Microscopic image of multiple sperm approaching a human egg (oocyte), relating to egg and sperm quality and the fertilization process that melatonin supports.

Melatonin and Fertility: How This Sleep Hormone May Support Conception

Written by: Mecene Research Team

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Published

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Time to read 11 min

Melatonin and fertility are more connected than many people realize. Most people associate melatonin with sleep, yet this hormone also plays a quiet but meaningful part in how the body protects reproductive cells from oxidative stress and keeps hormone signals on track. These combined effects have made melatonin an area of interest for people trying to conceive.


Melatonin helps guide circadian rhythms, supports estrogen and progesterone balance, and shields delicate cells such as human oocytes and sperm from reactive oxygen species. Researchers studying human reproduction have also explored how melatonin levels are linked to oocyte quality, sperm function, menstrual cycle timing, and early embryonic development.


Good sleep habits, balanced hormones, and reduced oxidative stress all interact with melatonin. Understanding these links can help people see how rest, daily rhythm, and lifestyle choices may support a healthier environment for conception.

What Is Melatonin and How Does It Work in the Body?

Melatonin is produced mainly in the pineal gland, and it travels through the bloodstream to help regulate circadian rhythms and many normal physiological functions. It influences hormone timing, sleep quality, and the way the body responds to oxidative stress.


Melatonin also affects peripheral reproductive organ health, including the ovaries and testes. Because of this, researchers have been studying how the pineal hormone may influence oocyte quality, embryo quality, sperm function, and outcomes in reproductive medicine.

"Melatonin also affects peripheral reproductive organ health, including the ovaries and testes.”

Melatonin’s Main Job: Regulating Sleep and Circadian Rhythm

Melatonin helps the body recognize when it is time to rest. As night approaches, melatonin secretion rises and supports the natural sleep cycle. When sleep quality is steady, other processes linked to repair, hormone balance, and oxidative stress management work more smoothly.


A predictable day and night rhythm also lowers the chance of sleep disturbances that can affect reproductive hormones and tissue recovery.

How Melatonin Influences Hormones Related to Fertility

Melatonin interacts with hormone-regulating cells inside the ovary. A 2021 research review explains that melatonin is found not only in the pineal gland but also within ovarian tissue, where it becomes part of the environment that supports oocyte maturation and menstrual cycle timing.


The review notes that melatonin receptors are present on granulosa cells. Through these receptors, melatonin influences signals that involve follicle-stimulating hormone and luteinizing hormone, two hormones that guide ovulation. The review also highlights that melatonin has strong antioxidant properties that help reduce oxidative stress within ovarian tissue. Since oxidative stress is linked to hormone disruption, this protective action may help support healthier ovarian function in situations such as polycystic ovarian syndrome or during fertility treatment.

Woman sleeping with a pink eye mask, emphasizing the primary role of melatonin in regulating sleep and circadian rhythms for better fertility.

How Does Melatonin Affect Female Fertility?

Melatonin affects female fertility by supporting oocyte quality, menstrual cycle patterns, and ovarian stimulation. Human preovulatory follicular fluid contains high melatonin concentrations, which researchers believe help protect eggs from oxidative damage. Some research also notes that women with unexplained infertility may have lower melatonin concentrations in follicular fluid, which could relate to poor oocyte quality.


Because melatonin protects oocytes from oxidative stress and supports mitochondrial function, it has become a focus in studies about reproductive aging and in vitro fertilization treatment.

Melatonin’s Role in Egg Quality

Melatonin helps protect developing eggs from oxidative stress, which is one of the main concerns linked to poorer egg quality. The 2020 study on ovarian aging reports that melatonin is present both inside the egg and in the surrounding follicular fluid. Its location allows it to shield the egg during important stages of oocyte maturation.


The study also explains that eggs naturally experience some oxidative stress during ovulation. When this stress becomes too strong, egg quality can decline. Melatonin reduces this stress and helps maintain a more stable environment so the egg can mature normally.


