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Mio Fertility › Station III · Optimization
Sleep

Sleep and fertility
Your cycle is set at night.

Short answer

During deep sleep, your pituitary releases the GnRH pulses that regulate the whole cycle. Consistently sleeping less than 7 hours a night disrupts that pattern, and women who sleep less than 6 hours have a higher incidence of irregular cycles, short luteal phase and difficulty conceiving.

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The evidence

What short sleep does to your cycle

Sleep is the start of an invisible chain: bad sleep raises cortisol, high cortisol suppresses reproductive hormones, and suppressed hormones cause dysregulated cycles. Many TTC women ignore it because "there's nothing you can do about it". There is, and it makes a measurable difference.

Sleep patternWhat the book reports
Less than 7 hours a night, consistentlyDisrupts the GnRH pattern that regulates the cycle
Less than 6 hours a nightHigher incidence of irregular cycles, short luteal phase and difficulty conceiving
Night shifts and chronic sleep deprivationPregnancy rates reduced by up to 33% in a Danish study of 17,000 nurses

Sleep also affects how you read your body. If you chart basal temperature, a night of less than 5 hours gives an unreliable reading, and night shifts or an irregular sleep cycle make the method unworkable.

Sleep hygiene

The 6 habits that protect your hormones

  1. A consistent schedule. Same bedtime and wake time, weekends included. Your circadian rhythm regulates hormone release. "Catching up on Saturday" doesn't catch anything up.
  2. Total darkness. Even minimal light suppresses melatonin and affects your hormonal rhythm. Blackout curtains, a sleep mask, no little lights from electronics. Dim red bulbs for nighttime bathroom trips are fine.
  3. A room between 18 and 21°C. Your body needs to lower its core temperature to enter deep sleep. Rooms that are too warm (above 23°C) fragment your sleep.
  4. Screens off 60 minutes before bed. Blue light from your phone and TV delays melatonin secretion by up to 90 minutes. Night mode helps a little; the ideal is to stop using them.
  5. Coffee only until 2 p.m. Caffeine has a half-life of 6 hours, so coffee at 5 p.m. means half that caffeine is still in your system at 11 p.m. Even if you manage to fall asleep, the sleep is shallower.
  6. No alcohol before bed. Alcohol brings on sleep at first, but it drastically degrades quality in the second half of the night. You wake up exhausted without knowing why.
The target

The book's 90-day plan asks you to set a regular sleep schedule of 7 to 9 hours a night in the very first month, and to keep it in practice until the end.

For him too

His sleep counts as well

Testosterone is produced during deep sleep, and sleep deprivation lowers it by up to 15%. That is why "sleep well" is one of the 10 habits the book lists for male fertility. Poor sleep also appears on the book's list of habits that affect the sperm production still to come: sperm is produced in cycles of roughly 72 to 90 days, so today's sperm reflects his habits over the last three months.

Where this fits

This is one chapter. The map has 42.

Sleep is the first half of Chapter 23 of Map to the Positive, in Station III (Optimization). The second half of that chapter covers cortisol: the physical signs that it is chronically high and the strategies with evidence to lower it. Station III also covers nutrition, supplements, exercise, his fertility and sex at the right time, and ends with an integrated 90-day plan.

IFoundation
IIAttunement
IIIOptimization
IVSigns
VPositive
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Related questions

References: Stocker LJ et al. Sleep and infertility. Reproductive Sciences, 2014.

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