Dr. Lucky Sekhon

Right.

We hear those stories all the time.

And as doctors, if we don't acknowledge that, that unknown, and we have to, how could we not?

I mean, there isn't even a test for me to look at someone's individualized egg quality.

We're making a lot of guesstimates.

And the science is great, but it's not everything.

And there is an element of serendipity and luck.

What I would tell this person is stay on top of it because, you know, it's normal for it to take a year.

It's like a 15% chance or 20% chance even in your late 20s per month that that one randomly ovulated egg will actually line up and turn into a pregnancy.

So your cumulative probability gets to a more acceptable level like maybe 85% of couples are pregnant after one year of trying.

So it might have just been that.

But obviously, if you're under 35 and it's been over a year, go see a doctor, get tested, and then talk about treatment.

If you're over 35, don't wait longer than six months.

If you're in your 40s, it's good to go even after three.

So short term, while you're on it, the whole idea is for you to not get pregnant, right?

So hormonal birth control pills specifically work by shutting that signal that I was talking about from your brain that normally gets sent to your ovary to get one of those eggs to ovulate.

It just shuts it off.

It's fooling your brain into thinking there's already enough estrogen and progesterone being produced so it doesn't need to do its job.

It's like, okay, I'm going to take a vacation.

And so then you're not ovulating.