- Use prenatal supplements. Prenatal supplements help prepare the body for pregnancy by providing key nutrients, especially folic acid, that support early fetal development12 and healthy conception.
- Don’t smoke. Smoking can make it harder to conceive, and it also harms overall health for both mother and baby. Quitting before pregnancy is one of the best steps a mother or father can take, since second-hand smoke also affects the unborn baby.13
- Don’t drink alcohol. Heavy alcohol use can reduce fertility, so it is wise to avoid alcohol when trying to conceive.14
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Weeks 0 and 1
Sperm formation, egg maturation and ovulation
- Preparing for Pregnancy
A woman’s body prepares for pregnancy by letting eggs mature. The lining of the uterine wall also thickens.1 A man’s body constantly creates new sperm.2
Fertility decreases with age. Most women under 30 have an 85% chance of conceiving in a year, but this declines to 44% by age 40.3
The sperm and the egg each have half of the genetic information needed to create a new genetically unique human.4
Human development begins at conception, when the sperm and egg fuse to form a single-celled human called a zygote. Over 38 weeks, that tiny human grows into a newborn, and in later years becomes a 30-trillion-cell adult.5 From the start, the zygote has a unique DNA sequence that creates his or her biological individuality.6
For most women under age 30, the chance of conceiving in any single cycle is about 25–30 percent.7
That means pregnancy is common but not automatic. Of all women trying to conceive:
- 30 percent get pregnant in the first month (1 cycle)
- 75 percent get pregnant in the first six months (6 cycles)
- 90 percent get pregnant in the first year (12 cycles).8
However, a woman’s age matters. Over the course of a year, the likelihood of conceiving declines from about 85 percent for women under 30, to 66 percent for women under 35, to 44 percent by age 40. This reflects natural changes in the ovaries and eggs resulting in decreased fertility with increased age.9
Timing within the menstrual cycle also plays a critical role. The probability of conception rises sharply about a week after the last menstrual period, and peaks around day 12 to 15 before falling back to near zero by day 25.10 For couples hoping to conceive, focusing intercourse during this fertile window makes a significant difference. Small, intentional steps, paired with patience and good timing, can meaningfully improve the chances of welcoming a new life.
Delays in conception can be a painful and deeply personal struggle, but couples facing it are far from alone: it affects about 8 to 12% of couples worldwide.11 For couples experiencing infertility, please read more about ethical alternatives available that seek to diagnose potential underlying health issues.
Shortly after the start of a woman’s period, her body prepares for a possible pregnancy. Between 15 and 20 premature eggs, called oocytes, start to grow rapidly inside her ovary.15 Interestingly, the woman’s body created all of her oocytes when she was an embryo herself, starting when she was seven weeks gestation and finishing around five months.16
There are two common systems for denoting a baby’s prenatal age. Embryologists use post-conception age, referring to the length of the pregnancy from the time of conception. Most obstetricians, medical professionals, and mothers use gestational age, which starts at the beginning of a woman’s last menstrual period. This website refers to the baby’s gestational age unless otherwise indicated.
Ovulation and conception often occur approximately two weeks after the start of a woman’s menstrual cycle. The menstrual cycle lasts about 28 days. Each month, it prepares her body for a possible pregnancy. Therefore, the week of a woman’s period and the week afterwards gets counted towards her baby’s gestational age, even though she was not technically pregnant at that time. If a woman does not become pregnant after ovulation, she will start her next menstrual period about two weeks later.
Pregnancy starts at conception, also known as fertilization. Conception can occur about 24 hours after a woman ovulates. If a woman knows exactly when she conceived, then she can calculate the baby’s gestational age by adding two weeks to the post-conception age. If a doctor tells a woman that she is 6 weeks pregnant, then the unborn child has been growing inside her for 4 weeks. Similarly, if a woman gives birth when she is 40 weeks pregnant, the baby has only been alive for 38 weeks.
| Events | Gestational Age | Post-Conception Age |
|---|---|---|
| Fertilization, creating the embryo | 2 weeks and 1 day | Day 1 |
| Implantation of the embryo | 2-3 weeks | 6-10 days |
| Heartbeat starts18 | 5 weeks and 1 day | 3 weeks and 1 day |
| The baby starts moving19 | 7 ½ weeks | 5 ½ weeks |
| Embryo is now called a fetus | 11 weeks | 9 weeks |
| The baby makes intentional movements.20 | 14 weeks | 12 weeks |
| The baby can feel pain at or before this point21 | 15 weeks | 13 weeks |
| Earliest surviving baby22 23 | 21 weeks | 19 weeks |
| Greater than 50% chance of survival at birth24 | 23 weeks | 21 weeks |
| Happier faces after mom eats something sweet25 | 34 weeks | 32 weeks |
| Child is no longer considered premature | 37 weeks | 35 weeks |
| Childbirth (on average) | 40 weeks | 38 weeks |
By one week after the start of the woman’s period, one egg has grown the fastest. Only this egg reaches full maturity. The other eggs start to shrivel.26 Approximately one week later, the woman’s ovary releases the mature egg, now called a secondary oocyte, into the adjacent fallopian tube. If more than one egg gets released at ovulation, then the mother can have non-identical twins if both eggs are fertilized. The woman can usually conceive for about 24 hours after ovulation.27
In a man’s body, sperm develop inside the testes from special cells called spermatogonia. Remarkably, these cells first formed when the man himself was an unborn child, around 7 weeks gestation. They remained quiet until puberty, when they began producing sperm continuously. Since then, they have divided regularly, maintaining a lifelong supply of stem cells that generate new sperm.28
As developing sperm move toward the center of tiny tubes in the testes called seminiferous tubules, they mature step by step. Through a process called meiosis, each developing sperm cell divides to produce cells containing half of the father’s genetic information. The DNA tightly packs into a small oval head, which is capped by the acrosome, a structure that helps the sperm enter the egg. A tail then forms, giving the sperm its ability to swim.29
From start to finish, a single sperm takes about 74 days to develop. The testes produce roughly 300 million new sperm every day.30