Editor’s note: Any medical advice presented here is expressly the views of the writer and Red Tricycle cannot verify any claims made. Please consult with your healthcare provider about what works best for you.

There are lots of ways to predict ovulation—from temperature trackers to cervical mucus monitoring to ovulation predictor kits (OPKs) that measure luteinizing hormone. These methods are great for answering the question “If I’m trying to conceive, when should I have intercourse?” Timing intercourse correctly is critical for conceiving and these tools are very important when trying to get pregnant. The good news is, there’s a lot of information already out there on predicting ovulation!

But what about confirming ovulation? A key point of distinction of “ovulation kits” or “ovulation predictors” is that they are only predictive of ovulation. Similar to predicting the weather, we only know if the prediction is right when we see what happens. The weatherman can predict that it’s going to rain tomorrow, but until tomorrow comes, we won’t know if the prediction is correct. It’s similar in that way to ovulation prediction methods, many of which fall short of actually allowing us to see that ovulation has happened.

So how do we make this critical observation? After all, problems with ovulation are the number one cause of infertility. Making sure the body is ovulating properly and the right level of hormones are present to support conception is another critical piece of the puzzle. There are a couple of ways to confirm that ovulation has happened and, as you might suspect, they all lead back to the super hormone, progesterone.

Ovulation Confirmation Method 1: Basal Body Temperature or BBT tracking

During the first part of your cycle, your basal body temperature (BBT), or your body’s lowest resting temperature, usually ranges between 97.0 and 97.7 °F. Before your ovary releases an egg, your BBT will dip a little. The day after ovulation, your BBT will generally increase at least 0.2 °F over the previous 6 days’ temperatures, and then stay high for a few days or more. The second half of the cycle, the luteal phase, typically sees temperatures in the range of 97.7 and 98.3 °F. Note that these numbers are just examples and every woman’s body is different.

This spike in temperature is driven by the underlying rise in progesterone that happens after ovulation. See, the empty follicle, or corpus luteum, produces progesterone and progesterone causes the temperature spike. If no egg is released, there won’t be an empty follicle to produce progesterone.  As such, a spike in temperature, caused by progesterone, indicates that ovulation has occurred.

Ovulation Confirmation Method 2: Progesterone Monitoring

As explained above, the spike in temperature that confirms ovulation using the BBT tracking method is a direct result of progesterone rising in the body after ovulation occurs. Monitoring progesterone itself is therefore another way to confirm ovulation. Without that empty follicle or corpus luteum, there won’t be a rise in progesterone. So, no rise in progesterone = no ovulation.

But do you need both methods?

The simple answer is YES—especially when it comes to trying to conceive. Based on how your temperature and hormone levels change throughout your cycle, it might seem like you only need to measure one thing. But, the most complete picture comes from using both tracking methods.

BBT tracking is most powerful when used to track the cycle over time. By confirming ovulation using temperature tracking, BBT can be used to accurately calculate the timing of the next fertile window.

While basal body temperature tracking can be used to measure the slight increase in body temperature caused when progesterone rises and can, therefore, be used to confirm ovulation, it falls short of telling you if you have sufficient progesterone to conceive. As mentioned before, basal body temperature typically rises 0.5 to 1-degree Fahrenheit after ovulation from the presence of progesterone. But the temperature spike does not correlate with the amount of progesterone present. So, getting a spike of 0.5-degrees does not necessarily mean you have low progesterone and getting a spike of 1-degree also does not mean you are good to go.

To determine if you have enough progesterone to confirm sufficient ovulation, meaning you are not only ovulating, but also have enough progesterone to support implantation and early pregnancy, you need to test base progesterone levels.

To truly maximize your chances of getting pregnant during the fertile window, you should not only know IF you’ve ovulated but also know if your progesterone levels are where they need to be.

Amy Beckley is the founder and CEO of Proov, the first at-home rapid response urine progesterone test, a hormone critical to fertility and general wellness. Proov was developed from Beckley’s personal infertility experience. Using her PhD in Pharmacology and passion for helping others, Proov empowers women with the knowledge to better understand their bodies.

