Health

How to Have Sex That Can Lead to Pregnancy

According to the Centers for Disease Control and Prevention, there were approximately 3.66 million births in the U.S. during 2022, with fertility rates remaining steady in… Diana Yasinskaya - August 28, 2025

According to the Centers for Disease Control and Prevention, there were approximately 3.66 million births in the U.S. during 2022, with fertility rates remaining steady in recent years. The journey to conception hinges on a healthy reproductive system, but factors like age, timing of intercourse, and underlying medical conditions can make achieving pregnancy challenging. Understanding the biological processes of reproduction and the optimal time for conception is essential for couples aiming to get pregnant. Awareness of these dynamics can significantly increase the chances of successful conception.

1. Understand the Fertile Window

1. Understand the Fertile Window
A detailed ovulation calendar highlights the fertility window, mapping out key phases of the female cycle with colorful charts. | Generated by Google Gemini

The fertile window refers to the days in a woman’s menstrual cycle when conception is most likely to occur. Ovulation, the release of an egg from the ovary, typically happens about 14 days before the start of the next period in a regular 28-day cycle, but the exact timing can vary from person to person and from cycle to cycle. The fertile window is usually considered to be the five days leading up to ovulation and the day of ovulation itself, as sperm can survive in the female reproductive tract for up to five days, while the egg remains viable for about 12-24 hours after release.

Tracking the fertile window increases the likelihood of conception. Methods for identifying this window include monitoring changes in cervical mucus, tracking basal body temperature, and using ovulation predictor kits. Those with irregular cycles may benefit from additional tracking methods or consulting with a healthcare provider. By understanding and identifying the fertile window, couples can better time intercourse to maximize the chances of pregnancy. For more information on tracking ovulation and identifying fertile days, visit the March of Dimes and the CDC’s fertility resources.

2. Monitor Ovulation Signs

2. Monitor Ovulation Signs
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Recognizing ovulation signs can significantly improve the chances of conceiving. Physical indicators include changes in cervical mucus, which becomes clear, stretchy, and slippery—similar to raw egg whites—around ovulation. Some individuals experience mild pelvic or abdominal pain (mittelschmerz), increased libido, or breast tenderness. Hormonal changes can be detected with ovulation predictor kits (OPKs), which measure the surge in luteinizing hormone (LH) that occurs 24-36 hours before ovulation.

Technology can simplify tracking these signs. Popular ovulation tracking apps, such as Clue and Flo, allow users to log symptoms, track cycles, and receive predictions about fertile days. For a more comprehensive approach, basal body temperature (BBT) can be measured daily with a sensitive thermometer; a slight rise in BBT indicates ovulation has occurred. Combining these methods provides a clearer picture of fertility patterns.

To monitor ovulation effectively, start by observing and charting physical changes, using OPKs for hormonal confirmation, and leveraging digital tools for reminders and record-keeping. For more guidance, visit Planned Parenthood’s resources on fertility awareness and ovulation tracking.

3. Maintain a Healthy Weight

3. Maintain a Healthy Weight
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Body weight plays a significant role in fertility for both men and women. Being either underweight or overweight can disrupt hormonal balance and ovulation, making conception more challenging. According to the Centers for Disease Control and Prevention, women with a body mass index (BMI) in the normal range (18.5-24.9) tend to have the greatest chance of conceiving. A BMI below 18.5 (underweight) or above 30 (obese) is associated with irregular menstrual cycles and reduced fertility.

For men, excess body fat can decrease sperm quality and testosterone levels, further impacting the likelihood of pregnancy. Healthy weight management involves a balanced diet rich in whole foods, regular physical activity, and mindful lifestyle choices. If you are planning to conceive, aim to achieve and maintain a BMI within the recommended range. If you struggle with weight, consult a healthcare provider or registered dietitian for individualized support.

Adopting healthy habits not only improves fertility but also increases the chances of a healthy pregnancy and baby. For more on how weight affects conception and tips on healthy weight management, visit the American College of Obstetricians and Gynecologists resources.

4. Avoid Smoking and Excessive Alcohol

4. Avoid Smoking and Excessive Alcohol
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Smoking and excessive alcohol consumption are both significant risk factors for reduced fertility in both men and women. Cigarette smoke contains toxins that can damage eggs and sperm, disrupt hormone levels, and increase the risk of miscarriage and ectopic pregnancy. According to the Centers for Disease Control and Prevention (CDC), women who smoke are more likely to struggle with conception and experience pregnancy complications. Similarly, smoking can lower sperm count and motility in men.

Heavy alcohol use also impairs fertility by affecting ovulation and menstrual cycles in women, and reducing testosterone and sperm quality in men. The CDC recommends avoiding alcohol entirely when trying to conceive or during pregnancy, as no safe amount has been established. For women, alcohol can increase the risk of fetal alcohol spectrum disorders, even before a pregnancy is confirmed.

For those planning to conceive, quitting smoking and limiting or eliminating alcohol can improve the chances of a healthy pregnancy. Support resources for quitting include the Smokefree.gov program and the CDC’s alcohol use guidelines. Making these lifestyle changes can foster better reproductive health and overall well-being.

5. Manage Stress

5. Manage Stress
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Chronic stress can negatively impact reproductive health by disrupting the balance of hormones necessary for ovulation and sperm production. Elevated levels of stress hormones, such as cortisol and adrenaline, may interfere with the release of gonadotropin-releasing hormone (GnRH), which is vital for sexual function and fertility. Studies have found a correlation between high stress levels and lower pregnancy rates, as stress can lead to irregular menstrual cycles, decreased libido, and poorer sperm quality.

Comparative research has shown that individuals experiencing frequent or severe stress may have more difficulty conceiving compared to those with lower stress levels. A 2022 study highlighted by the NICHD found that women with higher self-reported stress had a lower probability of conception within a menstrual cycle.

To support fertility, adopting effective coping strategies is essential. Mindfulness practices, yoga, regular exercise, and engaging in enjoyable hobbies can help reduce stress. Seeking support from a counselor or joining a support group can also be beneficial. For additional stress management resources and guidance on mental health and fertility, visit the RESOLVE: The National Infertility Association.

6. Know Male Fertility Basics

6. Know Male Fertility Basics
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Male fertility is primarily determined by the health and quality of sperm. Healthy sperm should be sufficient in number, possess strong motility (movement), and have normal morphology (shape). The process of sperm production, known as spermatogenesis, is influenced by hormonal balance, lifestyle, and environmental factors. Like athletic performance, optimal sperm health requires consistent care, proper fueling, and avoidance of harmful exposures.

Just as athletes need balanced nutrition, adequate sleep, and regular exercise, men seeking to optimize fertility should adopt similar habits. Consuming a diet rich in antioxidants, vitamins C and E, and zinc can help support sperm production and function. Avoiding excessive heat (such as hot tubs), wearing loose-fitting underwear, and limiting exposure to toxins like pesticides or heavy metals are practical steps to protect sperm health. Regular physical activity can improve overall wellbeing, but excessive or intense training may actually lower testosterone and sperm counts.

