There are several methods women can use to help determine their most fertile days each month. And a woman who is underweight might take four times as long to conceive, she said. These declines mean it may take longer to become pregnant. This article was updated on Oct. To optimize women's fertility, taking better care of their bodies is a good first step. It's also a good idea for women to stay away from secondhand smoke, which may affect their chances of becoming pregnant. As women get older their fertility decreases because of age-related changes in the ovaries that cause a decline in the quantity and quality of her eggs. By tracking this information on a calendar, a woman can better predict when she might be ovulating , which is the time when her ovaries will release an egg every month. Mary Ellen Pavone, a reproductive endocrinologist and infertility specialist and medical director of the in-vitro fertilization program at Northwestern Medicine's Fertility and Reproductive Medicine department in Chicago.
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