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Infertility is defined as a full year of trying to become pregnant without any success. Infertility involves many factors: hormones, egg production and egg release, normal fallopian tubes (the tubes through which an egg migrates to the uterus) and a normal uterus. Men are solely responsible for 20 percent of infertility, and they contribute to it 30 percent to 40 percent of the time. A basic test for the determination of male fertility is a sperm count, something the doctor can arrange for your husband.

In considering female problems, the doctor has to evaluate a woman's menstrual history, her hormone status and her monthly release of an egg. The woman's uterus and fallopian tubes have to be examined to determine if there is some anatomy problem that makes conception difficult. Blocked fallopian tubes, for example, prevent pregnancy.

A common cause of infertility is polycystic ovary syndrome. Women with this syndrome make too much male hormone, have large ovaries studded with cysts and are often overweight. Sometimes simple weight loss can correct many of the problems that arise from this syndrome, including difficulty in becoming pregnant. Perhaps that's what the doctor meant by weight loss. I don't know how drinking water corrects anything.

My message to you is that finding the answer to infertility requires much testing and includes the husband in the testing process. There's no simple solution to this difficult situation.

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The book deals specifically with failure to get pregnant because of a failure to ovulate, which the doctors say is one of the most common pregnancy-related problems. They suggest that if you’re having trouble getting pregnant you should see a doctor to rule out other problems before relying on the advice in the book, but the diet suggested here would work for anyone, male or female, trying to conceive or not, who wants to be healthier.

The book provides 10 general tips to improve the odds of conception:

1. Cut out trans fats.
2. Eat more unsaturated fats like olive oil.
3. Get more protein from vegetables and less from meat.
4. Pick whole grains over refined carbohydrates.
5. Get a serving or two of full-fat dairy daily.
6. Take a multivitamin that includes plenty of folic acid.
7. Get iron from fruits, vegetables and beans rather than meat.
8. Cut out soft drinks and get most of your liquid refreshment from water, with coffee or tea in moderation.
9. Maintain a healthy weight or lose weight if you need to.
10. Start exercising daily if you aren’t already, or pick up the pace if you do work out, unless you’re already skinny.

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