The Coherence Code Podcast

138: Exercise, Fertility, and Pregnancy: How Much Is Helpful—and When It Hurts with Dr. Hannah Ryles

Jan 9, 2026
Dr. Hannah Ryles, board-certified OB-GYN specializing in gynecology and minimally invasive surgery and prenatal fitness advisor. She discusses how the right type and intensity of movement affects fertility, pregnancy, and postpartum recovery. Short segments cover when exercise helps metabolic health and IVF, how to personalize activity for PCOS or BMI, trimester adjustments, and pelvic floor–focused postpartum care.
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ANECDOTE

OBGYN Noticed Exercising Patients Had Easier Labors

  • Hannah Ryles noticed patients who exercised had easier labors and smoother recoveries while she was delivering babies in residency.
  • That observation motivated her to increase exercise during her own pregnancy and later advise OBGYN-approved programs.
ADVICE

Avoid Going From Zero To High Intensity

  • Do not jump from sedentary to high-intensity exercise during pregnancy or preconception because that can be harmful.
  • Use programs like Expect which tailor workouts by phase so you safely progress instead of overdoing it.
INSIGHT

Exercise Effect Depends On Metabolic Context

  • Moderate exercise supports fertility in healthy-weight women while vigorous exercise can reduce fertility in that group.
  • For metabolic conditions like PCOS or elevated BMI, vigorous activity may still improve ovulation via insulin sensitivity and inflammation reduction.
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