Emma and Daniels* TTC Journey

Emma and Daniel had been trying to conceive for 18 months with no success. After learning about their fertility, they realised that they were not having sex at the right time. Read on to see how long it took them to get their BFP after learning about Fertility Awareness

Emma and Daniel (not their real names) first made contact with me via email. They informed me that they had been trying for a baby for eighteen months and were keen to have the support of a Natural Fertility educator to learn the symptom-thermal method in the hopes of achieving conception.

Eighteen months is a long time when you’re measuring your life in two-week increments. Waiting for that window of fertility, ovulation test strips, hoping your period doesn’t arrive. Long enough for baby showers to sting and frustration with repeating “We’ve been trying…” when friends and family asked when a baby might be on the horizon.

Emma and Daniel appeared to be the picture of health. Early thirties. Non-smokers, non-drinkers. Both were keen runners and enjoyed long walks in the weekend. Both had a diet that would impress most dietitians. They had done all the “right” things.

Their GP had completed standard preconception tests. Emma had regular cycles, around 29–30 days, and had never used hormonal contraceptives. No obvious red flags. No diagnosis.

Daniel did most of the talking at first. “We don’t know what we’re missing,” he said. “We’ve religiously tracked Emma’s cycle with an app. We’ve timed intercourse. We’ve relaxed. We’ve not relaxed…. and still nothing.”

As an NFNZ educator, the first appointment is in depth and includes education. Understanding the physiology of the female and male reproductive system is taught and often surprises people when informed that ovulation does not always occur on Day 14 of their cycle. Most people (and apps) go by ovulation as occurring on Day 14. Emma agreed “My app always says Day 14 or 15.” However, what is misunderstood is that apps can only predict, not know for sure.

Introducing Emma and Daniel to the cornerstone of the sympto-thermal method fascinated them both. The art of observing cervical mucus and charting basal body temperature (BBT) as a window into physiology.

We talked about oestrogen rising before ovulation, stimulating fertile cervical mucus — clear, stretchy, slippery, often compared to raw egg white. We talked about progesterone rising after ovulation and an increase in resting body temperature. We discussed how ovulation can only be confirmed retrospectively by a sustained temperature shift.

Emma was perplexed “So the fertile window isn’t fixed?”

They looked at each other. Emma put her face in her hands “I usually start noticing that slippery mucus you have just described around day 17 of my cycle. But the app says I’ve already ovulated by then.”

I paused and asked “when do you usually time intercourse?”

“Days 8, 10 and 12 –  that’s what we were told the best timing for conception was” Emma replied.

There it was.

We decided on a simple plan for the next few months: no drastic dietary overhauls, no ovulation strip testing. Just meticulous observation. Emma would take her temperature first thing every morning before getting out of bed, at roughly the same time, using a basal thermometer. She would record cervical mucus daily. Together, we would identify the temperature shift.

The first cycle of charting was illuminating. Ovulation had likely occurred around Day 18.

They had been stopping intercourse just as her fertile window was beginning.

When Emma came back in with her first chart, she stared at it as though it were a map she’d never known existed. “I’ve been ovulating almost a week later than I thought – we have been missing it.” Not because they were infertile and not due to hidden pathology. Simply put –  because prediction is not the same as observation.

Over the next two cycles, the pattern repeated. Ovulation between Day 17 and 18. A consistent, healthy luteal phase. Clear temperature shift an fertile mucus beforehand. Physiologically, everything was as it should be.

Emma and Daniel adjusted their timing. Rather than aiming for a specific calendar date, they were using signs of fertility as taught to achieve conception. Instead of guessing, they were responding. Instead of feeling betrayed, they were collaborating with the information that Emma’s body was showing.

On the third cycle of charting, Emma emailed me before our scheduled appointment.

“Can we move our session? I think I might be pregnant.”

We looked over her chart together. Her temperature had remained elevated. I encouraged her to take a pregnancy test.

Positive.

