{"id":4069,"date":"2023-12-07T14:35:15","date_gmt":"2023-12-07T14:35:15","guid":{"rendered":"https:\/\/premom.com\/?p=4069"},"modified":"2023-12-07T14:35:15","modified_gmt":"2023-12-07T14:35:15","slug":"conceive-or-avoid-pregnancy-with-premom-consultant-mikayla-dalton","status":"publish","type":"post","link":"https:\/\/premom.in\/te\/conceive-or-avoid-pregnancy-with-premom-consultant-mikayla-dalton\/","title":{"rendered":"\u0c12\u0c15 \u0c2b\u0c46\u0c30\u0c4d\u0c1f\u0c3f\u0c32\u0c3f\u0c1f\u0c40 \u0c15\u0c28\u0c4d\u0c38\u0c32\u0c4d\u0c1f\u0c46\u0c02\u0c1f\u0c4d \u0c15\u0c3e\u0c28\u0c4d\u0c38\u0c46\u0c2a\u0c4d\u0c37\u0c28\u0c4d \u0c2e\u0c30\u0c3f\u0c2f\u0c41 \u0c17\u0c30\u0c4d\u0c2d\u0c28\u0c3f\u0c30\u0c4b\u0c27\u0c15\u0c02 \u0c17\u0c41\u0c30\u0c3f\u0c02\u0c1a\u0c3f \u0c2a\u0c4d\u0c30\u0c36\u0c4d\u0c28\u0c32\u0c15\u0c41 \u0c38\u0c2e\u0c3e\u0c27\u0c3e\u0c28\u0c2e\u0c3f\u0c38\u0c4d\u0c24\u0c3e\u0c21\u0c41"},"content":{"rendered":"
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Hello, everybody, we are live with Mikayla Dalton, one of the Premom virtual consultants. We\u2019re super excited to have you with us today, Mikayla.  <\/strong>We\u2019re going be talking about trying to conceive and trying to avoid, but most of your questions are about trying to conceive, so we will be focusing on that. But first, can you tell us about yourself? <\/strong><\/p>\n\n\n\n

Thanks, Teri. Okay. First of all to explain my accent, I\u2019m from Australia. But I\u2019ve been living here in Boston, Massachusetts for 11 years now. I have also been working in fertility awareness for about 9, almost 10 years now. . . .\u00a0 That\u2019s a long time!\u00a0 So, my time in the USA and my time in the reproductive area of work have come together, so the two are inevitably linked for me now. <\/p>\n\n\n\n

Nice! And who do you tend to work with? What do you specialize in? <\/strong><\/p>\n\n\n\n

I actually have a lot of postpartum clients. It\u2019s one area where a lot of people feel the need for some expert guidance. So, I\u2019m actually do end up with a lot of postpartum, breastfeeding mamas who are looking for some help in figuring out where their fertility is. But it runs the gamut; I see people who are coming off birth control and wanting to move to a natural option. I see people who are trying to conceive; I work with people who are engaged and planning for the future. Already, I work in all sorts of areas. It\u2019s really diverse and really fun. <\/p>\n\n\n\n

That\u2019s\u00a0really neat. Why did you decide to work with Premom?<\/strong><\/p>\n\n\n\n

Well, I had been looking for a solution to keeping track of my test sticks. The fertility awareness based method that I actually teach incorporates the use of various hormonal at home urine tests. And I was looking for a solution to keeping track of them that didn\u2019t entail taping them onto pieces of paper. And Premom has that wonderful app where you can take pictures of the test and they\u2019re aligned in a neat row and they\u2019re dated. And you can get the test to control line ratio, or your Premom has its own really cool tests where they\u2019ll actually give you a numerical figure. And that was just game changing for me, so then I hopped on board and bought the smart thermometer as well. So, I sync that every morning.\u00a0 I\u2019ve really jumped into that.<\/p>\n\n\n\n

