Add as a preferred source on Google
When you start trying for a baby, it is natural to look for foods and supplements that might help. Search results are full of lists promising better egg quality or stronger sperm. The research is more modest, and it points to something often missed: both partners’ health matters. This guide sets out what the evidence actually shows for women and men, which supplements are recommended, which are not proven, and when to talk to your GP.
Is there a fertility diet? No single diet makes pregnancy happen. The evidence points to both partners eating well for at least three months before trying, because eggs and sperm mature over about 90 days. Your Fertility, the Australian Government-funded program, recommends both partners make healthy changes well before conception.
At a glance
- No single food or supplement has been shown in trials to improve egg quality. Age is the biggest factor.
- Overall eating patterns matter more than particular “fertility foods”. In a 2026 study of 2,370 couples planning fertility treatment, healthy eating patterns were linked with slightly more live births (the link was clearest for women), while diets marketed for fertility offered little extra benefit.
- Sperm take about two to three months to develop, so changes for the male partner take time to show.
- Women planning pregnancy are advised to take folic acid (400 micrograms a day, from at least one month before conceiving) and iodine (150 micrograms a day).
- Antioxidant supplements for men have not been shown to reliably improve the chance of a baby.
Why both partners matter
Fertility is often treated as a women’s issue, but about 1 in 3 IVF cycles involve a diagnosis of male infertility, according to Your Fertility, the Australian Government-funded fertility education program. Your Fertility suggests making healthy changes at least three months before trying for a baby. A 2026 study of 2,370 couples planning fertility treatment looked at both partners’ diets and found that healthy eating patterns were linked with slightly more live births, most clearly for women. How partners’ diets work together is still an open question in research, but it makes sense to plan together.
Egg quality: what can and cannot change
Age is the main influence on egg quality. Your Fertility explains that as a woman ages, her eggs age with her, and their number and quality fall over time. Women under 30 have about a 20% chance of conceiving naturally each month, falling to about 5% by 40.
You will often read that eggs take 90 days to mature, so diet in the three months before conception matters most. The follicle that releases an egg does begin its final growth phase about 85 days before ovulation, but that timeline does not prove that food changes egg quality. No food or supplement has trial evidence that it does.
What the research does show is an association between overall eating patterns and fertility. A large study of 17,544 nurses found women with the highest scores on a “fertility diet” had about one third the risk of infertility caused by ovulation problems. It was an observational study, so it shows a link rather than cause. Reviews of the Mediterranean diet in IVF have found mixed results.
Sperm quality: what research suggests
Sperm take about 64 days to develop (Your Fertility rounds this to about three months), so changes take time to show in a semen test. A systematic review of 35 observational studies found that diets including fish and seafood, poultry, cereals and grains, vegetables, fruit and low-fat dairy were linked with better semen quality, while processed meat, full-fat dairy, sugary drinks, sweets and alcohol were linked with poorer quality in some studies. Again, this is association rather than proof.
Other factors with clearer advice: smoking damages sperm (the effect is reversible after quitting), heavy drinking can affect sperm quality, and keeping the testes cool, for example with loose underwear, is recommended.
Supplements: what the evidence says
| Supplement | For | What the evidence says |
|---|---|---|
| Folic acid | Women | Recommended: 400 micrograms a day from at least one month before conception and for three months after. Some women, for example those with diabetes or a family history of neural tube defects, need a higher dose, so ask your GP. |
| Iodine | Women | Recommended: 150 micrograms a day when considering pregnancy. Get medical advice first if you have a thyroid condition. |
| Vitamin D | Both | Appears to matter little for fertility unless you are deficient. Your GP can check. |
| Antioxidant blends | Men | A Cochrane review of 90 trials found the evidence inconclusive. A randomised trial of 174 men found no improvement in sperm or live births. |
| Antioxidants | Women | A Cochrane review found limited, low-quality evidence. |
| Coenzyme Q10 | Women having IVF | Small trials found more clinical pregnancies, but no clear difference in live births. |
| Inositol | Women with PMOS (formerly PCOS) | The 2023 International PCOS Guideline considers it experimental for infertility. |
Our prenatal supplement checker shows what is in the product you are taking.
