Timed intercourse involves “cycle monitoring”, which means having blood tests and ultrasounds on certain key days during the menstrual cycle. The testing starts 2-5 days after the period begins. After these tests, the patient is seen by the nurse and/or a physician and is told when to return to the clinic for further monitoring. When a patient is approaching ovulation, she will return to the office more frequently so that the timing for ovulation can be identified.  She will be told on which days she is to have intercourse with her partner to maximize her chances of conception. Timed intercourse can be used in a natural cycle (no medications) or in combination with oral or injected medications. Once ovulation is confirmed, she may return to the clinic in two weeks for a pregnancy test.