Track ovulation using ovulation predictor kits (LH urine tests)
Have sex starting 1–2 days before the predicted ovulation date and continuing through ovulation day
Aim for intercourse every 1–2 days during the fertile window
Know fertile window timing (typically about 5–6 days before ovulation through ovulation day)
Use a consistent schedule if cycles are regular (e.g., every other day during the fertile window)
Maintain regular intercourse year-round if avoiding timing is difficult
Use lubricants that are fertility-friendly (avoid products labeled spermicidal)
Consider optimizing body weight, nutrition, and overall health
Take a prenatal vitamin with folic acid (commonly 400–800 mcg daily)
Limit alcohol and avoid smoking and recreational drugs
Keep caffeine moderate (commonly up to about 200 mg/day)
Review medications with a healthcare professional for pregnancy safety
Manage chronic conditions (thyroid disease, diabetes, PCOS, etc.) with clinician guidance
Reduce heat exposure to testes if applicable (avoid hot tubs/saunas, tight overheating)
Limit exposure to environmental toxins where possible
If trying for pregnancy: reassess with a clinician after 12 months of regular trying (or after 6 months if age 35 or older)
Seek earlier evaluation if there are known issues (irregular cycles, known endometriosis, prior pelvic infections, history of infertility, miscarriages, or severe male factor concerns)
Consider semen analysis if conception is not occurring after a reasonable trial or if there are risk factors
Use condoms only if not trying to conceive; avoid accidental pregnancy timing gaps
If cycles are irregular, consider tracking with basal body temperature, cervical mucus, or clinician-guided ovulation tracking