[Hinews] [Physician's Column] By Hwasun Koo, MD, Director of Best of Me Women’s Clinic

Infertility is characterized as the failure to conceive after unprotected intercourse. For women under 35, this applies after one year of attempts, while for those 35 and older, it pertains after six months. If conception does not occur within these periods, a visit to a fertility clinic for evaluation is advised.

Hormone therapy remains a fundamental component of infertility treatment, yet even minimal doses of female hormones can cause considerable discomfort. Patients receiving high-dose hormonal treatments frequently describe a sensation of heaviness, as though their bodies are saturated with water. While not all patients experience this, those feeling excessive fatigue or physical burden should discuss a hormone-free interval with their physician. This pause enables patients to focus on their physical and mental health, fostering resilience for continued treatment.

Lifestyle modifications are vital during infertility treatment. Regular physical activity, specifically aerobic exercise performed at least three times weekly for 30 minutes, with a heart rate exceeding 120 beats per minute, is recommended. Maintaining an optimal weight is crucial for maternal and fetal well-being. For those with excess weight, reducing body weight by 5-10% can markedly enhance natural conception rates. Daily weight checks are advised to maintain a healthy range.
Dr. Hwasun Koo, Director of Best of Me Women’s Clinic, shares essential strategies for infertility treatment, highlighting lifestyle adjustments, hormone therapy management, and consistent medical care.
Dr. Hwasun Koo, Director of Best of Me Women’s Clinic, shares essential strategies for infertility treatment, highlighting lifestyle adjustments, hormone therapy management, and consistent medical care.


Sufficient sleep, ideally seven hours nightly, is essential for successful conception, with bedtime before midnight preferred. Dietary choices also matter—cutting back on processed foods and embracing a balanced, Mediterranean-style diet can improve overall health and bolster fertility outcomes.

Although extreme stress may disrupt hormonal balance and contribute to infertility, such intense stress is uncommon. Instead of dwelling on stress as a barrier to conception, patients should engage in enjoyable activities while diligently pursuing treatment.

Infertility treatment often necessitates frequent clinic visits, typically four to five times within a two-week period, or roughly every three to four days. Scheduling adjustments are critical, and patients unable to attend appointments should consult their physician beforehand to streamline their treatment plan.
Infertility treatment is a prolonged endeavor, requiring balance and perseverance. Approaching it with optimism, self-care, and adherence to medical advice can pave the way for a successful pregnancy. With steadfast commitment and support, patients can navigate this journey toward a fulfilling outcome.

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