How Much Should A Pregnant Woman Weight At 6 Months Eight Tips on How to Boost Your Fertility

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Eight Tips on How to Boost Your Fertility

The month of October is National Infertility Awareness Month. Understandably, we appreciate the opportunity to educate the public about topics and current advances in this field. The American Society for Reproductive Medicine’s 2009 Annual Meeting will be held in Atlanta on October 18-21. You can follow along on Twitter to see some of the issues that will be discussed by entering #ASRM09 on those days!

I would like to share some tips on how to improve your fertility. This problem affects about 7.3 million women and men in the United States, representing 15% of couples in their prime reproductive years.

AGE

I’ll start with age, because it’s one of the big ones. Women are born with 1-2 million eggs and by the age of 37 they have 25,000 left. How well you reproduce depends on a number of factors, but one of the most important is the age factor. The quality of these eggs begins to deteriorate after 30, and more significantly after 35, due to poor egg quality. There is no way to change the egg quality. Consider trying to start your family earlier rather than later. If that’s not possible, staying on the pill can prolong the viability of the eggs in a woman’s ovaries by putting the ovaries at rest. Seek help for infertility problems early rather than putting it off. If you are over 35, create a well-defined, aggressive treatment plan with a fixed timeline. Don’t let your doctor reassure you that “everything is just fine and you just have to wait it out.” Basically, I advise my patients over 35, if there is no pregnancy after 6 months, see a fertility specialist for a complete and thorough evaluation (which should only take 1-2 months to complete), create a treatment plan within a set time and move through that plane sequentially. For example, if you start with ovulation induction and intercourse, use it for 4-6 months, then go to IUI for only 4 attempts, then go to IVF. As time goes on, your chances only diminish, even with IVF.

HEALTH

The key ingredient here is good health and exercise in the years before trying to conceive. It is recommended to exercise for at least 5 hours each week. Good habits start early, but it’s never too late to start! Weight can also affect your ability to get pregnant, in some cases, and being too much above or below your ideal BMI (body mass index) can be harmful. See the National Institute of Health website to calculate your BMI: http://www.nhlbisupport.com/bmi/. Aim for an ideal BMI, but don’t delay pregnancy for weight loss if you’re over 35.

BROOM

A good diet before you begin your efforts to conceive is also important. It makes sense to eat plenty of fruits and vegetables, but did you know that dairy and yogurt have been found to be just as important? A Harvard Medical School study suggests that whole milk products, not skim, are responsible for protecting against ovulatory infertility. Another interesting finding has been that folic acid improves ovulation in women, and in men, sperm quality! It can be taken as a multivitamin and is found in foods such as oranges. Eliminating trans fats in women who have diabetes also seems to help. Moderate caffeine and alcohol intake is also important. Again, ideal weight is beneficial. No matter what anyone says, there are no diets or foods that “improve” fertility, but a healthy diet can generally help.

TIMED SEXUAL ACTIVITY

Many couples trying to conceive use over-the-counter ovulation kits. However, there are some things to keep in mind. Most women ovulate 14 days before their next period. For example: If your cycles are 25 days, then you most likely ovulate around cycle day #11. Your fertile period would then be CD# 9-13. These are the days I would recommend intercourse. You should stop intercourse on CD#7 and wait until CD#9 starts. Have intercourse once a day for these five days, only one ejaculation a day. Start using your Ovulation Kit on CD #9 (counting 16 days back from the end of your average cycle). Remember, once the egg is released from the ovary, it is only receptive to sperm and able to be fertilized for about 12 hours. If you have irregular cycles, you may have another problem and you need to see a specialist to find out what is going on. But the absolute bottom line with timing is this, make it fun NOT scientific!! Your husband will become a reluctant participant if forced. Don’t tell him, “honey, it’s my fertile time again, let’s have sex”, rather, he shouldn’t even know. You just need to set the stage to get him interested, excited and “horny”. That way you will both enjoy the experience and trying will not be a chore.

QUIT THE SMOKING HABIT

Virtually all studies show that smoking impairs fertility. In women, 10 or more cigarettes a day reduces egg quality. Smoking after conception has been linked to miscarriages and ectopic pregnancies. In men who smoke, there is also a problem of lower sperm count and lower sperm motility, which means lower sperm functionality. The worst is smoking marijuana. Every chemical that goes into your body goes into your bloodstream, into your cells, and into your sperm and/or egg. This is an absolute no no! The same with other forms of recreational drugs, including large amounts of alcohol. My rule of thumb is that if it affects your brain cells, it also affects your sex cells.

RELAX

Couples trying to conceive can become stressed, especially if they have been trying for more than a few years. Yoga, acupuncture, massage and meditation bands made specifically for infertility patients all help. My patients are encouraged to use relaxation techniques. It helps them through the emotional ups and downs of the IVF process. Patients approach the day of the procedure in a much calmer and relaxed way, and this can make a difference to how well the extraction and transfer go. Going to a therapist for massage or meditation therapy may also be covered by insurance if it can be proven that it is an anxiety disorder. As mentioned above, make it fun and entertaining, not homework.

EXAMINE YOUR DOCTOR

You want a doctor who knows fertility through and through. Most of these types of doctors will be able to offer ALL levels of infertility treatment. Just like you don’t want a doctor who only does Clomid, you don’t want a doctor who only does IVF. You will be put on the only thing they can do for you, Clomid or IVF. Screening for this is easy. . . just ask, “what levels and types of treatment can you perform for me?” Most importantly, infertility should be diagnosed and treated by a medical specialist, not general practitioners, nurse practitioners, PAs, or medical assistants.

IF ALL ELSE FAILS…

If your fertility journey is hitting too many roadblocks, you may need to explore other options. Remember, if you do not achieve pregnancy naturally, it is NOT the end of the road. I advise my patients, “Nowadays we can get almost anyone pregnant, it just depends on what I have to do to achieve the pregnancy”. There are many reasons why a woman or man may be infertile, and a visit to a good fertility specialist will certainly narrow down or actually find out where the problem lies. Treatment often varies from person to person, so don’t expect to find the answer on a forum or in a chat room! Blocked fallopian tubes, high FSH levels, abnormal sperm count or low motility, all these and more cause infertility problems for many couples.

A diagnosis by a doctor is necessary to effectively identify the best course of action for the couple trying to conceive. But don’t let your doctor just put you on Clomid without a good reason. Clomid is NOT a miracle drug. It has a specific purpose, which is to induce ovulation in women who do not ovulate. If you have regular cycles, it is a sign that you are ovulating. That means the problem is something else, and Clomid won’t change that. Make sure the treatment you receive addresses a specific problem. Ask your doctor to explain his/her strategy, why they use the treatment they recommend, and what they treat. Treatment without a specific reason is a waste of time and money, as is treatment without completing a complete infertility evaluation. I can’t tell you how many patients I’ve seen who have been on multiple cycles of Clomid or IUI’s only to find out her tubes are blocked!

Above all, stay positive, we are here to help!

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