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Mio Fertility › Station III · Optimization
Frequency

How often to have sex when trying to conceive
Regularly, all month long.

Short answer

Not only on fertile days. The book recommends regular sex 1 to 2 times a week outside the fertile window: it keeps sperm quality optimal, preserves intimacy and takes pressure off the fertile days. More is not better: sex every day brings no gain in conception for healthy couples, and the toll on desire is high.

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Outside the window

Why the rest of the month matters too

It's easy to concentrate everything on the fertile window. But frequency outside it matters too. Regular sex, 1 to 2 times a week, outside the fertile window helps as well:

  • It keeps sperm quality optimal (a rotating supply)
  • It preserves the couple's intimacy
  • It reduces the pressure attached only to fertile days
  • It raises the odds that sometimes you catch the window "by accident"

Don't confuse this with the 3 to 5 days of abstinence you may have read about: in the book, that rule belongs to collecting a semen analysis, not to trying to conceive.

More is not better

Every day doesn't add chances

"You have to have sex every day" opens the book's list of the 7 myths holding you back. False. Sperm survive up to 5 days in the female reproductive tract when cervical mucus is fertile. You don't need to "fill the uterus" every day; you need to make sure there's sperm available at the moment of ovulation.

SituationWhat daily sex does
Healthy couplesNo difference in conception
Borderline male fertilityCan reduce sperm concentration
Every coupleA high toll on emotions and desire

If his semen analysis came back with borderline values, that is one more reason not to aim for every day.

There is also no benefit to having sex several times on the same day. Inside the fertile window, the book's strategy is every other day, and the exact days have their own page.

Protecting desire

A rhythm you can keep for months

If you only have sex during the fertile window, sex becomes synonymous with "now we have to produce". Regular sex across the cycle dilutes that. It is one of the five strategies the book gives to keep sex alive while you try, alongside not announcing "the day" to your partner. And if one planned night doesn't happen, that's fine: the next one comes, and forcing sex without desire creates negative associations that stick around.

The real goal

It isn't only about having sex in the fertile window. It's how, how often, under what conditions, and how to keep it up for months without wrecking the relationship.

Where this fits

This is one chapter. The map has 42.

Frequency is part of Chapter 26 of Map to the Positive, "Sex at the right time", in Station III (Optimization). The chapter gives the day-by-day intercourse strategy for a 28-day cycle, what to use (and never use) as lubricant, whether positions matter and how to handle sexual pressure. It's the chapter where couples who do everything else right stop going wrong.

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Related questions

References: Stanford JB et al. Timing intercourse to achieve pregnancy. Obstetrics & Gynecology, 2002.

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