Wonderful. I was poking around in your info a bit and saw that you call yourself a \u201cFemtech geek.\u201d\u00a0 Did I get that right?<\/strong><\/p>\n\n\n\n

Yeah, I am very into Femtech. It\u2019s a little confusing out there. There are so many options. It can be hard to choose what\u2019s right for somebody. But I\u2019m very into modernizing the approach to suit people\u2019s lifestyles now. <\/p>\n\n\n\n

Yeah, the industry has come a long way recently.<\/strong><\/p>\n\n\n\n

Yeah, it sure has. My husband sometimes looks at me a little oddly when I come with all of my gadgets. He\u2019s supportive, but he\u2019s like: \u201cI\u2019m not sure. Is this normal?\u201d<\/p>\n\n\n\n

Yeah, I saw your Borg reference. I loved that.\u00a0Anybody who likes Star Trek . . . check out her Instagram! <\/strong><\/p>\n\n\n\n

I would love for you to talk a little bit about trying to conceive versus trying to avoid, particularly with tracking. I think trying to avoid is a little bit longer, a little bit more complicated. So I\u2019d love to hear your perspective on that.<\/strong><\/p>\n\n\n\n

It is. It\u2019s funny because sometimes you see people who\u2019ve used fertility awareness to conceive successfully. And the idea is that you track your body\u2019s biomarkers, whichever ones you\u2019re using. So, you have the hormone tests like looking for the LH surge. You have cervical mucus, cervical fluid, if you prefer. You have basal body temperature; those are the three main ones \u2014 there are some extras. And then you target the most fertile days to try for a baby. And so the fertile window technically is about six days. So you probably have like six, five to eight days where you\u2019re focusing your attention on making the baby.<\/p>\n\n\n\n

But when you\u2019re avoiding pregnancy, it\u2019s funny, it doesn\u2019t just work to flip it. So, achieving pregnancy, you\u2019re trying to target the very best days, and you have a fairly well defined fertile window for the best days to get pregnant. But in avoiding pregnancy, every method is different. They\u2019ll all have different rules about what tools you\u2019re using, and what approach you take for determining what days are potentially fertile. But you\u2019re looking for all potentially fertile days, not just the very best, most fertile days. Depending on the method, some methods might say that the days of bleeding at the start of your cycle aren\u2019t available, in the sense they are potentially fertile. So, if you want to avoid pregnancy, you would not consider those days safe. Because if you\u2019re relying on a biomarker like cervical mucus and bleeding as obscuring your observations, then you have to assume potential fertility. So you find that window of days that are considered potentially fertile is different between trying to conceive and trying to avoid pregnancy. Because if you\u2019re trying to conceive, you\u2019re probably not trying on the second day of your cycle. But if you\u2019re trying to avoid, you might be like: \u201cWell, this could be potentially fertile.\u201d So we should be aware of that. It\u2019s a really different mindset, a different approach to fertility awareness, and a different mindset and different challenges. Both can be challenging in their own ways. And it\u2019s funny, because you\u2019re using the same set of tools, but for different outcomes. And so it comes with a different set of challenges, and a set of\u00a0approaches.<\/p>\n\n\n\n

And I know you talked about how you love myth busting. So it\u2019s pretty neat. That\u2019s a myth right there. Right? The difference in trying to conceive and trying to avoid when you\u2019re checking. It\u2019s not the same. <\/strong><\/p>\n\n\n\n

Yeah, I see it a lot there. I\u2019ve seen several people become unexpectedly pregnant because they tried to flip what they were doing for trying to conceive \u2014 and were now trying to avoid \u2014 and had intercourse on those same days to give a good chance of having a baby. But now they\u2019re trying to avoid pregnancy and just avoiding having intercourse on those same days. But they weren\u2019t aware that you can\u2019t just flip it and expect a level of effectiveness. And so there are some people who end up with a surprise baby. When they\u2019re like: \u201cOh, why didn\u2019t this work?\u201d And just because they didn\u2019t realize that there is a difference. <\/p>\n\n\n\n

