Track ovulation with a calendar and/or ovulation predictor kits
Have sex every 1–2 days during the fertile window (about the 5 days before ovulation through ovulation day)
Aim for intercourse around the time you expect ovulation
Maintain a healthy weight, balanced diet, and regular physical activity
Take a prenatal vitamin with folic acid (typically 400–800 mcg daily)
Avoid smoking, vaping, and recreational drugs
Limit alcohol
Discuss caffeine intake with a clinician if needed
Review medications with a healthcare professional before trying to conceive
Manage chronic conditions (thyroid disease, diabetes, PCOS, etc.) with clinician guidance
Reduce stress and ensure adequate sleep
If you’re using fertility awareness methods, keep consistent records of cycles and symptoms
If pregnancy doesn’t occur, consider evaluation based on age and time trying
Seek medical help after 12 months of trying if under age 35
Seek medical help after 6 months of trying if age 35 or older
Seek earlier evaluation if you have irregular or very infrequent periods, known infertility factors, prior pelvic infections, or history of endometriosis
Consider partner evaluation (semen analysis) if conception isn’t happening
Ask a clinician about fertility testing (ovulation assessment, thyroid/prolactin testing, tubal/uterine evaluation, etc.)
If needed, discuss fertility treatments with a specialist (e.g., ovulation induction, IUI, IVF)