Researchers also observed that melatonin supports several signals involved in oocyte maturation. The study noted that melatonin treatment has been linked to improved embryo quality in some assisted reproductive technology cycles, suggesting it may help the egg function more smoothly in environments with higher oxidative stress.

How Melatonin Affects Ovulation and Menstrual Cycles

Melatonin influences ovulation and menstrual cycles by helping the body maintain a stable circadian rhythm. The 2021 review highlights that melatonin works with the brain’s internal clock, which responds to light and plays a key role in timing ovarian function.


The same review explains that rhythm-related genes exist within the ovary. These genes help guide the cycle of ovulation and hormone release. When circadian rhythms are disrupted, the review notes that ovulation may become less predictable.


The study also reports that women experiencing sleep disturbances may produce fewer high-quality eggs. This finding suggests that consistent melatonin patterns and steady sleep may support more regular ovulation and healthier menstrual cycles.

When Too Much Melatonin May Hurt Fertility

Too much melatonin can interfere with the hormone timing involved in ovulation. High melatonin concentrations may affect the release of luteinizing hormone, which influences ovulation timing. This is why people trying to conceive are encouraged to use melatonin administration carefully.


Too much melatonin may:


  • Suppress ovulation by affecting luteinizing hormone signals

  • Make menstrual cycle timing harder to predict

  • Interfere with ovarian stimulation during fertility treatment

  • Affect natural progesterone patterns

  • Reduce accuracy when tracking ovulation

Pink paper cut-out model of a uterus and fallopian tubes, representing female fertility and how melatonin influences ovarian function and oocyte quality.

How Does Melatonin Affect Male Fertility?

Melatonin affects male fertility by supporting sperm health and helping maintain steady hormone rhythms. It reaches reproductive tissues through plasma melatonin levels and interacts with melatonin receptors that are present in testicular cells. Healthy melatonin patterns also support good sleep, which influences testosterone production and overall male reproductive wellness.

Melatonin’s Role in Sperm Quality

Melatonin helps protect sperm from oxidative stress, which can damage sperm structure and mitochondrial DNA. The 2015 review on male reproductive health explains that melatonin is a strong antioxidant that can cross the blood-testis barrier. Because of this, it can act directly on cells involved in sperm development.


The review notes that reproductive tissues can also produce melatonin locally. This may help create a healthier environment for sperm maturation. Researchers also describe how reducing oxidative stress can support sperm motility and improve the environment needed for fertilization, which may benefit assisted reproductive technique cycles.

Sleep and Testosterone Connection

Sleep supports testosterone production because the hormone follows circadian rhythms. The 2015 review points out that melatonin is closely tied to nighttime hormone patterns and the sleep-wake cycle. When sleep is irregular, testosterone may not rise as expected, which can influence sperm production.


The review explains that melatonin reinforces natural nighttime rhythms. When sleep is steady, the body can maintain healthier hormone signals that support sperm development and overall male fertility.

Cross-section anatomical model of male reproductive system, symbolizing the link between melatonin, sleep, and male fertility/sperm quality.

Can Melatonin Supplements Help With Fertility?

Melatonin supplementation has been studied for its possible role in fertility treatment. Some research suggests that oral melatonin supplementation may support oocyte maturation, help reduce oxidative stress in follicular fluid, and support embryo quality during in vitro fertilization.


Findings vary, but several studies show encouraging trends for in vitro fertilization (IVF) patients, especially during the ovarian stimulation phase.

Research on Melatonin Supplementation and Conception Rates

Research suggests that melatonin supplementation may help protect eggs during periods of high oxidative stress, such as in vitro fertilization. The 2014 review explains that IVF exposes eggs and embryos to more oxidative stress than usual, which can affect oocyte quality.


In several small studies, women who used melatonin during ovarian stimulation produced more mature eggs and healthier embryos. Some studies also showed a trend toward higher fertilization rates and a higher clinical pregnancy rate, although the results were not consistent across all groups.