Photo: Melissa McTernan

I’m not a big fan of babies. Now I know that’s not going to be a popular opinion, but there it is. Are babies adorable, tiny miracles that smell like heaven? Sure, of course they are. But do I want one living in my home? Not particularly. It may alarm you to know that I have two children of my own, who were in fact babies at one point, and I didn’t love it. Babies made me tired (so very very tired), anxious and bored all at the same time. Like I said, I’m just not a fan.

Two weeks after my first child was born I wrote these two questions in my diary; “What if this was all a mistake?” and “What if I’m a terrible mom?” Two weeks in and I was frustrated with myself for not feeling better sooner, for not being head over heels in love with my baby. At the time I didn’t realize I was simply not a fan of babies. I worried that I was truly not cut out to be a mother.

Pretty soon after I wrote those questions, I realized I did, in fact, love my baby. But like him? That was still to be determined. I mean, sure he was objectively the cutest baby ever, and yes he was basically a genius, but hanging out with him 12 hours a day and then a few more hours every night was kind of a drag. And then to make it worse, I of course, felt horribly guilty about feeling this way. And it didn’t matter how many times little old ladies cornered me in the produce aisle and lectured me about enjoying every minute, because soon my baby would grow up and I would be so so sad, I just couldn’t do it. I couldn’t enjoy every minute, because I was just trying to enjoy a few minutes, every once in a while, on a good day.

Right before my son turned one, he started walking. People had been warning me for months; oh don’t rush it! Once he goes mobile you’ll have to chase him everywhere! So imagine my surprise when both my son and myself were infinitely happier when he started walking. He could go where he wanted to go! Yes, I had to follow him, but he could go! I no longer had to walk around holding him, pointing to crap, hoping I would eventually guess what he wanted! It was awesome. I loved it.

Eventually, I forgot enough about babies to get pregnant again, and 26 months and one week after my first baby was born, I had my second. My journal entries after my daughter was born were decidedly more upbeat than after my son, but I do remember telling everyone I would much rather spend time with a toddler over a newborn (I know, another controversial opinion). Here’s the thing about toddlers, they are terrible of course, that’s how they got that adorable nickname, but they are also hilarious. And they can (sort of, some of the time) tell you what they want. Do they scream it at you because you gave them the blue bowl when they clearly wanted the red? Sure. But now you know! I really don’t appreciate the guessing games babies play. I mean really, what do you need?!

So here’s the good news, lest you complete this story believing I am a terrible mother who hates her children; the older my kids get the more I like them! It’s crazy, I know, but it’s true. Right now they are five and three, and I am really diggin it. They are still adorably tiny and cute, but I don’t feel like I may break them just trying to get a damn shirt over their heads. They tell jokes (they don’t make any sense at all, but they tell them)! They can pump on the swings, and use the bathroom by themselves 75% of the time, and they still let me kiss and hug and snuggle them almost as much as I want. It’s a win, win people!

So what’s my point with all this? I guess it’s this, first of all, don’t let old people bully you at the grocery store, and secondly, don’t be afraid of the next stage in your kids’ lives. I mean, should you wish away your kids’ childhoods? No, probably not (unless you just really really hate this part, because the next part might be much better!). Should you try and soak up the precious minutes you have with your kids while they are little? Of course! But if your kid is in a stage right now that you are really not into, don’t feel guilty about not loving every second of it. Life is full of seasons, right? So maybe the next one will be the best yet.

As for my questions, do I have any answers yet? Well as far as whether or not I am a terrible mother, only time will tell. I imagine my children will work that out with a therapist someday, so I’ll have to get back to you. But as for wondering if this was all a mistake, I can confidently answer with a resounding no.

 

I am a freelance writer and a stay at home mom to my two kids. I love to do art projects with my kids and force them to play outside as much as possible. I am currently working on writing a novel in 40-minute bursts during naptime. 

The Today family is growing—again! Following on the heals of Hoda Kotb’s adoption announcement, brand-new fourth-hour co-anchor (and former first daughter) Jenna Bush Hager, announced that she’s having baby number three.

Bush Hager is already mom to daughters Mila, 6, and Poppy, 3. After years of raising girls it looks like the five-and-a-half-months pregnant mama is about to experience what it’s like to raise a son! During an on-air reveal, Bush Hager told the world that she’s having a boy.

The co-anchor opened up on Today about her fertility struggles, saying, “We weren’t really trying to get pregnant. We had some fertility issues with Poppy.” She went on to add, “It’s a little bit of a shock, but it’s such great news.”