It would be tempting to frame their story as a coincidence or just good luck, or just taking the time to relax. However, the truth is quieter, and in many ways more empowering. The issue was not infertility in the clinical sense, but misaligned timing — a fertile window consistently missed because it did not conform to a textbook Day 14.

What struck me most about Emma and Daniel was not just that they conceived within three cycles of learning the sympto-thermal method. It was the transformation in their relationship to Emma’s cycle.

Emma had previously experienced her period as something that arrived, often unwelcome, marking another failed attempt. After charting, her cycle became data, feedback, communication. She could confirm ovulation rather than assume it.

Knowledge replaced guesswork.

At her twelve-week mark, she sent a photo of a small ultrasound printout. A flickering heartbeat captured in grainy black and white.

As an NFNZ Accredited educator, it is success stories, such as Emma and Daniels, which makes our role so rewarding.

For many couples on their conception journey, there is profound relief in discovering that nothing is fundamentally wrong. Sometimes, the missing piece is not a medication or procedure, but understanding of physiology. The menstrual cycle is not a rigid 28-day template; it is a dynamic, responsive process. Ovulation can shift with stress, travel, illness, or simply natural variation in follicular development.

It is about body literacy.

When NFNZ Accredited educators teach women and couples to recognise their own UNIQUE signs of fertility, we hand back a form of autonomy that has been largely outsourced to algorithms.

Three months after beginning charting, they conceived. Eighteen months of trying preceded that moment. Both parts of the story matter.

To end the story of Emma and Daniel on their journey through learning the sympto-thermal method, to a successful conception, I’m delighted to share that I get to walk alongside them on their journey into parenthood as their midwife as they prepare to welcome their baby any day now!

Fertility Checklist

If you’re not sure where to start, we have you covered with our Fertility Checklist.



If you are ready to take the next step, reach out to one of our Fertility Educators.

Preconception Care

Congratulations! You’ve decided you want to get pregnant, this choice being the first exciting step in your journey. The next step could be schooling yourself on preconception care to optimise conception and your pregnancy experience. Let me help with that side of things.

Congratulations! You’ve decided you want to get pregnant, this choice being the first exciting step in your journey. The next step could be schooling yourself on preconception care to optimise conception and your pregnancy experience. Let me help with that side of things.

Preconception care is the time before pregnancy where you and your partner take extra care with your body and mind for at least 3-4months before you start trying to conceive. 3-4months is the time it takes for both sperm and eggs to fully mature, and the time in which you can have a positive effect on this process. Research shows preconception care can play a role in the health of the mother and baby. If we can influence that, surely, it’s worth putting effort into trying!

  • Booking an appointment with your GP and letting them know you want to get pregnant. They will request bloods to assess things like rubella immunity, and prescribe supplemental folic acid and iodine.
  • Folic acid is important to reduce the risk of neural tube defects. Recommended to take 4x weeks before pregnancy and up to 12x weeks into your pregnancy.
  • Iodine is important for your baby’s brain development and growth. Taken the duration of pregnancy.
  • A cervical smear and STI check may be important if you haven’t done one before, or haven’t done one since being with your current partner. Some STIs can affect fertility.
  • Look for a Natural Fertility Educator so you may learn about your unique menstrual cycle and when is the most optimal timing to try for pregnancy. We teach you how to track your cycle using the Sympto-Thermal Method (STM). You may be surprised to learn that you actually can’t get pregnant any old day, like we believed at high school! PS: These appointments are for both you and your partner, their health is equally as important as yours when trying to conceive.
  • Once you have knowledge on your unique cycle, referrals may be necessary for further investigation. We learn a lot about your general health and importantly, your hormones, just by tracking your cycle. Fascinating stuff.

Are you ready to learn about your fertility? Find your fabulous NFNZ practitioner here.

