SMEP for couples in their 40s and/or men with low motility/low sperm count
I've just read and reread and reread this SMEP book and thought I'd share some important info in case others in their 40s want to try it. It is different than BD for three nights in a row starting at first positive OPK, skipping the 4th night, and then BD one last time on the 5 th night. You are advised to BD 'every other day' and take OPKs at the usual time in your cycle, but take them twice a day instead of just once (morning and afternoon). When you get your first positive OPK, BD that night (IF you didn't BD the night before that. If you BD the night before, skip this first night and BD the following morning instead). The next day (day after first pos OPK) BD that night (even if you BD that same morning as well). On the second day after the first pos OPK BD that morning and if you BD this morning then skip BD that night (this is your skip night). Then BD again the following night for one last try.
If your partner has sperm motility issues (or low sperm count) there is another variation to the SMEP and you have to move your BD pattern to an 'every other night' schedule, still ensuring that you hit the day AFTER your OPK is positive, as this day is the MOST important day. For this plan, you start off the same as above plan with BD 'every other day.' You need to take OPKs twice a day so you can really nail when your surge starts. You should see your second line appear as the surge starts and the second line may be 'almost' as dark as the control line but not quite. When you see this line, you go ahead and BD this night (IF you didn't BD the night before and IF your CM is excellent. Otherwise wait). When you get an obvious positive, BD this night IF you didn't BD the night before. iF you BD the night before (when your OPK was close to pos), then skip this night and BD the following morning or night. Remember that the day 'AFTER' your first definite positive is the MOST IMPORTANT day to BD on.