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Female infertility refers to a woman’s inability to become pregnant or carry a pregnancy to term. It can be caused by a variety of factors, including hormonal imbalances, structural problems with the reproductive system, and underlying medical conditions. Some women are born with fertility issues, while others may develop them over time.

Infertility can be frustrating and emotionally difficult for women and their partners. If you are struggling with infertility, it is important to seek medical advice and support. There are various treatment options available, including medications, surgery, and assisted reproductive technologies, that can help improve fertility and increase the chances of pregnancy. It is also important to take care of your physical and mental health during this time.

There are several things that can help or hinder fertility in women. Here are some general dos and don’ts:

DO:
Visit a healthcare provider regularly to monitor your overall health and address any potential fertility issues as soon as possible.Maintain a healthy weight. Being overweight or underweight can affect fertility.Eat a healthy, balanced diet that includes a variety of fruits, vegetables, whole grains, and lean proteins.Exercise regularly, but avoid over-exercising, as this can affect fertility.Avoid tobacco, alcohol, and illegal drugs. These substances can negatively impact fertility.Reduce stress through relaxation techniques such as meditation or yoga.Take folic acid supplements, as they can help prevent birth defects.

DON’T:
Don’t smoke. Smoking can reduce fertility and increase the risk of miscarriages and birth defects.Don’t drink alcohol excessively. Heavy alcohol consumption can reduce fertility and increase the risk of birth defects.Don’t use illegal drugs. These substances can affect fertility and pregnancy outcomes.Don’t use lubricants during sex, as they can interfere with sperm motilityDon’t douche, as it can disrupt the balance of bacteria in the vagina and affect fertility

It’s important to note that fertility can be affected by a variety of factors, and what works for one person may not work for another. It’s always a good idea to consult with a healthcare provider for personalized advice.

It’s generally recommended to consult an infertility clinic if you have been trying to get pregnant for at least one year (or for at least six months if you are over the age of 35) and have not been successful. However, there are some situations in which it may be advisable to seek help sooner. For example, if you have irregular periods, a history of sexually transmitted infections, pelvic pain, or a known fertility issue, it may be worth consulting an infertility clinic sooner rather than later.

If you are unsure whether you should see a fertility specialist, you can discuss your concerns and questions with your primary healthcare provider. They can help you determine whether it’s necessary to seek further evaluation and treatment from an infertility clinic.

Get in touch with Bedekar Fertility today !

About Dr Bedekar Fertility Solution and IVF Clinic Thane:

Dr Bedekar Fertility Solution and IVF Clinic Thane is One of Best Female Infertility clinic in Thane – Dr Bedekar Hospital for Women and Children
We Provide Treatment for IVF, ICSI, (IUI), Egg Donation, Semen Analysis, TESE / PESA etc.

There are four treatment options for this early-stage tumor.

• A LEEP (Loop Electrosurgical Excision Procedure) is similar to a cone biopsy and is for both diagnostic and therapeutic indications. It is usually performed in the office with a local anesthesia with only rare side effects.
• A cervical cold-knife conization is performed when a LEEP is not appropriate-usually for recurrent disease or difficult anatomy.
• Laser vaporization therapy is usually done for larger lesions.
• Freezing the cervix (cryotherapy) can be performed in the doctor’s office and has a negligible complication rate.

Stage I cervical cancer

• In stage I cervical cancer, the cancer has grown deeper into the cervix, but has not spread beyond it.

Standard Treatment

The treatment of choice for stage IA1 disease is surgery.

Total hysterectomy, radical hysterectomy, and conization are accepted procedures.

Lymph node dissection is not required if the depth of invasion is less than 3 mm and no invasion into lymphatic tissue is present.
Stage II cervical cancer

Stage II cervical cancer means that the cancer has grown beyond the cervix and uterus, but has not reached the walls of the pelvis or the lower part of the vagina.
Standard Treatment

External beam radiation or a radical hysterectomy with removal of lymph nodes is followed by interstitial radiation with chemotherapy.

Women with large lesions are managed with hysterectomy, lymph node dissection or preoperative radiation therapy.