Along with sharing her baby news, Bush Hager also spoke openly about a prior ectopic pregnancy (prior to getting pregnant with now-six-year-old Mila). The soon-to-be mama of three told Today’s Meredith Vieira, “I was so excited … I got to the doctor’s office and she said, ‘Yeah, you’re pregnant, but we can’t find the baby.” After being told that her pregnancy was ectopic (developing outside of the uterus), Bush Hager had emergency surgery to remove the pregnancy and one fallopian tube.

So why did the Today co-anchor choose to wait until well into her second trimester to share her news? While she didn’t exactly say why she waited, Bush Hager did dish on why she felt she needed to tell right now, “And I’m only telling because Mila and Poppy found out yesterday in their Easter baskets. (Then) they told the man behind me on the airplane; they told the people at church. So …”

Congrats to Bush Hager and her whole family on her baby boy joy!

—Erica Loop

Featured photo: Jenna Bush Hager via Instagram 

 

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Editor’s note: Any medical advice presented here is expressly the views of the writer and Red Tricycle cannot verify any claims made. Please consult with your healthcare provider about what works best for you.

 

As the name suggests, progesterone—as in “pro-gestation”—is critical to conception and pregnancy. But we don’t hear much about this super hormone that not only indicates ovulation is occurring properly, but also prepares the uterus to receive a fertilized embryo for implantation.

So why is progesterone so important when trying to conceive? Let’s find out!

Progesterone confirms ovulation.

At the beginning of each menstrual cycle, progesterone levels are relatively low. First, Follicle Stimulating Hormone (FSH) stimulates an ovarian follicle to develop, which causes an egg to mature and increases estrogen production. Then, as estrogen levels rise, FSH production declines and Luteinizing Hormone, or LH, production increases. A spike in LH levels indicates that ovulation or an egg being released from the ovary, is about to occur.

Many ovulation predictor kits measure LH, as the presence of this hormone is “predictive” of ovulation. After ovulation comes the luteal phase, where the corpus luteum produces progesterone. The corpus luteum is the empty follicle from which the egg was released. The presence of progesterone indicates that ovulation has, in fact, occurred, because if no egg is released, there is no empty follicle or corpus luteum, to produce it!

Progesterone stabilizes the uterine lining.

Each month, estrogen is released before ovulation and stimulates the uterine lining to build up. After ovulation, progesterone acts to stabilize the uterine lining so it is at the optimal thickness to support implantation. Progesterone’s role is to prepare the uterine lining for a pregnancy, allowing it to become receptive to the fertilized egg so that it can attach, implant and thrive for the duration of the pregnancy. Ideally, after ovulation, progesterone levels remain high, enabling a fertilized egg to successfully implant.

Progesterone enables a fertilized embryo to implant.

Since progesterone is involved in stabilizing the uterine lining, high levels of progesterone are needed for the embryo to attach in the womb and to maintain the pregnancy. Implantation typically occurs seven to 10 days after ovulation. Up until about the 8th week of pregnancy, the corpus luteum produces progesterone to support the pregnancy. After about the eighth or ninth week of pregnancy, progesterone production is taken over by the placenta and continues to nourish the fetus for the duration of the pregnancy.

Progesterone is needed to maintain pregnancy.

Whether generated from the corpus luteum or the placenta, progesterone levels consistently rise and remain elevated throughout the duration of pregnancy to support a healthy uterine environment for the growing fetus. It has some side benefits too. That pregnancy glow? That’s mighty progesterone at work making the skin appear firmer and brighter!

Tracking progesterone shows the full picture.

While traditional ovulation predictor kits are great for determining the best time for intercourse when trying to conceive, they fail to show the full picture. The menstrual cycle has two distinct phases. The first is the follicular phase, which is comprised of menstruation and the fertile window. This is the time leading up to ovulation. The second is the luteal phase, which is the time after ovulation and is critical for enabling conception and implantation.

Progesterone is the dominant hormone present during the luteal phase. By using ovulation predictor kits to track hormones during the follicular phase and tracking progesterone during the luteal phase, women can understand both halves of their cycle and therefore, the full menstrual picture!

