Why Am I Not Getting Pregnant? 6 Hidden Nutritional Deficiencies Fertility Doctors Miss
You've done everything right.
You've tracked your cycle down to the hour. You've used every ovulation strip on the market. You've timed intercourse perfectly. Maybe you're already exploring IUI or IVF, investing thousands of dollars and endless emotional energy.
Yet month after month, you see that single line on the pregnancy test.
Or worse—you've received the devastating "unexplained infertility" diagnosis that leaves you with more questions than answers.
Here's what might surprise you: One of the most powerful factors affecting your fertility is something most doctors never thoroughly assess—your micronutrient status.
The Fertility-Nutrition Connection Your Doctor Isn't Discussing
Research shows that specific nutrients directly impact:
Egg quality and ovarian function
Sperm quality and embryo quality
Implantation success rates
Early pregnancy development
Hormone production and balance
Reduced risk of miscarriage
Here's the critical distinction most people miss: Adequate nutrition is not the same as optimal nutrition.
You might have enough nutrients to function day-to-day, to go to work, to exercise. But when you're asking your body to create and sustain new life? That requires optimal levels, not just adequate ones.
Think of it this way: You wouldn't train for a marathon on the bare minimum calories. You shouldn't try to conceive on the bare minimum nutrients either.
Let's dive into the six nutritional deficiencies that could be standing between you and pregnancy.
1. Folate (Vitamin B9): The Foundation of Fertility
Why It Matters
This isn't just about preventing neural tube defects (though that's critically important). Folate deficiency is linked to:
Recurrent miscarriage
Irregular ovulation
Poor egg quality
Unhealthy menstrual cycles
Research shows that adequate folate intake helps regulate ovulation cycles and can improve fertility outcomes. If your cycles are irregular or you've experienced pregnancy loss, this is one of the first nutrients to optimize.
Best Food Sources
Dark leafy greens (spinach, kale, Swiss chard)
Brussels sprouts and broccoli
Lentils and beans
Liver (one of the most concentrated sources)
Seafood and eggs
Focus on folate from whole foods rather than synthetic folic acid when possible. Your body absorbs and utilizes natural folate more effectively.
2. Vitamin C: The Antioxidant Your Reproductive System Needs
Why It Matters
Vitamin C plays multiple crucial roles in fertility:
Supports hormone secretion in both ovaries and testes
Reduces inflammation in reproductive organs
Protects egg and sperm from oxidative damage
Supports endometrial health for implantation and early embryo growth
If you've struggled with implantation or early pregnancy loss, vitamin C deficiency could be a contributing factor you haven't considered.
Best Food Sources
Bell peppers (especially red and yellow)
Kiwi fruit
Strawberries and other berries
Citrus fruits (oranges, grapefruit, lemons)
Tomatoes
Broccoli and Brussels sprouts
Vitamin C is sensitive to heat, so include some raw fruits and vegetables in your daily diet for maximum benefit.
3. Selenium: The Thyroid-Fertility Connection
Why It Matters
Selenium is essential for:
Proper hormone function and ovulation
Egg growth and maturation
Optimal thyroid function
Your thyroid hormones directly influence your reproductive hormones. When thyroid function is compromised, you could see:
Irregular or absent ovulation
Hormone imbalances
Difficulty conceiving
Increased miscarriage risk
Low selenium intake can contribute to impaired ovarian function and poor egg quality. If you have thyroid issues or irregular cycles, selenium status deserves attention.
Best Food Sources
Brazil nuts (just 2-3 daily can meet your needs—but don't overdo it)
Seafood (especially tuna, sardines, and shrimp)
Organ meats (liver, kidney)
Red meat
Poultry
Eggs
4. Magnesium: The Mineral Most Women Are Deficient In
Why It Matters
Magnesium is involved in over 300 enzymatic reactions in your body, including critical reproductive functions:
Essential for hormone production, particularly progesterone
Supports the luteal phase (the time between ovulation and menstruation)
Regulates stress hormones that can interfere with fertility
Improves egg quality
Low progesterone is one of the most common hormone imbalances in women struggling to conceive. If you have a short luteal phase (less than 10-12 days), spotting before your period, or early pregnancy loss, magnesium deficiency could be playing a role.