For those experiencing fertility concerns, a semen analysis can provide insight into sperm quality. The Urology Care Foundation and the CDC offer further guidance on male fertility and steps to optimize reproductive health.

7. Time Intercourse Appropriately

7. Time Intercourse Appropriately
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Timing intercourse to coincide with the fertile window is one of the most crucial steps in achieving pregnancy. Research suggests that the highest chance of conception occurs when sex takes place during the five days leading up to ovulation and on the day of ovulation itself. Sperm can survive for several days in the female reproductive tract, so regular intercourse during this period maximizes the likelihood that sperm will be present when the egg is released.

Studies comparing different intercourse frequencies have found that having sex every one to two days during the fertile window offers optimal chances of conception, without significantly depleting sperm counts. According to the American Society for Reproductive Medicine, daily intercourse is slightly more effective than every-other-day intercourse, but both approaches yield high pregnancy rates.

For practical timing, couples should aim to have sex at least every other day starting a few days before expected ovulation and continuing through ovulation day. Using ovulation predictor kits or cycle tracking apps can help pinpoint the best days to have intercourse. For more detailed timing strategies, visit the Mayo Clinic’s conception guide.

8. Limit Exposure to Toxins

8. Limit Exposure to Toxins
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Exposure to environmental toxins has been increasingly recognized as a significant factor affecting fertility in both men and women. Chemicals such as pesticides, heavy metals (like lead and mercury), phthalates, and bisphenol A (BPA) can disrupt hormonal balance, impair egg and sperm quality, and increase the risk of miscarriage. Recent research, including a 2023 NIH study, found that exposure to endocrine-disrupting chemicals is linked to diminished ovarian reserve in women, while other studies have highlighted how certain toxins can lower sperm count and motility.

Everyday sources of toxins include some plastics, personal care products, non-organic produce, industrial chemicals, and polluted air or water. To minimize risk, individuals trying to conceive should opt for fresh, organic foods when possible, use glass or stainless steel containers instead of plastic, and avoid microwaving food in plastic. Choosing fragrance-free or natural personal care products and using protective gear when handling chemicals can further reduce exposure.

The CDC’s guide to reproductive health and workplace toxins offers more information on environmental risks and practical steps for creating a safer environment while trying to conceive.

9. Track Menstrual Cycles

9. Track Menstrual Cycles
Manual menstrual cycle tracking aids in identifying fertile days, optimizing conception, and monitoring reproductive hea…

Tracking menstrual cycles is a fundamental strategy for identifying fertile days and optimizing the timing of intercourse. By monitoring the length and regularity of cycles, individuals can estimate when ovulation is likely to occur, which is crucial for conception. Consistent cycle tracking also helps detect irregularities that might signal underlying health concerns.

Manual tracking involves marking the first day of each period on a calendar and noting symptoms such as cervical mucus changes or ovulation pain. This method is straightforward and cost-effective but requires diligence and attention to detail. Alternatively, digital tracking apps like Glow or Kindara offer more robust features, including automatic ovulation predictions, reminders, and data analysis. These apps can simplify record-keeping and provide insights based on patterns observed over several cycles.

To ensure accuracy, record the start and end dates of each period, and note any cycle-related symptoms. Track at least three to six months of data to establish a reliable pattern. For further guidance on best practices for menstrual cycle tracking, visit the U.S. Office on Women’s Health resources.

10. Address Underlying Medical Conditions

10. Address Underlying Medical Conditions
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Underlying medical conditions can significantly impact fertility and the likelihood of conception. Two of the most common reproductive health disorders are polycystic ovary syndrome (PCOS) and endometriosis. PCOS affects an estimated 6% to 12% of women of reproductive age in the United States, according to the CDC, and can result in irregular periods, hormonal imbalances, and infrequent ovulation. Endometriosis, meanwhile, is estimated to affect about 10% of women globally and involves the growth of uterine tissue outside the uterus, often causing pain and fertility challenges.

Other conditions, such as thyroid disorders, fibroids, or sexually transmitted infections, can also interfere with the reproductive process. Early identification and intervention are crucial; untreated medical issues may reduce the chances of pregnancy or contribute to complications. Consulting a healthcare provider for timely evaluation and management can improve fertility outcomes and overall reproductive health. Treatments may include medication, lifestyle modifications, or surgical interventions, depending on the diagnosis.

If you suspect a medical condition is affecting your fertility, seek professional advice promptly. For more information on common fertility-related conditions and treatment options, visit the American Society for Reproductive Medicine patient resources.

11. Avoid Lubricants That Harm Sperm

11. Avoid Lubricants That Harm Sperm
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Many commonly used personal lubricants can negatively impact sperm motility and overall fertility. Ingredients found in some water-based and silicone lubricants—such as glycerin, parabens, and certain preservatives—may impair sperm movement, making it more difficult for sperm to reach and fertilize the egg. A study published in the journal Fertility and Sterility found that popular brands like K-Y Jelly and Astroglide can significantly reduce sperm motility and viability.

In contrast, specialized fertility-friendly lubricants are designed to mimic natural cervical mucus and maintain a pH and osmolality that support sperm health. Products like Pre-Seed and Conceive Plus have been tested and shown not to harm sperm motility, making them preferable choices for couples trying to conceive. It’s important to read labels carefully and avoid lubricants that are not specifically marked as “fertility-friendly” when conception is the goal.

For more information about choosing the right lubricant and tips for supporting sperm health, visit the Mayo Clinic FAQ on lubricants and fertility.

12. Consider Age-Related Fertility

12. Consider Age-Related Fertility
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Age is a critical factor influencing fertility for both women and men. Female fertility peaks in the late teens to late 20s and begins to decline gradually around age 30, with a more rapid decrease after age 35. According to the CDC, the chance of natural conception per cycle drops from approximately 25% in women under 30 to less than 10% by age 40. Graphs of age-related decline, such as those provided by the American Society for Reproductive Medicine, clearly illustrate this downward trend over time.

Male fertility also declines with age, though typically at a slower rate. After age 40, men may experience decreased sperm quality and lower testosterone levels, affecting both conception and pregnancy outcomes. For couples at different life stages, planning is essential. Younger individuals may have more flexibility, while those in their mid-30s or older should consider earlier consultation with a fertility specialist if pregnancy does not occur within six months of trying.

For those considering delaying parenthood, options like fertility preservation, including egg or sperm freezing, may be worth exploring. Learn more about age and fertility from the American College of Obstetricians and Gynecologists.

13. Maintain Regular Physical Activity

13. Maintain Regular Physical Activity
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Moderate, consistent physical activity is linked to improved reproductive health and overall well-being. Regular exercise helps regulate hormones, maintain a healthy weight, and reduce stress—all essential for optimal fertility. Studies reported by the Centers for Disease Control and Prevention (CDC) indicate that adults who engage in at least 150 minutes of moderate-intensity aerobic activity per week tend to experience better menstrual regularity and increased chances of conception compared to those with sedentary lifestyles.