External beam radiation is applied to the pelvis or sometimes the para-aortic region after surgery for women who have metastatic disease in the lymph nodes
Treatment under Investigation

Studies have found a new radiation therapy called brachytherapy which allows for shorter treatment times in an outpatient setting. Studies are also done on hyperthermia, which uses both radiation therapy and heat
Stage III cervical cancer

Stage III cervical cancer means that the cancer has spread to the lower part of the vagina or the walls of the pelvis, but not to nearby lymph nodes or other parts of the body.
Standard Treatment

Chemotherapy along with external beam radiation followed by interstitial radiation therapy is the best treatment method to be followed
Stage IV cervical cancer

In this cervical cancer stage, the disease has spread to nearby organs or other parts of the body.
Standard Treatment

Radiation may be used to relieve the symptoms of pelvic disease or isolated distant metastases. Several chemotherapy drugs are useful for treating cervical cancer, but they are rarely curative. They include cisplatin or carboplatin. Combination chemotherapy, including cisplatin + etoposide + bleomycin, has a response rate of about 50 percent

Side effects of radiation and chemotherapy like vomiting, fatigue, diarrhea and hair loss may be observed.

Dr Bedekar Hospital Thane – Cervical Cancer in Women Treatment clinic in Thane Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

Talk to Us On 022 2542 1438 / 9820913256 Or Email Us At bedekarhospital@gmail.com

Birth defects can happen for many reasons. Although not all birth defects can be prevented, people can increase their chances of having a healthy baby by managing health conditions and adopting healthy behaviors before becoming pregnant. Here are steps you can take to get ready for pregnancy, stay healthy during pregnancy, and give your baby a healthy start in life:

Get 400 micrograms (mcg) of folic acid every day. Folic acid is a B vitamin. If a woman has enough folic acid in her body at least 1 month before and during pregnancy, it can help prevent major birth defects of the developing baby’s brain and spine (anencephaly and spina bifida). Women can get folic acid from fortified foods or supplements, or a combination of the two, in addition to a varied diet rich in folate.

Prevent infections. Some infections that a woman might get during pregnancy can be harmful to the developing baby and can even cause birth defects. Check out our 10 tips for preventing infections before and during pregnancy.Pregnant and recently pregnant women are more likely to get severely ill with COVID-19 compared with nonpregnant women. COVID-19 vaccination is recommended for people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Getting a COVID-19 vaccine during pregnancy can protect you from severe illness. If you have questions about getting vaccinated, a conversation with your healthcare provider might be helpful, but is not required before vaccination.

See a healthcare professional regularly. Be sure to see a doctor when planning a pregnancy and start prenatal care as soon as possible. It is important to see your physician throughout your pregnancy. Keeping all prenatal care appointments, even telehealth appointments, should be a priority.

Talk to a healthcare provider about taking any medications. Certain medications can cause serious birth defects when taken during pregnancy. If a woman is pregnant or planning a pregnancy, she should first talk with her healthcare provider before stopping or starting any medications.

Talk to a healthcare provider about vaccinations (shots). Most vaccines are safe during pregnancy and some, such as the flu vaccine and Tdap (adult tetanus, diphtheria and acellular pertussis vaccine), are specifically recommended during pregnancy. Learn about vaccinations during pregnancy and learn more about COVID-19 vaccines while pregnant or breastfeeding.

Keep diabetes under control. Unmanaged diabetes can increase the chance for birth defects and other problems during pregnancy. To manage your diabetes, see your healthcare provider as recommended before and during pregnancy. Also monitor your blood sugar levels, follow a healthy eating plan developed with your healthcare provider or dietician, be physically active, and take insulin as directed. Learn more about how to manage type 1 or type 2 diabetes during pregnancy and gestational diabetes.

Avoid alcohol at any time during pregnancy. Alcohol in a woman’s bloodstream passes to the developing baby through the umbilical cord. Alcohol use during pregnancy can cause miscarriage, stillbirth, and a range of disabilities. There is no known safe amount of alcohol use during pregnancy or while trying to get pregnant. There is also no safe time during pregnancy to drink. All types of alcohol are equally harmful, including all wines and beer.

Avoid smoking cigarettes. The dangers of smoking during pregnancy include preterm birth, certain birth defects (cleft lip or cleft palate), and infant death. Quitting smoking before getting pregnant is best. For a woman who is already pregnant, quitting as early as possible can still help protect against some health problems for the baby, such as low birth weight. It’s never too late to quit smoking.

Avoid marijuana and other drugs. Marijuana use during pregnancy may be linked to lower birth weight in infants. There is no known safe level of marijuana use during pregnancy. Women who are pregnant or considering becoming pregnant should not use marijuana, even in states where marijuana is legal. Women using marijuana for medical reasons should speak with their healthcare provider about an alternative therapy that’s safer for pregnant women.

