General Fertility Measurements

Intercourse every day or every other day yields the highest pregnancy-OB rate, but intercourse two to three times a week is nearly equivalent.

There is a “fertile window” that spans the 6-day interval ending on the day of ovulation, and it correlates with the volume and character of cervical mucus.

Among women who have regular menstrual cycles, frequent intercourse that begins soon after the cessation of menses can help maximize fertility.

Devices that determine or predict the time of ovulation may be useful for couples who have infrequent intercourse.

Neither specific sexual timing, nor position during sex, nor resting in a supine position after intercourse has any proven impact on fertility.

Caffeine, alcohol OK – in moderation
Moderate caffeine or alcohol consumption (1 to 2 drinks daily) has no demonstrable adverse effect on fertility. Smoking, a higher level of alcohol consumption (≥2 drinks daily), use of recreational drugs, and most commercially available vaginal lubricants should be discouraged among patients who are trying to conceive.

Fertility rates are lower in women who are very thin or obese, but there is little evidence that dietary variations improve fertility or affect the gender of the infant.

Elevated blood mercury levels from heavy seafood consumption have been associated with infertility.

Saunas do not reduce fertility in women. In normal men, attempts to protect the testicles from excessive heat are probably of little help.

Avoid solvents and pesticides

  • Fertility may be diminished in women who are exposed to certain toxins and solvents, such as those used in the dry cleaning and printing industries.
  • Men who are exposed to heavy metals in certain industrial jobs may be more likely to have abnormal semen parameters.
  • Pesticide exposure may be a problem for both male and female agricultural workers
  • Despite limited data on exposure to lead and use of industrial microwaves, they are probably best avoided or minimized.
  • Prescription drug use should be carefully controlled and managed on an individual basis

We Recommend 400-1000 mcg. of folic acid daily
Any woman hoping to conceive should be advised to initiate this regimen to reduce the risk of neural tube defects.

Swor Women’s Care Really Cared…


  • Avoid tobacco, marijuana and other drugs
  • Try vitamin C supplements 500 mg./day
  • Possibly a trial of antibiotic therapy to improve sperm quality, if abnormal
  • Remember that 24-48 hours is required to completely “restock” sperm counts for some men


  • Avoid tobacco, marijuana and other drugs
  • Avoid anti-inflammatory drugs like Motrin, Aspirin, Anaprox, Aleve, Nuprin, etc. around mid cycle as they can interfere with ovulation. You may, however, take these for menstrual cramping.
  • You may be able to predict ovulation time (fertile time) by counting backwards from your predicted start of menses by 14 days. This calculated day is the median of your “fertile week”.
  • Consider trying to predict ovulation with an over the counter “predictor kit” for the LH surge
  • You may also note increasing mucus discharge (clear-jelly like) just before and at the fertile time. This quickly disappears after ovulation.
  • Avoid chemicals, douches, non-water based lubricants and tampons for optimal cervical mucus


  • Try to keep a low emphasis on fertility…a good attitude towards your relationship helps tremendously. Consider achieving pregnancy-OB a hobby, not your life’s work. Feel free to call and discuss problems, attitudes, etc.
  • The average time to achieve pregnancy-OB is 3 months for a couple with a child and 5 months for a couple without a child.

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