However, excessive or high-intensity exercise, especially when combined with inadequate calorie intake, can disrupt menstrual cycles and lower sperm quality due to hormonal imbalances. It’s important to strike a balance: moderate activities like brisk walking, swimming, cycling, and yoga are considered safe and beneficial for most people trying to conceive. Incorporating strength training two or more days a week further supports metabolic and hormonal health.

Individuals with specific health concerns or medical conditions should consult a healthcare provider before starting a new exercise routine. For comprehensive guidelines and safe workout ideas tailored to reproductive health, visit the Mayo Clinic’s fertility and exercise resource.

14. Eat a Balanced Diet

14. Eat a Balanced Diet
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Nutrition plays a pivotal role in fertility for both men and women. Consuming a balanced diet rich in key nutrients—such as folic acid, iron, zinc, omega-3 fatty acids, and antioxidants—supports hormone regulation, ovulation, and sperm quality. The Harvard T.H. Chan School of Public Health highlights that the Mediterranean diet, characterized by an abundance of fruits, vegetables, whole grains, legumes, nuts, lean proteins, and healthy fats, is associated with improved fertility outcomes compared to the typical Western diet, which is often high in red meats, processed foods, and refined sugars.

Practical meal ideas for supporting conception include salads topped with salmon and walnuts, whole grain pasta with roasted vegetables and olive oil, and smoothies made with leafy greens, berries, and Greek yogurt. Incorporating beans, seeds, and avocados into various meals can further boost nutrient intake. Minimizing processed snacks and sugary beverages helps maintain stable blood sugar and hormone levels, which are crucial for reproductive health.

For more detailed dietary recommendations and meal planning tips for those trying to conceive, visit the Academy of Nutrition and Dietetics’ fertility nutrition guide.

15. Limit Caffeine Intake

15. Limit Caffeine Intake
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Caffeine is a common stimulant found in coffee, tea, soda, and energy drinks, and its potential impact on fertility has been the subject of numerous studies. While moderate caffeine consumption does not appear to drastically affect fertility for most people, excessive intake may be linked to reduced chances of conception and an increased risk of miscarriage. A review in Fertility and Sterility found that consuming more than 500 mg of caffeine daily (about five cups of coffee) was associated with lower fertility rates and delayed conception.

Other research, including recommendations from the March of Dimes, suggests that limiting caffeine intake to under 200 mg per day (roughly one 12-ounce cup of coffee) is generally considered safe for those trying to conceive. It’s important to remember that caffeine content varies widely by beverage type and preparation method, so checking product labels and monitoring total daily intake is key.

To reduce caffeine consumption, consider switching to decaffeinated drinks, herbal teas, or water. For more guidance on caffeine and reproductive health, visit the American Pregnancy Association’s caffeine and fertility resource.

16. Stay Hydrated

16. Stay Hydrated
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Proper hydration is essential for reproductive health, impacting both cervical mucus quality in women and sperm function in men. Adequate water intake helps maintain the production of fertile cervical mucus, which is critical for sperm transport and survival during the fertile window. Insufficient hydration can lead to thicker cervical mucus, making it more difficult for sperm to travel through the reproductive tract. For men, dehydration may reduce semen volume and affect sperm motility, both of which can lower the chances of conception.

Water intake recommendations vary, but general guidelines from the CDC suggest that most adults need between 2.7 liters (about 11.5 cups) for women and 3.7 liters (about 15.5 cups) for men daily, including all fluids consumed. Individual needs may differ based on activity level, climate, and health status.

To stay hydrated, drink water consistently throughout the day, carry a reusable water bottle, and incorporate water-rich foods like fruits and vegetables into your diet. Limit sugary and caffeinated drinks, which may contribute to dehydration. For more information on optimal hydration and its link to fertility, visit the Academy of Nutrition and Dietetics.

17. Optimize Sexual Positions

17. Optimize Sexual Positions
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While no sexual position guarantees conception, certain positions may facilitate sperm’s journey toward the cervix and increase the likelihood of pregnancy. Positions that allow for deeper penetration, such as missionary (man-on-top) or rear-entry, are thought to deposit sperm closer to the cervix. This proximity may help more sperm reach the egg, especially during the fertile window. A review by the International Journal of Reproductive Medicine notes that, although scientific evidence is limited, these positions are commonly recommended by fertility experts due to the anatomical advantage they may provide.

Other positions, such as woman-on-top, may be less effective at directing sperm toward the cervix due to gravity, but there is no definitive research showing that these positions prevent conception. Some experts suggest remaining lying down for 10-15 minutes after intercourse to help sperm travel upward, although this advice is based more on tradition than proven science.

Ultimately, couples should choose positions that are comfortable and enjoyable, as pleasure and relaxation can also positively affect the chances of conception. For more information on sexual positions and conception, visit the Planned Parenthood guide to getting pregnant.

18. Allow Time to Conceive

18. Allow Time to Conceive
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Conceiving a child often takes time, even for healthy couples with no fertility issues. On average, about 85% of couples will achieve pregnancy within one year of regular, unprotected intercourse, according to data from the Centers for Disease Control and Prevention (CDC). Most experts define “regular” as having sex every two to three days throughout the menstrual cycle, especially during the fertile window. While some couples conceive within the first few months, others may require longer, and minor fluctuations in cycle timing are normal.

Expectations often differ from reality: surveys show many people anticipate conception within just a few cycles, yet research published by the National Institutes of Health indicates the average time to conception for most couples is about five to six months. Age and underlying health conditions can influence these timelines. Experts recommend seeking a fertility evaluation if pregnancy has not occurred after 12 months of trying for women under 35, or after six months for those 35 or older.

For more information on conception timelines and when to seek guidance, visit the American Society for Reproductive Medicine.

19. Get Preconception Counseling

19. Get Preconception Counseling
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Preconception counseling involves meeting with a healthcare provider prior to attempting pregnancy to assess and optimize reproductive health. This proactive approach can identify and address potential risks, improve pregnancy outcomes, and support overall well-being for both partners. Studies referenced by the American College of Obstetricians and Gynecologists (ACOG) show that individuals who receive preconception counseling are more likely to enter pregnancy with controlled chronic conditions, appropriate vaccinations, and healthy lifestyle habits, which can reduce complications and boost fertility.

During preconception visits, providers often review medical history, family history, current medications, and lifestyle factors such as nutrition, weight, and substance use. They may recommend screening for sexually transmitted infections (STIs), reviewing immunization status (such as rubella and varicella), and discussing genetic risks. Folic acid supplementation, management of chronic conditions like diabetes or hypertension, and mental health support are also common topics.

Preconception counseling is beneficial for all couples or individuals planning pregnancy, regardless of age or health status. For a comprehensive checklist of discussion topics and more information, consult the March of Dimes preconception checkup guide.

