40w LaterGuide

When you stop using contraception and start trying for a baby, it can feel as though pregnancy should happen right away. But even when there are no known fertility problems, it is completely normal for conception to take time.

Pregnancy doesn't always happen in the first month

Even when intercourse takes place during the fertile window, pregnancy is not guaranteed in every menstrual cycle. The chance of conception varies considerably depending on factors such as age, ovulation, sperm health, reproductive health, and timing.

For couples without known fertility problems, the likelihood of conception is generally highest during the first few months of trying. Research suggests that around 80% conceive within the first 6 months.

So, not becoming pregnant after one or a few cycles does not necessarily mean there is a fertility problem.

When should you consider a fertility evaluation?

If the female partner is under 35 and there are no known fertility concerns, an evaluation is generally recommended after 12 months of regular unprotected intercourse without pregnancy.

If the female partner is 35 or older, evaluation is generally recommended after 6 months. If she is over 40, it may be appropriate to seek evaluation sooner.

You do not need to wait for these time points if there is already a reason to suspect a fertility problem. Earlier evaluation may be appropriate if there are very irregular or absent periods, known or suspected endometriosis or problems affecting the uterus or fallopian tubes, concerns about male fertility, sexual difficulties, previous chemotherapy or radiation, or other medical conditions that may affect fertility.

Do we have to perfectly time intercourse?

The fertile window includes the several days leading up to ovulation and the day of ovulation. Having intercourse every 1–2 days during this period can maximize the chance of conception, but you do not have to identify the exact moment of ovulation.

Ovulation predictions from calendars or apps are estimates and may differ from the actual day of ovulation.

What can you do while trying?

Take folic acid, avoid smoking and recreational drugs, look after your general health, and review any medical conditions or medications that could affect pregnancy with a healthcare professional.

It is normal for pregnancy to take some time. Rather than focusing on whether pregnancy happened in a particular month, think of conception as a process that may take several cycles.