Whether you’re planning for a family very soon or in the future, taking proactive steps in health and lifestyle now, like improving diet and nutrition, and managing health conditions, can positively impact your fertility and wellbeing.

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About fertility

Whether you’re planning for a family very soon or in the future, taking proactive steps in health and lifestyle now, like improving diet and nutrition, and managing health conditions, can positively impact your fertility and wellbeing. Also, understanding your menstrual cycle can help you identify your most fertile days each month.

Your menstrual cycle

Understanding your menstrual cycle can help you identify your most fertile days each month. Track your menstrual cycle and period so you know what phase of your cycle you are in and when to expect your next period to start. Period tracking apps are a great way to do this.

You’re more likely to get pregnant around the time you are ovulating. If you are under 40 and have regular sex without using contraception there is an eight in ten chance you will get pregnant within a year.

Preconception

There are many things you can do to increase your chances of getting pregnant. Preconception care is a chance for you and your partner to improve your health before becoming pregnant.

When trying to get pregnant with a male partner it is equally important for them to consider their health and lifestyle.

Folic acid

A daily supplement of folic acid when you’re pregnant, or when there’s a chance you might get pregnant, is recommended as it reduces the risk of your baby having certain conditions.

Vitamins in pregnancy – Our Dorset health videos

Myth busting

Fertility myths are everywhere, due in part to lack of education and awareness. Find out what’s fact and what’s not.

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How to live well

Whether you’re planning for a family very soon or in the future, taking proactive steps in health and lifestyle now, like improving diet and nutrition, and managing health conditions, can positively impact your fertility and wellbeing.

Improving your general health and fitness through lifestyle changes can greatly make a difference to your fertility. Changes can include:

  • avoiding alcohol and smoking

  • cutting down on caffeine

  • drinking plenty of water

  • exercising regularly

  • taking supplements

  • reducing stress.

Having a healthy, balanced diet can also improve your fertility and prepare your body for a healthy pregnancy.

Emotional support

Counselling is recommended before, during and after fertility treatment, regardless of the outcome. This can help you and your partner to process your fertility journey, and provide you with support when you need it.

Problems with fertility

If you are experiencing problems conceiving or have any concerns, it’s always best to talk to your doctor. Tracking any symptoms will help you to tell your doctor about your experience.

If you are under 40 and have regular sex without using contraception, there is an 8 in 10 chance you will get pregnant within a year.

Talk to a doctor if:

  • you have been trying to get pregnant for over one year

  • you have a long-term condition such as diabetes and want advice about pregnancy

  • there is a risk of passing on a condition such as sickle cell disease to your baby

  • you regularly take medicines and want to get pregnant – some medicines can affect a pregnancy

  • you are aged 36 or over and want to get pregnant.

If you feel like you haven’t been listened to or your problems haven’t been solved by talking to a healthcare professional, the Wellbeing of Women website has advice on the steps you can take.

Infertility

Infertility can be one of the reasons that you are not getting pregnant after 12 months of regular unprotected sex. Many things can affect fertility, including smoking, weight, medical conditions and age. If you haven’t conceived after 12 months, talk to your doctor.

Long-term conditions and fertility

Living with a long-term condition can make becoming pregnant more difficult.

Epilepsy

Research into the effects of epilepsy on fertility are limited, and studies into whether there is an increased risk of infertility with epilepsy often have different results.

If you take medicine for epilepsy, it’s recommended that you take a much larger dose of folic acid when preparing for pregnancy. This will need to be prescribed by your doctor.

Folic acid can affect how well certain epilepsy medicines work, so it’s important to discuss this with your doctor first.

Diabetes

Diabetes can be associated with lower fertility. These risks can be reduced through good control of blood glucose levels and through maintaining a healthy body weight.

Polycystic ovary syndrome (PCOS)

Having PCOS can lead to difficulty getting pregnant, however most people with PCOS can conceive when using fertility treatment. It’s a good idea to talk to your doctor if you have PCOS and are trying to conceive, to discuss the options available to you.

For further information on PCOS, visit our page on gynaecology:

Cancer and fertility

Talk to your doctor about your fertility before your cancer treatment. Your team is there to help you find a balance between treating your cancer and wanting to have children. National guidelines for doctors say that they should discuss how your cancer and its treatment might affect your fertility at diagnosis.

For further information on cancer:

Local services

If you are experiencing problems conceiving or have any concerns, it’s always best to talk to your doctor. Tracking any symptoms will help you to tell your doctor about your experience.

Fertility treatment

If you are having fertility problems treatment is available to help you conceive, depending on what is causing the problem and what is available in your local area.

One of these options could be taking medicines that encourage ovulation. This can be beneficial for women with polycystic ovary syndrome (PCOS). It is not recommended for women with unexplained infertility.

Sometimes surgery can help to investigate the causes of infertility and help with any problems. Assisted conception, like intrauterine insemination (IUI) or in vitro fertilisation (IVF), are usually recommended for couples who are having difficulty getting pregnant.

Intrauterine insemination (IUI)

IUI can help if you need to use donor sperm to get pregnant – for example if you’re in a same-sex couple, are single, or you cannot have vaginal sex to get pregnant. Sperms are put directly into your womb (uterus) when you’re ovulating. It’s also known as artificial insemination.

In vitro fertilisation (IVF)

During IVF an egg is removed from your ovaries and fertilised by a sperm in a laboratory. This new embryo is then returned to your womb so it can develop.

Not everyone can access IVF through the NHS, so it’s good to have a chat with your doctor about your options and whether you can meet the criteria.

Dorset NHS Assisted Conception Criteria Summary

To receive one round of NHS funded IVF (assisted conception) in Dorset, you must apply as a couple where one of you has no children already and be less than 42 years old. If you are a female same sex couple, then you must have tried six rounds of self-funded artificial insemination.

The Dorset Wide Assisted Conception Criteria contains the current full assisted conception criteria for Dorset, but may change. It is important that you discuss assisted conception with your doctor or specialist doctor.

Support

Counselling is recommended before, during and after fertility treatment, regardless of the outcome. This can help you and your partner to process your fertility journey, and provide you with support when you need it.