Optimizing natural fertility: a committee opinion

This report reviews mechanisms and techniques to optimize fertility in the fertile couple/individual.

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Volume 107, Issue 1, Pages 52-58


Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Reproductive Endocrinology and Infertility


This Committee Opinion provides practitioners with suggestions for optimizing the likelihood of achieving pregnancy in couples/individuals attempting conception who have no evidence of infertility. This document replaces the document of the same name previously published in 2013, Fertil Steril 2013;100(3):631-7.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.


Go to the profile of Dwight Hooper
Dwight Hooper over 3 years ago

Fantastic work!
This is clearly the best article I've read this year! It has wonderfully practical information that is immediately clinically useful. It offers either science or consensus to support useful recommendations. Further it confirms much of the practice that I've held over years, yet dispels other (fertility) practices that had been passed down over the years without support.

I'd love to see other committee opinions on other topics that we see as frequently as we do fertility concerns.

Thanks, this helps greatly.

Go to the profile of Helen Koo
Helen Koo 12 months ago

Are there data that support comparing the size of the effects on female infertility of the factors in Table 1 (e.g., smoking, drinking) to that of women's age (e.g., 37 or older)?  That is, is older age a larger risk factor for women's infertility than the modifiable factors in Table 1?  Thank you!