Improving fertility

Although the month-to-month conception rate is considered the same, couples who have unprotected sex generally have the highest first-month conception rates. If there is no pregnancy in the first 3 months, monthly pregnancy rates begin to decrease. After the relatively late 30s, the monthly conception rate is halved compared to the early 20s.

Infertility is the inability to achieve pregnancy despite regular sexual intercourse for at least 12 months. However, if pregnancy cannot be achieved after 6 months in women with a stimulating physical examination or medical history, or in women over 35 years of age, an early evaluation should be made. As women get older, the potential to become pregnant decreases.

—Frequency of Sexual Intercourse:

In cases where the duration of sexual abstinence exceeds 5 days, the sperm count and morphology (shape) are adversely affected. In men with normal sperm count, daily sexual intercourse does not change the semen parameters, but in some publications it is said that it may cause a decrease in the chance of conception. However, interestingly, it is said that daily sexual intercourse increases sperm count and motility in those with low sperm count. However, although sexual intercourse every day seems to increase the chance a little more, couples may be advised to have 1-2 days of intermittent intercourse as it will be an additional source of stress for couples.

—Time Range to Conceive:

The period during which a woman can become pregnant begins on the 6th day of the first day of menstruation and ends on the day of ovulation. For this reason, in order to catch pregnancy, it should be recommended to have intercourse every 1-2 days from the end of menstruation until the day of ovulation in women who have regular menstruation. For example, in a woman who has her period every 28 days, this interval is between the end of her period and the 14th day. For this reason, there is no need to detect the moment of ovulation by using various methods (detection of ovulation day by urine, blood and ultrasonography).

— Matters to be Considered in Sexual Relationship:

Every couple has their own sexual intercourse habits. Any change in these habits does not contribute to conception (sleeping on your back for a while after intercourse, etc.). However, some chemicals (lubricant) used during sexual intercourse may have a harmful effect on sperm. Therefore, the use of these derivative chemicals is not recommended.

—Diet and Lifestyle:

Pregnancy rates decrease in women with very thin body mass index (BMI – 35). Therefore, normalizing the woman’s weight may have a positive effect on spontaneous pregnancy. Eating plenty of vegetables and fruits, low in fat and rich in vitamins can also contribute to this issue, albeit a little. Folic acid supplementation of 400 microgr (or 0.4 milligram) per day also reduces the risk of developing neural tube defects (central nervous system problems in the baby).


Smoking significantly reduces the potential for conception. It also increases the age of menopause by 1-4 years. Apart from this, it also increases the risk of miscarriage in pregnancies that occur spontaneously or with IVF. It also causes a decrease in sperm count and motility in men.


The effect of alcohol on fertility in women is not fully known. However, heavy alcohol intake (more than 2 glasses a day) should be avoided.


Drinking more than 5 cups (>500 mg) of coffee per day reduces the chance of conception. The risk of miscarriage increases even with 200-300 mg of coffee per day. It does not increase the risk of congenital anomaly, but may cause premature birth or low birth weight baby delivery.

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