The largest obstacle I find in helping couples optimize their fertility and to conceive naturally without ART is their commitment (actually patience) to a minimum of 3 months on this natural fertility plan. This is also true if you are going to utilize ART.
The ones that make the time and allow for the process where they change their eating and lifestyle habits, incorporate relaxation techniques and herbs and acupuncture find success not only in optimized fertility but also in quality of life (both physical and emotional).
My clients who have worked with me for at least 3 months know this to be true and some have taken 6 or 9 months but the time, is worth the wait.

Many of you who have conceived over the last several years are ready to have another child. Sometimes the second child is even harder not just because you are a year older but because, the energy it takes to raise a child can deplete your own energy that is why acupuncture is so helpful in the interim to boost your qi, your blood and revitalize your spirit. Herbal supplements are a wonderful addition when you cannot come in for acupuncture. Bu Zhong Yi Qi Tang is a wonderful tonic after having a child, I recommend it often in the year after delievery.