1. Conceiving Children © Robert J. Atkins, Ph.D.

3. When am I most fertile?  Fertility peaks around 20 – 24 years

4. How do I know if I am pregnant?  (common during first trimester)  Breast tenderness  Nausea and vomiting  Human Chorionic Gonadotropin (HCG) in blood test Can detect pregnancy one week after conception  Fatigue

5. What are the stages of childbirth?

6. What happens during the first stage of Childbirth (labor)?  “Bloody show”  Uterine contractions  Ruptured amniotic sac (Water breaks)

7. What happens during the second stage of childbirth?  Birth of child

8. What happens during the the third stage of childbirth?  Placenta

9. Do you remember?  When are you most fertile?  How do you know if you are pregnant?  How early can you determine if you are pregnant?  What happens during childbirth? First stage Second stage Third stage

10. When is a Cesarean section performed?  Fetal distress during labor  Feet or bottom presents first

11. What causes male infertility?  50% of infertility = male factors  Smoking  Alcohol abuse  Environmental toxins  Low sperm count  Low sperm motility  STD’s  Blocked tubes

12. What causes female infertility?  50% of infertility = female factors  Lack of ovulation  Blocked tubes  STD’s

13. Do you remember?  When is a cesarean section performed?  What causes male infertility?  What causes female infertility?  What are common causes for both sexes?

14. What treatments are there for infertility?  Artificial insemination Semen introduced into woman’s vagina,cervix, or uterus  In vitro Fertilization  GIFT (Gamete intrafallopian transfer)  ZIFT (Zygote intrafallopian transfer)  ICSI (Intracytoplasmic sperm injection)

15. Artificial insemination

16. What is In Vitro fertilization?  Fertilizing egg in dish  Placed into uterus

17. What is GIFT? (Gamete intra-fallopian transfer)  Sperm and ova placed directly into fallopian tube

18. What isZIFT? (Zygote intrafallopian transfer)  Egg fertilized in dish  Placed into fallopian tube

19. What is ICSI? (Intracytoplasmic sperm injection)  Single sperm injection  Best when quality or quantity of semen is poor

20. Do you remember?  What are the treatments for infertility?  What is GIFT, ZIFT, ICSI?  Which one is best when sperm quality or quantity is poor?

21. How does pregnancy effect my sex life?  Sexual interest progressively declines over the nine months  Sexual activity and orgasm may continue as desired until labor begins  Can resume intercourse 6-8 weeks after delivery

22. Do you remember?  What happens to sexual interest over the 9 months of pregnancy?  How long can you continue sexual activity during pregnancy?  When can you resume intercourse after delivery?