Fantastic. Let\u2019s dig into some of these questions. The first question is about LH surges. Why is my LH never showing surges? But I have regular cycles?<\/strong><\/p>\n\n\n\n

Potentially, more than one answer. So one reason could be the time of day that you\u2019re testing. For some women, their LH surge is fairly short. So if you\u2019re testing just once a day, you may be missing it. Statistically, the best time to pick up that surge is somewhere between 10am and 4pm. Usually people say 10 to 2 or 12 to 2 or 10 to 4 to give a bit of a wider window. Statistically, that\u2019s where the surge is most often detected in the urine. That\u2019s about 80% of women. However, you may not be in that percentage, so you might not see the surge in your urine until later in the day. For example, I know for myself, there was at least one cycle where my true positive OPK, my true peak was like one o\u2019clock in the morning. Now, I\u2019m a night owl. So, my biorhythms may be a little different. So, one thing you could try doing is testing at different times of the day; you may want to do multiple tests to see if you can pick it up. Do be wary of doing a first morning test, though. Sometimes first morning urine can be a little too concentrated and give you misleadingly strong results. So that\u2019s one possible reason.<\/p>\n\n\n\n

Another possible reason could be that perhaps you\u2019re not ovulating regularly. So, you may be having bleeds on a fairly regular basis. But they may not be actually a menstrual period. In order to be a menstrual period, you do need to ovulate, and your uterus has to undergo these changes that occurred during due to the hormones specific to the luteal phase between ovulation and your next period. There are actually biological changes that happen there due to the hormones, and that bleed is a menstrual period. But you can have other bleeds, like hormonal breakthrough or withdrawal bleeds. So, an estrogen breakthrough or estrogen withdrawal bleed, and sometimes women can confuse those for menstrual periods, when they\u2019re not actually a real period. So, that\u2019s another possibility that may be happening. If you can\u2019t find the LH surge, and you\u2019ve been testing it many different times, it might be worth seeing your physician just for a bit of a checkup.<\/p>\n\n\n\n

Wow, I feel like that was a great answer right there we can finish the interview! I\u2019m really glad you addressed that because that does come up. Sometimes women will get \u2013like you said \u2014 a good result at a different time than that recommended 10 to 4 window, and then we say to go with what\u2019s working because not everybody is the same. So, that was a really helpful description. <\/strong><\/p>\n\n\n\n

Someone asked what to do or eat during the two week window and what to avoid. <\/strong><\/p>\n\n\n\n

In the approach that I teach, we take the basic approach that what\u2019s good for a healthy pregnancy is good for a woman in general. So, the thing to do is try to maintain a healthy lifestyle, so you want to eat your fruits and vegetables and get a decent amount of protein and healthy fats. There are a couple of things you may want to avoid during the two week wait or the two week window. One of those is nonsteroidal anti-inflammatory drugs, like a common one is ibuprofen, but there are a range of them. The use of these in recent research has been associated with more difficulties with implantation or early miscarriage. So, you may want to avoid those nonsteroidal anti-inflammatories. If you need some over-the-counter pain relief, there are other options like aspirin, for example, that may be suitable for you. Definitely check with your pharmacist or your doctor about your best options for your body and your health history. But that\u2019s something to be aware of, because nonsteroidal anti-inflammatory drugs are very common, commonly used over the counter.<\/p>\n\n\n\n

Another thing you may want to avoid is alcohol. This can be controversial. That\u2019s a very big part of our society. And I grew up in Australia, which has traditionally had a more relaxed approach to alcohol. However, it has also been implicated in lowering the success rate of implantation or increasing the rate of chemical pregnancy. So, that might be something to kind of go light on or avoid completely at that time. But generally speaking, I think there can be a limited amount of things that we can do to control the process. So, those are two of more recent ones that you may want to be aware of avoiding. Another thing you may want to do if it ever becomes an issue with you in successfully conceiving or carrying a child is to have a look at your progesterone levels. So, if you have a history of repeated early miscarriages, you may want to look at your progesterone levels. And I know that Premom includes those tests in its app as well to make sure that your progesterone levels get high and stay high.<\/p>\n\n\n\n

