CHAPTER 12

Your Fertility Planner

OF COURSE YOU CAN GET PREGNANT the old-fashioned way—stop using birth control, have sex whenever, wherever, in whatever position, and wait for that missed period. Or the even more old-fashioned way—dispense with the birth control altogether, and take an “oops” approach to conception. But there’s definitely an upside to planning your conception—actually many upsides. Taking charge of your fertility planning gives you the opportunity to get your body, your spouse’s body, and your life in tip-top baby-making shape before your conception campaign begins—and gives you a chance to stack the cards in favor of a speedier conception, a safer and more comfortable pregnancy, and a healthier baby. Plus, it gives you an opportunity to put that multitasking control freak in you (yes, you) to work on one of life’s most satisfying projects: baby making. Let the planning begin.

Countdown to Conception

You can never be fully prepared for becoming a parent, or even for becoming pregnant. But when time is on your side (you’re just starting to think about taking the baby plunge), it makes sense to put those pre-baby-making months to the most productive possible use.

The following schedule is a general guide to conception prep (there may be other items you’ll have to add to your specific plan). Don’t stress too much about the exact time frame—more important right now is getting most (if not all) of the items on the agenda crossed off your to-do list before you get cracking on conception.

Another consideration as you count down to conception—just how much to-doing you’ve got to get done (for instance, if you have a hefty number of pounds to lose, you’ll want to get an earlier start on weight loss; if you know that you’ll never be able to quit cigarettes in 3 months, make 6 months your goal). Yet another consideration: your own time frame for getting pregnant. If you want to get busier sooner rather than later, skip right to the 3-month plan.

Six to Twelve Months Out


FOR HER:

image Evaluate your weight and BMI. If you have a lot to lose, start a healthy balanced weight loss program now. If you’re significantly underweight, start eating with an eye on moving those numbers up (and if you have an eating disorder, get treatment now).

image Start taking a daily prenatal vitamin, if you want. It’s not considered a must-do until 3 months out, but it’s never too early to start catching up on any nutritional deficits. Plus, some research indicates that taking prenatals for a year before conception may reduce the risk for preterm delivery.

image If you have substantial problems with your gums and/or teeth, or you suspect you might, get busy having any necessary dental work done.

image If you have any chronic medical conditions, take steps to get them under control.

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FOR HIM:

image Evaluate your BMI. If you have a lot of weight to lose, start a healthy balanced weight-loss program now.

image If you have any chronic medical conditions, take steps to get them under control.

NOTES: _______________________________________

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Three Months Out


FOR HER:

image Evaluate your weight and BMI. If it needs a little adjusting (up or down), start a healthy balanced weight-loss (or -gain) program now.

image Take a look at your eating habits and if they’re not up to prepregnancy par, ease into a healthy eating plan with baby making in mind.

image Start taking a daily prenatal vitamin, if you haven’t already.

image Cut out smoking. If quitting cold turkey will be too tough, use the next 3 months to cut back slowly until you’re nicotine free.

image Begin weaning yourself off prescription and over-the-counter medications (under your doctor’s guidance) that are not conception compatible and substituting those that are.

image Ditch hormonal birth control (the Pill, patch, ring) and use only barrier methods for now (condom, diaphragm, spermicides).

image Stop using recreational drugs. If you need help quitting, seek it now.

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FOR HIM:

image Evaluate your weight and BMI. If you could drop a few pounds, now’s the time to start a healthy balanced weight-loss program. If you’re too thin, consider beefing up a bit.

image Take a look at your eating habits. If there’s room for improvement, now’s a great time to start eating with fertility optimizing in mind.

image Take a multivitamin to make sure your body is well stocked for optimal sperm production.

image Cut out smoking. If quitting cold turkey will be too tough, use the next 3 months to cut back slowly until you’re nicotine free.

image Take stock of your medicine cabinet. With your doctor’s help, begin substituting medications that are compatible with baby making for those that aren’t.

image Stop using recreational drugs. If you need help quitting, seek it now.

