There are some signs of high fertility you should be looking for when TTC. Dr. Gleaton shares her knowledge on super fertility, fertility testing, and more. 


By OBGYN and fertility expert Dr. Kenosha Gleaton

Knowing how fertile you are is a key first step when trying to get pregnant. Whether you’re super fertile, have high fertility or low fertility, there are various tests and products that can help you on this journey. 

Taking a step back, what does fertility even mean?

Fertility is the ability to conceive, whereas infertility is the inability to establish a clinical pregnancy after 12 months of regular, unprotected sex. 

For females, fertility is especially focused on egg and uterine health, AKA the ability to ovulate and get pregnant. For males, fertility is especially focused on sperm health and the ability for sperm to fertilize an egg.

Can you be “super” fertile?

It’s true that fertility is genetic, and there actually are some people who can be classified as “super” fertile. This is all dependent on sperm and egg health. 

One study on the topic classified super fertility as having a monthly fecundity rate (the ability to get pregnant) of 60% or greater. If you are born with an abnormally high egg or sperm count, have an extremely regular cycle, or have many healthy eggs in older age, you could be “super” fertile. 

What are signs of high fertility?

Wondering if you have high or low fertility? There are some clues to determine how fertile you are:

  • High antral follicle count: Your doctor can see your antral follicles via transvaginal ultrasound, and research has found that a higher number of active antrum follicles on the ovaries correlates to a high ovarian reserve. 
  • Regular cycles: If you have a regular cycle, it’s a lot easier to identify when you’ll be ovulating, and when you should be having sex. This greatly increases your chances of conceiving.
  • Positive ovulation tests each month: If you’re getting consistent positive ovulation test results, this means you have a regular ovulatory cycle and have a higher chance of getting pregnant.

What are signs of potential lower fertility?

On the other hand, there are some signs of low fertility as well:

  • Menopause: Going through menopause or perimenopause means you will soon be unable to conceive. Menopause usually starts in the mid-late 40’s but can happen earlier. Read 24 Signs of Perimenopause
  • Fibroids: Non-cancerous uterine tumors, known as fibroids, aren’t incredibly dangerous, but they are common and they can impact fertility. Depending on the location of the fibroids, your ability to conceive and sustain pregnancy could be decreased.
  • Endometriosis: Conceiving with endometriosis isn’t impossible, but you may have more issues than most when trying to get pregnant. There are some pregnancy complications to be wary of, including preterm labor and miscarriage. If you have endometriosis and are trying to conceive, I recommend talking to your doctor to find out what testing and products can help. 
  • PCOS: Polycystic ovarian syndrome (PCOS) typically causes abnormal ovulation, meaning it may create some challenges when trying to conceive. If you’d like to learn more, we have a whole article about getting pregnant with PCOS.

Tools to track fertility

If you’re attempting to track fertility, you’ll want to purchase some ovulation tests. Ovulation tests or ovulation predictor kits (OPK) are urine tests that indicate when you’re ovulating, AKA your fertile period.

Cervical mucus tracking is another way to track fertility (and it’s free!). Your cervical mucus can show how fertile you are in the present moment. You’re most fertile when mucus is transparent, stretchy/elastic, slippery, and wet.

Supplements to support fertility

There are many factors that may potentially improve your chances of getting pregnant, from using a TTC-safe fertility lubricant to maintaining a well-balanced diet and a healthy weight. But some people may have nutritional deficiencies that can make getting pregnant more difficult. Here are the most popular supplements that women take to increase prenatal health:  

  • Coq10: A natural antioxidant that supports both female and male fertility. CoQ10 improves egg and sperm health and may also improve IVF outcomes.  
  • MTHF folate: Folate is recommended by  ACOG and the CDC for improved pregnancy outcomes, can reduce the risk of infertility, fight environmental toxins, and can improve fertility treatment success rates. 
  • DHA: Omega fatty acids are necessary for building neural tissue, and DHA helps to support healthy pregnancy outcomes. Natalist’s DHA supplement exceeds ACOG’s recommendations for pregnancy,  and promotes healthy fetal development in a non-fishy capsule
  • Vitamin D: Healthy vitamin D levels are beneficial for female and male fertility and are associated with higher IVF success. Our vitamin D gummies for adults are not only healthy but support healthy teeth, bones, and immune function.

Read more about supplements and fertility. And always talk to your doctor before starting a supplement routine. 

When to consult a doctor

If you’re trying to get pregnant and having difficulty conceiving, you may want to consult a fertility expert. For women under age 35, we recommend seeking help after 12 months of trying to conceive. For women over 35, we recommend a shorter time period: six months. 

You may want to seek help before then if you have irregular menstrual cycles, have experienced two or more miscarriages, have a family history of premature menopause, or a history of ovarian surgery or endometriosis.

If you’re concerned about your fertility, read our guide on how to know when it’s time to see a fertility specialist.

What tests can tell me more about fertility?

Interested in what tests you and your partner can take to determine fertility?

  • Sperm analysis: This at-home sperm analysis is a clinical grade test that looks at five factors of sperm health.
  • Sonogram: An ultrasound of the pelvic area can identify any anatomical issues relating to fertility such as uterine shape, ovarian health, etc.
  • Hormone testing: A blood test can determine your hormone levels to make sure they are in balance.
  • Ovarian reserve test: Ovarian reserve testing may consist of three or more tests including an FSH, AMH, or antral follicle count.  These tests identify how many eggs are present in the ovaries as well as the quality of those eggs. However, keep in mind the quantity of eggs is not as important as the quality


  • Super fertility has been classified as a monthly fecundity (the ability to get pregnant) rate of 60% or greater. 
  • A regular menstrual cycle and high antral follicle count are signs of high fertility.
  • Perimenopause, fibroids, and endometriosis can make conceiving and sustaining pregnancy more difficult.
  • Ovulation tests and cervical mucus tracking are two ways to narrow down your fertile window
  • Some supplements like CoQ10, Vitamin D, and DHA are beneficial for reproductive health and may support fertility. 


Photo by Amelia Wahyuningtias on Unsplash