Directed intercourse
Assisted Reproduction:
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Directed intercourse: An option for couples seeking to conceive
Directed intercourse, also known as timed intercourse, is a low-complexity assisted reproductive technique that seeks to increase the chances of natural pregnancy in heterosexual couples. This technique is based on identifying the most fertile time in a woman's menstrual cycle and scheduling intercourse to coincide with ovulation.
How does it work?
- Menstrual cycle monitoring: A woman should monitor her menstrual cycle, either by measuring basal body temperature, observing cervical mucus or testing for ovulation.
- Determination of the fertile moment: through gynaecological examination, serial transvaginal ultrasound scans to assess endometrial development and follicular growth and ovulation test performed by the patient, the moment with the highest probability of pregnancy in the cycle is determined if we have directed relations.
- Timed intercourse: Unprotected intercourse is recommended during the two days prior to ovulation, the day ovulation is expected to occur, and the days after if possible. Ovulation can be triggered by applying medication to mark the optimal time for intercourse when an adequately sized endometrium and dominant follicle are visualised.
Who are they for?
Targeted sex may be a suitable option for:
- Couples with infertility of mild or no apparent cause.
- Women with regular menstrual cycles.
- Couples who wish to avoid more invasive or expensive assisted reproduction procedures.
Benefits:
- Simple and accessible: It is a method that is easy to perform and does not require complex technology or a lot of medication, sometimes none at all.
- Low cost: Compared to other assisted reproductive techniques, directed intercourse is a cheaper option.
- Non-invasive: It does not involve medical or surgical procedures.
Disadvantages
- Moderate success rates: The chances of pregnancy with directed intercourse are lower than with other assisted reproductive technologies.
- Requires follow-up and commitment: The woman must be committed to monitoring her menstrual cycle and the partner must schedule sex accordingly.
- Not suitable for all cases: Not an option for women with irregular menstrual cycles, ovulation problems or blocked fallopian tubes.
How do they differ from artificial insemination?
The main difference between directed intercourse and artificial insemination lies in the way sperm are deposited in the female reproductive tract. In directed intercourse, the sperm reach the egg naturally after timed intercourse, whereas in artificial insemination, the sperm are washed, processed (capacitated) and introduced into the uterus through a very fine catheter.
Recommendations:
- It is important to consult with an assisted reproductive specialist to determine whether directed intercourse is an appropriate option for the couple.
- The specialist can guide the woman in monitoring her menstrual cycle and provide the necessary instructions for scheduling sexual intercourse.
- It is essential to maintain open and honest communication with the partner throughout the process.