NOTES: _______________________________________

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Two Months Out


FOR HER:

image See your doctor and/or ob-gyn or midwife for a top-to-bottom checkup to make sure all systems are ready for baby making.

image Get a dental checkup and cleaning, if you haven’t recently.

image Begin (or continue) a moderate exercise program (aim for 30 minutes each day).

image Start to limit the amount of caffeine you get each day (goal: no more than 200 mg, or 2 cups, a day).

image Stop dieting for weight loss and continue eating balanced healthy foods that will maintain your loss.

image Take a good look at your environment at work. If any occupational hazards might be a problem when trying to conceive (or during pregnancy), find ways to limit your exposure.

image Begin charting your basal body temperature (BBT) and your cervical mucus (CM) changes. Mark down any other cycle changes and ovulation signs you notice so you’ll be able to pinpoint ovulation.

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FOR HIM:

image See your doctor for a full-body checkup. Be sure to let him or her know you’re about to start trying for a family and ask if any special tests or exams might be important now.

image Evaluate your work environment. If you’re exposed to any hazards that may harm your fertility or the health of your sperm, find ways to limit exposure for now.

image Keep cool by staying out of hot tubs, hot baths, and saunas. Treat your laptop as a desktop and keep your cell phone out of your pants pocket.

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One Month Out


FOR HER:

image Start reducing your alcohol intake with the aim of cutting it out altogether once you start trying to conceive.

image Make sure your finances are in order, including your insurance policies and will.

image Learn ways to relax and try to avoid stressful situations starting now
(as best you can).

image Continue tracking your BBT, your CM changes, and other ovulation signs.

image Don’t forget that daily vitamin.

image Think happy baby thoughts!

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FOR HIM:

image Cut back on alcohol for now to keep your sperm production high and in good baby-making shape.

image Cut back on overly strenuous exercise routines (especially heavy-duty bicycling).

image Make sure your finances are in order, including your insurance policies and will.

image Learn ways to relax and try to avoid stressful situations starting now (as best you can).

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GO! Now that you’re ready to go, make sure to have sex around ovulation each month, keeping in mind that it could take as long as a year of trying before the right sperm and egg get together.

Food Diary

Keep track of your meals and snacks for one week so you can get a clear picture of how you eat and whether you need to do a little preconception diet tweaking.

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Health History


When you go for your preconception checkup (which you definitely should), your practitioner will ask you lots of questions about your medical and gynecological health, and will also do some digging into your lifestyle (and your partner’s health and lifestyle, too). To be sure you’re armed with all the info you’ll be asked for, do your homework before the appointment and bring the answers to these routine questions with you.

Your General Health

Age _______ Weight _______ BMI _______ Blood type _______

Chronic conditions

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Medications you take regularly (prescription and over-the-counter)

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Allergies (including food allergies)

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Previous surgeries

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Have you had or been vaccinated for:

Measles _____ Mumps _____ Rubella _____ Chicken Pox _____

Date of your last Td or Tdap booster _________________________

Do you have a history of depression?

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Are you currently being treated for depression? How?

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Other general health issues

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NOTES: _______________________________________

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Your Gynecological History

Date of your last menstrual period ___________________________

Average length of your cycles ______________________________

Date of last Pap smear and results ___________________________

Date(s) of any abnormal Pap smears and treatment you have received

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Birth control use _________________________________________

Do you know if you have fibroids? __________________________

What symptoms, if any, do you have? ________________________

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Do you know if you have endometriosis? ______________________

What symptoms do you have? ______________________________

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Do you have any other gynecological conditions? _______________

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Have you ever had a sexually transmitted disease? ______________

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NOTES: _______________________________________

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Your Reproductive History

Have you ever had any fertility issues? ________________________

Number of previous pregnancies ______ Ages of children ________

Have you ever had a miscarriage?____________________________

How many? _________________ When? _____________________

How far along was the pregnancy? ___________________________

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Have you ever had an ectopic pregnancy? _______ When? ________

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Have you ever had an abortion? _________ How many? __________

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Have you ever had a stillbirth? ______________________________

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Were there any complications during your pregnancies? __________

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Were there any delivery complications? _______________________

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Were the deliveries vaginal or via C-section? ___________________

Did you ever have any postpartum complications? _______________

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NOTES: _______________________________________