Also kind of related to the avoiding question: Can having oral sex or saliva near the vagina or on the penis while trying to conceive affect chances of conception?<\/strong><\/p>\n\n\n\n

The short answer is no. You don\u2019t have to worry about that when you\u2019re trying to conceive. Typically you\u2019re having intercourse, and the man ejaculates fairly deep inside the woman. And so you\u2019re placing those sperm right up near the cervix, giving them the best chance to get where they need to go. Saliva is not the most sperm-friendly fluid. And this is normal \u2014 sperm need particular things that are good for them. Sperm need warmth and moisture and a certain pH level, kind of alkaline. Usually, the woman\u2019s vaginal canal is more of an acidic environment; it actually changes to become more alkaline as she becomes more fertile, which is friendly to the sperm. And the cervical mucus, cervical fluid that she\u2019s producing actually becomes nutritious for the sperm and protective. So, the woman\u2019s body is actually cooperating very actively in the conception process. Saliva isn\u2019t the best for sperm, but it\u2019s not really a factor. If it\u2019s on the surface of the vagina, on the vulva, at the entrance, it\u2019s not really going to be affecting sperm that are deposited inside the vaginal canal. So, I wouldn\u2019t worry about it.<\/p>\n\n\n\n

Good to know. We have a question about the possibility of getting pregnant with ovary cysts.<\/strong><\/p>\n\n\n\n

Okay. Cysts on your ovaries are not that uncommon. It can happen randomly to women. There\u2019s such a thing as a\u00a0leutinized unruptured follicle, for example, that aren\u2019t that uncommon. If you have a lot of cysts \u2014 and you may have some other symptoms that might go along with a diagnosis of PCOS or polycystic ovary syndrome \u2014 that could impact your chances of conceiving successfully. Women with PCOS can have more trouble. It\u2019s not guaranteed that they will have more trouble; plenty of them conceive with no problem. But that\u2019s definitely something \u2014 if you\u2019ve been told that you have cysts on your ovaries \u2014 that\u2019s definitely something to ask your physician about. Go see your family doctor or your OBGYN and ask them: Are these cysts on my ovaries? Could they be a problem for conceiving? Do I have other symptoms that could indicate an issue? That\u2019s more of a medical question, and I want to stay out. That\u2019s not my area to answer. It really depends on the context. Sometimes they can go along with issues that make it difficult to conceive, but it doesn\u2019t necessarily mean that.  <\/p>\n\n\n\n

Okay. I love this question because again, here\u2019s the myth part you\u2019re talking about: is it truly beneficial to elevate legs after baby dancing?<\/strong><\/p>\n\n\n\n

It can\u2019t hurt, but it\u2019s unlikely to help much either. I was mentioning before that you\u2019re depositing this sperm, right up in the vaginal canal close to the cervix. Now, sperm are held in seminal fluid. So, when you stand up after intercourse \u2014 this may not happen straight away \u2014 but you will see seminal fluid come out of you, or you will feel it. There are some sperm still in that fluid; they tend to be the ones that would probably be filtered out anyway as less robust. They\u2019re not all going to disappear. They\u2019re not all going to come out with the seminal fluid because they move quickly. They\u2019re hardy little things. So if you\u2019re depositing in the vaginal canal, close to the cervix, what they start doing is they start swimming, like in this special little corkscrew fashion, just wildly swimming for their lives, you know. And they\u2019ll be trying to make their way to the cervix, which has special little crypts that harbor them basically, providing a safe place for them to rest, get some nutrition, fortify themselves for the journey. They\u2019re not going to fall out of you with the seminal fluid. There\u2019s nothing you can do to stop them. So, if you were to have intercourse, and then immediately stand up and jump up and down, trying to get it out, that doesn\u2019t work because they are tiny little things already on their way. Likewise, trying to encourage them by holding the seminal fluid in is unlikely to do anything much. You really don\u2019t have to do it. It makes some women feel better about it, like they\u2019re doing something, and it can\u2019t hurt. So, if you want to, you can lie down with your legs in the air. And if you\u2019re okay with that, by all means go for it. I wouldn\u2019t do it; I think I\u2019d start to feel a little ridiculous if I tried. But it\u2019s not \u2014 as best as we can tell \u2014 it doesn\u2019t actually improve any chances statistically.<\/p>\n\n\n\n