Avoid overheating and treat fever promptly. During pregnancy, a woman should avoid overheating and treat fever promptly. Overheating can be caused by a fever or exposure to high temperatures (such as getting in a hot tub) that increases a woman’s core temperature. Overheating can increase a woman’s chance of having a baby with certain birth defects.

Strive to reach and maintain a healthy weight. Obesity increases the risk for several serious birth defects and other pregnancy complications. If you are underweight, overweight, or have obesity, talk with your healthcare provider about ways to reach and maintain a healthy weight before you get pregnant. Focus on a lifestyle that includes healthy eating and regular physical activity.

Dr Bedekar Hospital Thane – Maternity Hospital in Thane Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

Talk to Us On 022 2542 1438 / 9820913256 Or Email Us At bedekarhospital@gmail.com

Happy to Help!

 You’ve gone through pregnancy, labor, and delivery, and now you’re ready to go home and begin life with your baby. Once home, though, you might feel like you have no idea what you’re doing!
These tips can help even the most nervous first-time parents feel confident about caring for a newborn in no time.

You’ve gone through pregnancy, labor, and delivery, and now you’re ready to go home and begin life with your baby. Once home, though, you might feel like you have no idea what you’re doing!

These tips can help even the most nervous first-time parents feel confident about caring for a newborn in no time.

1. Getting Help After the Birth

Consider getting help during this time, which can be very hectic and overwhelming. While in the hospital, talk to the experts around you. Many hospitals have feeding specialists or lactation consultants who can help you get started nursing or bottle-feeding. Nurses also are a great resource to show you how to hold, burp, change, and care for your baby.

For in-home help, you might want to hire a baby nurse, postpartum doula, or a responsible neighborhood teen to help you for a short time after the birth. Your doctor or the hospital can help you find information about in-home help, and might make a referral to home health agencies.

Relatives and friends often want to help too. Even if you disagree on certain things, don’t dismiss their experience. But if you don’t feel up to having guests or you have other concerns, don’t feel guilty about placing restrictions on visitors.

2. Handling a Newborn

If you haven’t spent a lot of time around newborns, their fragility may be intimidating. Here are a few basics to remember:

• Wash your hands (or use a hand sanitizer) before handling your baby. Newborns don’t have a strong immune system yet, so they’re at risk for infection. Make sure that everyone who handles your baby has clean hands.
• Support your baby’s head and neck. Cradle the head when carrying your baby and support the head when carrying the baby upright or when you lay your baby down.
• Never shake your newborn, whether in play or in frustration. Shaking can cause bleeding in the brain and even death. If you need to wake your infant, don’t do it by shaking — instead, tickle your baby’s feet or blow gently on a cheek.
• Make sure your baby is securely fastened into the carrier, stroller, or car seat. Limit any activity that could be too rough or bouncy.
• Remember that your newborn is not ready for rough play, such as being jiggled on the knee or thrown in the air.

3. Bonding and Soothing

Bonding, probably one of the most pleasurable parts of infant care, happens during the sensitive time in the first hours and days after birth when parents make a deep connection with their infant. Physical closeness can promote an emotional connection.

For infants, the attachment contributes to their emotional growth, which also affects their development in other areas, such as physical growth. Another way to think of bonding is “falling in love” with your baby. Children thrive from having a parent or other adult in their life who loves them unconditionally.

Begin bonding by cradling your baby and gently stroking him or her in different patterns. Both you and your partner can also take the opportunity to be “skin-to-skin,” holding your newborn against your own skin while feeding or cradling.

Babies, especially premature babies and those with medical problems, may respond to infant massage. Certain types of massage may enhance bonding and help with infant growth and development. Many books and videos cover infant massage — ask your doctor for recommendations. Be careful, however — babies are not as strong as adults, so massage your baby gently.

Babies usually love vocal sounds, such as talking, babbling, singing, and cooing. Your baby will probably also love listening to music. Baby rattles and musical mobiles are other good ways to stimulate your infant’s hearing. If your little one is being fussy, try singing, reciting poetry and nursery rhymes, or reading aloud as you sway or rock your baby gently in a chair.

Some babies can be unusually sensitive to touch, light, or sound, and might startle and cry easily, sleep less than expected, or turn their faces away when someone speaks or sings to them. If that’s the case with your baby, keep noise and light levels low to moderate.