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Your Lifestyle

Do you smoke? _____ How much? __________________________

Do you drink alcohol? _______ How much? ___________________

Do you use any recreational drugs (cocaine, marijuana)? _________

How much caffeinated coffee, tea, or soda do you drink? _________

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How would you describe your eating habits? ___________________

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Typical breakfast: ________________________________________

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Typical lunch: ___________________________________________

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Typical dinner: __________________________________________

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Typical snacks: __________________________________________

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Do you exercise? ____ What type(s) of exercise, and how often? ___

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Do you take vitamins or any herbal preparations? __ If so, what kinds? __

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Do you use acne medications? ______ If yes, what kind? _________

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Are you exposed to any environmental hazards at work or at home? _

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Are you under any excessive emotional stress? _________________

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NOTES: _______________________________________

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Your Partner’s Health and Lifestyle

Age ____ Height ____ Weight ____ BMI ____ Blood type ____

Chronic conditions _______________________________________

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Other general health issues _______________________________________________________

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Medications he takes regularly _______________________________________________________

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Vitamins and supplements he takes regularly ___________________

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Does he smoke? ________________ How much? _______________

Does he drink alcohol? ____________ How much? _____________

Does he use recreational drugs? _____________________________

Does he exercise? _______ What type(s) and how often? _________

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Is he exposed to environmental hazards at work or at home? _______

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NOTES: _______________________________________

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Your Family History

Your ethnicity _______________________________

Your partner’s ethnicity _____________________

NOTES: _______________________________________

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Have you, your partner, or anyone in your family or your partner’s family had:

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Questions You May Have

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Additional Questions or Notes

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Tracking Your Cycle


Ready to keep an eye on the calendar? Using this month-at-a-glance calendar (or any calendar you choose), fill in the appropriate dates and then circle the first day of each monthly period. After a few months, you’ll be able to determine your natural cycle length. Count back 12 to 16 days each month to get an idea of when you likely ovulated during the previous cycle. This will help narrow down when you’ll likely be ovulating next cycle, and when you should schedule in sex. Shade those fertile days to keep track.

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Your Fertility Charts


This all-in-one fertility chart will let you keep track of all your ovulation and fertility signs, enabling you to better pinpoint when ovulation is happening (and when you should start getting busy in bed). Begin a few months before you start TTC so you can get a head start. Here’s how to put it all together:

  1. Using a digital basal thermometer, take your temperature each morning before you get out of bed and mark each daily reading on the graph. Connect the dots to help pinpoint ovulation.
  2. In the row marked “Cervical Mucus Consistency,” note the consistency of your CM (dry, sticky, creamy, or slippery) as detailed on page 88 to help identify when you’re most fertile.
  3. You can mark down whether your cervix is opened or closed in the row marked “Cervical Position.”
  4. Fill in the appropriate boxes and corresponding dates in the rows marked “Period/Spotting,” “Miscellaneous,” and “Intercourse.”
  5. Finally, if you’re using any fertility monitors, OPKs, saliva tests, or chloride ion (fertility watch) tests, you can input the results on this chart as well in the appropriate spaces.
  6. If you’ve figured out your ovulation day, circle it.
  7. If you’re taking a home pregnancy test (HPT) this month, input the results in the appropriate boxes.
  8. Record your thoughts and feelings during the charting cycle, and keep track of the time you spend each month relaxing (important when you’re in the baby-making mode).

Fertility Chart

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Fertility Treatment Planner


Do your conception plans need a little push in the right direction from reproductive science? If so, you’re probably going to have a lot more doctor appointments, medications, tests, and other treatments to keep track of. Use this fertility treatment planner to stay on top of it all.