Okay. How about CrossFit? Does CrossFit HIIT exercise affect implantation or trying to conceive? <\/strong><\/p>\n\n\n\n

Similarly to how I was just talking about if you\u2019re trying to avoid pregnancy, jumping up and down immediately after sex to get the sperm out isn\u2019t going to work. It\u2019s similar to that for implantation. I mean, this is happening at a cellular level; you can\u2019t dislodge the cells by intensive exercise; you know, there\u2019s no amount of burpees that you can do that is going to affect implantation.<\/p>\n\n\n\n

So, feel free to do your exercise. However, if you\u2019re doing very intensive exercise, like high intensity interval training, CrossFit. That can have an effect on your fertility in general \u2014\u00a0 so maybe not implantation specific, like you were asking \u2014 but in general, very intensive exercise \u2014 this happens with professional athletes, people training for marathons \u2014 it can cause menstrual cycle irregularities. It can stop you ovulating. So, if you go from\u00a0a sedentary\u00a0lifestyle, and then suddenly start a really intensive exercise, it can throw your body into a sort of shock. And that might mess with your cycles. But also, if you\u2019re consistently exercising to a very high level, your body may be doing a version of conserving energy, where it\u2019s like: \u201cThis is not a good time to get pregnant\u201d \u2014 because this person either has a very low body fat percentage or is stressing their body in a certain way. And it could be healthy in one sense, but it could be unhealthy reproductively. So, that\u2019s something to be aware of. If you\u2019re trying to conceive, and you feel like your cycles are a bit messy, and you may not be ovulating, you may want to ease back on the exercise a little.<\/p>\n\n\n\n

We had a question about\u00a0about having a regular period, getting positive opks, they have egg white cervical mucus \u2014 so they\u2019re doing all the tracking \u2014 but they\u2019re still not pregnant after a miscarriage at the beginning of the year. Any thoughts on that?<\/strong><\/p>\n\n\n\n

I\u2019m so sorry. You\u2019re checking with the LH tests, and you\u2019re following your cervical mucus, and you\u2019re tracking your cycles. It\u2019s important to know what is the normal range of conceiving. For people who are charting fertility, who have healthy fertility, these are the trying to conceive success rates over the cycles:<\/p>\n\n\n\n

In the first cycle of trying \u2014 in one study that was published in 2003 \u2014 the success rate was 42%. In the second cycle of trying, that success rate went up to 50%. It was up to 75% in the third cycle, and then in cycle six that went up to 88%, had succeeded. And this is in a group of women. well, couples, with healthy fertility. That 88% by the conclusion of six cycles is roughly equivalent to the success rates that people who are not charting at all and timing intercourse achieve after a year of trying.<\/p>\n\n\n\n

So, if you have been charting for more than those six cycles \u2014 and I\u2019ll avoid January February, because coming after a miscarriage, your hormonal profile may not be ideal \u2014 but if it\u2019s been more than six cycles without success, at that point, I would recommend for my own clients that they seek medical advice. Because if they\u2019ve been charting and timing intercourse, and six regular cycles have gone by without success, they\u2019re in the same position that another couple who are not charting and timing intercourse would be after a year. So, it sounds like it may have been more than six cycles for this person. I don\u2019t know the reason why she may not be conceiving \u2014 and there are a whole swath of reasons \u2014 it could be her, it could be her partner, it could be a hormonal issue, it could be anything else. But it sounds like she\u2019s been diligently tracking. And if it\u2019s been six cycles with that with no success, then she knows she\u2019s in the 12% who haven\u2019t. And at that point, it\u2019s worth taking a look and seeing if something\u2019s going on.<\/p>\n\n\n\n

