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With support, not difficult at all. On your own, it can be confusing.
I used to worry a lot about messing something up and conceiving while TTA, and then it came true when we conceived #2. We weren't working with a teacher then. After that we worked with a teacher and she corrected all of our little misunderstandings as we went along. She caught things we thought we understood, but didn't. She caught them early on and we were able to TTA with confidence until we were ready to TTC again. Then I became a teacher too.