Fertility Tests

Test ___________________________________________________

Date/Place ______________________________________________

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Doctor _________________________________________________

When/Where to call for results ______________________________

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Results _________________________________________________

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Follow-up tests needed, if any _______________________________

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Test ___________________________________________________

Date/Place ______________________________________________

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Doctor _________________________________________________

When/Where to call for results ______________________________

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Results _________________________________________________

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Follow-up tests needed, if any _______________________________

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Test ___________________________________________________

Date/Place ______________________________________________

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Doctor _________________________________________________

When/Where to call for results ______________________________

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Results _________________________________________________

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Follow-up tests needed, if any _______________________________

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Test ___________________________________________________

Date/Place ______________________________________________

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Doctor _________________________________________________

When/Where to call for results ______________________________

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Results _________________________________________________

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Follow-up tests needed, if any _______________________________

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Test ___________________________________________________

Date/Place ______________________________________________

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Doctor _________________________________________________

When/Where to call for results ______________________________

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Results _________________________________________________

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Follow-up tests needed, if any _______________________________

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Fertility Specialist Visits

Date ___________________________________________________

Doctor seen _____________________________________________

Doctor’s recommendations _________________________________

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Date ___________________________________________________

Doctor seen _____________________________________________

Doctor’s recommendations _________________________________

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Doctor’s recommendations _________________________________

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Doctor’s recommendations _________________________________

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Doctor’s recommendations _________________________________

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Doctor’s recommendations _________________________________

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Date ___________________________________________________

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Doctor’s recommendations _________________________________

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Date ___________________________________________________

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Doctor’s recommendations _________________________________

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Fertility Medications

Name of medication/injection _______________________________

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Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

NOTES: _______________________________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

NOTES: _______________________________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

NOTES: _______________________________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

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Name of medication/injection _______________________________

Amount to take ________________ How to take ________________

Time of day _________________ For this long _________________

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Fertility Procedures

Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Procedure ______________________________________________

Date/Place ______________________________________________

Doctor _________________________________________________

Follow-up needed, if any __________________________________

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Contacts


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General Health Physician

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Gynecologist (GYN)

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Obstetrician/Gynecologist (OB/GYN) or Midwife

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Reproductive Endocrinologist (RE)

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Ultrasound Center

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

CAM Therapist

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

CAM Therapist

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Therapist

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

NOTES: _________________________________

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Other Specialist

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Lab

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

Hours ___________________________________________

Pharmacy

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

Hours ___________________________________________

Insurance Company

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

Website

NOTES: _________________________________

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Other Contacts

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

Name ___________________________________________

Address _________________________________________

Telephone _______________________________________

Fax ____________________________________________

E-mail __________________________________________

NOTES: _________________________________

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TTC Glossary


Spend a little time on those TTC message boards, and you’ll soon discover that “TTC” is far from the only acronym used by those who are trying to conceive. Here’s a short—though still pretty long—list of some of the acronyms you may encounter during your conception adventure. You may well come across others–and if you do, you can jot them down here so you can keep them straight:

2WW

Two-Week Wait (until you can take a pregnancy test)

AF

Aunt Flo(w), your period

BBT

Basal Body Temperature

BD

Baby Dance, sex

BFN

Big Fat Negative (pregnancy test result)

BFP

Big Fat Positive (pregnancy test result)

BMS

Baby-Making Sex

CD

Cycle Day

CF

Cervical Fluid

CL

Corpus Luteum

CM

Cervical Mucus

CP

Cervical Position

CY

Cycle

DI

Donor Insemination

DP

“Dancing” Partner; spouse or significant other

DPO

Days Past Ovulation

DTD

Doing The Dance, Sex

EW

Egg White (re: consistency of cervical mucus)

FTTA

Fertile Thoughts To All

FMU

First Morning Urine

hCG

Human Chorionic Gonadotropin (pregnancy hormone)

HPT

Home Pregnancy Test

IF

Infertility

IUI

Intrauterine Insemination

IVF

In Vitro Fertilization

LH

Luteinizing Hormone

LMP

Last Menstrual Period

LP

Luteal Phase

O

Ovulation

OPK

Ovulation Predictor Kit

PCOS

Polycystic Ovarian Syndrome

PG

Pregnancy, pregnant

S/A

Sperm/semen analysis

TTC

Trying To Conceive

Other TTC Terms


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Your TTC Journal


Your feelings may be all over the emotional map while you’re on your TTC journey—excited, hopeful, sometimes frustrated, often a little nervous. Whether you’ve just started out, or you’ve been on the road-to-baby for a while, use these pages to keep track of everything you’re feeling, thinking, stressing about, and dreaming of.

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