20. Check for Sexually Transmitted Infections (STIs)

20. Check for Sexually Transmitted Infections (STIs)
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Sexually transmitted infections (STIs) can have a significant impact on fertility for both men and women. Untreated STIs, such as chlamydia and gonorrhea, are leading causes of pelvic inflammatory disease (PID) in women, which can result in scarring of the fallopian tubes, blocked tubes, and increased risk of ectopic pregnancy. In men, STIs can cause epididymitis and other complications that reduce sperm quality or block sperm transport. According to CDC data, up to 10-15% of women with untreated chlamydia may develop PID, and infertility due to PID affects over 100,000 women in the U.S. each year.

Regular STI screening is crucial for sexually active individuals, especially those planning to conceive. The CDC recommends that all women under 25 and those with new or multiple sex partners be screened annually for chlamydia and gonorrhea. Men at risk should also be tested regularly. Early detection and treatment of STIs can prevent long-term reproductive damage and enhance the chances of a healthy pregnancy.

For more information about STIs, fertility, and recommended testing protocols, visit the CDC’s STI Screening Recommendations.

21. Avoid Excessive Heat Exposure

21. Avoid Excessive Heat Exposure
Prolonged heat exposure disrupts normal sperm production, reducing male fertility and overall sperm quality.

Excessive heat exposure can negatively impact male fertility by impairing sperm production and reducing sperm quality. The testes are naturally positioned outside the body because sperm production requires a temperature slightly lower than core body temperature. Prolonged exposure to high temperatures—from sources like hot tubs, saunas, heated car seats, or even frequent use of laptops on the lap—can raise scrotal temperature and disrupt normal spermatogenesis. Research cited by the National Institutes of Health shows that regular sauna use can temporarily lower sperm count and motility, though levels may recover after discontinuing heat exposure.

To help protect sperm health, men trying to conceive should limit time spent in hot environments and avoid hot tubs or saunas, especially during critical periods of sperm production, which lasts about 70-90 days. Wearing loose-fitting underwear and clothing, taking breaks from seated activities, and keeping electronic devices off the lap can also help maintain optimal testicular temperature.

For further information about heat exposure and male fertility, as well as practical tips for maintaining reproductive health, visit the Urology Care Foundation’s sperm health resource.

22. Limit Use of Certain Medications

22. Limit Use of Certain Medications
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Some medications can negatively affect fertility in both men and women by interfering with hormonal balance, ovulation, or sperm production. Common culprits include certain antidepressants (such as selective serotonin reuptake inhibitors), anti-inflammatory drugs (like NSAIDs), chemotherapy agents, some blood pressure medications (such as calcium channel blockers), and anabolic steroids. For example, a study published in the Journal of Human Reproductive Sciences found that long-term use of NSAIDs may inhibit ovulation, while certain antidepressants can impact libido and sexual function.

If you are planning to conceive, it’s important to review all prescription and over-the-counter medications with your healthcare provider. In many cases, safer alternatives can be prescribed or dosages adjusted to minimize fertility risks. Never discontinue a prescribed medication without professional guidance, as abrupt changes may cause harm or exacerbate underlying health conditions. Herbal supplements and over-the-counter remedies should also be discussed, as some can impair fertility or interact negatively with other drugs.

For more information on medications and fertility, as well as resources for evaluating drug safety during preconception, visit the March of Dimes medications and pregnancy guide.

23. Evaluate Thyroid Function

23. Evaluate Thyroid Function
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The thyroid gland plays a critical role in regulating metabolism and hormonal balance, both of which are essential for healthy reproductive function. Thyroid hormones influence the menstrual cycle, ovulation, and, in men, sperm production. Disorders such as hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can disrupt these processes, leading to irregular periods, anovulation, and increased risk of miscarriage in women, as well as reduced sperm quality in men.

Hypothyroidism is more common, especially among women, and is characterized by symptoms like fatigue, weight gain, and cold intolerance. Hyperthyroidism, while less common, may cause weight loss, anxiety, and rapid heartbeat. Both conditions can impair fertility if left untreated. According to the Endocrine Society, even mild, undiagnosed thyroid dysfunction can decrease the chances of conception and increase pregnancy complications.

Screening for thyroid function typically involves a blood test for thyroid-stimulating hormone (TSH) and, if needed, additional thyroid hormone levels. Early detection and treatment can restore normal reproductive function and improve fertility outcomes. For more guidance on thyroid health and fertility, visit the U.S. Office on Women’s Health.

24. Avoid Illicit Drugs

24. Avoid Illicit Drugs
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Recreational drug use can significantly impair fertility in both women and men. Substances such as marijuana, cocaine, methamphetamines, and opioids disrupt hormonal balance, ovulation, sperm production, and sexual function. According to the National Institute on Drug Abuse (NIDA), marijuana use can alter menstrual cycles and reduce ovulation frequency in women, while in men it may lower testosterone levels, decrease sperm count, and impair sperm motility. Cocaine and methamphetamines can damage reproductive tissues and increase the risk of miscarriage or birth defects.

Illicit drug use is also linked to risky sexual behaviors, increasing the likelihood of sexually transmitted infections that further compromise reproductive health. For individuals planning to conceive, it is crucial to avoid recreational drug use entirely. Quitting not only enhances fertility but also promotes a healthier pregnancy and reduces risks to the developing fetus.

Those struggling with substance use can find support through resources such as the SAMHSA National Helpline and NIDA’s treatment and recovery programs. Seeking help early can greatly improve both reproductive outcomes and overall well-being.

25. Treat Chronic Health Issues

25. Treat Chronic Health Issues
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Chronic health conditions such as diabetes and hypertension can have a profound effect on fertility and reproductive outcomes. Poorly controlled diabetes in women may lead to irregular menstrual cycles, hormonal imbalances, and an increased risk of miscarriage or birth defects. In men, diabetes can cause erectile dysfunction, reduced libido, and lower sperm quality. Similarly, hypertension is linked to impaired blood flow to reproductive organs, which can reduce ovarian function in women and lead to erectile difficulties or decreased semen quality in men.

Comparative studies demonstrate that individuals with well-managed chronic conditions experience better fertility outcomes than those with uncontrolled disease. For example, maintaining optimal blood sugar levels through medication, diet, and exercise significantly reduces fertility-related complications. The CDC emphasizes the importance of preconception care for individuals with chronic illnesses, highlighting that effective disease management before and during conception improves chances of a healthy pregnancy.

It is crucial for anyone with a chronic health issue to work closely with their healthcare provider to ensure medications are safe for conception and pregnancy, and that their condition is well-controlled. For additional support, visit the Eunice Kennedy Shriver National Institute of Child Health and Human Development resources on fertility and chronic health conditions.

26. Screen for Genetic Conditions

26. Screen for Genetic Conditions
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Genetic disorders can play a significant role in fertility challenges and pregnancy outcomes. Conditions such as cystic fibrosis, sickle cell disease, thalassemia, and certain chromosomal abnormalities may affect the ability to conceive or increase the risk of passing on inherited disorders to offspring. Carrier screening is a valuable tool that allows individuals and couples to determine if they carry genes for specific genetic conditions, even if they have no symptoms themselves. According to the Centers for Disease Control and Prevention (CDC), carrier screening is especially important for those with a family history of genetic disorders or who belong to certain ethnic groups with higher prevalence of specific conditions.

