Folic acid is one of the most crucial nutrients during pregnancy as it helps to prevent problems that can lead to miscarriage, including neural tube defects and chromosomal disorders, as well as complications like high blood pressure (preeclampsia). But it’s important when you’re trying to conceive too. Folic acid helps your eggs mature; not having enough may stop you from ovulating regularly.

This is usually caused by a lack of folic acid in the diet.

Other possible reasons for folic acid deficiency anemia include:

Overcooking your fruits and veggies can also destroy the natural folate in your food and lead to a deficiency.

Doctors diagnose folic acid deficiency anemia through blood tests to check your red blood cell count and hemoglobin level and folic acid level. Other lab tests may include a peripheral blood smear, where a healthcare provider examines the size and shape of your blood cells under a microscope, and a reticulocyte count, which determines if your bone marrow is producing enough red blood cells.

Vitamin B12 deficiency can occur simultaneously with folic acid deficiency, so healthcare providers will often check your levels of this vitamin as well.

Thankfully, the impact of folic acid deficiency on fertility is just temporary. With the right supplementation, you can get your folic acid levels back on track and improve your fertility. Taking folic acid supplements is associated with higher pregnancy rates and better embryo quality, studies show.

On top of the benefits for your fertility, it’s very important to treat anemia to support your heart and overall health. Usually, folic acid deficiency anemia improves within 3 to 6 months of beginning treatment. Once you increase your folic acid levels, you should notice that you have more energy than before

So, how much folic acid do you need? Medical guidelines say that all women of childbearing age should take a 400 microgram supplement of folic acid daily. Some women may need a higher dose of folic acid in case there’s a greater chance that their pregnancy could be affected by neural tube defects.

Pregnant women are also at higher risk of having iron deficiency anemia, so it’s a good idea to take a prenatal vitamin including both folic acid and iron. Have a chat with your doctor about choosing the supplement that’s right for you.

Besides supplementation, be sure to eat a healthy, balanced diet with plenty of folate.

Here are the foods containing folate that you should add to your plate:

If you’re curious, we have lots more helpful info on the right nutrition to boost your fertility naturally – check out our article on fertility foods here