Female fertility: When are you most fertile and what causes infertility?

  • Guides
13 Feb 2025
A joyful couple shares an intimate moment as they look at a positive pregnancy test. The image highlights themes of female fertility, conception, and emotional connection, capturing the excitement and hope of early pregnancy.

Fertility knowledge is fertility power!

Understanding female fertility is key for anyone planning to start or grow their family.

By knowing when you are most fertile and recognising early signs of infertility, you can take control of your fertility journey.

In this guide, we will explore the best time to conceive, how many eggs you have, how to test for fertility, and common causes of infertility.

When is a woman most fertile?

When it comes to the number and quality of eggs, women are most fertile in their late teens to late 20s. Fertility gradually starts to decline after 30 and drops more quickly after 35.

If we are talking about your monthly cycle, the most fertile time is a really short period known as the “fertile window.” This window lasts just 12-24 hours after ovulation. Because of this, timing is key when you are trying to conceive.

Understanding the relationship between your menstrual cycle and fertility

Your fertility is closely linked to your menstrual cycle, which can last anywhere from 21 to 35 days.

Ovulation happens when your ovary releases a mature egg, typically around 14 days before your next period.

However, this timing can vary. For example, if your cycle is 28 days, you might ovulate on day 14, but shorter or longer cycles mean ovulation can happen earlier or later.

Close-up of a woman holding a calendar with marked dates, indicating menstrual and ovulation tracking. Some dates are circled in green, representing fertile days, while others are crossed out.

 

How long is the fertile window?

Many people do not realise how small the fertile window actually is. The egg only survives for 12-24 hours after ovulation, so timing is key. Since sperm can live in your body for up to 5 days, your most fertile days are the 5 days leading up to ovulation and the day of ovulation itself.

Peak fertility window

The days leading up to ovulation and the day you ovulate are often referred to as the “fertile window.”

  • The most fertile days: The 5 days leading up to ovulation and the day of ovulation offer the best chance for conception.
  • Why timing matters: Sperm can survive in your reproductive system for up to 5 days, but the egg only lives for 12-24 hours. That narrow timing makes understanding this window crucial when trying to conceive.

At-home ovulation tests

Ovulation tests can help you pinpoint when you are about to ovulate, making it easier to predict your peak fertility.

Signs of ovulation

Recognising the signs of ovulation can help you identify when you are most fertile:

When is the best time to have a baby?

The best time to have a baby depends on you—your health, lifestyle, and plans.

Biologically, women are most fertile in their 20s and early 30s, but lots of women today are waiting. Whether you want to focus on your career, see the world, or get financially ready, delaying pregnancy is totally normal.

Getting pregnant later can be trickier, but many women have healthy babies in their late 30s or early 40s. If needed, medical support is available to help make it happen.

Fertility: how many eggs does a woman have?

Women are born with all the eggs they will ever have. At birth, you have about 1-2 million eggs, but this number goes down as you get older.

Egg count through life

  •   At birth: Around 1-2 million eggs
  •   At puberty: 300,000-400,000 eggs
  •   During your reproductive years: About 300-400 eggs are released during ovulation
  •   After 35: Egg quality and quantity drop faster

This natural decline is part of getting older, but if you are curious about your current egg reserve, fertility tests can give you a clearer picture.

How do you test for female fertility?

Fertility tests can help spot any issues and guide the right treatment. If you are having trouble getting pregnant, these tests could be the key to understanding what’s going on with your reproductive health.

Common female fertility tests

Blood tests: Check hormone levels, including:

  • Follicle-stimulating hormone (FSH): Helps regulate the development of eggs in the ovaries.
  • Luteinising hormone (LH): Triggers ovulation.
  •  Anti-Müllerian hormone (AMH): Reflects your ovarian reserve.
  • Progesterone: Confirms if ovulation has occurred.
  • Estradiol: produced by the ovaries during the development of the eggs. It’s value changes throughout the cycle.
    Prolactin: it regulates the hypothalamic-pituitary-ovarian axis, influencing the maturation of ovarian follicles and ovulation.

Other tests include:

