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

### input:
Dear Dr. LundiI am a 39 year old woman, 1.54 metres tall and weigh 52.5 kgs.I have been on Ginette oral contraceptive for a number of years. It was initially started for acne in my late twenties (when I first began to have breakouts) and I continued using it as a contraceptive. In 2010-11, my husband and I tried to conceive but was unsuccessful. I then resumed Ginette with frequent breaks ever since (usually resume when the acne starts again and it becomes unbearable). We both want to conceive dearly. My husband has just returned from a work related overseas trip and we began to discuss conception again. I have just stopped taking Ginette this morning (one week before my menstruation is due) and we have been having unprotected sex for approximately one week now.What are your recommendations for us? My husband is also 39 years old, 1.8 metres tall and weighs 79.9 kgs. We are both relatively healthy. My husband has mild eczema for which he takes Zyrtec from time to time. I exercise 5 days a week for approximately 50 minutes per day.I would really appreciate any advise that will assist us with conception and sustaining a healthy and safe pregnancy.Thank you.Antonia

### output:

Hi, Once you discontinue taking oral contraceptive pills, or even if you are irregular in taking these pills, there is always a possibility of pregnancy due of unprotected sexual intercourse if it is performed in the fertile window. Egg is released 14 days prior to the next expected menses. It has a life of 24 hours while the sperms are active for 3 days. Hence, a period of about one week around the day of ovulation is considered as a fertile window. This calculation is useful if you have regular menstrual cycles. Better way would be to submit yourself for ovulation monitoring by ultrasonography which will give you direct visual evidence of imminent ovulation. Planning the sexual relations on and around the day of ovulation definitely will increase the possibilities of pregnancy. Your husbands eczema and its treatment should not come in way of conception. Hope I have answered your query. Let me know if I can assist you further. 