Does What You Eat Affect Your Fertility?

As a dietitian, I strongly believe that what we eat plays a huge role in our fertility. I mean, food affects everything when it comes to our health, reproductive health included. There are so many physiological functions that have to run smoothly in order for conception to occur. Giving your body the nutrients it thrives on might not only help you conceive, but could also help you enjoy a healthy pregnancy and a healthy baby to boot!

There are countless stages that couples find themselves in when starting or growing their family. You might be wanting to start trying to conceive in the next couple of months. Maybe you’ve already been trying for a few months. Maybe you’ve been diagnosed with infertility, because you’ve been trying for over a year. Maybe getting pregnant isn’t even on your radar! If you’re not actively trying to get pregnant, but you’re considering it as an option within the next few years, it never hurts to start making healthy lifestyle changes now.

I’ve counseled countless people on the many benefits of living a healthier lifestyle, but no patient population is more engaged and dedicated than those women, and their partners, trying to get pregnant. At some point during the baby-making journey, especially if it’s taking longer than expected, an assessment of diet and lifestyle choices is imminent.

While an overall healthy diet itself can boost fertility, there are some specific recommendations that those aiming to get knocked up should focus on. These recommendations come from the research led by Drs. Jorge Chavarro and Walter Willett of the Harvard School of Public Health, which was ultimately published in a book, The Fertility Diet. Previous to their findings in 2007, research on the topic of nutrition and fertility was scarce. They used information from the Nurses Health Study, which looked at tens of thousands of women through their reproductive years, many of whom were trying to get pregnant. They were able to identify risk factors for infertility, specifically relating to anovulatory infertility, (when an egg is not released from the ovary as expected). Here are some of the specifics they discuss:

  1. Switch all grains to whole.

    Whole grains provide enormous nutritional benefits, such as fiber, protein, and vitamins that you won’t get in refined grains. The fiber itself helps to fill you up faster and for longer, a huge bonus if you’re one of those people that’s “always hungry” or never really feels satiated. By switching to whole grains, you are now omitting many simple carbohydrates from your diet. Why does this matter? Simple carbs cause blood sugar spikes -> blood sugar spikes can lead to insulin resistance -> insulin resistance is not good for fertility. Think of insulin resistance as your body not being able to regulate your blood sugar properly. A fluctuating blood sugar means that your energy level and mood will fluctuate as well. If you suffer from chronic “blah” feeling (yes, that’s a medical term I just made up), low energy, have been diagnosed with Polycystic Ovarian Syndrome (PCOS), or have stubborn fat around your abdomen that you can’t seem to lose, you could benefit tremendously from switching to whole grains.

  • How to get started: Mix it up, literally! The next time you make white rice, make wild or brown rice as well and combine the two. Do the same with pasta, mix white pasta with whole grain varieties. Check cooking times on the box, as you might start one before the other. This could be a realistic way to ease into the transition to whole grains… and bonus, your family might not even notice!

    A bowl of brown rice (simmered in broth) topped with steamed peas, roasted tomatoes & sweet potato, and a scoop of cilantro cashew butter.
    A bowl of brown rice (simmered in broth) topped with steamed peas, roasted tomatoes & sweet potato, and a scoop of cilantro cashew butter.

2. Swap unhealthy fats for healthy ones.

Notice that I used the word swap. Don’t just start downing avocado and guzzling olive oil without eliminating fertility-killing fats, called trans fats. Trans fats are found in items such as fried fast food, powdered coffee creamer, donuts, some margarines, and “movie theater butter” popcorn. You’ll know if trans fast are in a product if the ingredients list contains “partially hydrogenated oil.” Limit foods high in saturated fats too, as excessive intake of these contribute to insulin resistance as well. These foods include processed meats like bacon and sausage, fried foods, butter, shortening, and coconut oil. As you work on limiting unhealthy fat sources from your diet, focus on increasing foods like avocado, nuts, seeds, and seafood like salmon and tuna.

  • How to get started:
    • Instead of -> ribeye steak choose -> salmon filet
    • Instead of -> chips choose -> nuts
    • Instead of -> butter, bacon grease, or coconut oil choose -> extra virgin olive oil, avocado oil, or canola oil
    • Instead of -> salami, bologna, or spam choose -> sliced turkey breast or lean ham
    • Instead of -> deep fried choose -> baked or grilled

      wild Alaskan salmon with vegetables and salad greens
      Wild Alaskan salmon topped with goat cheese & pumpkin seeds + roasted asparagus, beets, and sweet potato (drizzled with EVOO and freshly cracked black pepper) over a bed of mixed greens.

