What you eat affects virtually every system in your body—including your reproductive system. While no single food can guarantee pregnancy, research shows that dietary patterns can influence ovulation, egg quality, implantation, and overall fertility.
The good news? The same eating patterns that support fertility also support overall health. You don't need expensive "fertility superfoods" or restrictive diets. Instead, evidence points to a whole-foods approach that emphasizes certain nutrients while limiting others.
The fertility diet is essentially a Mediterranean-style eating pattern: whole grains, plant proteins, healthy fats, fruits, and vegetables. The Harvard Nurses' Health Study found women following this pattern had 66% lower risk of ovulatory infertility.
The Science: Harvard Nurses' Health Study
The most influential research on diet and fertility comes from the Harvard Nurses' Health Study II, which followed over 18,000 women trying to conceive. Researchers identified specific dietary factors associated with a significantly reduced risk of ovulatory infertility.
Women who followed the most fertility-friendly dietary patterns had:
- 66% lower risk of ovulatory infertility
- 27% lower risk of infertility from other causes
- Better ovulation regularity even among women with PCOS
Source: Chavarro, et al. "Diet and Lifestyle in the Prevention of Ovulatory Disorder Infertility." Obstetrics & Gynecology, 2007.
The dietary factors that mattered most weren't about calories—they were about the types of foods consumed. Here's what the research identified as beneficial:
Foods That Support Fertility
Healthy Fats
Monounsaturated and omega-3 fats support hormone production and reduce inflammation.
- Avocados
- Olive oil
- Nuts
- Fatty fish
- Seeds
Plant Proteins
Replacing some animal protein with plant protein improved ovulatory function.
- Lentils
- Beans
- Chickpeas
- Tofu
- Edamame
Whole Grains
Complex carbs with fiber support stable blood sugar and insulin levels.
- Quinoa
- Brown rice
- Oats
- Barley
- Whole wheat
Leafy Greens
Rich in folate, iron, and antioxidants essential for egg health and implantation.
- Spinach
- Kale
- Swiss chard
- Arugula
- Romaine
Berries & Fruits
Antioxidants protect eggs from oxidative damage and support cellular health.
- Blueberries
- Strawberries
- Raspberries
- Oranges
- Pomegranate
Full-Fat Dairy
One serving daily of full-fat dairy was associated with better ovulatory function than low-fat.
- Whole milk
- Full-fat yogurt
- Cheese
- Ice cream (occasional)
Key Nutrients for Fertility
Folate
Folate is essential for preventing neural tube defects and may also support egg quality. While you should take a prenatal vitamin with folic acid, food sources provide additional folate and other beneficial compounds:
- Dark leafy greens (spinach, kale, collards)
- Legumes (lentils, chickpeas, black beans)
- Asparagus
- Broccoli
- Citrus fruits
- Avocado
Iron
Iron deficiency is common in women and has been linked to ovulatory infertility. Plant-based iron (non-heme iron) was actually more beneficial for fertility in the Harvard study:
- Spinach and leafy greens
- Lentils and beans
- Fortified cereals
- Tofu
- Pumpkin seeds
Tip: Pair iron-rich foods with vitamin C to increase absorption (e.g., spinach salad with lemon dressing).
Omega-3 Fatty Acids
Omega-3s support hormone balance, reduce inflammation, and may improve egg quality:
- Fatty fish (salmon, sardines, mackerel) 2-3 times per week
- Walnuts
- Chia seeds
- Flaxseeds
- Fish oil or algae-based supplements
Antioxidants
Antioxidants like CoQ10, vitamin E, vitamin C, and selenium protect eggs and sperm from oxidative stress:
- Colorful vegetables and fruits
- Nuts (especially Brazil nuts for selenium)
- Green tea
- Dark chocolate (in moderation)
Your eggs have been with you since before you were born. Over decades, they accumulate oxidative damage. Antioxidants help protect eggs from this damage and support the energy-producing mitochondria that eggs need for successful fertilization and early embryo development.