  • Ultrasound scans: Ultrasounds can examine your ovaries, womb, and fallopian tubes. They help identify conditions like fibroids or endometriosis, which could affect fertility. Transvaginal ultrasounds involve placing a small probe inside your vagina to get a closer look at your reproductive organs and check for any issues.
  • Hysteroscopy: This procedure involves inserting a thin camera (hysteroscope) through the cervix to view the inside of the womb. It can help detect issues like fibroids, polyps, or scar tissue that could be affecting fertility. If necessary, minor treatments can be performed during the procedure.
  • Hysterosalpingography (HSG): This test uses an X-ray and a special dye injected into the womb to check for blockages in the fallopian tubes. Blockages could prevent embryos from reaching the womb.
  • Hysterosalpingo-contrast ultrasound (HyCoSy): Similar to an HSG, this test involves injecting fluid into the womb while using ultrasound to track its flow through the fallopian tubes. It checks for abnormalities or blockages and has the advantage of not needing X-rays. 
  • Pelvic exam: Your doctor may examine your pelvic area to check for infections, tenderness, or lumps, which could indicate conditions like fibroids, ovarian cysts, or pelvic inflammatory disease (PID)
  • Chlamydia test: Chlamydia is an STI that can affect fertility. Your doctor might take a cervical swab or request a urine sample to test for it. If detected, antibiotics are prescribed. 
  • Laparoscopy: This is a keyhole surgery where a thin camera is inserted through a small cut in your lower abdomen. It lets doctors check your womb, ovaries, and fallopian tubes more closely.

These tests work together to give a clearer picture of your fertility health and help doctors suggest the right treatments if needed.

Female patient undergoing an abdominal ultrasound performed by a healthcare professional, monitoring reproductive health and assessing fertility-related conditions.

Signs of infertility in women

If you are having trouble conceiving, it is important to know what to watch out for. Many women only discover fertility issues after trying to get pregnant for a while. 

If you’ve been trying for over 12 months without success, it’s time to speak to a fertility specialist. But if you’re 35 or older, don’t wait that long! Get help after 6 months of trying as early intervention can make a big difference. And if you’re over 40, it’s best to talk to a specialist as soon as you start planning for a baby.

Common signs and symptoms of infertility

No matter how long you’ve been trying, it’s important to get help right away if you experience any of the symptoms below:

  • Irregular or absent periods
  • Painful or heavy periods
  • Pelvic pain (often related to endometriosis)
  • Hormonal changes, like acne, excess facial hair, or weight gain
  • History of miscarriages

What is secondary infertility?

Secondary infertility happens when you have trouble getting pregnant again after having at least one successful pregnancy. It can be caused by age, changes in health, or lifestyle factors. If this is happening to you, it is a good idea to speak to a fertility specialist to explore the cause and possible options.

Why can’t I get pregnant? Common causes of female infertility

There are many possible reasons why a woman may struggle to conceive. Understanding these causes can help in diagnosing and addressing the issue.

Advanced age and decreased ovarian reserve

As mentioned before, as you age, the number of viable eggs in your ovaries naturally decreases. This decline starts in your late 20s and speeds up after 35. By 40, both the number and quality of eggs are lower, which can make it harder to conceive and increases the chances of miscarriage.

Ovulation disorders

When ovulation is irregular or doesn’t happen at all, it can be difficult to get pregnant. Common causes of ovulation problems include:

Tubal factor infertility

If your fallopian tubes are blocked or damaged, the egg and sperm can’t meet for fertilisation. Some reasons for blockages include:

Endometriosis

Endometriosis happens when tissue similar to the lining of your womb grows outside it. This can cause inflammation, scarring, and pain, and it can make it harder for the egg to reach the womb or implant.

Illustration of a female reproductive system with a magnifying glass highlighting areas affected by endometriosis, showing abnormal tissue growth on the uterus and ovaries.

Uterine factors

Certain structural issues in your uterus can prevent a fertilised egg from implanting or carrying a pregnancy to term. Common issues include:

Malformations of the female genital tract

Some women are born with abnormalities, like a bicornuate or septate uterus, that can interfere with conception or cause miscarriages. Some of these require intervention, while in other cases it is not needed.

Genetic modifications

Chromosomal abnormalities or inherited genetic conditions can affect fertility. For example, Turner syndrome and genetic disorders related to egg development can make getting pregnant harder.

Autoimmune diseases

In some cases, your immune system can attack your reproductive tissues, leading to infertility. Conditions to be aware of include:

How to boost your fertility

If you’re trying to conceive, there are some simple steps you can take to improve your chances.

1. Track your ovulation

Knowing when you’re ovulating can make all the difference. You can use ovulation predictor kits, track your basal body temperature, or try fertility apps to figure out your most fertile days.

2. Maintain a healthy lifestyle

  •   Eat a balanced diet full of nutrients.
  •   Maintain a healthy weight.
  •   Avoid smoking and limit alcohol.
  •   Manage stress through mindfulness or relaxation.

3. Get medical help if needed

If you’ve been trying to get pregnant for more than 12 months (or 6 months if you’re over 35), it’s a good idea to see a fertility specialist. They can help identify any underlying issues and guide you through the next steps.

Take control of your fertility journey

Understanding your body, spotting early signs of infertility, and getting the right support when needed can make a big difference. Remember, many causes of female infertility are treatable, and with the right help, you have every chance of success.

If you’re worried about your fertility or thinking that it may be time to consider treatment, speak to the experts at Procriar. Book an obligation-free consultation today and get clarity about your fertility health.