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Mio Fertility › Station III · Optimization
Exercise

Exercise when trying to conceive
Moderate, regular, never extreme.

Short answer

Both too little and too much exercise affect fertility, and the optimal zone is narrower than it looks. The book's ideal is moderate cardio 3 to 4 times a week plus light strength training twice a week, with yoga or Pilates and natural movement every day around it.

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Built on ESHRE · ASRM · NICE · CDC guidelinesReferences in every chapter
Why move

What moderate exercise does for fertility

Regular exercise at moderate intensity:

  • Reduces insulin resistance (critical for PCOS)
  • Lowers systemic inflammation
  • Improves sleep quality
  • Regulates cortisol
  • Helps keep your BMI in the ideal range
  • Improves pelvic circulation
  • Increases hormone sensitivity

The benefit comes from regularity over the long term. One-off tricks do nothing: "jumping rope 100 times speeds up ovulation" is pure folklore. And too much exercise does exactly the opposite of the list above (the signs of overdoing it have their own page).

The optimal zone

Your weekly exercise plan

FrequencyRecommended typeDuration
3 to 4 times a weekModerate cardio (brisk walking, easy cycling, swimming)30 to 45 min
2 times a weekLight to moderate strength training30 to 45 min
2 to 3 times a weekYoga, Pilates, stretching30 to 60 min
DailyNatural movement (stairs, short walks)Ongoing

Source: Map to the Positive, Chapter 24.

Cardio and strength training are the core: 3 to 4 sessions of moderate cardio plus 2 of light strength training is what the book calls ideal. In its 90-day plan, this weekly routine starts in the second month, together with 10 minutes a day of mindfulness or yoga, and stays in place until the end of the 90 days.

The same logic applies to him: moderate exercise helps male fertility, as long as he doesn't overdo it.

In the fertile window

What to avoid while you're trying

There's no evidence that moderate exercise affects fertility in the moment, so you don't need to stop. But try to avoid:

  • Strenuous exercise immediately after sex (sperm may have a better shot if you stay put)
  • High-impact exercise, such as intense long-distance running, in the luteal phase: there is no strong evidence, but some research suggests caution
  • Saunas and very hot baths for him: they affect testicular temperature and sperm production
Specific cases

PCOS and a higher BMI

If you have PCOS

Exercise is one of the most powerful tools you have. 150 minutes a week of cardio plus 2 strength sessions reduce insulin resistance and improve spontaneous ovulation. In some cases it does as much as medication, which is why the book calls it a first-line treatment for PCOS.

If your BMI is above 30

Losing 5 to 10% of your body weight can restore ovulation in women with obesity. You don't need to reach an "ideal weight": small losses have a big impact. Combine moderate exercise with dietary adjustment.

Where this fits

This is one chapter. The map has 42.

Exercise is Chapter 24 of Map to the Positive, in Station III (Optimization), which also covers what to do when your BMI is below 18.5. Around it, the station covers nutrition, advanced supplementation, sleep and stress, his fertility and sex at the right time, then puts it all into an integrated 90-day plan, with moderate exercise built in from the second month.

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IVSigns
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Related questions

References: Wise LA et al. Physical activity and fecundability in a North American preconception cohort. Fertility and Sterility, 2012. · Mena GP et al. The effect of physical activity on reproductive health outcomes. Human Reproduction Update, 2019.

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