4. Swaddling

which works well for some babies during their first few weeks, is another soothing technique first-time parents should learn. Proper swaddling keeps a baby’s arms close to the body while allowing for some movement of the legs. Not only does swaddling keep a baby warm, but it seems to give most newborns a sense of security and comfort. Swaddling also may help limit the startle reflex, which can wake a baby.

Here’s how to swaddle a baby:

• Spread out the receiving blanket, with one corner folded over slightly.
• Lay the baby face-up on the blanket with his or her head above the folded corner.
• Wrap the left corner over the body and tuck it beneath the back of the baby, going under the right arm.
• Bring the bottom corner up over the baby’s feet and pull it toward the head, folding the fabric down if it gets close to the face. Be sure not to wrap too tightly around the hips. Hips and knees should be slightly bent and turned out. Wrapping your baby too tightly may increase the chance of hip dysplasia.
• Wrap the right corner around the baby, and tuck it under the baby’s back on the left side, leaving only the neck and head exposed. To make sure your baby is not wrapped too tight, make sure you can slip a hand between the blanket and your baby’s chest, which will allow comfortable breathing. Make sure, however, that the blanket is not so loose that it could become undone.
• Babies should not be swaddled after they’re 2 months old. At this age, some babies can roll over while swaddled, which increases their risk of sudden infant death syndrome (SIDS).

5. All About Diapering

You’ll probably decide before you bring your baby home whether you’ll use cloth or disposable diapers. Whichever you use, your little one will dirty diapers about 10 times a day, or about 70 times a week.

Before diapering your baby, make sure you have all supplies within reach so you won’t have to leave your infant unattended on the changing table. You’ll need:

• a clean diaper
• fasteners (if cloth prefold diapers are used)
• diaper ointment
• diaper wipes (or a container of warm water and a clean washcloth or cotton balls)

After each bowel movement or if the diaper is wet, lay your baby on his or her back and remove the dirty diaper. Use the water, cotton balls, and washcloth or the wipes to gently wipe your baby’s genital area clean. When removing a boy’s diaper, do so carefully because exposure to the air may make him urinate. When wiping a girl, wipe her bottom from front to back to avoid a urinary tract infection (UTI). To prevent or heal a rash, apply ointment. Always remember to wash your hands thoroughly after changing a diaper.

Diaper rash is a common concern. Typically the rash is red and bumpy and will go away in a few days with warm baths, some diaper cream, and a little time out of the diaper. Most rashes happen because the baby’s skin is sensitive and becomes irritated by the wet or poopy diaper.

To prevent or heal diaper rash, try these tips:

• Change your baby’s diaper often, and as soon as possible after bowel movements.
• Gently clean the area with mild soap and water (wipes sometimes can be irritating), then apply a very thick layer of diaper rash or “barrier” cream. Creams with zinc oxide are preferred because they form a barrier against moisture.
• If you use cloth diapers, wash them in dye- and fragrance-free detergents.
• Let the baby go undiapered for part of the day. This gives the skin a chance to air out.

If the diaper rash continues for more than 3 days or seems to be getting worse, call your doctor — it may be caused by a fungal infection that requires a prescription.

Bathing Basics

You should give your baby a sponge bath until:

• the umbilical cord falls off and the navel heals completely (1–4 weeks)
• the circumcision heals (1–2 weeks)

A bath two or three times a week in the first year is fine. More frequent bathing may be drying to the skin.

Have these items ready before bathing your baby:

• a soft, clean washcloth
• mild, unscented baby soap and shampoo
• a soft brush to stimulate the baby’s scalp
• towels or blankets
• a clean diaper
• clean clothes

Sponge baths. For a sponge bath, select a safe, flat surface (such as a changing table, floor, or counter) in a warm room. Fill a sink, if nearby, or bowl with warm (not hot!) water. Undress your baby and wrap him or her in a towel. Wipe your infant’s eyes with a washcloth (or a clean cotton ball) dampened with water only, starting with one eye and wiping from the inner corner to the outer corner. Use a clean corner of the washcloth or another cotton ball to wash the other eye. Clean your baby’s nose and ears with the damp washcloth. Then wet the cloth again and, using a little soap, wash his or her face gently and pat it dry.

Next, using baby shampoo, create a lather and gently wash your baby’s head and rinse. Using a wet cloth and soap, gently wash the rest of the baby, paying special attention to creases under the arms, behind the ears, around the neck, and in the genital area. Once you have washed those areas, make sure they are dry and then diaper and dress your baby.

