Most couples conceive within 6–12 months of unprotected sex, with many pregnancies happening in the first 3–6 months.
You’re not alone if you’re staring at the calendar and doing mental math after every cycle. Trying to get pregnant can feel simple on paper and messy in real life. Timing, age, cycle patterns, sperm health, and plain luck all mix together.
This article gives you realistic timelines, what changes those timelines, and what you can do over the next one to two cycles to raise your odds without turning your life into a spreadsheet.
How Pregnancy Happens In Real Time
Pregnancy starts with a short window. An egg is released at ovulation and can be fertilized for about a day. Sperm can live in the reproductive tract for several days. Put those together and you get a fertile window of roughly five to six days each cycle.
That window is why “we’re trying” can still miss the mark. If sex lands too early or too late, the timing can be off even when everything else is fine.
What “Trying” Means In Research
When studies talk about time to pregnancy, they usually mean months of regular, unprotected vaginal sex. No contraception, no “sometimes,” and no guessing whether ovulation happened that cycle.
So if you’ve had long gaps, travel, illness, postpartum cycles, irregular bleeding, or you’re breastfeeding, your personal timeline can look different from the averages.
Why Some Cycles Feel Like They Don’t Count
Lots of normal things can shift ovulation: stress, big changes in exercise, sudden weight change, thyroid issues, polycystic ovary syndrome, or just the body being a body. Add in sperm factors like low count or low motility and it can take longer even when both partners feel healthy.
How Long Does It Take To Become Pregnant? By Age And Timing
Here’s the headline: many couples conceive within the first six months, and most conceive within a year when they have regular unprotected sex. Age changes the curve. Cycle regularity and timing change it too.
Typical Timelines People See
0–3 months: Plenty of pregnancies happen fast, especially when cycles are regular and sex is timed near ovulation.
3–6 months: Still a common window for conception, even with a few mistimed cycles in the mix.
6–12 months: Many couples who didn’t conceive early still conceive by the one-year mark.
After 12 months: This is when clinicians start using the word infertility for most couples under 35, even though pregnancy can still happen later.
Age And The Calendar
Age affects egg quantity and egg quality. That can show up as longer time to pregnancy, higher miscarriage risk, or both. Male age can matter too, especially past the late 30s and 40s, since sperm quality can change over time.
If you’re 35 or older, many clinical guidelines use a shorter “try before evaluation” window. You don’t need to wait a full year if time feels tight or cycles are irregular.
Cycle Regularity Changes Your Odds More Than Most People Think
If your cycles are predictable, you can usually find your fertile window with a mix of calendar tracking and body signs. If your cycles swing from 24 days to 45 days, it gets harder to time sex without extra tools, and some cycles may be anovulatory.
If you’ve had three months of tracking and can’t spot a pattern at all, it’s a good moment to bring in ovulation test strips or ask a clinician to check what’s going on.
What Shifts Time To Pregnancy The Most
People love one magic answer. Real life doesn’t give one. What you can do is spot the factors that most often stretch the timeline, then pick the fixes that fit your situation.
Sex Timing And Frequency
You don’t need a perfect schedule. You need coverage of the fertile window. For many couples, sex every 1–2 days during the fertile window is plenty. If schedules are tough, every other day starting a few days before expected ovulation is a solid plan.
Ovulation Confirmation
Calendar apps can be wrong, especially with irregular cycles or stress. Ovulation predictor kits (LH strips) help catch the hormone surge that usually happens 24–36 hours before ovulation. Basal body temperature confirms ovulation after it happens, which helps you learn your pattern across cycles.
Medical Factors That Commonly Slow Things Down
Some issues don’t show up until you try. Endometriosis, blocked tubes, fibroids that distort the uterine cavity, thyroid disease, PCOS, and untreated sexually transmitted infections can all affect fertility. Male-factor infertility is also common, which is why early evaluation often includes a semen analysis.
If you want a plain-language overview of how fertility changes with age and what “normal” trying timelines look like, the ACOG guidance on infertility evaluation lays out when to seek testing and why age shifts the timeline.
Alcohol, Smoking, And Cannabis
Fertility is sensitive to toxins and hormonal disruption. Smoking is strongly linked with reduced fertility and earlier ovarian aging. Heavy drinking can disrupt ovulation and sperm quality. If you’re trying, the cleanest move is to stop smoking, keep alcohol low, and avoid recreational drugs.
