{"id":21,"date":"2021-03-30T09:33:04","date_gmt":"2021-03-30T13:33:04","guid":{"rendered":"https:\/\/wp.oviahealth.com\/guide\/21\/exercise-and-fertility\/"},"modified":"2022-08-16T14:45:47","modified_gmt":"2022-08-16T18:45:47","slug":"exercise-and-fertility","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/21\/exercise-and-fertility\/","title":{"rendered":"Exercise and fertility"},"content":{"rendered":"\n

If you feel overwhelmed about exercising when trying to conceive (TTC), you\u2019re not alone. Each person\u2019s exercise routine will be different depending on their preferences, health goals, personal history, and doctor\u2019s recommendations. <\/p>\n\n\n\n

What does it mean to \u201cget healthy\u201d?<\/h2>\n\n\n\n

When you decide to start trying to conceive (TTC), one of the first things on your mind may be to \u201cget healthy.\u201d  But what does that mean? And do you have to be \u201chealthier\u201d when you\u2019re TTC than you are already? Basically, the same things that improve your health day to day are going to improve your fertility as well. So it\u2019s a good idea to continue to focus on health behaviors like stress management, getting enough sleep, eating foods that nourish your body, and exercising!<\/p>\n\n\n\n

Not only does exercise improve your fitness and mental health, it can have a significant effect on your fertility, both positive and negative. Exercise can directly influence aspects of your menstrual cycle or can be indirectly related to health conditions that may be impeding your fertility, such as insulin resistance. To understand how exercise and fertility are related, you need to know a bit about your reproductive and endocrine systems.<\/p>\n\n\n\n

Hormones explained\u00a0<\/h2>\n\n\n\n

Hormones<\/a> are chemicals that communicate what is happening amongst your body\u2019s endocrine systems. They make sure that your blood sugar levels, blood pressure, heart rate, mood, and many other processes are working together appropriately. One of these functions is your menstrual cycle. Sex hormones, estrogen, progesterone, testosterone, among several others, fluctuate according to one another to help your body prepare for pregnancy. They cause the growth and release of an egg (ovulation) and the growth of the lining of your uterus, where a pregnancy would implant and develop. <\/p>\n\n\n\n

When these hormones get out of balance, you might ovulate irregularly, or not at all. This can result in skipping periods, or stopping periods altogether. Hormone imbalances can also cause issues like shortened luteal phase and thin endometrial lining (which can make TTC more difficult).<\/p>\n\n\n\n

The effect of too much exercise\u00a0<\/h2>\n\n\n\n

While much more research needs to be done on the specific relationship between exercise and fertility, one recurrent finding is that people who exercise strenuously for long periods of time on a regular basis have an increased chance of not ovulating (anovulation) amongst other menstrual cycle disruptions. This can happen gradually over a long period of time or suddenly if you begin a new exercise routine. Anovulation can be an early sign that your exercise routine is too intense, and can happen even before other noticeable changes in your body.<\/p>\n\n\n\n

If you are following an intense exercise program and you start getting your period less often or not at all, you should talk to your healthcare provider. Together you can determine what changes in your physical activity routine would best support your body as you TTC.<\/p>\n\n\n\n

Research has also shown<\/a> a correlation between moderate regular exercise and improved fertility across all body sizes. Again, more research is needed to help us understand how much and what type of exercise is ideal for TTC. So for now, you\u2019ll need to work with your provider to determine how much is enough but not too much for your body.<\/p>\n\n\n\n

As we mentioned above, there are more indirect ways exercise can help improve your fertility. One example is through the system of blood sugar regulation. <\/p>\n\n\n\n

Blood sugar regulation\u00a0<\/h2>\n\n\n\n

Insulin is a hormone produced in the pancreas to help maintain healthy blood sugar levels. Insulin acts as the \u201ckey\u201d that allows our body cells to use the sugar in our blood for fuel. Insulin resistance is when the body has low sensitivity to insulin so the muscles, liver and fat cells have a harder time accessing sugar. <\/p>\n\n\n\n