Tub baths. When your baby is ready for tub baths, the first baths should be gentle and brief. If he or she becomes upset, go back to sponge baths for a week or two, then try the bath again.

In addition to the supplies listed above, add:

an infant tub with 2 to 3 inches of warm — not hot! — water (to test the water temperature, feel the water with the inside of your elbow or wrist). An infant tub is a plastic tub that can fit in the bathtub; it’s a better size for babies and makes bathing easier to manage.

Undress your baby and then place him or her in the water immediately, in a warm room, to prevent chills. Make sure the water in the tub is no more than 2 to 3 inches deep, and that the water is no longer running in the tub. Use one of your hands to support the head and the other hand to guide the baby in feet-first. Speaking gently, slowly lower your baby up to the chest into the tub.

Use a washcloth to wash his or her face and hair. Gently massage your baby’s scalp with the pads of your fingers or a soft baby hairbrush, including the area over the fontanelles (soft spots) on the top of the head. When you rinse the soap or shampoo from your baby’s head, cup your hand across the forehead so the suds run toward the sides and soap doesn’t get into the eyes. Gently wash the rest of your baby’s body with water and a small amount of soap.

Throughout the bath, regularly pour water gently over your baby’s body so he or she doesn’t get cold. After the bath, wrap your baby in a towel immediately, making sure to cover his or her head. Baby towels with hoods are great for keeping a freshly washed baby warm.

While bathing your infant, never leave the baby alone. If you need to leave the bathroom, wrap the baby in a towel and take him or her with you.

Circumcision and Umbilical Cord Care

Immediately after circumcision, the tip of the penis is usually covered with gauze coated with petroleum jelly to keep the wound from sticking to the diaper. Gently wipe the tip clean with warm water after a diaper change, then apply petroleum jelly to the tip so it doesn’t stick to the diaper. Redness or irritation of the penis should heal within a few days, but if the redness or swelling increases or if pus-filled blisters form, infection may be present and you should call your baby’s doctor immediately.

Umbilical cord care in newborns is also important. Some doctors suggest swabbing the area with rubbing alcohol until the cord stump dries up and falls off, usually in 10 days to 3 weeks, but others recommend leaving the area alone. Talk to your child’s doctor to see what he or she prefers.

An infant’s navel area shouldn’t be submerged in water until the cord stump falls off and the area is healed. Until it falls off, the cord stump will change color from yellow to brown or black — this is normal. Call your doctor if the navel area looks red or if a foul odor or discharge develops.

Feeding and Burping Your Baby

Whether feeding your newborn by breast or a bottle, you may be stumped as to how often to do so. Generally, it’s recommended that babies be fed on demand — whenever they seem hungry. Your baby may cue you by crying, putting fingers in his or her mouth, or making sucking noises.

A newborn baby needs to be fed every 2 to 3 hours. If you’re breastfeeding, give your baby the chance to nurse about 10–15 minutes at each breast. If you’re formula-feeding, your baby will most likely take about 2–3 ounces (60–90 milliliters) at each feeding.

Some newborns may need to be awakened every few hours to make sure they get enough to eat. Call your baby’s doctor if you need to wake your newborn often or if your baby doesn’t seem interested in eating or sucking.

If you’re formula-feeding, you can easily monitor if your baby is getting enough to eat, but if you’re breastfeeding, it can be a little trickier. If your baby seems satisfied, produces about six wet diapers and several stools a day, sleeps well, and is gaining weight regularly, then he or she is probably eating enough.

Another good way to tell if your baby is getting milk is to notice if your breasts feel full before feeding your baby and less full after feeding. Talk to your doctor if you have concerns about your child’s growth or feeding schedule.

Babies often swallow air during feedings, which can make them fussy. To help prevent this, burp your baby often. Try burping your baby every 2–3 ounces (60–90 milliliters) if you bottle-feed, and each time you switch breasts if you breastfeed.

If your baby tends to be gassy, has gastroesophageal reflux, or seems fussy during feeding, try burping your little one after every ounce during bottle-feeding or every 5 minutes during breastfeeding.