Best Food Sources
Avocados
Nuts and seeds (especially pumpkin seeds and almonds)
Dark chocolate (70% cacao or higher)
Tofu
Fatty fish (salmon, mackerel)
Whole grains (quinoa, brown rice)
Bananas
Leafy greens
Many women benefit from magnesium supplementation as it's difficult to get optimal levels from food alone, especially if you're stressed (stress depletes magnesium rapidly).
5. Zinc: The Mineral for Egg Quality and Implantation
Why It Matters
Zinc is important for:
Healthy ovulation
Egg quality and maturation
Embryo development
Placenta creation
DNA synthesis in developing embryos
Zinc deficiency is surprisingly common, especially in women who eat plant based diets or have digestive issues that impair mineral absorption. Without adequate zinc, eggs may not mature properly, fertilization can be compromised, and early pregnancy development can be affected.
Best Food Sources
Shellfish (especially oysters—the highest source)
Beef and lamb
Pork
Poultry
Legumes (beans, lentils, chickpeas)
Nuts and seeds
While plant foods contain zinc, it's best absorbed from animal sources due to the presence of compounds in plants that can inhibit zinc absorption. If you're vegetarian or vegan, you may need higher intakes or supplementation.
6. Healthy Fats: The Building Blocks of Hormones
Why They Matter
Healthy fats are absolutely essential for fertility:
Hormone production (your reproductive hormones are made from cholesterol and fat)
Egg and sperm health
Reducing inflammation throughout the body
Nutrient absorption (vitamins A, D, E, and K are fat-soluble)
Cell membrane health
Low-fat diets can devastate fertility. Increasing healthy fats may improve cycle regulation, ovulation, and chances of conception.
Best Food Sources
Saturated fats (yes, you need these):
Coconut oil
Organic full-fat dairy (if tolerated)
Grass-fed beef
Eggs
Omega-3 fatty acids (anti-inflammatory):
Fatty fish (salmon, sardines, mackerel, anchovies)
Algae supplements (for vegetarians/vegans)
Monounsaturated and polyunsaturated fats:
Extra virgin olive oil
Avocados
Nuts and seeds
Fatty fish
Aim to include healthy fats at every meal. Add avocado to your breakfast, cook with olive oil, snack on nuts, and eat fatty fish 2-3 times weekly.
Your Next Steps: From Information to Action
"Unexplained infertility" doesn't have to be the end of your story. Addressing nutritional deficiencies is one of the most powerful and overlooked steps toward improving fertility outcomes. Whether you're hoping to conceive naturally or going through assisted reproductive technologies, optimizing your nutrition creates the foundation for success.
But here's the reality: Reading about these nutrients is one thing. Implementing the right changes for your personal situation? That's entirely different.
You might be wondering:
Do I actually have these deficiencies?
Should I be supplementing, and if so, how much?
How long will it take to see improvements in my fertility?
What if I'm already doing "all the right things"?
These are exactly the questions I help my clients answer through personalized, 1-on-1 coaching.
Ready to Take Control of Your Fertility Journey?
Schedule your free discovery call
In this complimentary 15-minute call, we'll:
Discuss your unique fertility challenges
Identify potential nutritional gaps affecting your conception
Create a roadmap for your personalized fertility nutrition plan
Determine if my coaching program is the right fit for you
There's no pressure, no obligation—just clarity on your next steps.
Spots are limited to ensure each client gets the attention they deserve.
Disclaimer
This information is for educational purposes only and is not intended to replace medical advice. Always consult with your healthcare provider before making significant dietary changes or starting supplementation, especially when trying to conceive. Individual results may vary, and nutrition is one component of a comprehensive fertility approach.