This can lead to high levels of both sugar and insulin in the blood which can impact your body in many ways, including your fertility. Elevated insulin can cause irregular or absent ovulation. High blood sugar can negatively impact egg quality. <\/p>\n\n\n\n

This is where exercise comes in. Exercise can impact both insulin and sugar levels in the blood. In the short term, while actively exercising, muscles access and use sugar in the blood without needing insulin to \u201cunlock\u201d it. This means exercising or going for a walk after meals can help reduce blood sugar levels. <\/p>\n\n\n\n

Long term, routine exercise helps increase your body\u2019s sensitivity to insulin making it easier for your cells to use the sugar in your blood. This helps reverse the cascade of changes in your sex hormones that happens with insulin resistance and can help your body ovulate more regularly again.<\/p>\n\n\n\n

Some signs and symptoms of insulin resistance include: fatigue, feeling shaky after carb intake, frequent cravings, excessive thirst, frequent urination, darkened skin around neck, armpits and body creases, and skin tags. If you are experiencing these, talk to your primary health care provider to discuss labs (fasting glucose & insulin, glucose tolerance test with insulin, lipid panel, inflammatory markers) that could help identify insulin resistance and to make a plan to help reverse its effects.<\/p>\n\n\n\n

Getting started<\/h2>\n\n\n\n

If you have not engaged in much exercise recently, getting started can be intimidating. Your body may not move\/respond in ways you want or think that it \u201cshould.\u201d Also, for many of us, exercise is a difficult thing to separate from diet culture and body image challenges. If this is you, start with trying to mentally separate physical movement from the intended goal of changing the shape of your body. Try shifting that focus to something that motivates you in your day to day life like participating in a recreational soccer league or going on a long hike you\u2019ve been hesitant to try. Consider that there is no rush to get to peak fitness, you are simply building strength and endurance and even your first workout counts. Don\u2019t hesitate to use modifications to support your abilities and needs. <\/p>\n\n\n\n

When starting any new routine, it\u2019s helpful to set a SMART goal for yourself. To read more about how to do this, check out this article. <\/a><\/p>\n\n\n\n

How much exercise is recommended<\/h3>\n\n\n\n

Each person\u2019s exercise routine will be different depending on their preferences, health goals, personal history, and doctor\u2019s recommendations. To give you a sense of how much to work into your routine, the American Heart Association recommends<\/a> 150 minutes of moderate intensity exercise per week or 75 minutes of vigorous aerobic activity per week.<\/p>\n\n\n\n

An exercise routine should have positive mental and physical benefits. When thinking about getting started, you do not need to choose something that feels like torture. Find exercise you actually enjoy! This doesn\u2019t mean it will always be comfortable. Sometimes you will have to challenge yourself to do more or go longer. And sometimes simply having completed a workout no matter how intense will be enough. Remember you are not a machine, you are a dynamic being whose best from day to day looks different. Don\u2019t let the rough days stop you from continuing to work towards your exercise goals.<\/p>\n\n\n\n

What about during the two week wait (TWW)?<\/h3>\n\n\n\n

You may be wondering if exercise is safe if you\u2019re actively TTC. Here\u2019s what the evidence says:<\/p>\n\n\n\n

The safest first step you should always take is to check with your healthcare provider to make sure the exercise you plan to do is safe for you. The American College of Obstetricians and Gynecologists recommends aerobic and strength training exercise for those for whom it is safe before, during, and after pregnancy. Given that exercise has been found to be overall beneficial to most everyone, and has not been found to be directly responsible for early pregnancy loss, it is likely that the benefits of continuing to exercise during the TWW outweigh the risks.<\/p>\n\n\n\n

