ObGyn Intelligence: The Evidence of Women’s Health

ObGyn Intelligence: The Evidence of Women’s Health

By the Numbers

Know Your Numbers, Trust Your Body: The Fertility Edition

When you’re trying to conceive, the details make all the difference

Amos Grünebaum, MD's avatar
Amos Grünebaum, MD
May 09, 2026
∙ Paid

A patient tells me she’s been trying to get pregnant “for a while” and it’s not working.

“How long have you been trying?” I ask.

“I don’t know, maybe six months? Maybe longer?”

“And when do you typically ovulate?”

Blank stare. “I’m not sure. We just... try a lot.”

I hear this constantly. Couples are told to “relax and let it happen,” so they don’t track anything. Then months pass, frustration builds, and when they finally seek help, they can’t answer basic questions about their cycles. We’re starting from scratch when we could have been months ahead.


Your Body Gives You a Fertility Window. Numbers Help You Find It.

Here’s the reality: you can only get pregnant during a narrow window each cycle. An egg lives 12 to 24 hours after ovulation. Sperm can survive up to five days in the reproductive tract. That gives you roughly six days per cycle when pregnancy is possible—the five days before ovulation and the day of ovulation itself.

Miss that window, and it doesn’t matter how often you have sex the rest of the month. Hit it, and your chances go up dramatically.

The problem is that ovulation doesn’t happen on the same day for everyone, and it doesn’t always happen on the same day for you. Tracking helps you find your window instead of guessing at it

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