Genetic counseling is recommended before conception for anyone who may be at risk. A genetic counselor can interpret screening results, discuss possible reproductive options, and help couples make informed decisions about family planning. For some, options such as preimplantation genetic testing (PGT) with in vitro fertilization (IVF) may be considered to minimize the risk of passing on genetic diseases.

For more information about genetic screening and counseling before pregnancy, visit the American College of Obstetricians and Gynecologists’ carrier screening resource.

27. Prioritize Sleep Quality

27. Prioritize Sleep Quality
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Quality sleep is essential for maintaining a healthy balance of reproductive hormones and supporting fertility. Disrupted or inadequate sleep can interfere with the release of hormones such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which are critical for ovulation and sperm production. Research from the National Institutes of Health suggests that adults who consistently sleep less than six hours per night are more likely to experience menstrual irregularities, lower sperm quality, and increased time to conception compared to those who get the recommended seven to nine hours.

Comparing different sleep durations, studies have shown that both short (<6 hours) and excessively long (>9 hours) sleep patterns can negatively affect reproductive health. Establishing a regular sleep schedule, creating a calming bedtime routine, and maintaining a comfortable sleep environment can all promote better rest. Limiting screen time before bed, reducing caffeine intake in the afternoon and evening, and managing stress through relaxation techniques are additional ways to improve sleep quality.

For more tips on improving sleep and understanding its role in fertility, consult the Sleep Foundation’s guide to reproductive health and sleep.

28. Have Regular, Unprotected Sex

28. Have Regular, Unprotected Sex
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Consistent, unprotected sexual intercourse is fundamental for achieving pregnancy. Contraceptive methods—whether hormonal, barrier, or other types—must be discontinued when trying to conceive, as even occasional use can prevent fertilization. Regular sex, defined by most experts as every two to three days throughout the menstrual cycle, ensures that sperm is available in the reproductive tract when ovulation occurs, maximizing the chances of conception.

Comparing timing approaches, some couples choose to have intercourse only during the fertile window (the days leading up to and including ovulation), while others maintain regular frequency throughout the cycle. Research published by the Human Reproduction journal indicates that regular, unprotected sex throughout the month can be as effective as targeted intercourse, since ovulation timing can vary. For couples with unpredictable cycles, regular intercourse further increases the likelihood of fertilization.

Consistency is key: maintaining intimacy and a relaxed approach can help alleviate performance pressure and stress. For more information on the importance of regular, unprotected sex and optimal timing for conception, visit the UK National Health Service’s guide to getting pregnant.

29. Watch for Signs of Fertility Problems

29. Watch for Signs of Fertility Problems
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Recognizing early signs of fertility problems is crucial for timely intervention and improving the chances of conception. Common symptoms in women include irregular or absent menstrual periods, very light or very heavy bleeding, severe pelvic pain, and symptoms of hormonal imbalance such as unexplained weight gain, excessive hair growth, or acne. Men may notice changes such as reduced libido, erectile dysfunction, pain or swelling in the testicles, or noticeable changes in semen volume or appearance. Both partners may also experience recurrent miscarriages.

Early detection of these symptoms allows for prompt medical evaluation, which can lead to more effective treatment and better outcomes. In contrast, delayed recognition or ignoring signs of infertility may reduce treatment options and increase emotional stress. According to the CDC, couples under 35 should seek help if they have not conceived after 12 months of regular, unprotected sex, while those 35 and older should do so after six months.

If you or your partner experience any of these symptoms, it’s important to consult a healthcare provider or fertility specialist. For more signs and guidance on when to seek assistance, refer to the Mayo Clinic’s infertility resource.

30. Limit Use of Endocrine Disruptors

30. Limit Use of Endocrine Disruptors
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Endocrine disruptors are chemicals that interfere with the body’s hormonal systems and can negatively impact fertility. Common examples include bisphenol A (BPA), phthalates, parabens, and certain pesticides. These substances can mimic or block hormones, disrupt ovulation and sperm production, and increase the risk of reproductive disorders. Research highlighted by the National Institute of Environmental Health Sciences links exposure to endocrine disruptors with decreased fertility and altered reproductive development.

BPA is widely used in plastics and food packaging, but BPA-free products are now available. However, some BPA-free alternatives may still contain other potentially harmful chemicals, such as BPS or BPF. To reduce exposure, choose glass or stainless steel containers for food and drinks, avoid microwaving or heating food in plastic, and opt for fresh or frozen foods instead of canned goods. When selecting personal care items, look for products labeled “paraben-free” and “phthalate-free.”

Practical substitutions—such as using beeswax wraps instead of plastic wrap and choosing organic produce—further lower the risk. For more information on endocrine disruptors and strategies to minimize exposure, visit the Environmental Working Group’s guide to endocrine disruptors.

31. Address Sexual Dysfunction

31. Address Sexual Dysfunction
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Sexual dysfunction—including issues like low libido, erectile dysfunction, premature ejaculation, or pain during intercourse—can significantly hinder the chances of conception. Causes range from hormonal imbalances, chronic illnesses (such as diabetes or heart disease), psychological stress, anxiety, and relationship problems to side effects from medications. Both men and women may experience these challenges at various life stages, impacting intimacy and reproductive potential.

Addressing sexual dysfunction involves a combination of behavioral, medical, and psychological solutions. Lifestyle modifications, such as improving diet, increasing physical activity, reducing stress, and limiting alcohol or tobacco use, can often lead to improvement. For some, counseling or sex therapy offers a supportive environment to address relationship or psychological concerns. Medical options are also available, including medications for erectile dysfunction, hormone therapy, or treatment for underlying health conditions.

Comparing solutions, individualized care is usually most effective. If sexual dysfunction persists or causes distress, seeking medical evaluation is crucial to identify underlying causes and tailor an appropriate treatment plan. For guidance and resources, visit the Urology Care Foundation’s sexual dysfunction resource and the Planned Parenthood guide to sexual dysfunction.

32. Maintain Oral Health

32. Maintain Oral Health
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Emerging research suggests a surprising link between oral health—particularly gum disease (periodontitis)—and fertility. Gum disease can cause systemic inflammation, which may impair ovulation in women and reduce sperm quality in men. A study published by the National Institutes of Health found that women with untreated periodontitis took longer to conceive than those with healthy gums. In men, gum disease has been associated with lower sperm motility and concentration, potentially decreasing the likelihood of successful conception.

Good oral hygiene habits, such as brushing twice daily with fluoride toothpaste, flossing daily, and limiting sugary snacks and drinks, help prevent gum disease and support overall health. Comparing habits, individuals who maintain consistent oral care routines and avoid tobacco products experience fewer dental problems and lower inflammation levels. Additionally, regular dental checkups—ideally every six months—allow for early detection and management of oral health issues before they impact fertility.

For those planning to conceive, a dental evaluation is a proactive step to ensure optimal health. For more information on the connection between oral health and fertility, visit the American Dental Association’s pregnancy and oral health resource.

