Hey there! If you’re diving into the world of trying to get pregnant, you might be surprised to learn that it can take a while for many people. In fact, many couples in the U.S. face challenges when it comes to conceiving or maintaining a pregnancy. While most folks might get pregnant within a year of trying, others may need to explore options like fertility treatments, gestational carriers, or even adoption. It’s a good idea to recognize that this is a common experience, and there are steps you can take to enhance your chances of conceiving.
As a Certified Nurse-Midwife, I often chat with my patients about what to consider when trying to conceive. Here’s a friendly rundown of what you need to know about fertility and some helpful tips for your preconception journey.
Understanding Fertility
Fertility is all about your ability to conceive and have children. One important thing to note is that fertility tends to decrease as people age, primarily due to a decrease in egg quantity and quality. According to estimates, individuals in their 30s have about a 20% chance of getting pregnant each cycle, while those in their 40s see that drop to around 5%. These are average figures—individual experiences can vary. Some choose to freeze their eggs to keep their options open later on.
What About Infertility?
Infertility means that getting pregnant is more difficult, but it doesn’t mean it’s impossible. Studies show that roughly 1 in 8 couples may experience infertility, which is diagnosed if someone under 35 tries for a year without success, or if someone over 35 tries for six months. So, what can lead to infertility? Here are some common roadblocks:
- Ovulation Issues: If an egg isn’t released, it can’t be fertilized. Conditions like polycystic ovary syndrome (PCOS) or thyroid problems can affect ovulation.
- Ovarian Reserve Problems: This refers to the number of eggs available. While having fewer eggs doesn’t mean pregnancy is impossible, it can make it trickier.
- Blocked Fallopian Tubes: If the tubes are blocked, the sperm can’t reach the egg. Often, this can result from pelvic inflammatory disease (PID) caused by untreated STIs.
- Uterine Issues: Abnormalities in the uterus, such as fibroids or endometriosis, can also affect your ability to conceive.
- Male Factor Infertility: Around 30-40% of infertility cases are due to issues with sperm, like low count or motility.
Sometimes, infertility is classified as “unexplained,” meaning the cause isn’t immediately apparent.
Navigating Infertility
If you’re facing infertility or are looking for ways to get pregnant, there are several options available:
- Medications to Induce Ovulation
- Assisted Reproductive Technology (ART) such as intrauterine insemination (IUI), with or without donor sperm.
- In Vitro Fertilization (IVF), possibly incorporating donor sperm or eggs.
When to Start Trying to Get Pregnant
It usually takes about 90 days for your ovarian follicles to mature for ovulation, so it’s beneficial to start preparing at least three months in advance. This includes making healthy lifestyle choices and beginning prenatal vitamins with folic acid a month before you start trying to conceive.
If you have any menstrual health disorders, like irregular periods or conditions such as endometriosis or PCOS, it’s wise to consult with a fertility specialist early on. They can help you explore your options, including the effective at-home insemination services offered by Make a Mom, which provides a reusable insemination option. You can also learn how at-home insemination works by checking out this guide.
Optimizing Your Chances of Conceiving
Prioritizing your health and lifestyle before trying to get pregnant is crucial. Here are some evidence-based tips to boost your fertility:
- Timing is Key: Track your ovulation to time intercourse for the highest chances of conception.
- Stay Active: Regular movement can help with ovulation; choose activities you enjoy, whether it’s walking, yoga, or dancing.
- Eat Well: Focus on balanced, nutrient-rich meals—this isn’t the time to diet! Nourishment is key for fertility.
- Quit Smoking: If you smoke, consider quitting; it can significantly improve your fertility.
- Soak Up Some Sun: Vitamin D is linked to overall health and can influence fertility positively.
- Limit Toxins: Reduce exposure to endocrine disruptors found in products you use daily.
- Manage Stress: High stress levels can impact fertility, so explore mindfulness and relaxation techniques.
- Prioritize Sleep: Aim for 7-8 hours of quality sleep each night to support hormone balance.
Finally, don’t forget to check in with yourself throughout this journey to ensure you feel healthy and supported. Considering a preconception counseling appointment can be valuable; you’ll discuss your health history, reproductive plans, and get guidance on nutrition and lifestyle choices.
If you’re interested in learning more about overcoming challenges like vaginismus, you can read about one couple’s journey here.
In summary, the journey to conception can be different for everyone, but with the right support and resources, you can navigate it successfully.