, Michael; Kremer, J.A.M.; Farquhar, Cindy

doi:10.1002/14651858.cd011345.pub2

Cited by 37 publications

(27 citation statements)

References 29 publications

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“…Presence of conflicts within the couple, a stable relationship without cohabitation, and the habit of engaging in intercourse to please the partner showed a detrimental effect on overall sexual function; on the other hand, frequency of intercourse, attempts to conceive and/or fertility oriented sexual activities were positively associated with FSFI. This last finding is partially in contrast with previous studies reporting that timed intercourse, besides not being proven to increase pregnancy rates (Manders et al, 2015), is associated with stress and anxiety that may exacerbate or cause sexual problems (Bodenmann et al, 2006;Byun et al, 2013). It could be speculated that, while the pressure from performing on cue easily troubles men, their partners' enthusiasm for a desired pregnancy is likely to prevail over that stress.…”

Section: Discussioncontrasting

confidence: 57%

Which are the male factors associated with female sexual dysfunction (FSD)?

et al. 2016

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SUMMARYIt has been generally assumed that partner's erectile dysfunction, premature, and delayed ejaculation play a significant role in determining female sexual dysfunction (FSD). This study aimed to evaluate the role of the male partner's sexual function, as perceived by women, in determining FSD. A consecutive series of 156 heterosexual women consulting our clinic for FSD was retrospectively studied. All patients underwent a structured interview and completed the Female Sexual Function Index (FSFI). FSFI total score decreased as a function of partner's age, conflicts within the couple, relationship without cohabitation and the habit of engaging in intercourse to please the partner; FSFI total score increased as a function of frequency of intercourse, attempts to conceive and fertility-focused intercourse. FSFI total score showed a negative, stepwise correlation with partner's perceived hypoactive sexual desire (HSD) (r = À0.327; p < 0.0001), whereas no significant correlation was found between FSFI and erectile dysfunction, premature and delayed ejaculation. In an age-adjusted model, partner's HSD was negatively related to FSFI total score (Wald = 9.196, p = 0.002), arousal (Wald = 7.893, p = 0.005), lubrication (Wald = 5.042, p = 0.025), orgasm (Wald = 9.293, p = 0.002), satisfaction (Wald = 12.764, p < 0.0001), and pain (Wald = 6.492, p = 0.011) domains. Partner's HSD was also significantly associated with somatized anxiety, low frequency of intercourse, low partner's care for the patient's sexual pleasure, and with a higher frequency of masturbation, even after adjusting for age. In patients not reporting any reduction in libido, FSFI total score was significantly lower when their partner's libido was low (p = 0.041); the correlation disappeared if the patient also experienced HSD.In conclusion, the presence of erectile dysfunction, premature, and delayed ejaculation of the partner may not act as a primary contributing factor to FSD, as determined by FSFI scores; conversely, women's sexuality seems to be mostly impaired by the perceived reduction in their partner's sexual interest.

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Section: Discussioncontrasting

confidence: 57%

Which are the male factors associated with female sexual dysfunction (FSD)?

et al. 2016

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“…Because a positive urinary LH test precedes ovulation, it is theoretically helpful for timed intercourse or intrauterine insemination because the clinical pregnancy rate after a single incident of intercourse is highest from a point 2 days before ovulation to the day of ovulation . In a study mainly focused on the psychological stress in women using a urinary LH kit, a trend toward increased self‐reported pregnancy rate can be seen, but this result did not reach statistical significance (the odds of pregnancy rate in the study group were 1.77 (95% CI: 0.9992, 3.1585) compared with the control group) . A 2015 Cochrane review concluded that timed intercourse using urinary hormone monitoring was associated with an increased pregnancy rate (RR 1.36, 95% CI 1.06–1.73, 3 RCTs, n = 1,370) .…”

Section: Conventional Methodsmentioning

confidence: 95%

“…27 In a study mainly focused on the psychological stress in women using a urinary LH kit, a trend toward increased self-reported pregnancy rate can be seen, but this result did not reach statistical significance (the odds of pregnancy rate in the study group were 1.77 (95% CI: 0.9992, 3.1585) compared with the control group). 28 A 2015 Cochrane review concluded that timed intercourse using urinary hormone monitoring was associated with an increased pregnancy rate (RR 1.36, 95% CI 1.06-1.73, 3 RCTs, n 5 1,370). 29 A promising unpublished study that may provide a better answer to this question is the Oxford Conception Study, which targets conception rate as its primary outcome.…”

mentioning

confidence: 99%

Detection of ovulation, a review of currently available methods

Wei

et al. 2017

Bioengineering & Transla Med

153

111

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The ability to identify the precise time of ovulation is important for women who want to plan conception or practice contraception. Here, we review the current literature on various methods for detecting ovulation including a review of point‐of‐care device technology. We incorporate an examination of methods to detect ovulation that have been developed and practiced for decades and analyze the indications and limitations of each—transvaginal ultrasonography, urinary luteinizing hormone detection, serum progesterone and urinary pregnanediol 3‐glucuronide detection, urinary follicular stimulating hormone detection, basal body temperature monitoring, and cervical mucus and salivary ferning analysis. Some point‐of‐care ovulation detection devices have been developed and commercialized based on these methods, however previous research was limited by small sample size and an inconsistent standard reference to true ovulation.

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“…However, having frequent intercourse might work as well, since some of those frequent acts of intercourse may land on a day in the fertile window. A recent Cochrane systematic review of randomized controlled trials for timing intercourse with and without ovulation prediction suggested that there was insufficient data to conclude the efficacy of the intervention, mainly because of low quality evidence in the studies that have been done to date ( 25 ).…”

Section: Introductionmentioning

confidence: 99%

Achieving Pregnancy Using Primary Care Interventions to Identify the Fertile Window

2018

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ObjectiveTo determine the effectiveness of achieving pregnancy with focused intercourse in the fertile window identified using natural fertility indicators.Methods24-cycle prospective effectiveness study.SettingA North American web-based fertility monitoring service.Participants256 North American women aged 20–43 (mean age 29.2 years) seeking to achieve pregnancy.InterventionParticipants identified their fertile window with either electronic hormonal fertility monitoring or cervical mucus monitoring, or both, and recorded their observations on an online fertility tracking system.Main outcome measuresPregnancies were validated by nurses with an online self-assessed pregnancy evaluation form. Survival analysis was used to determine pregnancy rates.ResultsThere were 150 pregnancies among the 256 participants with an overall pregnancy rate of 78 per 100 women over 12 menstrual cycles. There were 54 pregnancies (68%) among the 80 women using the fertility monitor, 11 pregnancies (46%) among the 24 women using mucus monitoring, and 90 (63%) among the 143 women using both mucus and monitor. The 12-cycle pregnancy rates per 100 women were 83 (monitor group), 72 (mucus group), and 75 (mucus and monitor group). Pregnancy rates reached 100% at 24 cycles of use for those women using the hormonal fertility monitor.ConclusionUse of the hormonal fertility monitor alone seems to offer the best natural estimate of the fertile phase of the menstrual cycle for women wishing to achieve a pregnancy. Focusing intercourse through 24 menstrual cycles can be beneficial for achieving pregnancy.

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Timed intercourse for couples trying to conceive

Cited by 37 publications

References 29 publications

Which are the male factors associated with female sexual dysfunction (FSD)?

Which are the male factors associated with female sexual dysfunction (FSD)?

Detection of ovulation, a review of currently available methods

Achieving Pregnancy Using Primary Care Interventions to Identify the Fertile Window

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