33. Be Aware of Female Reproductive Age

33. Be Aware of Female Reproductive Age
A detailed illustration shows a woman’s ovary with diminishing egg count, highlighting the effects of aging on ovarian reserve. | Generated by Google Gemini

Female reproductive age is a crucial factor in fertility due to the concept of ovarian reserve—the quantity and quality of eggs remaining in the ovaries. Ovarian reserve naturally declines with age, which affects a woman’s ability to conceive. Women in their 20s and early 30s generally have a higher ovarian reserve and better egg quality, resulting in higher fertility rates. By the mid-30s, both egg quantity and quality decrease more rapidly, and by age 40, the chances of natural conception drop considerably.

Testing ovarian reserve provides valuable information for family planning. One commonly used marker is anti-Müllerian hormone (AMH), measured via a simple blood test. AMH levels help estimate the remaining egg supply, though they do not predict egg quality or guarantee future fertility. Other assessments, such as antral follicle count (AFC) via ultrasound and follicle-stimulating hormone (FSH) levels, can provide additional insights.

Understanding your reproductive timeline allows for informed decisions about when to try to conceive or consider options like egg freezing. For more guidance on ovarian reserve, age-related fertility, and available testing, visit the American Society for Reproductive Medicine’s fact sheet on age and fertility.

34. Avoid Douching

34. Avoid Douching
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Douching—the practice of rinsing or cleaning the vagina with water or other fluids—can disrupt the natural vaginal flora and negatively impact fertility. The vagina is self-cleaning and maintains a delicate balance of beneficial bacteria, primarily lactobacilli, which help prevent infections and maintain an optimal pH. Douching can wash away these protective bacteria, making the environment more susceptible to infections such as bacterial vaginosis or pelvic inflammatory disease, both of which are linked to increased risk of infertility.

Comparative studies, including data from the Centers for Disease Control and Prevention (CDC), have shown that women who douche regularly are more likely to experience vaginal infections, adverse reproductive outcomes, and decreased fertility than those who do not. The practice can also push harmful bacteria deeper into the reproductive tract, increasing the risk of complications.

Experts recommend avoiding douching altogether and maintaining vaginal health by allowing the body’s natural processes to function. Gentle cleansing of the external genital area with mild soap and water is sufficient. For more information on vaginal health and safer practices, visit the U.S. Office on Women’s Health.

35. Encourage Open Communication

35. Encourage Open Communication
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Open communication is vital for couples trying to conceive, as it helps manage expectations, address concerns, and foster emotional intimacy. Discussing hopes, fears, and logistical concerns—such as timing, frequency of intercourse, and thoughts on seeking medical advice—can reduce misunderstandings and emotional strain. Studies referenced by the American Psychological Association highlight that couples who maintain strong communication are better equipped to navigate the challenges and uncertainties of the conception journey.

Comparatively, couples experiencing communication barriers are more likely to feel isolated, stressed, or frustrated, which can negatively impact both emotional well-being and physical intimacy. In contrast, those who share their feelings and listen actively often report greater relationship satisfaction and resilience during the process.

Effective communication tips include setting aside time for regular conversations, practicing active listening, expressing needs clearly without blame, and supporting each other through setbacks or disappointments. Seeking guidance from a counselor or joining support groups can further strengthen communication skills. For more relationship communication strategies and resources for couples on the path to parenthood, visit the Planned Parenthood communication guide.

36. Limit Exposure to Radiation

36. Limit Exposure to Radiation
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Exposure to ionizing radiation can significantly impact fertility by damaging reproductive cells and disrupting hormonal balance. High doses of radiation, such as those used in cancer treatments, can harm the ovaries or testes, leading to reduced egg or sperm production and, in some cases, permanent infertility. Even lower levels of occupational exposure—common in healthcare, research, and certain industrial settings—may affect reproductive health over time. The CDC’s National Institute for Occupational Safety and Health (NIOSH) reports that repeated or prolonged exposure to radiation can decrease fertility and increase the risk of birth defects in future pregnancies.

Comparing occupational risks, those who work with radiation-producing equipment or radioactive substances (e.g., radiologic technologists, nuclear industry workers) face higher exposure than the general population. However, strict safety protocols, including shielding, use of personal protective equipment, and time/distance limitations, have been shown to effectively reduce risk.

For anyone trying to conceive, it is important to be aware of potential radiation sources and to follow workplace safety guidelines. Discussing concerns with an employer and healthcare provider can help ensure adequate protection. For more on minimizing radiation exposure and reproductive health, visit the CDC’s radiation and reproductive health resource.

37. Review Immunization Status

37. Review Immunization Status
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Ensuring that immunizations are up to date is an important aspect of protecting fertility and preparing for a healthy pregnancy. Certain infections—such as rubella, mumps, varicella (chickenpox), and hepatitis B—can cause complications that impact reproductive organs or lead to miscarriage and birth defects. Vaccination helps prevent these infections, reducing the risk of infertility and adverse pregnancy outcomes. The Centers for Disease Control and Prevention (CDC) recommends that adults review their immunization history before attempting to conceive, as some vaccines should be administered prior to pregnancy.

Comparing immunization schedules, childhood vaccines typically include protection against measles, mumps, and rubella (MMR), but immunity can wane, making booster shots necessary. The varicella vaccine is also important for those who have not had chickenpox. Hepatitis B vaccination is recommended for all adults. Influenza and Tdap (tetanus, diphtheria, and pertussis) vaccines are generally safe and protective before and during pregnancy.

Individuals planning pregnancy should consult their healthcare provider to verify immunity through blood tests or vaccination records. Any needed updates should be completed before conception. For guidance on recommended vaccines and timing, visit the American College of Obstetricians and Gynecologists’ vaccine resource.

38. Consider Fertility Preservation Options

38. Consider Fertility Preservation Options
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Fertility preservation techniques, such as egg and sperm freezing (cryopreservation), offer individuals and couples the opportunity to safeguard their reproductive potential for the future. These methods are especially beneficial for those facing medical treatments known to affect fertility—such as chemotherapy, radiation, or surgery for cancer—as well as for people who wish to delay childbearing due to personal, professional, or health reasons. The American Society for Reproductive Medicine (ASRM) recommends discussing preservation options as early as possible, ideally before starting any treatments that may compromise fertility.

Comparing situations, egg freezing is often considered by women in their late 20s to early 30s who are not yet ready to conceive but wish to maximize future fertility chances. Sperm freezing is a straightforward and effective option for men facing similar circumstances. These procedures allow for future use in assisted reproductive technologies, such as in vitro fertilization (IVF).

Decision-making tips include evaluating personal goals, understanding the success rates associated with age at freezing, and consulting a fertility specialist for guidance. For more information on fertility preservation, visit the Cancer.Net resource on fertility preservation.