Progesterone plays a critical, direct role in conception and pregnancy, but it plays a peripheral role in other aspects of women’s health related to conception and pregnancy as well. For example, progesterone plays an important role in libido. During ovulation, many women experience their peak in libido, which perfectly matches the fertile window of when you’re most likely to get pregnant.

In the luteal phase, progesterone levels significantly rise and libido typically drops as well. It’s as if high progesterone levels are a stop sign for your body to let you know you’re no longer in the fertile window. It is common for libido to fluctuate throughout the cycle, but what happens if you don’t have any sexual desire at any time during your monthly cycle? Well, this could be a sign of low progesterone. See, for a healthy libido, it is really the balance of estrogen and progesterone that matter the most and if these are out of balance due to low progesterone, it could tank your sex drive.

From confirming ovulation to supporting implantation to helping maintain pregnancy, progesterone is a hard-working hormone that is necessary for so much related to conception, pregnancy and general women’s health. If women are tracking hormones in the first half of the cycle using ovulation predictor kits, adding progesterone to their tracking regimen can help them understand the full menstrual cycle. Knowing about this critical hormone empowers women to ensure their body is ovulating properly and is prepared to receive and support an early pregnancy.

Amy Beckley is the founder and CEO of Proov, the first at-home rapid response urine progesterone test, a hormone critical to fertility and general wellness. Proov was developed from Beckley’s personal infertility experience. Using her PhD in Pharmacology and passion for helping others, Proov empowers women with the knowledge to better understand their bodies.

Despite the role of social media in openness about parenting and the experience of pregnancy, a taboo still remains when it comes to talking about miscarriage and pregnancy loss. When Hilaria Baldwin posted about her possible miscarriage last week, it served as an important reminder for that it’s okay for women to open up more about this difficult subject.

Baldwin shared a moving post to her Instagram feed explaining that although she is still technically pregnant, she is most likely experiencing a miscarriage. “I always promised myself that if I were to get pregnant again, I would share the news with you guys pretty early, even if that means suffering a public loss,” the mom of four and wife of Alec Baldwin shared.

“I have always been so open with you all about my family, fitness, pregnancies…and I don’t want to keep this from you, just because it isn’t as positive and shiny as the rest,” she wrote in the lengthy post, explaining “the embryo has a heartbeat, but it isn’t strong, and the baby isn’t growing very much. So we wait—and this is hard. So much uncertainty…but the chances are very, very small that this is a viable pregnancy.”

Previous research indicates that anywhere from 15 to 20 percent of pregnancies end in miscarriage; the March of Dimes estimates that as many as half of all pregnancies end in miscarriage but happen so early, the pregnancy may not yet have been detected. Despite this, miscarriage is a topic many women find too painful to discuss, and understandably so. But as Baldwin’s post shows, being open about the experience can help other women going through the same experience realize they are not alone and miscarriage is a common experience that can happen to any expecting mom.

Baldwin wrote, “I’m hoping, that by sharing this, I can contribute to raising awareness about this sensitive topic.”

—Shahrzad Warkentin

Featured photo: Hilaria Baldwin via Instagram

 

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Getting pregnant doesn’t always come easily for some women and couples, leading them to try everything from oysters and eggs to sunflower seeds and grapefruit just to conceive. A newly-released diet for fertility may have answers—and they’re based in science instead of old Facebook Groups’ tales.

Harvard School of Public Health’s Drs. Jorge Chavarro and Walter Willet recently released a nutrition-based book, The Fertility Diet: Groundbreaking Research Reveals Natural Ways to Boost Ovulation and Improve Your Chances of Getting Pregnant. So what do these Harvard docs have to say about eating to conceive?

photo: Freestocks.org via Pexels 

The pair reviewed the diets of over 18,000 women. Not so surprisingly, they found that women with better quality diets, those who were more active and those who didn’t smoke were more likely to get pregnant. Chavarro and Willet aren’t only experts who believe that healthy eating is tied to fertility.

In an interview with CNN, Dr. Marie Menke, assistant professor and director of the division of reproductive endocrinology and infertility at UPMC Magee-Womens Hospital in Pittsburgh, Pennsylvania, said, “If you are going to be searching for a fertility diet, this is a good place to start. Research shows an association between this dietary pattern and a reduced risk of infertility in some women.”