3. Add one serving of whole-milk dairy daily.

This one seems contradictory since I just talked about limiting saturated fat, but according to the Nurses Health Study, it could decrease your risk of anovulatory infertility. The underlying mechanism is unclear, but you can’t deny the findings– in the study mentioned above, there was an inverse association between dairy fat intake and anovulatory infertility.

  • How to get started: Next time you’re tempted to reach for that fat-free yogurt for your mid-morning snack, instead choose the whole milk version and enjoy every scrumptious spoonful!

    Whole milk plain Greek yogurt topped with berries, pumpkin seeds, chocolate chips, chia seeds & ground flaxseed.
    Whole milk plain Greek yogurt topped with berries, pumpkin seeds, chocolate chips, chia seeds & ground flaxseed. Oh hey, I’m in the spoon!

4. Eliminate processed meat intake, limit red meat intake, and increase plant protein intake. 

The bottom line here is to try to replace some of the animal protein in your diet with plant-based protein. Intake of vegetable rather than animal-based protein was a dietary factor prospectively reviewed and related to lower risk of ovulatory disorder infertility. Processed meats like sausage, bacon, salami, and hot dogs contain loads of sodium, saturated fat, nitrates, and nitrites, which are all known fertility-killers. Excessive red meat intake can cause you to take in excessive amounts of saturated fat, potentially leading to inflammation and weight gain. Healthier protein choices than the aforementioned options include lean poultry, seafood, beans, peas, lentils, eggs, nuts, seeds, dairy, and nut butters.

  • How to get started: The next time you plan to use ground beef in a recipe, use half the amount you normally use and combine it with ground turkey breast or diced mushrooms.

    A sprouted whole wheat pita half stuffed with baked falafel, cucumbers, tomato, and creamy tzatziki sauce.
    A sprouted whole wheat pita half stuffed with baked falafel, cucumbers, tomato, and creamy tzatziki sauce.

5. Eat more vegetables.

Do you eat enough vegetables? If you hesitated before the answer to that question popped into your mind, you could probably benefit from eating more. While all vegetables are nutritious, those higher in iron and folic acid, including spinach, kale, and asparagus should be included into your daily diet. Although iron and folic acid may not necessarily increase your fertility, these nutrients are essential for a developing fetus, especially during those early weeks before some even know they’re pregnant. Vegetables promote health due to their high fiber content, high vitamin and mineral content, and their antioxidant benefits. It’s also a good rule of thumb to take a prenatal vitamin if you’re trying to get pregnant, but remember that a supplement does not replace a healthy diet.

  • How to get started: Add a salad to your lunch and dinner meals. If you often find yourself buying salad ingredients but they go bad before you use them, try this. Find the biggest bowl you have and make one huge salad. Keep it covered in the fridge.* You can scoop from this bowl over the course of a few days (depending on how much you make) until it’s gone. You’ve made it once but you benefit from it over and over. *Put a paper towel in the bowl with the salad to absorb any moisture that might accumulate. This keeps the veggies fresh for longer.

    A salad of mixed greens, Brussels sprouts, carrots, tomato, onion, sunflower seeds, and garbanzo beans.
    A salad of mixed greens, Brussels sprouts, carrots, tomato, onion, sunflower seeds, and garbanzo beans. Salads don’t have to be boring!

6. Exercise & maintain a healthy weight.

The physical and mental benefits that exercise provides makes it an essential ingredient in the recipe for getting pregnant. Not only does exercise reduce stress, improve blood flow, and regulate blood sugar, but it also aids in weight loss. For both women and men, obesity is associated with infertility. Maintaining a healthy weight is easier when exercise becomes a part of your lifestyle. Interestingly enough, exercise, regardless of your current weight, has fertility-boosting benefits in itself, according to the National Infertility Association.

  • How to get started: You know yourself. Set realistic goals for how often and how long you will exercise. Start with going on a daily walk and eventually make that walk longer and faster. If you don’t have a ton of motivation to work out on your own, consider joining a gym with group fitness classes. Enlist a workout buddy. Hire a personal trainer. It’s worth the money if you actually use it! Your body, and future baby, will thank you.
Pictured below: Laurel and I practicing yoga, an exercise I did frequently before, during, and after my pregnancy.

Here’s Why Chia Seed Pudding is an Ideal Breakfast for the non-Breakfast Eater

When I discovered chia seed pudding, I think my life changed. Okay maybe I’m being a little dramatic. The fact that I can easily prep something at night and enjoy it in the morning with the only effort being unscrewing the lid to a mason jar makes me giddy. I’m also a huge “texture person” (is that a thing?) so I drool over its creamy texture. I love adding crunchy toppings to play off the creaminess of the pudding. By now, I’ve probably made chia seed pudding 50 different ways, all of which were delicious and kid friendly!

