Introduction: Infertility is a global public health problem, and incidence rates are increasing. High levels of physical activity (PA) are associated with reduced risk of fertility problems, and PA may be a feasible complementary therapy to fertility treatments. However, little is known about PA levels and preferences for PA in women with fertility problems. The aim was to survey the health and behavioural characteristics of women with fertility problems, and to assess their preferences relating to PA context.

Methods: Women aged 18 to 45 years completed an online survey where they reported demographic characteristics, reproductive health history, psychological stress (10-item Kessler Psychological Distress Scale), lifestyle behaviours (sitting time, physical activity, alcohol, and tobacco habits), weight, height, and self-rated health. Participants were also asked to respond to eighteen physical activity context statements related to format (how), location (where) and social setting (with whom); and to report how weak or strong (in a 5-point Likert scale) their intention to be physically active was.

Results: Mean age of respondents (N=66) was 35.5 (SD 5.7) years and mean BMI was 26.8 (SD 7.2) kg/m². More than half had undertaken assisted reproductive technology treatments, had never had a live birth, and reported psychological distress. More than half the sample reported high levels of sitting time (³8h/day). Just over half reported having a strong intention to be physically active, and almost two thirds reported being willing to participate in a PA program. All respondents agreed that they would exercise for health reasons. Strongly endorsed preferences for PA included ‘I prefer to exercise close to home’, ‘I prefer to exercise outdoors’ and ‘I prefer to exercise on weekdays’. These findings support efforts to develop and implement PA programs designed for women who are trying to conceive.