  • Smoking and vaping
  • Recreational drug use
  • The Ministry of Health NZ recommends both partners do not drink alcohol when trying to conceive. Alcohol can harm your baby and increase the risk of miscarriage. It may affect the health of sperm and quantity aswell.
  • Check you and your partner’s diet. Are you getting enough protein? Healthy fats? Are you eating enough for your daily energy requirements? Are you eating foods that have a negative effect on your mood and energy? Do you drink many caffeinated beverages? You can always book an appt with an allied health professional such as a nutritionist or naturopath for care in this area. If you are lacking nutrients this may undermine your fertility.
  • How is your and your partners lifestyle? Are you moving your body regularly? Are you getting adequate sleep? What are your stress levels like?
  • What is you and your partners work environment like? If you work with dangerous substances, you must ensure you are wearing the appropriate protective clothing at all times.
  • Are you or your partner taking any medications? Some medications can impact fertility.

This has been a sneak preview into what your preconception journey may look like. Hopefully it’s been a motivating read and you are excited to take ownership of this role you play. Good luck!

Fertility Checklist

If you’re not sure where to start, we have you covered with our Fertility Checklist.



If you are ready to take the next step, reach out to one of our Fertility Educators.

Shorten the time to Conception with Fertility Awareness

Knowing when you and your partner are fertile can help you to get pregnant faster. How? Well it all comes down to having an understanding of your personal fertility:

Knowing when you and your partner are fertile can help you to get pregnant faster. How? Well it all comes down to having an understanding of your personal fertility:

  • When your fertility starts each cycle
  • When you ovulate
  • When fertility ends
  • The time from ovulation until the end of your cycle

Once you know how to identify the start and end of your fertility, there is no more guesswork! No more hard to decipher LH strips, and no more dollars spent on pregnancy tests taken too early.

After you have a few cycles worth of records, you may be able to identify an issue that could be preventing you from getting pregnant, which could mean that you get the help you need sooner.

Females are not fertile for their entire cycle, ‘Combined Fertility’ is what we call the time in the menstrual cycle where sexual intercourse can result in a pregnancy. Combined because it takes 2 to make a baby, and we support couples to both learn and apply this understanding to their fertility journey. This turns it into a joint process, which can help to alleviate stress.

The perfect 28 day cycle, with ovulation at day 14 is not that common, so if you are focusing your baby making sex around this time – you could be missing the egg entirely. Fertility Awareness will help you to recognise when your fertility starts, and how to identify your peak fertile days.

The second half of your menstrual cycle (the luteal phase) is usually the same length every cycle, a normal luteal length is around 12 – 16 days. If your luteal length is shorter, and you are not breastfeeding, then you may need some extra support. If you are practicing fertility awareness, and your luteal length is 18 days or longer, this technically confirms that you are pregnant – this is the best time to go get that pregnancy test!

Getting healthy for pregnancy is sometimes an afterthought, or something that happens once you have found out that you’re pregnant. However there is plenty of research to show that if both partners are in good health before they start trying, falling pregnant is easier, the pregnancy has less complications, and baby is healthy and happy.

Get Fertility Fit

Learning Fertility Awareness also goes hand in hand with embarking on a preconception plan that can get you both in tip top shape for a healthy pregnancy and baby.

If you’ve just found out that you are pregnant and have not been taking folic acid, schedule an appt with your GP and / or pop into your local healthshop or pharmacy to get some to get you started.

If you’re not sure where to start, download our Fertility Checklist.

It can take the average couple up to a year to conceive, which is sometimes a surprise for many to find out – however:

  • If you are under 35 and you haven’t conceived after 1 year of trying (or not preventing), then its time to see your GP for some extra tests.
  • If you are over 35, then its best to seek out help sooner, so make an appointment if you dont conceive in the first 6 months.

This is where fertility awareness can really support you on your fertility journey, as both you and your educator will be able to see if there is something not quite right earlier, and can make the appropriate referral. To understand the process a little better, we have outlined the basic process here.



If you are ready to take the next step, reach out to one of our Fertility Educators.

Can Fertility Awareness help me to get Pregnant?

So you have decided to have a baby – this is an exciting time for you and your partner! Trying to conceive can also be extremely stressful when things don’t go the way that you planned.