I’ve counseled numerous people that tell me they skip breakfast for various reasons. The most common reason I hear is that they are often rushed in the morning, trying to get to work on time. Also very common is that many people don’t feel hungry in the morning – sometimes even the thought of food makes them nauseous. I’m here to tell you that if you’re one of these people, I would encourage you to start eating breakfast. You might have to force it at first, but eventually you will start to wake up hungry. Also consider eating dinner earlier in the evening. Eating late at night or right before bed could impede your morning hunger.

Eating breakfast is beneficial in so many ways, both physically and mentally. While you’re sleeping and not eating, your body has systems in place to keep your blood sugar stable, thank you liver. When you wake up, you want to tell your body that you can control your blood sugar now, instead of keeping yourself on autopilot. You do this by eating, preferably within an hour of waking up. Your blood sugar affects everything, including your mood, energy, alertness, and appetite. You’ve probably heard the term “hangry” (hungry+angry), right? If you’re someone who typically gets hangry before meals, it’s likely your blood sugar speaking to you. Fluctuating blood sugar levels can make it hard for some people to lose weight, especially those with insulin resistance, polycystic ovarian syndrome (PCOS), or diabetes.

Breakfast doesn’t have to be an elaborate meal, hence this recipe. The important thing is that your breakfast includes both carbohydrates and protein. The carbohydrates are what stabilize your blood sugar, while the protein helps keep it stable for longer. The reason chia seeds fit the bill for a well-rounded breakfast is because they contain both carbohydrates and protein, with 11 grams of fiber per serving to boot!

Chia seeds also contain calcium, iron, and essential fatty acids. Due to their fat content, its best to store them in the refrigerator or freezer so they don’t turn rancid. You’ll know your seeds are rancid if they smell “off” or slightly fishy. The soluble fiber in chia seeds give them the unique ability to “gel” when added to liquid. This type of fiber also helps to lower cholesterol and, wouldn’t you know it, stabilize blood sugar.

seeds
The chia seed is a nutritional powerhouse!

The reason I use cow’s milk in this recipe is to bump up the protein a bit. Keep in mind if you use a milk like almond milk with little protein, you could pair your pudding with some eggs, or perhaps a scoop of peanut butter, or even nuts to help keep you satiated longer. You can easily make this recipe vegan by using any plant-based milk you like.

chia_ingredients
4 ingredients for chia seed pudding

Making this recipe in a jar with a lid makes prep a breeze. You literally just add your ingredients, screw on the lid, and shake. A jar is also portable, which means you can take this with you to work or school without worrying about spilling. I usually just eat the pudding straight out of the jar so I don’t have a separate bowl to wash. High five!

I think the pure maple syrup is crucial for taste in this recipe. I’ve tried it with “pancake syrup” and it wasn’t the same. Vanilla is added for obvious reasons, but optional if you don’t like it. If you’re interested in making a chocolate version, add 1-2 tsp cacao powder before you shake your jar. I use Navita cacao powder. I prefer cacao powder to traditional cocoa powder due to its naturally high magnesium and potassium content. If you have a sweet tooth like me, you’ll appreciate cacao’s chocolate flavor without the added sugar.

A jar of chia seed pudding. A jar with a lid is essential for shaking your ingredients and storing overnight.
A jar with a lid is essential for shaking your ingredients and storing overnight.

The topping options are endless with chia seed pudding. I’ve topped mine with mango, strawberries, coconut flakes, banana, and cinnamon, but not all at the same time. Come to think of it, that might actually be delicious. What toppings will you try?! Let me know in the comments section if you’ve found a delicious new combination!

Chia Seed Pudding

Ingredients:

  • 1/4 cup chia seeds
  • 1 cup milk (I use whole cow’s milk)
  • 1 Tbsp pure maple syrup
  • 1 tsp vanilla extract
  • Tip: for a chocolate version, add 1-2 tsp cacao powder

Directions:

  1. Place all ingredients into a large jar with a lid. Shake jar and hips vigorously for 5-10 seconds.
  2. If possible, in about 30 minutes, shake jar vigorously again for 5-10 seconds. This step is not critical, but it helps prevent lumps from forming.
  3. Let sit in fridge overnight and enjoy in the morning with your favorite toppings!

My favorite toppings include: coconut flakes, dark chocolate chips, cinnamon, and/or berries.

Adapted from: Oh She Glows