Natural Fertility

Natural fertility is a couple's own ability to conceive through natural conception.1 No eggs or sperm are removed. No egg is fertilized in a laboratory. No part of the reproductive system is bypassed. In healthy couples, the chance of pregnancy in a given cycle is about 20 to 25 percent. That chance declines with age. It also declines when a health condition goes untreated. Common causes include endometriosis, tubal disease, and cycles with poor ovulation.2 Male factors also contribute. A low sperm count and poor sperm motility, or movement, are well established.2 The role of sperm DNA fragmentation, damage to the DNA inside sperm, is less settled. A 2024 review of earlier reviews found the evidence weak and rated their quality as low.3 That review measured results from laboratory procedures, not natural conception. A high fragmentation result is a reason to continue the search for a treatable cause. RRM looks for the conditions that have lowered a couple's natural fertility and treats them. It does not replace physiology that can be supported with a laboratory step. Medicine, surgery, and cycle-timed care support conception through the couple's own bodies. Restoring natural fertility for couples who desire it is the main clinical goal of RRM.

Cited in this entry

  1. Optimizing natural fertility: a committee opinion. Fertility and Sterility. https://rrmacademy.org/library/optimizing-natural-fertility-a-committee-opinion-rechyu5vnvihyqdwy/
  2. Restorative reproductive medicine for infertility in two family medicine clinics in New England. BMC Pregnancy and Childbirth. BioMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC8265110/
  3. Maghraby H, et al. Quantifying the association of sperm DNA fragmentation with assisted reproductive technology outcomes: an umbrella review. BJOG. 2024. BJOG. https://pubmed.ncbi.nlm.nih.gov/38450853/

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.