So you have decided to have a baby – this is an exciting time for you and your partner! Trying to conceive can also be extremely stressful when things don’t go the way that you planned. Fertility Awareness can help to take some of the stress out for you, by giving you a deep understanding of your fertility, and when to focus your baby making efforts each cycle.

At Natural Fertility NZ, we teach a slightly simpler version of the Sympto-thermal Method (STM) for those who are trying to conceive (TTC). Once you have learnt this, it’s easy to switch to the full STM for avoiding conception. We find that many couples start by learning the STM to avoid conception after coming off hormonal contraception – with the intention of using the method to TTC when they are ready.

Through the process of working with your Fertility Educator, you will be able to:

  • Begin a preconception health plan
  • Identify the start of fertility in any given cycle
  • Know the best times to have intercourse
  • Identify and confirm ovulation
  • Measure the length of your luteal phase
  • Notice if a hormonal imbalance is present

Knowledge is power, and that is especially true when on a ‘to conceive’ journey. The insight you gain through learning fertility awareness will help you to shorten how long it takes to get pregnant.

The simple answer is – Yes! If you have irregular cycles, or have Polycystic Ovarian Syndrome (PCOS), then fertility awareness can help you to conceive.

The main issue with irregular cycles when trying to conceive, is that you don’t know when you are going to ovulate each cycle, as this day will be earlier in some cycles, and later in others. 

It’s a race to catch the egg sometimes, which can leave you feeling frustrated if you have been trying for some months. It is common to rely on ovulation tests, which check for the surge in luteinising hormone just before ovulation – however there are 2 main reasons why these are not recommended:

  • Your body might gear up to ovulate more than one time each cycle, so you may think that you have ovulated and stop trying – and miss the egg!
  • They don’t give you much of a window of opportunity, which can lead to stress, and potentially leading to the sperm not being in the right place at the right time.

Ovulation strips can also become costly if you are experiencing very long cycles.

With fertility awareness you will learn how to identify the start of fertility, and also confirm once ovulation has occurred. It will give you peace of mind, knowing when to have baby making sex, and when you can take it a little easier.

Preconception healthcare is an important part of your journey to become a parent, it helps to prepare healthy sperm and eggs, and also to prepare your body for a healthy pregnancy.

At the very minimum, you need to be taking a folic acid supplement (which can be prescribed by your GP).

There 3 steps that you can take as part of your preconception plan:

  1. Visit your GP – they will run some prenatal blood tests, and prescribe you folic acid and iodine
  2. Self care – looking after your health by not smoking or drinking, and eating a balanced diet
  3. Learning about your fertility 

Many of NFNZ’s Fertility Educators have extensive training in natural healthcare and nutrition, they can support you further with making healthy changes, or they can refer you on.

Choose your Fertility Educator, and make an appointment either in person, on the phone, or online. You will have a total of 3 appointments:

  1. At the first appointment, you will learn how to recognise and record your signs of fertility on a paper chart
  2. At the second appointment, you will learn how to identify when your fertility starts and ends on your first chart
  3. At the third appointment, you will bring your 2nd chart, and your Fertility Educator will make sure you understand how to interpret it.

You will also learn about cervical palpation (checking the cervix) which is an optional extra check, and also preconception healthcare.

It generally takes 6-12 months for the average kiwi couple to conceive, which is not what many people expect when they start their trying to conceive (TTC) journey.

If however you know when your fertility starts and ends each cycle, you are in a much better position for successful conception.

While practicing fertility awareness, along with the support of your Fertility Educator, you will be able to identify if something is not quite right. A report can be prepared for your chosen Health Professional so that further investigations can be made.

  • If you are under 35 and have been trying for 1 year, visit your GP to get a referral for further tests.
  • If you are 35 or over, only wait 6 months before visiting your GP.

Whilst you will be referred to a fertility clinic, it does not mean that you have to go ahead with treatment, but you will have the benefit of getting those extra investigations done which might identify a reason for why it is taking longer for you.

If you are not eligible for a publicly funded referral, the skills that you will have learnt via Fertility Awareness will support you while you get all your other ducks in a row.