39. Limit Processed Foods

39. Limit Processed Foods
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Processed foods—often high in added sugars, unhealthy fats, preservatives, and artificial ingredients—can negatively impact hormone balance and reproductive health. Diets rich in processed foods are associated with increased inflammation, insulin resistance, and disruptions in estrogen and testosterone levels, which can impair both ovulation and sperm quality. A study in the Journal of Clinical Medicine found that individuals following a Western diet, characterized by high intake of processed and fast foods, experienced reduced fertility compared to those consuming more whole foods.

Comparatively, whole-food-based diets—such as the Mediterranean diet—emphasize fresh fruits, vegetables, whole grains, nuts, legumes, lean proteins, and healthy oils, providing the nutrients needed for optimal reproductive function. These diets are linked to better hormone regulation, improved menstrual regularity, and higher sperm counts.

Practical swaps include replacing sugary cereals with oatmeal or Greek yogurt, choosing whole-grain bread over white bread, snacking on fresh fruit and nuts instead of chips or cookies, and cooking meals at home using fresh ingredients. For more guidance on building a fertility-friendly diet and reducing processed food intake, visit the Harvard T.H. Chan School of Public Health’s Fertility and Diet guide.

40. Seek Support if Needed

40. Seek Support if Needed
Supportive community fosters resilience and emotional well-being throughout the challenges of the fertility journey.

Emotional and social support play an essential role in the fertility journey, helping individuals and couples cope with the stress, uncertainty, and potential disappointment that can accompany trying to conceive. Research shows that those who actively seek support—whether from friends, family, or professional counselors—report lower levels of anxiety and depression, better communication, and greater resilience. Peer support groups, including both in-person and online communities, allow people to share their experiences, find encouragement, and learn practical coping strategies from others facing similar challenges.

Comparatively, those who feel isolated or lack support may experience heightened emotional distress, which in turn can negatively affect reproductive health. Participating in support groups such as RESOLVE: The National Infertility Association or seeking professional counseling through organizations like the American Psychological Association can provide valuable assistance. Many fertility clinics also offer mental health resources and group sessions tailored for people navigating infertility.

For more information on finding support groups, mental health professionals, and additional resources, visit the Eunice Kennedy Shriver National Institute of Child Health and Human Development support page.

41. Be Wary of Alternative Therapies

41. Be Wary of Alternative Therapies
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Alternative therapies such as acupuncture, herbal supplements, homeopathy, and dietary cleanses are increasingly popular among individuals and couples hoping to enhance fertility. While some people report subjective benefits, the scientific evidence supporting many of these treatments varies widely. For example, studies on acupuncture for fertility have shown mixed results, with some indicating potential benefits for stress reduction and hormonal balance, but others finding no significant impact on pregnancy rates (National Center for Complementary and Integrative Health).

Herbal supplements, meanwhile, can carry risks of side effects or interactions with prescribed medications, and their purity and dosage are often unregulated. Homeopathic remedies and detox cleanses lack robust clinical evidence for improving fertility and may even be harmful in some cases. The U.S. Food and Drug Administration cautions consumers to be skeptical of unproven fertility products and to avoid therapies that promise guaranteed results.

If considering alternative therapies, always consult a healthcare provider to evaluate safety, potential interactions, and evidence base. For more information on complementary and alternative approaches to fertility, visit the NCCIH fertility and CAM resource for providers.

42. Protect Against Occupational Hazards

42. Protect Against Occupational Hazards
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Certain occupations expose workers to environmental and chemical hazards that can negatively affect fertility. Jobs in industries such as agriculture, manufacturing, healthcare, and laboratory research may involve frequent contact with pesticides, solvents, heavy metals, ionizing radiation, or anesthetic gases—all of which are linked to reduced sperm quality, menstrual irregularities, and increased risk of miscarriage or birth defects. The CDC’s National Institute for Occupational Safety and Health (NIOSH) highlights that reproductive risks are particularly pronounced in settings where personal protective measures are not rigorously followed.

Comparing industries, agricultural workers may have higher exposure to endocrine-disrupting pesticides, while healthcare professionals and laboratory staff may encounter radiation or cytotoxic drugs. Manufacturing roles can carry risks from heavy metals like lead or mercury. To minimize occupational hazards, workers should use appropriate personal protective equipment (PPE), follow safety protocols, and participate in workplace training. Employers are required to provide safety information and ensure hazardous materials are handled correctly.

Individuals planning to conceive should discuss workplace exposures with their healthcare provider and request occupational health assessments if necessary. For detailed guidance on workplace reproductive hazards and protective strategies, visit the OSHA guide to reproductive hazards.

43. Understand the Role of the Cervix

43. Understand the Role of the Cervix
A detailed illustration of the female reproductive anatomy highlights the cervix as a healthcare provider performs a Pap smear. | Generated by Google Gemini

The cervix plays a vital role in the process of conception by acting as both a gateway and a filter for sperm. During the fertile window, the cervix produces a special type of mucus that becomes clear, thin, and stretchy, facilitating the passage of sperm from the vagina into the uterus. This fertile cervical mucus helps protect sperm from the acidic vaginal environment and guides them toward the egg. At other times in the cycle, the mucus is thicker and more hostile, preventing sperm entry and reducing the chance of infection.

Healthy cervical changes are essential for fertility, while abnormal conditions—such as chronic infections, cervical stenosis (narrowing), or precancerous lesions—can create barriers to conception. Cervical polyps or scarring from previous procedures may also interfere with sperm movement. Regular gynecological screenings, including Pap smears and HPV testing, help detect cervical abnormalities early and support reproductive health.

Maintaining cervical health is crucial for those trying to conceive. Annual screenings and prompt treatment of infections or abnormalities are recommended. For more information on the cervix’s role in conception and the importance of regular screenings, visit the American College of Obstetricians and Gynecologists’ cervical health resource.

44. Avoid Excessive Exercise

44. Avoid Excessive Exercise
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While regular physical activity benefits reproductive health, excessive or extreme exercise can have the opposite effect, particularly for those trying to conceive. High-intensity workouts or very long training sessions can disrupt the balance of reproductive hormones, suppress ovulation in women, and lower testosterone and sperm production in men. The American Society for Reproductive Medicine (ASRM) notes that women who engage in strenuous exercise—especially when coupled with inadequate caloric intake—may experience irregular or absent periods, known as exercise-induced amenorrhea.

Comparing activity levels, moderate exercise (such as brisk walking, cycling, or swimming for 150 minutes per week) supports fertility, whereas extreme regimens (like daily high-intensity interval training or endurance events) raise the risk of hormonal imbalances. Men who overtrain may also see declines in sperm quality and libido due to elevated stress hormones.

Moderation guidelines include balancing exercise with proper nutrition, allowing for rest and recovery, and listening to the body’s signals. If menstrual cycles become irregular or libido drops, it may be time to reduce workout intensity. For more recommendations on safe exercise levels and fertility, visit the Mayo Clinic fertility and exercise resource.

