Pregnancy + Parenthood

The Science Behind Getting Pregnant

5 min read
Egg shells representing pregnancy.
Egg shells representing pregnancy.

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What’s the part you remember most about sex-ed? We bet it’s how not to get pregnant. The sad truth is that what we learn in school does very little to prepare us for what has to happen to get pregnant.

There’s a science to the conception process—and when you can understand how conception works, you can make choices that get you closer to your reproductive goals. And you definitely don’t need to be a microscope-toting scientist to get the basics down.

Here’s what you need to know before starting the process of trying to get pregnant.

The Conception Process, Explained

So, how does pregnancy happen? There are a lot of pieces of the conception puzzle—and they have to come together in exactly the right way to result in a pregnancy:

1. Ovulation: An ovary has to release an egg. This means the hormonal sequence that leads to ovulation has to go according to plan and an egg has to be available for fertilization.

2. Fertilization: A released egg has to meet up with sperm in a fallopian tube and get fertilized. The fertilized egg (aka embryo) then has to make its way back through the fallopian tube to the uterus.

3. Implantation: An embryo has to attach to the uterine lining so the pregnancy can grow. The cells surrounding the embryo then start producing the hormone human chorionic gonadotropin (hCG), which is what pregnancy tests detect. hCG maintains the corpus luteum, which has formed out of the ruptured ovarian follicle and produces progesterone until the developing pregnancy can take care of hormone production on its own. (2)

What Is the Fertile Window?

When it comes to conception, timing is everything. Despite what you may have heard in high school, you can’t get pregnant any day of the month. When can you get pregnant? There’s typically only a 6-day period when conception is possible: the 5 days before ovulation and the day of ovulation. This is called the “fertile window.” The exact number of days each cycle varies from person to person.

Why the inflexibility, you might ask? After an egg is ovulated, it can only survive for up to 24 hours. But sperm can last inside the reproductive tract for as many as 5 days. Teeing up penis-in-vagina sex or insemination with the fertile window means an egg will more likely be ready and waiting when sperm are present.

What Factors Can Affect Conception?

Now that we’ve covered the science of conception, let’s talk about some of the most common factors impacting people’s ability to get pregnant.

Age

Age is one of the most important factors related to fertility and getting pregnant. As you get older, there’s a gradual decline in fertility because of expected changes in egg count and egg quality.

Although fertility doesn’t just disappear after a certain age, it does, on average, begin to decrease more rapidly around age 35:
• At age 30, there’s a ~20% chance of getting pregnant each cycle.
• By age 40, there’s a <5% chance of getting pregnant each cycle. (5)

Everyone’s different, but according to the American Society for Reproductive Medicine, most people will have trouble getting pregnant in the years leading up to menopause—the reproductive stage after which periods have stopped for at least 12 months. The average age for menopause is about 51.

Lifestyle

It’s no secret that following an active lifestyle and incorporating nutritious foods in our diet are beneficial for our health, even when it comes to trying to conceive. Some experts have found that aside from following a nutritious diet and healthy lifestyle, individual micronutrients and macronutrients may have beneficial effects on conceiving. (5)

While people get pregnant at all sizes, those with lower or higher body-fat percentage may stop getting periods or have issues with ovulation. However, research has shown that any rapid changes in weight may not have positive effects on trying to conceive. (8) And because age is so connected to fertility, some experts advise not waiting until possible weight changes before trying to get pregnant.

A lot of people may already know this, but it bears repeating: Smoking cigarettes and high intake of caffeine or alcohol can make it harder to get pregnant.

Environment

There’s a growing body of research linking environmental toxins and artificial chemicals in products with reproductive health conditions. (5) It’s always a good idea to know about any environmental problems in your area and pay attention to what’s inside the items you buy.

BTW: Experts recommend starting to take prenatal vitamins before you start trying. Ritual’s Essential Prenatal Multivitamin is formulated with 12 clinically-studied key nutrients for before and during pregnancy.*

You can start a prenatal multivitamin now and stay on it through pregnancy and then switch to our Essential Postnatal Multivitamin after pregnancy to support the body’s needs through lactation.*

References:

  1. American College of Obstetricians and Gynecologists. Infographic: The Menstrual Cycle: Menstruation, Ovulation, and How Pregnancy Occurs. 2023.
  2. McLaughlin JE. Healthy Living: Menstrual Cycle. Merck Manual. 2022.
  3. Wilcox AJ, Dunson D, Baird DD. (2000.) The timing of the … in the menstrual cycle: day specific estimates from a prospective study. BMJ. 321(7271):1259-1262. doi:10.1136/bmj.321.7271.1259.
  4. American College of Obstetricians and Gynecologists. FAQs: … Awareness-Based Methods of Family Planning. 2019.
  5. American Society for Reproductive Medicine. Fact Sheet: Age and Fertility.
  6. Eunice Kennedy Shriver National Institute of Child Health and Human Development. How common is ….? National Institutes of Health. 2018.
  7. Practice Committee of the American Society for Reproductive Medicine. (2021.) … a committee opinion. Fertil Steril. 116(5):1255-1265. doi:10.1016/j.fertnstert.2021.08.038.
  8. Practice Committee of the American Society for Reproductive Medicine and the Practice Committee of the Society for Reproductive Endocrinology and Infertility. (2021.) Optimizing natural …: a committee opinion. Fertil Steril. 117(1):53-63. doi:10.1016/j.fertnstert.2021.10.007.
  9. Legro RS, Hansen KR, Diamond MP, et al. (2022.) Effects of preconception lifestyle ...: The FIT-PLESE randomized controlled trial. PLoS Med. 19(1):e1003883. doi:10.1371/journal.pmed.1003883.
  10. Pandey S, Pandey S, Maheshwari A, Bhattacharya S. (2010.) The impact of female obesity on the outcome …. J Hum Reprod Sci. 3(2):62-67. doi:10.4103/0974-1208.69332.
  11. Pandey S, Maheshwari A, Bhattacharya S. (2010.) … female body mass index? Human Reproduction. 25(4):815-820. doi:10.1093/humrep/deq013.

Meet the Author

This article was written by our content specialist.

Sarah duRivage-Jacobs

Sarah duRivage-Jacobs, Copywriter and Editor

Sarah duRivage-Jacobs is a New York-based writer and editor of words dealing with reproductive and mental health. She is in the process of getting a master's in community health from the CUNY Graduate School of Public Health and Health Policy.

Sarah duRivage-Jacobs

Sarah duRivage-Jacobs, Copywriter and Editor

Sarah duRivage-Jacobs is a New York-based writer and editor of words dealing with reproductive and mental health. She is in the process of getting a master's in community health from the CUNY Graduate School of Public Health and Health Policy.

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