As a Woman

Fertility Q&A - TTC, Male Fertility, Endo, and More

Jan 11, 2026
Practical fertility Q&A covering how to protect future fertility and simple cycle-awareness steps. A focused three-month plan for improving male fertility and sperm health. Clear guidance on prenatals, DHA, and whether supplements affect ovulation timing. Tips for maximizing chances after endometriosis surgery and why OPKs may read negative after hormonal birth control.
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ADVICE

Start By Knowing Your Cycle And Ovarian Reserve

  • Know your menstrual cycle by tracking regularity, spotting, and ovulation timing.
  • Check ovarian reserve with an AMH blood test early so you can detect premature decline and intervene if needed.
ANECDOTE

Med School Chat That Told Us To Do Nothing

  • Natalie recalled discussing fertility in med school where the advice then was to do nothing.
  • She contrasts that with today's proactive approach, encouraging early testing and lifestyle changes.
ADVICE

Men Should Optimize Lifestyle For 90 Days Before Trying

  • Men should take a three-month preconception approach because spermatogenesis takes ~90 days.
  • Stop cannabis, nicotine, excess alcohol and heat exposure, eat anti-inflammatory foods, sleep more, and build muscle to improve sperm parameters.
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