Alcohol, caffeine and fish
- Alcohol. Australian guidelines advise that women planning a pregnancy should not drink alcohol. For men, heavy drinking can affect sperm quality.
- Caffeine. Your Fertility says there is no clear proof that caffeine affects the ability to become pregnant, and suggests limiting it to 200 mg a day (about two cups of coffee) when trying to conceive.
- Fish. Fish is a good food to include, but Food Standards Australia New Zealand advises women planning pregnancy to limit some high-mercury fish: no more than one 150 g serve a week of orange roughy (deep sea perch) or catfish, or one serve a fortnight of shark (flake) or billfish such as swordfish and marlin, with no other fish in that time.
Weight and fertility
Your Fertility notes that being above or below a healthy weight can make it take longer to conceive, for both men and women. That does not mean drastic dieting. The 2023 International PCOS Guideline points out that healthy habits bring benefits even without weight loss, and warns health professionals about weight stigma. A dietitian can help you find changes that support your health without making food harder.
If food or weight is a struggle: fertility advice should never mean restricting food. If you have, or have had, an eating disorder, or counting makes you anxious, please talk to your doctor or an eating disorder dietitian instead.
When to talk to your doctor
See your GP if you have been trying for 12 months, or six months if the woman is older than 35. Go sooner if you have irregular or absent periods, a known condition such as PMOS or endometriosis, or any concerns about either partner’s health. For context, in one German study of women timing sex to ovulation, 68% had conceived within three cycles and 92% within twelve. Healthy Male notes that about half of couples who have not conceived after 12 months do so naturally in the following year. Your GP can also review your supplements and arrange any tests.
Try it yourself: See how your folate intake compares with the target for women planning pregnancy. Open the folate calculator →
Planning together
The right changes depend on both partners’ usual eating, health conditions such as PMOS or endometriosis, medicines, supplements and what fits your life. Felicity can look at the whole picture, sort out which supplements are worth taking, and help you both prepare without turning food into a chore.
Felicity Bull is an Accredited Practising Dietitian. She sees clients in person in Mount Hutton (Newcastle and Lake Macquarie) and by telehealth across Australia. About fertility and preconception nutrition.
Book with Felicity →Common questions
What is the best diet for fertility?
No single diet has been proven. In a 2026 study of couples planning fertility treatment, healthy eating patterns like the Mediterranean diet were linked with slightly more live births, most clearly for women, while diets marketed for fertility offered little extra benefit.
Can diet improve egg quality?
There is no trial evidence that any food or supplement improves egg quality. Age is the biggest factor. A healthy eating pattern supports your overall health while you try to conceive.
How long does it take to improve sperm quality?
Sperm take about two to three months to develop, so changes to diet, smoking or alcohol take that long to show in a semen test.
Do male fertility supplements work?
The evidence is inconclusive. A Cochrane review of 90 trials found very low-certainty evidence, and a randomised trial of 174 men found no improvement in sperm or live births.
What supplements should I take when trying to conceive?
Women are advised to take folic acid (400 micrograms a day, from at least one month before conceiving) and iodine (150 micrograms a day). Talk to your GP about anything else, especially if you have a thyroid condition.
When should we see a doctor about fertility?
After 12 months of trying, or six months if the woman is over 35. Go sooner if periods are irregular or you have a known condition.
Where this comes from
General information only, not personal advice. It does not replace advice from your doctor or dietitian.
