Working with women and fertility, we focus all our attention on menstrual cycles. We focus so much on length of the period, quality of the period, timing of ovulation, signs of ovulation, etc. that we forget how babies are actually created. Last week, I had a patient report that she didn’t think that she and her husband were having enough sex–she said they were barely having sex once a week! This patient also told me that her husband resented having to have sex at specific times and felt as though he had to “perform on command”, which is a mood-killer to say the least. This scenario is incredibly common for couples trying to conceive. Sex loses its spontaneity and excitement and becomes a means to an end. Instead of an expression of love for your partner, sex ends up becoming manual labor.