Trying to get pregnant can be a real challenge for many, in fact 1 in 4 kiwi couples will have some trouble when trying to conceive. Know that you are not alone in experiencing this (even though it may feel that way!). Fertility NZ is an organisation that offers support to those experiencing all kinds of infertility.

Yes you can, but not the same version that you used when trying to conceive! In the next article, we will look into how you can delay the return to fertility with breastfeeding.

Post-ovulatory ageing of the human oocyte and embryo failure

Post-ovulatory ageing of the human oocyte and embryo failure

Authors: Allen J. Wilcox, Clarice R. Weinberg, Donna D. Baird, Post-ovulatory ageing of the human oocyte and embryo failure, Human Reproduction, Volume 13, Issue 2, 1 February 1998, Pages 394–397, https://doi.org/10.1093/humrep/13.2.394

Abstract

We carried out a prospective study of 221 healthy women who were attempting pregnancy. During the study, women collected daily urine samples and kept daily records of intercourse.

Ovulation and early pregnancy losses were later identified by immunoassays of urinary human chorionic gonadotrophin and steroid metabolites. We have used these data to examine whether the risk of early pregnancy loss was higher with post-ovulatory ageing of the oocyte. 192 pregnancies were ranked by the probability that the oocyte might have aged before fertilization.

There was a statistically significant increase in the risk of early loss as the likelihood of oocyte ageing increased (P < 0.05). No similar risk was observed for clinical miscarriages. Post-ovulatory ageing of the oocyte prior to fertilization may cause early pregnancy failure in humans as it does in several other mammalian species.

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Fertility Awareness in Women Attending a Fertility Clinic

Fertility Awareness in Women Attending a Fertility Clinic

Authors: Blake D, Smith D, Bargiacchi A, France M, Gudex G. Fertility awareness in women attending a fertility clinic. Aust N Z J Obstet Gynaecol. 1997 Aug;37(3):350-2. doi: 10.1111/j.1479-828x.1997.tb02429.x. PMID: 9325525.

Abstract

Eighty women attending for consultation at a tertiary referral fertility unit over a 3-month period were surveyed for their knowledge of fertility awareness and how they used this information to enhance their chances of conception. It was hypothesized that less than 50% of the subjects had an adequate understanding of when the fertile time occurred in their menstrual cycle. A questionnaire was completed anonymously by each subject and these were scored in 3 categories for fertility awareness by 2 independent Natural Family Planning teachers. Scores ranged from 0 for women who had no concept of fertility awareness, to 6 for women who were highly aware. The results showed that 26% (N = 21) of subjects had a score of 4 or greater which was considered as having an adequate understanding. The hypothesis was accepted, giving reason for concern about the effectiveness of consumer education at all levels of fertility investigation.

PIP: Fertility awareness was assessed in a survey of 80 women presenting over a 3-month period to a tertiary referral unit at the National Women’s Hospital in Auckland, New Zealand, for infertility investigation. It was hypothesized that less than 50% of menstruating women with a history of at least 2 years of infertility have an adequate understanding about the fertile time of their menstrual cycle. 60% of women had been trying to conceive for 2-3 years, 23% for 4-5 years, and 17% for more than 6 years. For 58% of clients, this was their first visit to a fertility clinic. 13% had attended a natural family planning (NFP) clinic previously. On the basis of questionnaire responses, participants were graded from 0 to 2 in each of the following 3 categories: 1) level of fertility symptom awareness (cervical mucus and ovulatory pain), 2) level of understanding of what these symptoms mean, and 3) level of use of this information to enhance conception. Only 21 women (26%) had a final score of 4 or greater–a predetermined cut-off considered indicative of adequate fertility awareness. The largest percentage of women (46%) had scores of 0-1. 80% of women with previous NFP instruction had adequate fertility awareness scores. These finding supported the study hypothesis of a generally poor level of fertility awareness among women presenting for treatment of infertility. Greater utilization of NFP clinics by general practitioners and specialists, as well as incorporation of NFP trained nurses into tertiary referral clinics, are recommended.

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