- Your Fertility. Problems conceiving are not just about women: male infertility is behind 1 in 3 IVF cycles. www.yourfertility.org.au/problems-conceiving-are-not-just-about-women-male-infertility-is-behind-1-in-3-ivf-cycles
- Busse KR, Peri B, Ahmed D, et al. Preconception dietary patterns in association with live birth and pregnancy loss: a couples-based approach. Fertility and Sterility. 2026;126(4):659-668. pubmed.ncbi.nlm.nih.gov/42372936/
- Gaskins AJ, Chavarro JE. Diet and fertility: a review. American Journal of Obstetrics and Gynecology. 2018;218(4):379-389. pubmed.ncbi.nlm.nih.gov/28844822/
- Your Fertility. How age matters for your fertility. www.yourfertility.org.au/everyone/age
- Gougeon A. Dynamics of follicular growth in the human: a model from preliminary results. Human Reproduction. 1986;1(2):81-87. pubmed.ncbi.nlm.nih.gov/3558758/
- Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstetrics and Gynecology. 2007;110(5):1050-1058. pubmed.ncbi.nlm.nih.gov/17978119/
- Martin-Manchado L, Sanchez-Sansegundo M, Moya-Yeste AM, et al. Associations between adherence to a Mediterranean diet and assisted reproductive techniques outcomes: a systematic review. European Journal of Public Health. 2025;35(5):960-969. pubmed.ncbi.nlm.nih.gov/40650335/
- Your Fertility. Healthy sperm. www.yourfertility.org.au/everyone/health-medical/healthy-sperm
- Misell LM, Holochwost D, Boban D, et al. A stable isotope-mass spectrometric method for measuring human spermatogenesis kinetics in vivo. Journal of Urology. 2006;175(1):242-246. pubmed.ncbi.nlm.nih.gov/16406920/
- Salas-Huetos A, Bullo M, Salas-Salvado J. Dietary patterns, foods and nutrients in male fertility parameters and fecundability: a systematic review of observational studies. Human Reproduction Update. 2017;23(4):371-389. pubmed.ncbi.nlm.nih.gov/28333357/
- Your Fertility. Smoking. www.yourfertility.org.au/everyone/lifestyle/smoking
- Your Fertility. Alcohol. www.yourfertility.org.au/everyone/lifestyle/alcohol
- National Health and Medical Research Council. Nutrient Reference Values: folate. www.eatforhealth.gov.au/nutrient-reference-values/nutrients/folate
- National Health and Medical Research Council. Iodine supplementation for pregnant and breastfeeding women (2010). www.nhmrc.gov.au/about-us/publications/iodine-supplementation-pregnant-and-breastfeeding-women
- de Ligny W, Smits RM, Mackenzie-Proctor R, et al. Antioxidants for male subfertility. Cochrane Database of Systematic Reviews. 2022;5:CD007411. pubmed.ncbi.nlm.nih.gov/35506389/
- Steiner AZ, Hansen KR, Barnhart KT, et al. The effect of antioxidants on male factor infertility: the Males, Antioxidants, and Infertility (MOXI) randomized clinical trial. Fertility and Sterility. 2020;113(3):552-560. pubmed.ncbi.nlm.nih.gov/32111479/
- Showell MG, Mackenzie-Proctor R, Jordan V, Hart RJ. Antioxidants for female subfertility. Cochrane Database of Systematic Reviews. 2020;8:CD007807. pubmed.ncbi.nlm.nih.gov/32851663/
- Florou P, Anagnostis P, Theocharis P, et al. Does coenzyme Q10 supplementation improve fertility outcomes in women undergoing assisted reproductive technology procedures? A systematic review and meta-analysis of randomized-controlled trials. Journal of Assisted Reproduction and Genetics. 2020;37(10):2377-2387. pubmed.ncbi.nlm.nih.gov/32767206/
- Teede HJ, Tay CT, Laven J, et al. Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Human Reproduction. 2023;38(9):1655-1679. pmc.ncbi.nlm.nih.gov/articles/PMC10477934/
- MotherSafe, Royal Hospital for Women (NSW Health). Vitamins and minerals in pregnancy and breastfeeding (2019). www.seslhd.health.nsw.gov.au/sites/default/files/groups/Royal_Hospital_for_Women/Mothersafe/documents/VitaminsmineralspandbupdateSept19.pdf
- National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. www.nhmrc.gov.au/health-advice/alcohol
- Your Fertility. Caffeine. www.yourfertility.org.au/everyone/lifestyle/caffeine
- Food Standards Australia New Zealand. Mercury in fish. www.foodstandards.gov.au/consumer/chemicals/mercury
- Your Fertility. Weight. www.yourfertility.org.au/everyone/weight
- Gnoth C, Godehardt D, Godehardt E, et al. Time to pregnancy: results of the German prospective study and impact on the management of infertility. Human Reproduction. 2003;18(9):1959-1966. pubmed.ncbi.nlm.nih.gov/12923157/
- Healthy Male. Male infertility. www.healthymale.org.au/mens-health/male-infertility