45. Practice Safe Sex Until Ready

45. Practice Safe Sex Until Ready
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Practicing safe sex prior to actively trying to conceive is essential for preventing sexually transmitted infections (STIs), which can have long-term consequences on fertility. STIs like chlamydia, gonorrhea, and syphilis can cause pelvic inflammatory disease, scarring, and blockages in the reproductive tract, reducing the likelihood of conception and increasing the risk of complications. The Centers for Disease Control and Prevention (CDC) recommends using barrier methods such as condoms or dental dams and maintaining open communication with partners about sexual health status until both partners are ready to begin trying for a baby.

Comparing safe practices, mutual monogamy with a tested, uninfected partner offers the highest level of protection, while consistent condom use significantly reduces the risk of STI transmission. Regular STI screening for both partners is also recommended, especially if there are multiple partners or any history of prior infections. Once both partners have been screened and cleared for STIs, and are committed to conceiving, it is appropriate to transition to regular, unprotected sex during the fertile window.

For more detailed information about STI prevention and transitioning to conception-focused intercourse, visit the Planned Parenthood STI prevention guide.

46. Recognize Male Age Factors

46. Recognize Male Age Factors
A close-up illustration shows male sperm cells under a microscope, highlighting the effects of aging on fertility. | Generated by Google Gemini

Male age is an important but often overlooked factor in fertility. As men age, particularly after age 40, sperm quality tends to decline. This decline includes decreased sperm motility and morphology, lower semen volume, and increased DNA fragmentation—all of which can reduce the chances of successful conception and increase the risk of miscarriage or genetic abnormalities. Research summarized by the Centers for Disease Control and Prevention (CDC) and the American Society for Reproductive Medicine (ASRM) shows that men over 40 may take longer to achieve pregnancy and face a higher likelihood of certain birth defects in their children compared to younger men.

Comparing age brackets, men in their 20s and 30s generally have higher-quality sperm than those in their 40s and beyond. While the decline is gradual, it becomes more pronounced with advancing age. For those who may want to delay fatherhood, fertility preservation techniques—such as sperm banking—can be a proactive step. Healthy lifestyle choices, regular medical checkups, and minimizing exposures to toxins can also help maintain sperm health.

For further information on male age and fertility, visit the Urology Care Foundation’s sperm health resource.

47. Optimize Vaginal Health

47. Optimize Vaginal Health
A collection of feminine hygiene products arranged beside illustrated diagrams of the vaginal microbiome, highlighting tips for healthy care. | Generated by Google Gemini

A healthy vaginal microbiome is crucial for fertility, as it creates an environment that supports sperm survival and reduces the risk of infections that can impair conception. The dominant presence of Lactobacillus species helps maintain an optimal acidic pH and protects against harmful bacteria and pathogens. Disruptions to this balance—caused by antibiotics, poor hygiene, douching, or unprotected sex with new partners—can lead to infections such as bacterial vaginosis (BV) or yeast infections, both of which are linked to decreased fertility and increased risk of pelvic inflammatory disease.

Comparing flora disruptions, BV is associated with a higher vaginal pH and an overgrowth of harmful bacteria, while yeast infections result from an imbalance favoring fungal organisms. Both conditions can cause discomfort, abnormal discharge, and inflammation, which may interfere with sperm motility and embryo implantation. Maintaining vaginal health involves wearing breathable cotton underwear, avoiding scented soaps or feminine hygiene sprays, wiping front to back, and practicing safe sex.

Routine gynecological checkups and prompt treatment of infections are essential. For more information on vaginal health and fertility, visit the U.S. Office on Women’s Health vaginal health resource and the CDC’s bacterial vaginosis factsheet.

48. Be Patient and Realistic

48. Be Patient and Realistic
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Patience and realistic expectations are essential when embarking on the journey to conception. While many couples hope to conceive quickly, the reality is that it often takes time—even for healthy individuals. According to the Centers for Disease Control and Prevention (CDC), about 85% of couples will conceive within one year of regular, unprotected intercourse, but it is normal for conception to take several months. Factors such as age, health status, lifestyle, and timing all play a role, and each couple’s experience can differ significantly.

Comparing stories, some couples conceive within a few cycles, while others may take a year or longer despite having no identifiable fertility problems. Emotional ups and downs are common, and it’s important to remain persistent and flexible in your approach. If conception doesn’t occur after 12 months (or six months for women over 35), seeking help from a fertility specialist is recommended.

Maintaining open communication, supporting each other, and staying informed can make the process less stressful. For further encouragement, real-life stories, and professional guidance, visit the RESOLVE: The National Infertility Association’s FAQ page.

49. Know When to Seek Fertility Help

49. Know When to Seek Fertility Help
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Recognizing when to consult a fertility specialist is crucial for timely intervention and optimizing your chances of conception. The American Society for Reproductive Medicine (ASRM) recommends seeking help if a woman under age 35 has not conceived after 12 months of regular, unprotected sex, or after six months if she is 35 or older. Earlier evaluation is also advised for couples with known risk factors such as irregular periods, a history of pelvic inflammatory disease, endometriosis, or male factors like low sperm count.

Comparing guidelines, these recommendations are widely supported by organizations such as the Centers for Disease Control and Prevention (CDC) and the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Fertility clinics offer a range of services, including diagnostic testing, ovulation induction, intrauterine insemination (IUI), in vitro fertilization (IVF), and genetic counseling. Many also provide psychological support and counseling to help manage the emotional aspects of fertility treatment.

For a comprehensive overview of fertility services and how to find a specialist, visit the RESOLVE guide to finding a fertility doctor.

50. Stay Informed with Trusted Sources

50. Stay Informed with Trusted Sources
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Continuous education is key when navigating fertility, as new research, guidelines, and treatment options are regularly updated. Staying informed with evidence-based information empowers individuals and couples to make informed decisions and adapt to new recommendations. Reputable channels include established medical organizations, peer-reviewed journals, and well-known health institutions. For example, the Mayo Clinic, Centers for Disease Control and Prevention (CDC), and American College of Obstetricians and Gynecologists (ACOG) offer up-to-date, trustworthy resources on fertility, reproductive health, and pregnancy.

Comparing information channels, official government and academic sources are more reliable than anecdotal social media posts or unverified internet forums, which may spread misinformation. Subscribing to newsletters or setting up alerts from organizations like the RESOLVE: The National Infertility Association can help you stay current on research developments, legislative changes, and available support networks.

Regularly revisiting trusted sites, reading recent articles, and discussing findings with healthcare providers ensures that your fertility knowledge remains accurate and actionable. For ongoing guidance, bookmark and frequently check the Mayo Clinic homepage and related reputable sources.

Conclusion

Conclusion
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Successfully achieving pregnancy involves understanding and optimizing a wide array of factors, from timing intercourse and maintaining reproductive health to seeking prompt medical advice when needed. With fertility challenges affecting many couples, it is essential to act with urgency: start by tracking menstrual cycles, monitoring ovulation signs, and making healthy lifestyle choices. Don’t hesitate to consult a healthcare provider if concerns arise or conception takes longer than expected. Accessing reliable support and education, such as through the CDC or RESOLVE, can provide reassurance and guidance. Taking these practical steps increases the chances of a healthy, successful pregnancy and supports overall well-being on your fertility journey.

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