Questions to ask your doctor about getting pregnant

In this cut -away view you can see both the woman’s and the man’s reproductive organs during intercourse. Here are the penis, vagina, uterus, testicle and prostate gland.

During sexual intercourse, the sperm are released into the vagina near the cervix, which is the entrance to the uterus. Here you can see the sperm swimming through the uterus and up the fallopian tubes. From their profiles, you can see the sperm actually have 3 parts: a head, a middle section, and a tail, which propels them through the uterus.

If you take a closer look at the sperm's head, you’ll see that its covered with an enzyme "cap" that will help it break through the outer wall of the egg cell.

Also within the head are clumps of chromosomes. Chromosomes contain the genetic material, or genes, that are the hereditary blueprints that get passed on to the baby. If a sperm containing a Y chromosome fertilizes the egg, the baby will be a boy. If the lucky sperm contains an X Chromosome, then the baby will be a girl. In addition to a baby’s sex, the genes on the chromosomes determine thousands of other characteristics, including height, body shape, facial features and eye color, and may even influence characteristics like talent and aptitude.

Now let's see what's going on with the egg cell.

Here's the egg cell, moving through the fallopian tube. It can't swim by itself, so it gets moved along by the beating motion of tiny cilia that line the walls of the tube. Unless it gets fertilized, an egg can only survive for 12-24 hours after ovulation. Here you see the egg being met by the sperm. All of the sperm are trying to penetrate the egg.

Actually those sperm are the only remaining survivors of the millions of sperm that were released into the woman’s reproductive tract. The woman’s reproductive tract has an acidic lining and a host of cellular defense mechanisms, making it a hostile environment, and few sperm are strong enough to make it to the egg.

If you watch now you can see the process of fertilization beginning. When one of the sperm cells finally succeeds in breaking through the egg cell's outer membrane, you’ll see something remarkable happen. There it is! The egg cell is locking out other sperm cells from entering. This ensures that only one sperm cell fertilizes the egg cell. If more than one sperm cell was involved, the egg cell might not survive because it would have the wrong amount of genetic material.

Now, here's the final part of fertilization: the sperm cell releases its nucleus containing the father’s chromosomes and then after several hours it unites with the nucleus of the egg cell, which contains the mother’s chromosomes. And when the two nuclei fuse, their genetic material combines together to create a zygote, which is what a fertilized egg cell is called.

For conception to take place, a mature egg cell, or ovum, must be at the right place at the right time. Conception takes place when a sperm penetrates the egg cell and fertilizes it, and the two cells combine to form a new life. Let's take a quick look at some of a woman’s key reproductive organs and see how they function during menstruation and ovulation, two processes that are critical in preparing her for conception.

Here are the uterus, ovaries, fallopian tubes, and vagina.

You can see a cut-away view of one of the ovaries on the right. The purple structures inside the ovary are immature egg cells, or oocytes. All of the 400,000 egg cells a woman will ever produce are already present in her ovaries when she is born, although the eggs are in an undeveloped form. The average age that girls begin to menstruate is 12 years old. Each menstrual cycle occurs approximately every twenty-eight days. During each cycle, hormonal messages from the brain cause the ovaries to develop a single mature egg cell for potential fertilization, even as other hormones instruct the uterine lining to thicken in preparation for nourishing the fertilized egg cell. As you may know, hormones are chemicals released into the blood stream by organs or glands. In general, their job is to regulate body functions by either stimulating or inhibiting other cells or organs. The ovaries are just one of the many organs in the body regulated by hormones. The cycle starts when a follicle grows within one of the ovaries. A follicle is composed of the developing egg cell and the support cells that surround and nourish it.

On day 1 of the cycle, a small structure in the brain, the pituitary gland, releases two hormones: FSH and LH, both of which cause the follicle to begin growing. Over the next 13 days, the growing follicle releases estrogen, a hormone that prepares the lining of the uterus to receive a fertilized egg cell. Meanwhile, the estrogen in the blood stream causes the brain to release a surge of LH. In response to the LH surge, the follicle enlarges rapidly. On day 14, it ruptures and releases the egg cell in a process known as ovulation. The ruptured follicle begins secreting the hormone progesterone, which also helps to prepare the uterine lining for a fertilized egg cell.

The large structure on the right is the entrance to the fallopian tube. The smaller, waving structures at its opening are called fimbriae. They're moving a lot because it's their job to sweep the egg cell into the fallopian tube's entrance and toward the uterus. Once the egg cell is within the fallopian tube, one of two things will happen to it: it will either be fertilized by a sperm cell, or fertilization will fail to take place.

If the egg cell is NOT fertilized within 12 to 24 hours after its release from the ovary, it will stop developing and will dissolve before reaching the uterus. The absence of a fertilized egg cell gradually causes a woman’s body to stop releasing the hormones that would otherwise prepare the uterus for the developing egg cell. In response, the uterus sheds its lining on days 24 through 28 during menstruation. If the egg cell DOES become fertilized by a sperm, it will be transported by tiny hair-like cells, called cilia, to the uterus. There, it lodges in the uterine wall in a process called implantation, and receives nourishment from the uterine lining. Meanwhile, back in the ovary, the remaining cells of the ruptured follicle produce progesterone so that the uterine lining will stay rich in blood vessels, and the fertilized egg cell will survive.

As you can see, the hormones, which control the reproductive system, maintain a delicate balance over the life cycle of the egg cell.

