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Getting Pregnant3 min read

Sleep and fertility routines: Supporting Your Health During Trying

A woman yawning beside a laptop

Sleep can become another thing to monitor when you are trying to conceive. A difficult night may leave you wondering whether you have harmed your chances. Supporting sleep is worthwhile for daily health and coping, but it should not become a nightly fertility test.

Separate a routine from a pregnancy prediction

Research does not provide a sleep schedule that guarantees conception. One study of people receiving infertility treatment found that reported sleep disturbances were not associated with conception or live birth in the groups studied. That result does not answer every question about sleep in other populations, but it challenges a simple claim that poor sleep determines treatment failure.

You cannot use last night’s sleep duration to judge whether implantation happened. The waiting period testing guide explains how to make decisions using a testing plan instead of interpreting each change in how you feel.

Make a small change you can maintain

Adults commonly need around seven to nine hours of sleep, with individual variation. This is general sleep guidance, not a fertility prescription. Try a consistent waking time, a quieter wind down period and a dark, comfortable sleeping space. Go to bed when sleepy rather than spending longer in bed trying to force sleep.

Consider whether late caffeine, nicotine or alcohol makes settling harder. Choose one adjustment to try first. Shift work, caring responsibilities and treatment appointments may limit what is possible; an imperfect routine does not mean you are failing at conception.

Notice symptoms that need assessment

Loud snoring, pauses in breathing, gasping during sleep or persistent daytime sleepiness deserve a medical conversation. Another person may notice breathing changes that you do not. A clinician can decide whether assessment for sleep apnea or another condition is appropriate.

Ask for help when sleep problems continue, habit changes do not help, or tiredness makes daily life difficult. Cognitive behavioural therapy can be offered for insomnia. Do not drive when sleepy. Treating a sleep problem is valuable even when it cannot be promised to improve fertility.

Review sleep products before taking them

Melatonin is not usually recommended during pregnancy because information about its effects on the baby is limited. If you are trying to conceive, ask a doctor to review it rather than assuming an over the counter product is suitable. If pregnancy occurs while you take prescribed melatonin, ask whether to continue or stop.

Bring a list of other sleep medicines and supplements to the same conversation. If worry about conception is keeping you awake, the stress and infertility guide can help you ask for support with that burden as well as the sleep itself.

References
  1. NHS: Insomnia and sleep routines (opens in a new tab)
  2. NICHD: Sleep disturbances and outcomes in infertility treatment (opens in a new tab)
  3. NHLBI: Symptoms of sleep apnea (opens in a new tab)
  4. NHS: Melatonin, pregnancy and fertility (opens in a new tab)

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