When it comes to specifics, Chavarro and Willet recommend avoiding trans fats, using unsaturated vegetable oils (such as olive oil), eating vegetable protein, choosing whole grains, drinking one glass of whole milk a day, getting iron from fruits and veggies and aiming for a healthy weight. Along with diet, the doctors also suggest getting some physical activity (but not overdoing it) and if you smoke—quit right now.

—Erica Loop

 

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Check your medicine cabinet right now. The U.S. Food and Drug Administration recently issued a major birth control recall for four lots of Drospirenone and Ethinyl Estradiol Tablets, USP.  Due to a packaging error, users of these birth control pills could miss tablets or accidentally take a placebo instead of an active tablet. So if you use this product, and take it incorrectly due to the packaging problem, you could get pregnant.

A representative from the pharmaceutical manufacturer, Apotex Corp., told Red Tricycle in an emailed statement, “Apotex is committed to product quality and patient safety and takes all steps necessary to protect patients who use our products. Thus, this voluntary recall was initiated out of an abundance of caution.” Read on for more information on the recall and what you should do about it.

Recalled Birth Control Description

The current recall is only for Apotex Corp.’s Drospirenone and Ethinyl Estradiol Tablets, USP 3MG/0.03MG, manufactured by Oman Pharmaceutical Products Co. LLC. Oman under the subcontract from Helm AG, Germany.

This estrogen/progestin birth control includes 28 film-coated, biconvex tablets. There are 21 active yellow tablets and 7 white placebo tablets in each pack.

Why the Birth Control Was Recalled

The recalled packages may have an incorrectly ordered pill arrangement or empty blister pockets. This error could result in women missing active birth control pills or taking placebos instead pills containing the active ingredients (drospierone and ethinyl estradiol).

A representative from Apotex noted, “No complaints have been received for blisters missing an active tablet or having a placebo instead of an active tablet, and no case has been reported to Apotex for pregnancy.”

How to Tell If Your Birth Control Was Recalled

If you use this product, look for the NDC numbers on the inner and outer cartons. The inner-carton NDC number is 60505-4183-1 and the outer-carton number is 60505-4183-3. The affected lot numbers include 7DY008A, 7DY009A, 7DY010A and 7DY011A.

Visit the FDA’s website here for more information.

What Women Can Do

Anyone using this birth control pill should contact their physician or healthcare provider ASAP. Return the affected products to your pharmacy for a new (non-recalled) pack. If you can’t immediately exchange your affected pill pack for the correct one, or think that you may have missed one or more active pills, use another form of birth control until you talk to your doctor. Missing birth control pills puts you at risk for getting pregnant.

Contact Apotex Corp. by phone at 800-706-5575 between 8:30 a.m. and 5 p.m. ET Monday through Friday. You can also email with company with questions at UScustomerservice@Apotex.com.

—Erica Loop

Photos: Courtesy of U.S. FDA/Featured photo: Ake via Rawpixel

 

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With movies like Baby MamaKnocked Up and What to Expect When You’re Expecting, Hollywood has always had some pretty rosy depictions about what it’s like trying to get pregnant. But for one in eight couples—or about 12 percent of married women in America—getting pregnant isn’t so simple…or glamorous. A new indie film, Making Babies, sheds both a comedic and poignant light on what it’s like trying to get pregnant when you can’t.

Written and directed by Josh Huber, Making Babies stars Eliza Coupe and Steve Howey as a young married couple trying to start their family. When things don’t work out, they head to a fertility specialist played by Ed Begly, Jr. The trailer captures so many of the painful—and painfully absurd—moments that come with dealing with infertility.

(FYI: if you’re a parent after infertility, you’re going to need a tissue handy. Making Babies cuts so close to home if you’ve been through it.)

As someone who battled infertility for five years, there’s so much in this trailer I can relate to personally—and honestly, any hopeful mom-to-be will find something that speaks to her, too, in this film. From the late Glenne Headly’s line about, “Maybe you’re just not meant to have a baby right now” to showing the simultaneous joy and jealousy of attending a baby shower for someone else when you can’t conceive, Making Babies looks promising as a compassionate portrayal of what it’s like to experience infertility.

With so many women and couples experiencing infertility, films like Making Babies help erase the stigma associated with it. It also provides two very important reminders to anyone having trouble trying to get pregnant: first, that infertility is nothing to be ashamed of and more importantly—you’re not alone.

Making Babies heads to theaters nationwide on Mar. 29.

