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A woman's fertility is in generally good quality from the late teens to early thirties, although it declines gradually over time. [1] Around 35, fertility is noted to decline at a more rapid rate. [1] At age 45, a woman starting to try to conceive will have no live birth in 50–80 percent of cases. [2]
A female is most fertile within 24 hours of ovulation. Male fertility peaks usually in young adulthood and declines after age 40. [10] The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different organizations.
This is considered the end of the fertile phase of a woman's life. The predicted effect of age on female fertility in women trying to get pregnant, without using fertility drugs or in vitro fertilization: [38] At age 30 75% will conceive ending in a live birth within one year; 91% will conceive ending in a live birth within four years. At age 35
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The days in which a woman is most fertile can be calculated based on the date of the last menstrual period and the length of a typical menstrual cycle. [4] The few days surrounding ovulation (from approximately days 10 to 18 of a 28-day cycle), constitute the most fertile phase.
It is not known if historical cultures were aware of what part of the menstrual cycle is most fertile. In the year 388, Augustine of Hippo wrote of periodic abstinence. . Addressing followers of Manichaeism, his former religion, he said, "Is it not you who used to counsel us to observe as much as possible the time when a woman, after her purification, is most likely to conceive, and to abstain ...
The most common reason for the lower actual effectiveness is not mistakes on the part of instructors or users, but conscious user non-compliance [38] [52] —that is, the couple knowing that the woman is likely to be fertile at the time but engaging in sexual intercourse nonetheless. This is similar to failures of barrier methods, which are ...
Kirkman notes another important factor, which is knowing which moon phase you were born during and replicating that moon phase cycle when you try to conceive, because that is your most fertile time.