Dreaming of getting pregnant? You're not alone. Many couples wonder what they can do to improve their odds. The good news is that there are concrete, evidence-based steps that actually help. Here are the most important tips — based on recommendations from the WHO and the American College of Obstetricians and Gynecologists (ACOG).
Start with Folic Acid — Ideally One Month Before
The single most important thing you can do is start taking folic acid before you become pregnant.
International recommendation: The WHO and ACOG recommend 0.4 mg (400 micrograms) of folic acid daily starting at least one month before you try to conceive, and continuing through the first trimester.
Folic acid significantly reduces the risk of neural tube defects in the baby. Folic acid supplements are available at pharmacies and health food stores worldwide.
Timing Is Everything: Understand Ovulation
To get pregnant, intercourse needs to happen around ovulation. Your fertile window is approximately 5–6 days:
- 3 days before ovulation — sperm can survive in the uterus
- Ovulation day — the egg can be fertilized within 12–24 hours
- 1–2 days after — still possible, but the chance decreases
How Often Should You Have Sex?
International guidelines recommend having intercourse every 2–3 days throughout the entire cycle. That way you don't need to stress about hitting the exact day of ovulation.
Did you know? Most couples (about 80–90%) conceive within the first year of regular, unprotected intercourse.
Lifestyle Factors That Affect Fertility
Weight and BMI
Both being overweight and underweight can affect ovulation and fertility. A BMI between 19 and 30 is generally considered optimal for fertility.
Smoking and Alcohol
This is perhaps the most important lifestyle advice:
- Smoking: Stop completely. Smoking significantly reduces fertility in both partners.
- Alcohol: Cut it out entirely or reduce to an absolute minimum. No amount of alcohol has been proven safe during pregnancy.
Caffeine
Moderate intake is fine — up to 200 mg per day (about 2–3 cups of coffee). Be aware that caffeine is also found in tea, cola, and chocolate.
Supplements Beyond Folic Acid
Many people also take:
- Vitamin D — important if you live in a region with limited sun exposure
- Iron — especially if you've had low levels before
- Omega-3 — from oily fish or supplements

For Him: Sperm Quality Matters
Fertility is about both partners! Men can take action too:
- Avoid heat (long hot baths, laptop on the lap)
- Stop smoking
- Limit alcohol
- Maintain a healthy weight
- Consider zinc and folic acid supplements
Tip: Sperm cells take about 3 months to produce. Lifestyle changes for men should therefore start well in advance.
Age and Fertility
Let's be honest about the biology:
- Under 30: Fertility is at its peak
- 30–35: Gradual decline begins
- 35–40: Fertility decreases noticeably
- Over 40: Still possible, but the chance is lower
General practice: If you are over 35 and have been trying for 6 months without success, it is recommended to see a doctor for evaluation.
When Should You Seek Help?
General guidelines:
| Woman's age | When to seek help |
|---|---|
| Under 35 | After 12 months of trying |
| 35–39 | After 6 months |
| Over 40 | Contact a doctor early |
You can also seek help sooner if you:
- Have irregular or absent periods
- Have known endometriosis or PCOS
- Have had pelvic inflammatory disease
- Have had recurrent miscarriages
Keeping Your Motivation Up
Trying to get pregnant can be an emotional rollercoaster. Some tips:
- Don't turn it into a project — try to keep the romance in your relationship
- Talk to each other — share feelings with your partner
- Take breaks — it's okay to have months where you're not "actively trying"
- Seek support — many find comfort in online communities with others in the same situation

Frequently Asked Questions
How long does it usually take to get pregnant?
Most couples (about 80–90%) conceive within the first year of regular, unprotected intercourse. After two years, about 95% have succeeded. It's normal for it to take several months.
How often should we have sex to get pregnant?
International guidelines recommend intercourse every 2–3 days throughout the entire cycle. That way you don't need to stress about hitting the exact day of ovulation, and sperm have time to replenish between attempts.
When should we see a doctor for help?
If you're under 35, wait 12 months of trying. If you're 35–39, contact a doctor after 6 months. If you're over 40, reach out early. Seek help sooner if you have irregular periods, known endometriosis, or PCOS.
Conclusion
The most important tips for increasing your chances of getting pregnant:
- Start folic acid at least one month before
- Have sex every 2–3 days
- Maintain a healthy lifestyle (quit smoking, limit alcohol)
- Keep a healthy weight
- Be patient — it takes time for most people
Remember: the vast majority of couples succeed eventually. And if it takes longer than expected, there is excellent fertility support available worldwide.
Sources
- World Health Organization (WHO) — Preconception care guidelines
- American College of Obstetricians and Gynecologists (ACOG) — Fertility guidelines
- CDC — Preconception health recommendations