The review also notes that melatonin helps strengthen the antioxidant enzymes within follicular fluid. Stronger antioxidant activity may help melatonin protect oocytes during the IVF process.

When to Consider Taking Melatonin (and When Not To)

Melatonin supplementation may be considered when issues such as sleep disturbances, circadian rhythm challenges, or low plasma melatonin levels are present. These factors can influence reproductive hormone timing, oocyte maturation, and early embryonic development.


Melatonin may be considered when:


  • Sleep quality is consistently low

  • Work schedules disrupt circadian rhythms

  • A person has low natural melatonin levels

  • A fertility specialist recommends it during IVF

  • Oxidative stress is a concern for egg or sperm quality


Melatonin may not be ideal when:


  • There is no sleep or rhythm issue

  • High doses are taken without guidance

  • Predicting ovulation is important

  • Hormone-sensitive conditions are present

  • Pregnancy has already been confirmed

Recommended Dosage and Medical Guidance

Melatonin administration should always be personalized. Fertility involves many hormone pathways, so anyone considering melatonin supplementation should speak with a doctor or fertility specialist.


Important points:


  • Dosage varies based on individual needs

  • Oral melatonin should not replace medical care

  • Specialists can help track hormone timing

  • High doses may affect ovulation

  • Individual responses differ

Woman sitting in bed in the dark, taking a pill with a glass of water, symbolizing melatonin supplementation and its role in fertility treatment.

How to Support Natural Melatonin Production for Fertility

Supporting natural melatonin synthesis helps keep circadian rhythms steady and reduces oxidative stress. These habits support granulosa cells, cumulus cells, and other tissues involved in developing human oocytes. They also work well alongside fertility treatment or for people preparing to conceive.

Get Morning Sunlight and Limit Screen Time at Night

Morning sunlight helps set the daily melatonin secretion cycle. Reducing screen exposure at night prevents blue light from suppressing melatonin levels. These simple habits help keep the menstrual cycle and sleep schedule more predictable.

Eat Melatonin-Rich and Antioxidant Foods

Foods such as cherries, milk, walnuts, and oats contain melatonin and antioxidants that support the body’s natural rhythms. Antioxidant-rich foods may help reduce oxidative stress around human granulosa cells and human cumulus cells, supporting oocyte quality and embryo development.

Practice Consistent Bedtime and Stress Reduction

A steady bedtime supports circadian rhythms and helps keep reproductive hormone signals balanced. Light relaxation practices, such as slow breathing or meditation, support hormonal stability and normal physiological functions involved in conception.

Create a Dark, Screen-Free Sleep Environment

A dark room supports stronger melatonin synthesis because light disrupts the pineal hormone cycle. Turning off screens before bed and using blackout curtains can improve sleep quality, which supports ovarian function and menstrual cycle regularity.

Bowl of oatmeal (oats/muesli) with fresh cherries on a wooden table, representing natural ways to support melatonin production through diet.

Is Melatonin Safe During Pregnancy or While Trying to Conceive?

Melatonin safety depends on timing and individual needs. Early research suggests melatonin may support people trying to conceive, especially during fertility treatment, where oxidative stress is a concern. However, pregnancy requires more caution, and breastfeeding requires careful guidance because melatonin appears naturally in breast milk.

What Research Says About Melatonin in Pregnancy

Melatonin affects pregnancy by helping regulate the circadian rhythms that support uterine function and early fetal cues. The 2022 review reports that the placenta produces melatonin and that melatonin can cross from the mother to the fetus. This transfer helps guide early sleep-wake patterns and supports tissue development.


The review also notes that melatonin levels naturally rise later in pregnancy and peak during labor. Researchers believe this pattern helps the uterus respond more strongly to oxytocin. The review further highlights that melatonin appears to help the placenta maintain balance between important cell layers.


Because long-term data on melatonin supplementation during pregnancy remain limited, researchers recommend more studies before clear guidance is made.

Can You Use Melatonin While Breastfeeding?

