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Women over 40 who are hoping to conceive or pregnant should optimize their lifestyle as quickly as possible to improve their fecundity and chance of having a healthy baby. There is a paucity of data regarding lifestyle factors and fertility and pregnancy. Women should be informed of the areas in which there is extensive evidence such as the need for preconception folic acid and optimizing BMI and be counselled on the matters that are less clear cut for instance physical activity. A Mediterranean diet has been shown to improve fecundity in women who had previously had difficulty conceiving. Women should be counselled on taking folic acid whilst trying to conceive, and vitamin D if they are found to be deplete. All women undergoing fertility treatment should not smoke and should be educated about possible risks of alcohol and caffeine consumption. The importance of sleep and stress reduction should be recognized and women over 40 planning to undergo fertility treatments should manage these as best as possible.