For a clear medical overview of infertility and factors linked to it, the CDC infertility overview is a solid baseline.
Weight, Exercise, And Sleep
Extremes tend to cause trouble: very low body fat can suppress ovulation, while higher body fat can worsen insulin resistance and hormonal balance in some people. You don’t need perfection. You want steady habits: regular meals, steady sleep, and movement you can keep up with.
If intense training is part of your routine and your cycles are irregular or missing, dial it back for a couple of months and see if your cycle returns to a steadier pattern.
Cycle Planning Table: What To Watch And What To Do
This table compresses the most common factors that affect how long trying takes and the simplest action that matches each one.
| Factor | What It Can Change | Practical Move This Cycle |
|---|---|---|
| Age (egg supply and quality) | Lower per-cycle odds; more cycles needed | Track ovulation; plan earlier evaluation if 35+ |
| Irregular or missing periods | Harder timing; some cycles may not ovulate | Use LH strips; ask for hormone/thyroid checks |
| Sex timing misses fertile window | “Trying” without coverage of ovulation days | Sex every other day 5–6 days before ovulation through 1 day after |
| Low sperm count or motility | Fewer sperm reach the egg | Consider semen analysis early if time is tight |
| History of STI or pelvic infection | Risk of tubal blockage | Ask about tubal evaluation if trying drags on |
| Endometriosis symptoms | Inflammation; scarring; pain with sex | Don’t wait a full year if symptoms are strong |
| Thyroid disease | Ovulation disruption; miscarriage risk | Check TSH if cycles shift or you have symptoms |
| High alcohol intake or smoking | Hormonal disruption; sperm effects | Stop smoking; cut alcohol while trying |
| Very low or high body weight | Hormonal imbalance; irregular ovulation | Aim for steady nutrition and sustainable movement |
How To Time Sex Without Burning Out
Trying can start to feel like a chore fast. If you want a plan that keeps the mood alive, keep it simple and repeatable.
Option A: The “Every Other Day” Pattern
If your cycles are fairly regular, start sex every other day about five days before you expect ovulation, then keep going until one day after your expected ovulation day. This covers the whole fertile window without making it an everyday task.
Option B: The LH Strip Pattern
Start testing with ovulation strips a few days before your expected ovulation. Once the test turns positive, have sex that day and the next day. If you can add one more session the day after, great. If not, don’t panic.
Option C: When Cycles Are Irregular
With irregular cycles, start LH testing earlier and be ready for a longer testing stretch. A lot of people do better with a mix: sex every 2–3 days through the cycle, then add an extra session when the LH strip turns positive.
If you want a reader-friendly explanation of fertile days and timing sex, the NHS page on trying to get pregnant breaks it down in plain language.
When It’s Time To Get Checked
There’s a difference between “normal waiting” and “waiting while something fixable is in the way.” The goal of evaluation isn’t to label you. It’s to find the blockers early enough that you still have options.
Common Timeframes Used In Clinics
Under 35: Evaluation often starts after 12 months of trying.
Age 35–39: Many clinicians start evaluation after 6 months of trying.
Age 40+: Many clinicians suggest evaluation right away, since time matters more.
Those timeframes show up across major medical groups. You’ll see them echoed in patient-facing guidance from groups like ACOG and fertility societies.
Reasons To Seek Evaluation Sooner
Even if you’re younger than 35, don’t sit on these:
- Very irregular cycles, missing periods, or cycles consistently longer than about 35 days
- Known PCOS, thyroid disease, endometriosis, or history of pelvic surgery
- History of pelvic inflammatory disease or known tubal issues
- Two or more miscarriages
- Known sperm issues, testicular surgery, chemotherapy history, or erectile/ejaculatory problems
Common Tests And What They Tell You
Testing can feel intimidating. In practice, the first round is usually straightforward, and it often answers more than you expect.
For The Partner With Ovaries
Clinicians may check ovulation, thyroid function, prolactin, ovarian reserve markers, and uterine structure. A common tubal test is a hysterosalpingogram (HSG), which checks whether tubes look open.
For The Partner With Testes
A semen analysis is often the first step. It checks count, movement, and shape. If results are off, the next steps can include repeat testing, hormone checks, and a physical exam.
