Does the most common vaginal infection relate to infertility, or can it put an existing pregnancy at risk? Here's what you need to know.
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Pregnancy often is planned around certain benchmarks. Establish a career. Find the inner you. Marry Mr. Right. Lose those extra 5 pounds. Floss more. Put ovaries on alert. (Read: Sperm incoming . . . go, girl!)
Of course, the ducks line up at different ages for different women, making the ideal time for motherhood as individual as DNA. Yet mostly, motherhood is motherhood, as any bleary-eyed mom worth her weight in spit-up and dirty diapers will attest. Still, pregnancy in the 20s, 30s and 40s comes with specific advantages and disadvantages.
Before my first pregnancy, I enjoyed a glass of wine with dinner and an occasional big, juicy chili dog. But even in those very first days after I conceived, the wine tasted flat and the hot dog repulsed me. Fast-forward a few weeks. With a positive pregnancy test in hand, I realized that my body knew I was pregnant before my mind did. Of course, the earliest symptoms of pregnancy wax and wane and are different for each woman; in fact, some women may experience (or notice) none of them. But several can crop up well before you even miss a period.
Trying to get pregnant? Sure, it can be fun. But, it can also be a trying time if you don't conceive right away. Our guide to getting pregnant tells you what you need to know to maximize your chances of conceiving. Here, you'll find information on everything from preparing your body for pregnancy, to calculating your most fertile days, to the best foods to aid ovulation.
6 Ways To Get Ready
"Many women don't know the most fertile time in their menstrual cycle," says Victoria Jennings, Ph.D., director of Georgetown University's Institute for Reproductive Health. "Most think it's day 14, but ovulation doesn't always occur on the same day. It moves around, even in the same woman." Jennings says a normal woman's potential fertile days are days 8 through 19 of her cycle. (For a glow-in-the-dark bracelet to help you track when you're most fertile, go to cyclebeads.com.)
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.
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.
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.
No one really knows. While there is no evidence that these supplements cause problems for a woman or her baby during pregnancy, there has not been enough scientific research to tell us with any certainty that they are safe.
As an obstetrician, I advise all my patients to eat a healthy, well-balanced diet and to avoid taking any medications or supplements that are not absolutely necessary during pregnancy. But since I'm not familiar with the specifics of your joint health, you'll need to speak directly with your doctor about this issue.
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.
I don't recommend using this product during pregnancy. Not enough studies have been done on salicylic acid (commonly known as aspirin) or hydroquinone to determine whether their topical use during pregnancy can harm a fetus. (Aspirin should never be taken orally during pregnancy because of potential risks to the fetus.) While not associated with risks to the fetus, the third ingredient, glycolic acid, can make your skin excessively dry, particularly during pregnancy. If acne continues to be a concern, speak with your doctor about a safe alternative to the cream you are using.
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.
First off, congratulations on giving up smoking. The hazards of tobacco use during pregnancy--including low birth weight and preterm labor--are well-established. There has not been a great deal of research done about the safety of nicotine-replacement products in pregnant women. I therefore agree with the majority of physicians who vigorously recommend that smoking-cessation products such as gum and patches be discontinued during pregnancy.
Yes. Periodontal disease is a chronic gum infection that is associated with preterm delivery. Researchers hypothesize that the infection may raise levels of prostaglandin and cytokine, both of which may contribute to an increase in uterine contractions. A study reported in the Journal of Periodontology, led by Marjorie K. Jeffcoat, D.M.D., dean of the School of Dental Medicine at the University of Pennsylvania, found that scaling and root planing, a nonsurgical procedure, resulted in a large decrease in preterm births for pregnant patients with periodontal disease.