Track ovulation using ovulation predictor kits (LH) and/or basal body temperature
Have intercourse every 1–2 days during the fertile window (5 days before ovulation through ovulation day)
Aim for intercourse the day you get a positive LH test and the following day
Maintain intercourse frequency if trying for multiple cycles (don’t stop after one attempt)
Keep timing consistent with your ovulation pattern (adjust if cycles vary)
Use a lubricant only if needed and choose fertility-friendly options
Avoid douching and harsh vaginal products
Manage stress with regular exercise, sleep, and relaxation practices
Maintain a healthy body weight; avoid rapid weight loss or gain
Eat a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats
Take a prenatal vitamin with folic acid (typically 400–800 mcg daily)
Limit alcohol, avoid smoking, and avoid recreational drugs
Keep caffeine moderate (generally ≤200 mg/day for most people)
Review medications with a clinician for fertility impacts
If you’re over 35, consider earlier evaluation if not pregnant after 6 months of trying
If you’re 35 or younger, consider evaluation if not pregnant after 12 months of trying
Get earlier evaluation if you have irregular periods, known endometriosis/PCOS, prior pelvic infections, or a history of infertility
Ask a clinician about semen analysis for the partner if conception is not happening after several cycles
Consider checking for treatable issues (thyroid disorders, prolactin abnormalities, tubal factors, ovulatory dysfunction)
If appropriate, discuss fertility treatment options (e.g., ovulation induction, IUI) with a reproductive specialist
If pregnancy is not achieved after evaluation, follow a structured fertility plan with your clinician
