Planning | Fit Pregnancy

Planning

Are IVF babies at risk?

Are-IVF-babies-at-risk

You may be referring to a procedure called intracytoplasmic sperm injection, or ICSI, which is often done in conjunction with IVF. While research shows it might increase the risk of chromosomal abnormalities, that risk is slight, says Paolo Rinaudo, M.D., Ph.D., an assistant professor of obstetrics-gynecology and reproductive sciences at the University of California, San Francisco.

Conceive again after miscarriage

Conceive-again-after-miscarriage

Obstetricians recommend that a woman wait until she has had one normal menstrual period before trying to get pregnant again. This

Are Fibroids A Miscarriage Risk?

Are-Fibroids-A-Miscarriage-Risk

Get a second opinion. While some experts believe uterine fibroids, which are noncancerous tumors, do not cause miscarriage, others say they can. “The key is a fibroid’s location and size,” says William P. Hummel, M.D., a reproductive endocrinologist specializing in miscarriage at the San Diego Fertility Center. The closer it is to the center of the uterus, where a fetus is likely to implant, the more likely it is to cause problems.

Septate Uterus

Septate-Uterus

A septate uterus is a congenital condition in which a thin membrane called a septum divides the uterus, either partially or completely. While the condition does not affect a woman’s ability to conceive, it can impact a pregnancy’s outcome. “We see a higher risk of first- and second-trimester pregnancy loss with septate uterus,” says Beth W. Rackow, M.D., an assistant professor of OB-GYN at Yale University School of Medicine in New Haven, Conn. “There is also an increased risk of preterm labor.”

Pregnancy and STDs

Nothing could be farther from the minds of most mothers-to-be than the possibility of having a sexually transmitted disease. But while there are no statistics on the number of prenatal STDs, it’s likely that pregnant women reflect the female population as a whole. According to the Centers for Disease Control and Prevention in Atlanta, this means one-fifth already have an STD, and one in 20 women will contract one in any given year.

Irritable Bowel Syndrome

 Irritable-Bowel-Syndrome

Irritable bowel syndrome, or IBS, is caused by abnormal bowel motility, which means that its motion either is too fast or too slow. This results in bloating, painful cramping and episodes of both diarrhea and constipation. I prefer treating this condition with diet rather than drugs and recommend that you work with a gastroenterologist and perhaps a nutritionist to wean yourself from your medication before becoming pregnant. This may involve keeping a daily log of the foods you eat and noting those that cause discomfort so that you can avoid them.

Preconception Weight Loss

Preconception-Weight-Loss

Weight loss can decrease your risk of gestational diabetes. If you were in your 20s, I would recommend that you try to lose weight before getting pregnant again. But since you are 35, my recommendation is to not delay conception by trying to lose weight first, as fertility decreases with age. You should consider consulting a registered dietitian about beginning a preconception nutritional program, as doing so may reduce your risk. Thirty minutes of daily exercise also should be incorporated into your routine, as research shows it can greatly reduce gestational diabetes risk.

Multiple Miscarriages

Multiple-Miscarriages

Since you've experienced recurrent pregnancy loss--two or more consecutive miscarriages, most commonly in the first trimester--I'd suggest that you speak with your doctor about testing. If testing is indicated, an obstetrician is likely to first perform a karyotype, an evaluation of both partners' chromosomes, to determine if either of you has a genetic abnormality. If so, using a donor egg or sperm may circumvent the problem.

IUI and Exercise

IUI-and-Exercise

There is no need to stop or limit your workouts while awaiting the happy news. In fact, the only precaution I recommend is that you lie still for 30 to 45 minutes immediately after your IUI to help increase the chances of insemination and to counteract any cramping you might have (cramping is normal after any uterine manipulation). After that, you're good to go.

Birth Control Pills

Birth-Control-Pills

It will likely take several months for your body to resume ovulation and a normal menstrual cycle after stopping your oral contraceptives, which means you probably wont get pregnant right away. But even if you do conceive immediately after discontinuing your pills, the hormones will not be present in your body at a level that would be a problem for your baby.

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