—Keiko Zoll

Featured photo: Courtesy of Making Babies via IMDb

 

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I know, I can’t believe it either. Your sweet and tiny baby is no longer quite so teeny tiny. She’s probably approaching toddlerhood and moving around like a mad woman. Gone are the days of putting the baby down and expecting her to remain there contentedly.

You might have always known that you wanted a second baby at some point, or you might have been on the fence after you had your first. But more and more frequently you’ve found yourself wondering: are we ready for another one?

It doesn’t help that from your baby’s first birthday onward you’ve probably been getting the question, “When’s the next one coming?” There’s no great answer. The lack of sleep combined with the whole scale change to your life during infancy, it may be something you feel like you’re never ready to tackle.

The age old question – should we have another or shouldn’t we, is something that many couples debate for years. If you’re having a second baby, make sure you know what to expect and that you’ve gotten your financial plan in order.

If you’ve been on the fence for a while and are debating having another, check out these tell-tale hints that you may be more ready than you think to take the plunge. Here are the top ten signs that you might be ready for another baby:

1. Everything seems SO tiny.

Was your little one ever really that little?

2. You can’t quite remember the last time your babe had that new baby smell.

I mean, she smells good, but that specific new baby scent seems to have disappeared overnight.

3. You’re in the midst of or have considered potty training.

Okay, when your kiddo pees all over the floor or poops her pants you’re probably not in the optimal frame of mind to be considering adding to your brood. However, if you’re close to potty training that means you’re almost out of diapers. Which meann…You could do it again.

4. Your firstborn carries around baby dolls and asks for a baby.

This is adorable and also maddening. As if you weren’t having a hard enough time deciding on whether or not to have another baby, you now have to worry about disappointing your current child.

5. You finally lost all the baby weight from the first go round.

I know, right? You finally hit that goal on the scale and now you might be willing to ruin it?! This is a good time because it signals your body is back in a pre-baby equilibrium. Getting pregnant when you still have 10 to 20 pounds to lose just makes it harder to get all off in the long run. Starting from neutral is a much better choice.

6. Sleeping through the night is no longer something that only happens to other people..

That first year I know it felt like you might never sleep again. And then, once it happened you were afraid for months it was going to go away. Once you’re solidly sleeping through the night again it’s SO hard to consider going back. But, it’s a reminder of how far you’ve come. And you now know that even with another kid, you will sleep again. Eventually.

7. Sitting down and actually eating as a family isn’t a foreign concept. You haven’t had to eat with a baby in one arm for months now.

If you’ve been having real family meals it means that your little is now sitting in his or her own chair and feeding herself. This is a huge win and means your arms are free to now feed another one if necessary. (Or you could just enjoy feeding yourself for awhile.)

8. Everyone in your kid’s class at daycare now has a baby sibling.

This is NOT to say that you should have a baby because everyone else did. It’s just that once your older child starts seeing everyone else with sisters and brothers, she’s inevitably going to ask where hers is. No one should peer pressure you into adding to your family, but once all your kid’s friends have siblings you can bet you’ll get the question.

9. You’re no longer breastfeeding.

It’s so hard to think about getting pregnant when you’re still nursing and your body isn’t fully your own. Once you’ve weaned and have had some time to get back to your former self, you may be a little more willing to get pregnant and share yourself again.

10. You’ve blacked out labor from the first time.

It’s true. No one would ever have another child if they didn’t black out labor. Even if you, in theory, remember your birth experience, almost everyone blacks out the pain at some point. If you remembered in every acute detail what it was like there would be no siblings.

Should you have another baby?

That’s not to say that EVERYONE wants a second baby. There are actually studies that prove mothers of one are happiest. Just because you have nostalgia about those baby coos doesn’t always mean you’re ready to add to your family. Definitely weigh the pros and cons for your family, your goals, and your personal situation before you commit to a decision.

No one can tell you when you’re actually ready for a second baby. It’s something only you and your family can truly know. However, if you’ve experienced enduring nostalgia or hit any of the milestones above, you might just be more ready than you think!

Carly is a mom, wife and brand marketer who is passionate about talking about the reality of motherhood. She blogs about parenting, awesome products and productivity at The Mamma's List. Her hope is that sharing tips and tricks will help other moms and make this parenting gig easier for all of us.