And then we have a question about molar pregnancy. What are some things to help get pregnant after a partial molar pregnancy? There\u2019s a termination at 20 weeks, also a chemical last month. . . working with letrozole. . .\u00a0\u00a0Any thoughts?<\/strong><\/p>\n\n\n\n

That\u2019s really tough. And I\u2019m so sorry for this question. That\u2019s a very sad situation to be in. For anyone who\u2019s joining us or are watching afterwards\u00a0and who\u00a0doesn\u2019t know what a molar pregnancy is, it\u2019s been described as a genetic accident, which is not a term that I like. But it gets to the idea that with a molar pregnancy, there are two types: complete and partial. And with a complete molar pregnancy, what happens is you have an egg and sperm that meet, and somehow, though, the woman usually provides her chromosomes \u2014 23 chromosomes in her egg \u2014 and then the man provides 23 chromosomes with his sperm. And they join together and make a new person with their own genetic makeup and 46 chromosomes. But what happens in a complete molar pregnancy is the woman\u2019s chromosomes are missing, somehow, and the egg gets two sets of the father\u2019s chromosomes. And this affects the placental cells; they don\u2019t develop properly into a properly functioning placenta, and the baby will never develop at all. There\u2019s no baby there because it doesn\u2019t have the mother\u2019s chromosomes that it needs.<\/p>\n\n\n\n

In a partial molar pregnancy \u2014 which is what is this question I had \u2014 the mother\u2019s chromosomes are there, but she gets two sets of the father\u2019s chromosomes, typically, because two sperm managed to get in there, instead of just the one. This again causes problems with the placental cells\u2019 development and the development of the baby itself. It\u2019s very chromosomally abnormal, and it doesn\u2019t usually survive.<\/p>\n\n\n\n

So this happening, seems at this point to be relatively random. Molar pregnancies are more common in very young women, like in their early teens, and in women over the age of 40.\u00a0 Molar pregnancies that are complete are about one in 1000. And it\u2019s even more rare for partial molar pregnancies. So, I don\u2019t know that there\u2019s anything you can do to prevent that from happening. Because it\u2019s just a deviation from the normal conception process that happens when the sperm is meeting the egg. You can\u2019t really control that.<\/p>\n\n\n\n

Chemical pregnancies \u2014 there can be a variety of reasons for that \u2014 a chemical pregnancy is when sperm and the egg meet. And they implant, so they join and then you have implantation. And it may be just enough for a pregnancy test to pick up as positive, but it\u2019s a transient positive \u2014 miscarriage happens very soon after. In most cases, if women aren\u2019t tracking, it just will seem like a regular period. They\u2019re very very, very short lived pregnancies.\u00a0 We think that most of the time with chemical pregnancies, again, that it\u2019s a genetic or chromosomal issue; although, there are many reasons for early miscarriage.<\/p>\n\n\n\n

One thing you could try doing is there are various diets out there that are supposed to be help you nurture your eggs. All of the eggs in your ovaries are in a kind of primordial state. You have all the eggs in your ovaries \u2014 like in your ovaries \u2014 when you are in your mother\u2019s womb. They are there already, but they can\u2019t be fertilized. They have to go through a maturation process before they can be released and fertilized. And this process actually takes a long time \u2014 it actually takes months, interestingly enough \u2014 it\u2019s a very slow process. So, there are some diets out there that are aimed towards helping developing a healthy egg batch that you could look at. You could look at other reasons for early miscarriage. If you have repeated early miscarriages, it\u2019s worth seeing your doctor. Again, there\u2019s a progesterone issue that could be there. But there\u2019s a whole range of other things, like mild inflammation in the uterus. Some people look at MTHFR mutations . . .\u00a0 a whole range of things that the medical profession will know about. So, you can look at that. But unfortunately, with molar pregnancies, there\u2019s very little that we can do. The reproduction is still \u2014 we know a lot more about it than we used to \u2014 but it\u2019s still very much a mystery in some senses. And when things go wrong, we don\u2019t always know why.<\/p>\n\n\n\n

