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Timing Intercourse to Achieve (ie, the definition of the fertile window) have only re-
cently become available.2–4
Pregnancy: Current Evidence The purposes of this paper are to discuss new data
regarding the fertile window, to provide an overview of
Joseph B. Stanford, MD, MSPH, the various methods of identifying ovulation and the
George L. White, Jr, PhD, MSPH, and fertile window, including their physiologic basis, advan-
Harry Hatasaka, MD tages, and disadvantages, to summarize the evidence
Health Research Center, Department of Family and Preventive Medicine, and regarding their application for couples trying to achieve
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics pregnancy, and to make a clinical recommendation for
and Gynecology, University of Utah, Salt Lake City, Utah use based on the evidence. Our primary purpose is to
update physicians who are in a position to advise patients
Physicians who counsel women for preconception concerns who desire to conceive. We also discuss the implications
are in an excellent position to give advice to couples regard- of timed intercourse for the identification and definition
ing the optimal timing of intercourse to achieve pregnancy. of infertility, and briefly discuss the important question
The currently available evidence suggests that methods of when further evaluation and treatment for infertility
that prospectively identify the window of fe
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