Does Folate Help You Conceive?
Discover why taking folate 3 months before conception is crucial for a healthy pregnancy, reducing the risk of neural tube defects.


Aisling Fourie
7 min
Trying to Conceive
Article
The Importance of Taking Folate for Three Months Before Trying to Conceive
One of the most widely studied and essential nutrients for fertility is folate.
This article explores why it is critical for women to start taking folate three months before they begin trying to conceive.
What Is Folate?
Folate is a B-vitamin that is crucial for numerous bodily functions. It is naturally present in foods like leafy greens, lentils, and whole grains. The synthetic version, known as folic acid, is commonly found in over-the-counter supplements and is also added to processed foods.
Around 35% of women of reproductive age in the UK have a folate deficiency. It can take up to three months to fully replenish folate stores, which is essential for a healthy pregnancy.
Did you know that taking the oral contraceptive pill can reduce folate levels? It may take up to three months after discontinuing the pill for folate levels to return to normal.
Why Is Folate So Important During Pregnancy?
- Prevention of Neural Tube Defects: One of the key reasons folate is recommended before and during early pregnancy is to prevent neural tube defects (NTDs), which are serious birth defects affecting the brain and spine. These defects often develop very early in pregnancy, before many women even know they are pregnant.
- Supports DNA Synthesis: Folate is vital for DNA creation and repair. This process is especially important for the developing egg, which matures over three months prior to ovulation. During early pregnancy, rapid cell division and DNA replication occur, so maintaining optimal folate levels helps ensure proper cell development.
- Encourages Healthy Placenta Growth: Folate is involved in placenta formation, which provides vital nutrients to the growing baby during pregnancy.
- Controls Homocysteine Levels: High levels of the amino acid homocysteine are linked to early miscarriages and other pregnancy issues. Adequate folate intake helps manage homocysteine levels.
Why Begin Three Months Before?
The neural tube, which forms the brain and spine, develops in the first 28 days of pregnancy. Since many women may not realize they are pregnant during this early time, having sufficient folate in their system is essential. Starting supplementation three months ahead of trying to conceive allows:
- Egg Quality: Oocyte maturation takes about three months, and proper cell division is crucial. Folate ensures eggs mature correctly during this time, reducing the risk of chromosomal abnormalities and miscarriage.
- Building Up Optimal Levels: This gives the body time to reach and maintain the ideal folate levels.
- Preparation for Rapid Cell Division: Early fetal development involves rapid cell division, and having the right nutrients in place supports this critical phase.
Natural Sources vs. Supplements
While consuming folate-rich foods like spinach, lentils, and asparagus is beneficial, it might be difficult to meet the required daily intake through diet alone. Taking a supplement can help ensure you’re getting the right amount of folate. Always consult a healthcare professional before starting supplementation.
As a fertility nutritionist, I can't stress enough how important it is to lay a healthy foundation for your future baby. By beginning your folate supplementation three months prior to conception, you're not just improving your own health but also giving your child the best possible start in life.

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