Melatonin naturally appears in breast milk. A 2021 review of human studies reported that several breastfeeding studies included melatonin use, and most were small or focused on conditions other than sleep. The review noted that clinical trials using melatonin during pregnancy or breastfeeding did not report major safety concerns, although long-term research is still needed.


Because supplements can raise plasma melatonin levels beyond what the body normally produces, anyone breastfeeding should consult a healthcare provider before using melatonin.

Smiling pregnant woman in a white top and pink skirt holding her belly, representing the caution and research around melatonin safety during pregnancy.

Supporting Fertility Starts With Better Sleep and Balance

Supporting fertility often begins with steady rest, healthy rhythms, and balanced habits. Melatonin connects sleep quality, hormone timing, and oxidative stress management. It may improve oocyte quality or IVF outcomes for some people, but guidance from a healthcare professional is important before using melatonin for fertility. Building strong sleep routines, eating well, and supporting the body’s natural rhythms offer a practical way to help the reproductive system function at its best.

Frequently Asked Questions

Can melatonin improve my chances of getting pregnant?

Melatonin may support oocyte quality and reduce oxidative stress, especially in women undergoing IVF.

Is melatonin safe when trying to conceive naturally?

Melatonin is generally considered safe for those trying to conceive, but medical guidance ensures appropriate use.

Can taking melatonin delay ovulation?

High doses may delay ovulation by affecting luteinizing hormone signals.

Does melatonin help with sperm quality and male fertility?

Melatonin may support sperm quality by reducing oxidative stress and helping maintain mitochondrial function.

What are natural ways to increase melatonin for fertility?

Morning sunlight, nighttime light reduction, melatonin-rich foods, and consistent sleep routines support natural melatonin production.

REFERENCES

  1. Fernando, S., & Rombauts, L. (2014). Melatonin: shedding light on infertility?--A review of the recent literature. Journal of ovarian research, 7, 98. https://doi.org/10.1186/s13048-014-0098-y

  2. Guo, Y. M., Sun, T. C., Wang, H. P., & Chen, X. (2021). Research progress of melatonin (MT) in improving ovarian function: a review of the current status. Aging, 13(13), 17930–17947. https://doi.org/10.18632/aging.203231

  3. Jiang, Y., Shi, H., Liu, Y., Zhao, S., & Zhao, H. (2021). Applications of Melatonin in Female Reproduction in the Context of Oxidative Stress. Oxidative medicine and cellular longevity, 2021, 6668365. https://doi.org/10.1155/2021/6668365

  4. Rocha, C. S., Rato, L., Martins, A. D., Alves, M. G., & Oliveira, P. F. (2015). Melatonin and male reproductive health: relevance of darkness and antioxidant properties. Current molecular medicine, 15(4), 299–311. https://doi.org/10.2174/1566524015666150505155530

  5. Tamura, H., Jozaki, M., Tanabe, M., Shirafuta, Y., Mihara, Y., Shinagawa, M., Tamura, I., Maekawa, R., Sato, S., Taketani, T., Takasaki, A., Reiter, R. J., & Sugino, N. (2020). Importance of Melatonin in Assisted Reproductive Technology and Ovarian Aging. International journal of molecular sciences, 21(3), 1135. https://doi.org/10.3390/ijms21031135

  6. Verteramo, R., Pierdomenico, M., Greco, P., & Milano, C. (2022). The Role of Melatonin in Pregnancy and the Health Benefits for the Newborn. Biomedicines, 10(12), 3252. https://doi.org/10.3390/biomedicines10123252

  7. Vine, T., Brown, G. M., & Frey, B. N. (2022). Melatonin use during pregnancy and lactation: A scoping review of human studies. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 44(3), 342–348. https://doi.org/10.1590/1516-4446-2021-2156

Medically Reviewed By

Dr. James Pendleton

Dr. James Pendleton is a primary care physician specializing in a naturopathic approach to family medicine. He has nurtured a family practice in Seattle, directed a VIP medical center in Abu Dhabi, published several books and scientific articles, and designed innovative nutritional supplements for manufacturers worldwide.