What “Unexplained Infertility” Means
Sometimes all standard tests look normal and pregnancy still hasn’t happened. That label can be frustrating. It also points toward treatment options that bypass timing and boost odds per cycle, like ovulation induction with timed intercourse, intrauterine insemination (IUI), or IVF, based on age and history.
For a clear breakdown of how fertility changes with age and why clinics move faster after 35, the ASRM patient sheet on fertility and age is a solid reference.
Testing And Next Steps Table: What You Might Hear At An Appointment
This table gives you a preview of common first-line tests and what each one is trying to rule in or rule out.
| Test Or Step | What It Checks | What A Result Can Lead To |
|---|---|---|
| Semen analysis | Count, motility, morphology | Repeat testing, lifestyle changes, urology referral, IUI/IVF planning |
| Ovulation tracking (labs or ultrasound) | Whether ovulation is happening | Ovulation induction meds or targeted cycle timing |
| TSH and prolactin labs | Hormones that can disrupt cycles | Medication adjustments to restore regular ovulation |
| Ovarian reserve labs (AMH, day-3 FSH) | Egg supply markers | Earlier treatment steps or IVF planning based on age and reserve |
| Pelvic ultrasound | Fibroids, cysts, uterine shape | Targeted treatment if anatomy blocks implantation |
| HSG (tubal test) | Tube openness and uterine cavity outline | Surgery, IVF planning, or focused treatment choices |
| Genetic screening (select cases) | Inherited risks or recurrent loss clues | Targeted options for embryos or pregnancy planning |
Your Next Two Cycles: A Simple Plan You Can Stick With
If you want a plan that feels calm and still moves the needle, try this for two cycles before you change ten things at once.
Step 1: Pick One Tracking Method
Choose either LH strips or basal temperature. If your cycles are irregular, LH strips tend to give faster feedback. If your cycles are regular and you want to learn your body pattern, temperature tracking can be useful.
Step 2: Cover The Window With A Repeatable Pattern
Use one of these patterns:
- Every other day: Start five days before expected ovulation, continue until one day after.
- LH surge plan: Sex on the day the test turns positive and the next day.
- Irregular cycles plan: Sex every 2–3 days through the cycle, add an extra session at a positive LH test.
Step 3: Keep The Health Basics Boring
Take a prenatal vitamin with folic acid, keep alcohol low or none, stop smoking, and keep sleep steady. If either partner is on anabolic steroids or testosterone, ask a clinician about fertility effects, since those can shut down sperm production.
Step 4: Decide Your “Check-In” Date Now
Pick a point when you’ll stop guessing and start getting answers:
- If you’re under 35 with regular cycles, pick the 12-month mark.
- If you’re 35 or older, pick the 6-month mark.
- If cycles are irregular or pain is severe, pick a sooner date.
That decision removes a lot of mental noise. You’re not stuck in endless waiting. You’re running a plan with a clear next step.
Common Questions People Ask Themselves While Waiting
“Is It Normal To Not Be Pregnant After Three Months?”
Yes. Three months can still be early, even with perfect timing. A few cycles can miss the fertile window without you realizing it, and even with perfect timing, pregnancy is not guaranteed each cycle.
“What If We’re Doing Everything Right?”
Sometimes “everything right” still takes time. If you’ve tracked ovulation, had regular sex through the fertile window for several cycles, and you’re not seeing progress, testing can be a relief. It turns guesswork into data.
“Should We Try Every Day?”
Daily sex can work for some couples, but it can also create burnout. Every other day during the fertile window is often enough. If you use LH strips, a positive test day plus the next day is a clean approach that many couples can manage.
References & Sources
- American College of Obstetricians and Gynecologists (ACOG).“Evaluating Infertility.”Explains when to start infertility evaluation and why age changes the recommended timeline.
- Centers for Disease Control and Prevention (CDC).“Infertility.”Overview of infertility basics, common causes, and general pathways to evaluation and care.
- National Health Service (NHS).“Trying To Get Pregnant.”Plain-language explanation of fertile days, timing intercourse, and when to seek medical help.
- American Society for Reproductive Medicine (ASRM).“Fertility And Age.”Summarizes how fertility changes with age and why earlier evaluation is often advised after 35.