In this cut -away view you can see both the woman’s and the man’s reproductive organs during intercourse. Here are the penis, vagina, uterus, testicle and prostate gland.

During sexual intercourse, the sperm are released into the vagina near the cervix, which is the entrance to the uterus. Here you can see the sperm swimming through the uterus and up the fallopian tubes. From their profiles, you can see the sperm actually have 3 parts: a head, a middle section, and a tail, which propels them through the uterus.

If you take a closer look at the sperm's head, you’ll see that its covered with an enzyme "cap" that will help it break through the outer wall of the egg cell.

Also within the head are clumps of chromosomes. Chromosomes contain the genetic material, or genes, that are the hereditary blueprints that get passed on to the baby. If a sperm containing a Y chromosome fertilizes the egg, the baby will be a boy. If the lucky sperm contains an X Chromosome, then the baby will be a girl. In addition to a baby’s sex, the genes on the chromosomes determine thousands of other characteristics, including height, body shape, facial features and eye color, and may even influence characteristics like talent and aptitude.

Now let's see what's going on with the egg cell.

Here's the egg cell, moving through the fallopian tube. It can't swim by itself, so it gets moved along by the beating motion of tiny cilia that line the walls of the tube. Unless it gets fertilized, an egg can only survive for 12-24 hours after ovulation. Here you see the egg being met by the sperm. All of the sperm are trying to penetrate the egg.

Actually those sperm are the only remaining survivors of the millions of sperm that were released into the woman’s reproductive tract. The woman’s reproductive tract has an acidic lining and a host of cellular defense mechanisms, making it a hostile environment, and few sperm are strong enough to make it to the egg.

If you watch now you can see the process of fertilization beginning. When one of the sperm cells finally succeeds in breaking through the egg cell's outer membrane, you’ll see something remarkable happen. There it is! The egg cell is locking out other sperm cells from entering. This ensures that only one sperm cell fertilizes the egg cell. If more than one sperm cell was involved, the egg cell might not survive because it would have the wrong amount of genetic material.

Now, here's the final part of fertilization: the sperm cell releases its nucleus containing the father’s chromosomes and then after several hours it unites with the nucleus of the egg cell, which contains the mother’s chromosomes. And when the two nuclei fuse, their genetic material combines together to create a zygote, which is what a fertilized egg cell is called.

For conception to take place, a mature egg cell, or ovum, must be at the right place at the right time. Conception takes place when a sperm penetrates the egg cell and fertilizes it, and the two cells combine to form a new life. Let's take a quick look at some of a woman’s key reproductive organs and see how they function during menstruation and ovulation, two processes that are critical in preparing her for conception.

Here are the uterus, ovaries, fallopian tubes, and vagina.

You can see a cut-away view of one of the ovaries on the right. The purple structures inside the ovary are immature egg cells, or oocytes. All of the 400,000 egg cells a woman will ever produce are already present in her ovaries when she is born, although the eggs are in an undeveloped form. The average age that girls begin to menstruate is 12 years old. Each menstrual cycle occurs approximately every twenty-eight days. During each cycle, hormonal messages from the brain cause the ovaries to develop a single mature egg cell for potential fertilization, even as other hormones instruct the uterine lining to thicken in preparation for nourishing the fertilized egg cell. As you may know, hormones are chemicals released into the blood stream by organs or glands. In general, their job is to regulate body functions by either stimulating or inhibiting other cells or organs. The ovaries are just one of the many organs in the body regulated by hormones. The cycle starts when a follicle grows within one of the ovaries. A follicle is composed of the developing egg cell and the support cells that surround and nourish it.

On day 1 of the cycle, a small structure in the brain, the pituitary gland, releases two hormones: FSH and LH, both of which cause the follicle to begin growing. Over the next 13 days, the growing follicle releases estrogen, a hormone that prepares the lining of the uterus to receive a fertilized egg cell. Meanwhile, the estrogen in the blood stream causes the brain to release a surge of LH. In response to the LH surge, the follicle enlarges rapidly. On day 14, it ruptures and releases the egg cell in a process known as ovulation. The ruptured follicle begins secreting the hormone progesterone, which also helps to prepare the uterine lining for a fertilized egg cell.

The large structure on the right is the entrance to the fallopian tube. The smaller, waving structures at its opening are called fimbriae. They're moving a lot because it's their job to sweep the egg cell into the fallopian tube's entrance and toward the uterus. Once the egg cell is within the fallopian tube, one of two things will happen to it: it will either be fertilized by a sperm cell, or fertilization will fail to take place.

If the egg cell is NOT fertilized within 12 to 24 hours after its release from the ovary, it will stop developing and will dissolve before reaching the uterus. The absence of a fertilized egg cell gradually causes a woman’s body to stop releasing the hormones that would otherwise prepare the uterus for the developing egg cell. In response, the uterus sheds its lining on days 24 through 28 during menstruation. If the egg cell DOES become fertilized by a sperm, it will be transported by tiny hair-like cells, called cilia, to the uterus. There, it lodges in the uterine wall in a process called implantation, and receives nourishment from the uterine lining. Meanwhile, back in the ovary, the remaining cells of the ruptured follicle produce progesterone so that the uterine lining will stay rich in blood vessels, and the fertilized egg cell will survive.

As you can see, the hormones, which control the reproductive system, maintain a delicate balance over the life cycle of the egg cell.