Reviewed by the Ovia Health Clinical Team<\/em><\/em><\/p>\n\n\n\n

\n\n\n\n

Sources<\/h3>\n\n\n\n
  • Wise LA, Rothman KJ, Mikkelsen EM, S\u00f8rensen HT, Riis AH, Hatch EE. \u201cA prospective cohort study of physical activity and time to pregnancy.\u201d Fertility & Sterility. 97(5):1136-42.e1-4. Web. 5\/12\/2015.<\/li>
  • Mayo Clinic Staff. \u201cChronic stress puts your health at risk.\u201d Mayo Clinic. Mayo Clinic, 7\/11\/2013. Web.<\/li>
  • Gyorgy Csemiczky, Britt-Marie Landgren, Aila Collins. \u201cThe influence of stress and state anxiety on the outcome of IVF-treatment: Psychological and endocrinological assessment of Swedish women entering IVF-treatment.\u201d Acta Obstetrica et Gynecologica Scandinavica. Volume 79, Issue 2, pages 113-118. Web. 12\/24\/2001.<\/li>
  • Kort JD, Winget C, Kim SH, Lathi RB. \u201cA retrospective cohort study to evaluate the impact of meaningful weight loss on fertility outcomes in an overweight population with infertility.\u201d Fertility & Sterility. 101(5):1400-3. Web. 5\/14\/2015.<\/li>
  • Harrison RF, O\u2019Moore RR, O\u2019Moore AM. \u201cStress and fertility: some modalities of investigation and treatment in couples with unexplained infertility in Dublin.\u201d International Journal of Fertility. 31(2):153-9. Web. May-June 1986.<\/li>
  • Beverly A. Bullen, Sc.D., Gary S. Skrinar, Ph.D., Inese Z. Beitins, M.D., Gretchen von Mering, B.S., Barry A. Turnbull, M.A., Janet W. McArthur, M.D. \u201cInduction of Menstrual Disorders by Strenuous Exercise in Untrained Women.\u201d New England Journal of Medicine. 312:1349-1353. Web. 5\/23\/1985.<\/li>
  • Louis GM, Lum KJ, Sundaram R, Chen Z, Kim S, Lynch CD, Schisterman EF, Pyper C. \u201cStress reduces conception probabilities across the fertile window: evidence in support of relaxation.\u201d Fertility & Sterility. 95(7):2184-9. Web. 6\/11\/2015.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"

    When you decide to start trying to conceive (TTC), one of the first things on your mind may be to \u201cget healthy.\u201d\u00a0 But what does that mean?<\/p>\n","protected":false},"author":1,"featured_media":142402,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"176","ovia_product_mode":"2","ovia_days_from_signup":"38","ovia_days_from_lmp":"","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"21","ovia_ttc":"1","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"123","ovia_legacy_category2":"","ovia_content_url_id":"22500","ovia_include_share_buttons":"","ovia_fertility_goal":"2","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[29,38,33,23,31,14,11,12,20,19,10,16,17,22,18],"preg-category":[],"parent-category":[],"fert-tag":[239,231,237,182,156,191,146,233,202,201,189],"preg-tag":[],"parent-tag":[],"class_list":["post-21","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","fert-category-difficulty-getting-pregnant","fert-category-exercise-and-movement","fert-category-health-and-wellness","fert-category-increase-fertility","fert-category-infertility","fert-category-menstrual-cycle-health","fert-category-menstruation","fert-category-ovulation","fert-category-preconception-health","fert-category-preconception-planning","fert-category-reproductive-health","fert-category-reproductive-healthcare","fert-category-reproductive-issues-and-conditions","fert-category-sex-for-pregnancy","fert-category-trying-to-conceive","fert-tag-fertility-boost-vitamins","fert-tag-fertility-disorders","fert-tag-fertility-nutrition","fert-tag-hormones","fert-tag-ovulation-cycle","fert-tag-patient-self-advocacy","fert-tag-period-symptoms","fert-tag-polycistic-ovary-syndrome-pcos","fert-tag-preconception-exercise","fert-tag-preconception-vitamins","fert-tag-reproductive-health-care-providers"],"yoast_head":"\nExercise and fertility: Learn how it may affect those TTC<\/title>\n<meta name=\"description\" content=\"Exercise and fertility, learn how some routines may impact those who are trying to conceive. 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