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Navigating your fertility journey: A guide for people facing challenges in conceiving

Dr. Riki Dayan, MD FRCSC offers advice on addressing fertility challenges, including when to see a specialist, managing stress, making lifestyle changes, and utilizing resources to improve conception chances
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Navigating fertility can be tough. Photo via iStock

If you are having trouble getting pregnant, you are not alone. 

Recent statistics from Stats ÎÚÑ»´«Ã½ reveal that the , with one in six couples experiencing fertility issues. As more people choose to delay starting a family until their thirties and forties, understanding the nuances of fertility becomes increasingly important. 

The good news is that advancements in fertility treatments can help many individuals achieve pregnancy, depending on various factors, including age and health conditions. Here’s how to navigate your fertility journey effectively.

When to consult a fertility specialist

Knowing when to seek help is crucial. Here are some guidelines: 

Age matters: If you are under 35 and have been trying to conceive for at least 12 months, or if you are over 35 and have been trying for more than 6 months, it’s time to consult a physician. Fertility declines after age 35 and the decrease becomes more pronounced after age 37.

Existing conditions: If you have been diagnosed with endometriosis, had previous pelvic infections, or sexually transmitted infections, your risk of infertility increases.

Partner’s health: If your partner has a history of infections (like mumps), injuries, or surgeries affecting the testicles, or has been diagnosed with sperm issues, it’s essential to seek help.

Menstrual irregularities: Irregular menstrual cycles, especially those occurring infrequently or too frequently, can indicate underlying issues that need attention.

Health history: If you or your partner have known health problems such as diabetes, high blood pressure or a history of cancer treated with radiation or chemotherapy, you should consult a specialist.

Family history: A family history of early menopause can also be a red flag, indicating potential fertility challenges.

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Dr. Riki Dayan, MD FRCSC, Olive Fertility Victoria. Photo via Jen Steele Photography

Managing emotional stress

Many patients describe navigating their fertility journey as an emotional roller coaster. Studies show that women facing fertility issues often experience stress levels comparable to those dealing with life-threatening illnesses. Stress hormones impact every organ and system in your body, particularly your reproductive system making it essential to address both your physical and emotional well-being when you are trying to conceive. 

One proven way to alleviate distress, ease emotional turmoil and build resilience is a mindfulness practice.  Research indicates that mindfulness can improve mental well-being, reduce anxiety and depression, enhance quality of life, and even positively impact pregnancy outcomes.  Victoria acupuncturist and mindfulness instructor Stephanie Curran offers an online 6-week Fertility Well-Being program. This evidence based, experiential program draws practices and discussions from the famous Mindfulness Based Stress Reduction (MBSR) curriculum. To learn more go to

In addition, having a support team in place - whether that's a therapist, friend, partner or support group - can help you weather the ups and downs of fertility treatment. (Olive Fertility offers patients a free monthly peer support group facilitated by an Olive nurse and fertility counsellor).

Lifestyle changes to optimize fertility

Making certain lifestyle adjustments can significantly enhance your chances of conception. Here are seven evidence-based changes to consider:

1. Regular exercise: Engage in moderate exercise like power walking or resistance training to help regulate insulin and fertility hormone levels.

2. Adopt a Mediterranean diet: Following a whole food, Mediterranean-style diet rich in fruits, vegetables, healthy fats, lean proteins, and whole grains can increase fertility. Whole foods typically eaten as part of a Mediterranean diet don't raise blood sugar as much as processed and refined grain foods. And according to experts keeping blood sugar levels steady, is key to preventing insulin resistance, or "pre-diabetes", which can disrupt ovulation.

3. Avoid trans fats: Trans fats, commonly found in fried foods and baked goods, can negatively impact fertility. Instead, focus on healthy fats from sources like olive oil, nuts, seeds and avocados.

4. Folic acid supplementation: Taking a daily supplement of 400 mcg of folic acid is crucial, as it supports DNA synthesis in sperm and is vital for both male and female fertility.

5. Vitamin D intake: A daily supplement of at least 2000 IU of Vitamin D can improve pregnancy outcomes, as adequate levels are associated with higher rates of positive pregnancy tests and live births.

6. Prioritize sleep: Ensure you get enough sleep, as lack of rest can elevate cortisol levels, leading to weight gain and reduced fertility.

7. Seek support: Consider working with a team of healthcare professionals tailored to your needs, including acupuncturists, registered massage therapists, and dietitians.

Conclusion

While the journey to conception can be challenging, understanding when to seek help, managing emotional stress, and making informed lifestyle choices can empower you on this path. Remember, you are not alone, and with the right support and resources, many women successfully navigate their fertility journeys. If you have concerns or questions, don’t hesitate to reach out to a fertility specialist who can guide you through this process with care and compassion.

offers patients the option to book a same-day, no-fee, virtual referral appointment through their referral partner, . The referral will be automatically sent to Olive Fertility and a member of their intake team will contact you shortly thereafter to book your fertility appointment.