The Fertility Diet in Practice
Rather than counting calories or macros, focus on these principles:
1. Choose Whole Grains Over Refined
Refined carbohydrates (white bread, white rice, pastries) cause rapid blood sugar spikes, triggering insulin release. Chronically elevated insulin can disrupt ovulation, particularly in women with PCOS.
Instead, choose:
- Brown rice instead of white
- Whole grain bread instead of white
- Oatmeal instead of sugary cereals
- Quinoa, farro, or barley as grain bases
2. Shift Protein Sources
The Harvard study found that replacing 5% of total calories from animal protein with plant protein reduced ovulatory infertility risk by 50%.
You don't need to become vegetarian—just incorporate more:
- Bean-based meals (black bean tacos, lentil soup)
- Tofu stir-fries
- Hummus and chickpea dishes
- Nuts and seeds as snacks
3. Embrace Healthy Fats
Don't fear fat—just choose the right kinds. Trans fats (found in some processed foods) increase ovulatory infertility, while monounsaturated fats (olive oil, avocado) decrease it.
- Cook with olive oil
- Add avocado to salads and sandwiches
- Snack on a handful of nuts
- Include fatty fish twice weekly
4. Consider Full-Fat Dairy
This was one of the more surprising findings: one serving of full-fat dairy daily was associated with reduced ovulatory infertility, while two or more servings of low-fat dairy increased risk.
Try swapping:
- Skim milk for whole milk (even just in your coffee)
- Low-fat yogurt for full-fat Greek yogurt
- Occasional full-fat ice cream
Sample Fertility-Friendly Day
Foods to Limit
While no food needs to be completely off-limits, these are worth minimizing:
- Trans fats: Found in some processed foods, fried foods, and margarine
- Refined carbohydrates: White bread, pastries, sugary cereals, sweetened beverages
- Excessive sugar: Added sugars in processed foods and drinks
- Processed meats: Bacon, sausage, deli meats (linked to reduced male fertility)
- High-mercury fish: Limit shark, swordfish, king mackerel, and tilefish
Special Considerations
For PCOS
Women with PCOS particularly benefit from a fertility diet approach because it helps manage insulin resistance. Additional considerations:
- Emphasize low-glycemic foods even more strongly
- Pair carbs with protein and fat to slow glucose absorption
- Consider limiting dairy if you notice it triggers symptoms
- Inositol supplements may provide additional benefit
For Endometriosis
An anti-inflammatory approach may help manage endometriosis symptoms:
- Increase omega-3 fatty acids
- Emphasize antioxidant-rich foods
- Some women find reducing red meat and dairy helpful
- Avoid trans fats entirely
Track Your Cycle
Combine your fertility diet with precise ovulation tracking to maximize your chances.
Try Our Ovulation CalculatorSupplements to Consider
While food should be your primary source of nutrients, certain supplements support fertility:
Prenatal Vitamin
Essential for all women TTC. Look for one with methylfolate, iron, and vitamin D.
Shop Prenatal Vitamins →CoQ10 (Ubiquinol)
Supports egg quality and mitochondrial function, especially for women 35+.
Shop CoQ10 →Omega-3 Fish Oil
If you don't eat fatty fish 2-3 times weekly, a quality fish oil fills the gap.
Shop Omega-3 →The Bottom Line
The fertility diet isn't about restriction or perfection—it's about shifting your overall eating pattern toward whole, nutrient-dense foods. The Mediterranean-style approach works because it supports healthy hormone balance, provides essential nutrients, reduces inflammation, and maintains stable blood sugar.
Start with small changes: add an extra serving of vegetables, switch to whole grains, swap your afternoon chips for nuts. These shifts compound over time. Give dietary changes at least 3 months to affect egg quality, since that's how long the egg maturation cycle takes.
Remember that diet is just one piece of the fertility puzzle. It works best alongside regular exercise, adequate sleep, stress management, and—if needed—appropriate medical care.