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Critique of Inaccurate and Poorly Written Fertility Advice - Mr. Rappaport


Question
i don't know whether you are still volunteering or not Mr Rappaport but i sincerely hope you are not.
A lot of your advise on this site isnt only inaccurate but is full of spelling mistakes and bad grammar.

You advised one girl that she could ONLY get pregnant if she had sex the day before or two days after ovulation and that sperm only survives for 12-24 hours. This is in fact incorrect information. For one thing you talk as though the human body is like a machine and that if she has a 28 day cycle she would definately ovulate on day 14. She may not ovulate on this day and still be perfectly normal. Also, sperm can survive for around 3 days.

You also said to her that she may have to regulate her cycle to 28 days in order to conceive! what on earth are you talking about, this is a load of rubbish! 28 days is only an average cycle given by doctors and many women have shorter or longer cycles. How would you suggest she changes her cycle length - has a reproductive system transplant?!

If you are a qualified doctor, goodness knows what university gave you your qualification. You are giving false and dangerous advise and i suggest you stop.

Answer
Current literature shows that sperm can ONLY remain viable for 12-24 hours, while an ovum can remain viable for 24-48 hours. That is why a woman can ONLY conceive if she has intercourse from one day prior to ovulation and up to two days after ovulation.  A cycle is considered normal if there are 21-35 days (from the first day of the menstrual period until the first day of the next menstrual period). However, the luteal phase is almost always 14 days. Therefore, ovulation occurs fourteen days PRIOR TO the first day of the menstrual cycle. This is sometimes difficult to calculate. You do not have to regulate a cycle to exactly 28 days in length in order to conceive. However, if you have irregular cycles  or do not get periods more than 45 days apart, it is almost impossible to calculate the exact day of ovulation, especially if you are trying to conceive. The luteal phase can, indeed, be changed with the use of Clomid or birth control pills for awhile. While many women have cycles that are longer or shorter than 28 days, ovulation always occurs fourteen days prior to the first day of the next period. I have always prided myself on grammatically correct responses since I was a composition major in college and a literature minor. I always proofread my answers and do not know where I made mistakes in grammar or spelling. HOwever, it is of course possible. I have been in practice for 34 years and have been practicing high risk obstetrics during that time. I'm sorry if you disagree with my responses. I would refer you to current literature in reproductive endocrinology.