Someone is wondering about her chances when her AMH is only 2.7 and she\u2019s 40. She\u2019s thinking about IVF. <\/strong><\/p>\n\n\n\n

AMH is just one indicator. That\u2019s what I want to say: it\u2019s just one indicator. There are\u00a0some questions about how useful of an indicator it is in chances of conceiving. The age that women go into menopause varies a lot. So anything between \u2014 something like, off the top of my head, I think it was 35 to 60 . . . but usually, the average age hovers around about 51. And usually by 55 women are no longer fertile, like the vast majority of women. I know that fertility does decline, and a lot of people say 35. But it does not drop off a cliff at the age of 35. A lot of women are panicking unnecessarily when they hit 35. But it doesn\u2019t drop off a cliff. There\u2019s a slower decrease. Very slow. Once you get over the age of 40, that decrease is much more noticeable.<\/p>\n\n\n\n

So if you wanted to try for a baby, then seize the day. I can\u2019t speak to IVF, that is outside my purview. I know that IVF success statistics, especially for older women over the age of 40 are not great. So, it would be a consideration as to whether you wanted to pursue that route or whether you wanted to pursue a more natural route, like as intensively as possible. There are functional medicine doctors, there are reproductive endocrinologists, there are the napro physicians . . . there are a whole heap of people that would be thrilled to try to help with the natural conception \u2014 and depending on your circumstances, that can be as effective or more effective than IVF. So, it\u2019s definitely something to investigate. But you\u2019ll need to really receive personalized advice on where your body is at. <\/p>\n\n\n\n

Fantastic, and I think that was about it! Thank you everybody for all of your questions. Amazing! And thank you for your very thorough answers, Mikayla. <\/strong><\/p>\n\n\n\n

You\u2019re very welcome. This was a great selection of questions. It really kept me on my toes.<\/p>\n\n\n\n

And you did great. And if you would like to meet personally with Mikayla to go over your charts, any further or personalized questions you have, you can find her right in the Premom app. If you go into the \u201cMore section\u201d and \u201cSchedule a Consultation\u201d, you can find her under fertility awareness method professionals. And go from there. So thank you again Mikayla.<\/strong><\/em><\/p>\n\n\n\n

You are welcome Teri. My pleasure.<\/p>\n\n<\/div>","protected":false},"excerpt":{"rendered":"

Hello, everybody, we are live with Mikayla Dalton, one of the Premom virtual consultants. We\u2019re super excited to have you with us today, Mikayla.\u00a0\u00a0We\u2019re going be talking about trying to conceive and trying to avoid, but most of your questions are about trying to conceive, so we will be focusing on that. But first, can \u2026 Read more<\/a><\/p>","protected":false},"author":5,"featured_media":4072,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[42,64,69],"class_list":["post-4069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-getting-pregnant","tag-conception-advice","tag-pregnancy-prevention","tag-preparing-for-pregnancy"],"acf":{"premom_author_by_label":"B"},"yoast_head":"\nA Fertility Consultant Answers Questions About Conception And Contraception - Premom India<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/premom.in\/te\/conceive-or-avoid-pregnancy-with-premom-consultant-mikayla-dalton\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Fertility Consultant Answers Questions About Conception And Contraception\" \/>\n<meta property=\"og:description\" content=\"Hello, everybody, we are live with Mikayla Dalton, one of the Premom virtual consultants. 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