Timed Intercourse Cycle

If, as a couple, you are ready for your first baby and are trying different methods, then timed intercourse can be for you, as it is a simple way to help you know when’s the best time to have sex aiming to get pregnant.


What is Timed Intercourse?

Timed intercourse cycle – also known as programmed intercourse – is a method where the ovulation period is synchronized with the sexual relations of the couple. The fertile period of the woman is optimized with the use of medications that stimulate the production of ovules.


When Is Timed Intercourse Cycle Recommended?

Timed intercourse is an alternative when:

  • The woman suffers from ovulatory or glandular disorders.
  • Lack of ovulation (anovulation).
  • Couples who are not ready for artificial insemination techniques or surgical infertility treatments.


Who is a candidate?

Couples who are candidates for timed intercourse are those who have tried to conceive within six to twelve months without using contraception and have been unsuccessful. In general, it is recommended for women who are healthy, do not have fallopian tube obstructions, and who have irregular ovulation, no ovulation or hormonal disruptions during the menstrual cycle due to conditions such as polycystic ovary syndrome (PCOS).

On the other hand, the man should be healthy and have an adequate amount of semen, i.e. the semen volume should be between 1.5 to 5 ml, have a sperm count of at least 20 million spermatozoa per ml of semen, and at least 30% of the sperm should be alive and well formed.


How Does Timed Intercourse Work?

Before starting any fertility treatment, the doctor will make a diagnosis based on different medical studies. For women, these usually include blood tests and an ultrasound to evaluate the state of the ovaries and the reproductive structure; in the case of men, a physical evaluation is made, followed by a semen test to analyze the volume, concentration, and motility of sperm.

After these medical studies, the treatment with ovarian stimulation through hormones begins, which will be controlled by the doctor until the growth of 1 to 2 ovarian follicles is achieved. Once the follicles have reached a diameter of 17-18 mm, ovulation is induced with the hCG (Human Chorionic Gonadotropin) hormone. Ovulation will begin 36 hours later, which will be the right time for the couple to have intercourse as the woman will be at the peak of her fertile window.


timed intercourse cycle


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What are the steps of this process?

Once a couple has seen a fertility specialist and decided to have timed intercourse, the steps to follow are:

Clinical tests. The woman will have to undergo blood tests and ultrasound to monitor the menstrual cycle and determine whether ovulation can be monitored naturally or with medications to better control ovulation and follicular development.

Sexual intercourse with natural timing. In this case, the woman will not be administered hormonal drugs, but the ovarian cycle will be allowed to follow its natural course, and only the growth of follicles will be monitored with an ultrasound scan and by measuring the level of luteinising hormone (LH) with a blood test. The LH peak is a hormonal signal for the female organism to produce ovulation, and when the specialist observes an increase in the level, he will determine the ideal period for programmed coitus with a high probability of achieving pregnancy.

Timed intercourse with ovulation induction. In this case, ovulation will be induced with medication, and when it is observed that the egg is mature and the follicle is about 14 mm in size, the hormone hCG is injected to induce ovulation. The specialist will indicate the scheduled time of sexual intercourse, which is usually two days after the hCG injection to increase the chances of conceiving.

Ovarian stimulation. In some cases, women receive ovarian stimulation with daily injections of gonadotrophin hormones (HMG and FSH) to encourage egg maturation. Once ultrasound and tests show that the egg has matured, hCG is injected to achieve ovulation, and sexual intercourse is scheduled within 36-48 hours.

Hormonal medications. Hormonal medications are sometimes given subcutaneously from the first day of the menstrual cycle, when menstruation stops and, depending on the woman’s response, they are continued until the fertile period. Antiprolactin drugs and clomiphene citrate may also be used to treat other ovulation problems and to stimulate the ovaries.


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At The Fertility Center we want to be a fundamental part of you fulfilling your dream of becoming a mother someday, and that is why we have a program of programmed intercourse. Treatment carried out with specialists in assisted reproduction that will help you make your dreams come true. Contact us through the means available on our website for more information and to schedule your appointment, we will gladly assist you.

A great journey is about to begin

1.- Schedule your appointment

2.- Talk to our specialist

3.- Prepare your studies

4.- Attend your consultation

5.- Start your treatment plan

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