### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi, im 21 and trying to conceive. I have normal periods, I ovulate every month(confirmed through temping my bbt), and I feel like i ve been trying close to a year. I have always been pretty healthy. No, we have not actually had a pre conception check up so I really don t know how good of a sperm count my fiance has yet. but my question is, I check my cervical position and have noticed in the passed that I have tiny bumps on my cervix. I googled it and it said cervical polyps. I heard it can hurt chances of conceiving, and I m just wondering if there are any home remedies I can do to get rid of them. Like I said, I don t always have them. Just feel them every now and then.

### output:

Hello, and I hope I can help you today. The bumps you likely are feeling on your cervix are most likely Nathan cysts rather than polyps.  Polyps are fleshy soft growths that are just out pouching of the normal glands that line the canal of the cervix.  It would be difficult to feel them, and they usually cause irregular bleeding or bleeding after sex.  They do not cause infertility (uterine polyps can, but those are not the same and are not possible to feel because they are inside your uterus. Nabothian cysts are just blocked mucus glands that can feel like knobby bumps on the cervix.  They also are not harmful and do not interfere with fertility. Both of these findings on your cervix can be seen on a spectrum exam, so a GUN doctor would be able to tell you what you are feeling if they looked inside you. Also, regarding the position of your cervix, this also has no bearing on fertility and does not change from month to month, so you do not need to check your cervix regularly especially if you have a yearly gynecologic checkup. Regarding BBT charting for conception, your temperature goes up AFTER you ovulate, so I recommend not checking it anymore if you know around when you ovulate in your cycle and just have sex every other day from the time your period finishes until you feel premenstrual symptoms.  Some women only have sex after their temperature goes up, and they miss the actual time of ovulation. So there is no reason to suspect you will have problems conceiving, and you do not need to be treated for this because it is a normal finding in many women.  80 percent of couples will conceive within a year.  If you have been having sex at the right time and it's almost a year, it might be wise to have a GUN exam and a hormonal evaluation, and also have your fiancé get his sperm count checked, as 50 percent of the time it can be a male factor. I hope I was able to answer your question and that my advice was helpful. Best wishes and good luck with your pregnancy plans, 