In the beginning, you may work with your primary care physician or obstetrician on managing modifiable risk factors that could be impacting your fertility. After a year or so of trying to conceive, you may be referred to a specialized clinic and/or put on specialized medication for fertility management. They could also look at your ovaries with an ultrasound to see how your eggs are developing. It’s important to be as candid as possible about any health issues that you are experiencing. Heavy periods or cramping can indicate endometriosis, for example.

It’s still possible for some women to get pregnant at 40 and beyond. However, this possibility requires working very closely with your doctor. If you’ve stopped menstruating (getting your period) prior to the age of 40, then you are experiencing early menopause and primary ovarian insufficiency. This can lead to infertility and requires medical treatment. [4] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source

For example, your doctor may prescribe metformin, as this medication both treats PCOS symptoms and helps increase the chance of conception. This medication is often the first treatment recommended for women with PCOS who are looking to become pregnant.

Unfortunately, medications will not usually fully resolve the fertility problems associated with endometriosis. You may need surgery to remove the excess tissue while still preserving the uterus and ability to get pregnant. Some signs of endometriosis include painful periods, heavy period bleeding, constipation, and nausea. Many people with endometriosis find it helpful to take over-the-counter pain medications with their doctor’s consent.

Always talk to your health care practitioner prior to changing your diet or taking any additional supplements.

Vitamin D is crucial for fertility because it helps to balance out a woman’s anti-Müllerian hormone (AMH). AMH is an indicator of ovarian health. Consult your doctor before taking any supplements. They may check your vitamin D blood levels and adjust your dosage based off of your personal needs.

It’s important to not take any supplements before talking with your doctor.

Clomid comes in pill form. You’ll usually take a single tablet each day for 5-7 days, as an initial cycle.

If you aren’t comfortable with shots, then this might not be the best fertility boosting method for you. Gonadotropin medications go by a variety of names, including Menopur, Bravelle, and Ovidrel. This type of treatments also increases your odds of conceiving multiples.

Your doctor can prescribe metformin in either tablet or oral solution form. You’ll need to take it daily, but the amount of your dosage will depend on your sugar levels, weight, and other factors. Metformin goes by a variety of prescription names, including Glucophage.

Smoking of any type can actually reduce the amount of oxygenated blood that circulates throughout your body. This means that your ovaries, and entire reproductive system, get less blood and nutrients. The possibility of miscarriage and genetic abnormalities in eggs is higher for smokers than nonsmokers.

Yoga may boost blood circulation to your pelvic region as well. This can lead to a healthier reproductive system overall.