During ovulation, an egg is released from your ovary. It  has a life-span of about 24 to 36 hours from the time it bursts from the ovary. Fertilisation can occur anytime a live sperm meets  with a live egg.

After you stop taking the contraceptive pill, ovulation will begin in the next menstrual cycle. However, if one has been on the contraceptive pill for a long time, it may take a few months for the menstrual cycle to regulate itself.

You may want to wait for about 3 months for your womb to “recuperate” although there is no hard and fast rule that you cannot try to conceive after the first cycle. Another advantage for waiting is for you to grief your loss.

For fertility purposes, please try during your ovulation periods. You can certainly look out for signs of ovulation, i.e. cervical mucus changes to clear and runny, or test the urinary LH to determine the spike in the LH hormones. Ovulation occurs 36 hours after the surge. However, once you see the positive sign, do try on consecutive days to enhance your chances. Try to stay lying down for a while post intercourse to allow the sperm to enter into the uterus. 

If you have been actively trying for six months to a year without success, do consider having a medical review to determine if there are any issues. You may want to book an appointment with a fertility specialist.  The specialist will advise you if there are any fertility issues and suggest the best ways to manage the situation. These can range from simple to more complex means, depending on your status as a couple.

The human sperm travels at 4 millimetres per minute and the average length to the fallopian tube is 175 millimetres, the fastest sperm can reach the egg in close to 45 minutes. When a single sperm successfully penetrates the egg, the egg changes instantaneously so that no other sperm can get in. The egg will be fertilised in about 24 hours as the genetic material in the sperm combines with the genetic material in the egg to create a zygote. If there is no egg present in the fallopian tube, sperm can live up to three days in the right environment, like the uterus and if the woman's ovulation happens within three days after intercourse, she may get pregnant.

Non-subsidised outpatient charges for the first consultation session to see one of our Reproductive Medicine specialists will differ based on the patient’s choice of specialists. During the consultation, the specialist will take a detailed medical history from you and your husband. Investigations and tests will be ordered to check both of your fertility health statuses. Such tests include the hormonal blood profile, full blood count, HSG (an x-ray to assess the uterine cavity and the fallopian tube) and semen analysis.

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Both couple are encouraged to go for the fertility check together. In a private sector, it costs about S$200 to S$300 per couple excluding consultation fees.

Both couple are encouraged to go for the fertility check together. You could  go to the local hospital websites to check for more information. Alternatively, you may want to book an appointment at a fertility clinic in a private practice or government restructured hospital. In a private sector, it costs about S$200 to S$300 per couple excluding consultation fees.

If it is due to a blockage and not due to obstruction then microsurgical aspiration of the testes or epididymis can obtain the semen.

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