Try these burping tips:

• Hold your baby upright with his or her head on your shoulder. Support your baby’s head and back while gently patting the back with your other hand.
• Sit your baby on your lap. Support your baby’s chest and head with one hand by cradling your baby’s chin in the palm of your hand and resting the heel of your hand on your baby’s chest (be careful to grip your baby’s chin — not throat). Use the other hand to gently pat your baby’s back.
• Lay your baby face-down on your lap. Support your baby’s head, making sure it’s higher than his or her chest, and gently pat or rub his or her back.

If your baby doesn’t burp after a few minutes, change the baby’s position and try burping for another few minutes before feeding again. Always burp your baby when feeding time is over, then keep him or her in an upright position for at least 10–15 minutes to avoid spitting up.

Sleeping Basics

As a new parent, you may be surprised to learn that your newborn, who seems to need you every minute of the day, actually sleeps about 16 hours or more!

Newborns typically sleep for periods of 2–4 hours. Don’t expect yours to sleep through the night — the digestive system of babies is so small that they need nourishment every few hours and should be awakened if they haven’t been fed for 4 hours (or more often if your doctor is concerned about weight gain).

When can you expect your baby to sleep through the night? Many babies sleep through the night (between 6–8 hours) at 3 months of age, but if yours doesn’t, it’s not a cause for concern. Like adults, babies must develop their own sleep patterns and cycles, so if your newborn is gaining weight and appears healthy, don’t despair if he or she hasn’t slept through the night at 3 months.

It’s important to always place babies on their backs to sleep to reduce the risk of SIDS (sudden infant death syndrome). Other safe sleeping practices include: not using blankets, quilts, sheepskins, stuffed animals, and pillows in the crib or bassinet (these can suffocate a baby); and sharing a bedroom (but not a bed) with the parents for the first 6 months to 1 year. Also be sure to alternate the position of your baby’s head from night to night (first right, then left, and so on) to prevent the development of a flat spot on one side of the head.

Many newborns have their days and nights “mixed up.” They tend to be more awake and alert at night, and more sleepy during the day. One way to help them is to keep stimulation at night to a minimum. Keep the lights low, such as by using a nightlight. Reserve talking and playing with your baby for the daytime. When your baby wakes up during the day, try to keep him or her awake a little longer by talking and playing.

Even though you may feel anxious about handling a newborn, in a few short weeks you’ll develop a routine and be parenting like a pro! If you have questions or concerns, ask your doctor to recommend resources that can help you and your baby grow together.

About Dr Bedekar Hospital For Women And Children in Thane:

Dr Bedekar Hospital Thane – Best Children Hospitals in Thane Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

 Still not pregnant? When to seek infertility treatment and when to let nature take its course.

The good, if not great, news is that the latest advances in infertility treatment have made it possible for more people than ever before to become parents. The bad news is that growing numbers of couples may be jumping the gun and seeking infertility treatments without giving Mother Nature a chance. Infertility treatments, such as drugs that stimulate ovulation, are not without their risks — namely a risk of multiple pregnancies, which can be dangerous for moms and babies.

“The classic definition of infertility is the failure to cause a pregnancy within one year,” says Edmund Sabanegh Jr., MD, director of the Center for Male Fertility at the Cleveland Clinic in Ohio. This is age-dependent, however. Six months of trying is the cutoff for prospective parents aged 35 or older.

That said, “there is certainly so much anxiety and stress [about having children] that we routinely have couples coming in after only a few months of trying.” “If we move right to testing and treatment, we do a disservice because a lot of them would do just fine if we left them alone.”

Still Not Pregnant? Take a Deep Breath

The first thing we do is to reassure couples that they are still within the normal range,” he says. “Humans are efficient reproducers, but we are not rapid reproducers compared to the rest of animal kingdom.”

A little sex-ed refresher doesn’t hurt either, he says.

“If a couple comes in at three months and they are very stressed, we talk to them about what is the normal fertile time and how to best time intercourse to get the best results,” he says. “We lower their anxiety by talking about the facts of human reproduction and give them opportunities to talk to other couples who have gone through similar things so they realize that this is normal, they are normal, and that [reproduction] takes time,” he says.

To help cool anxiety, a quick physical exam and history can be done even before a year or six months to help rule out any major causes of infertility. This type of exam may help reassure future parents that there is nothing wrong and that if they continue to try, they will likely be able to conceive a child within a year. In fact, 85% of couples will conceive a child within a year of trying.

“If there is an obvious factor in their history that is suggestive of a fertility problem, such as a history of cancer or certain chemical exposures, we may do a full evaluation earlier,” he says. “In these cases, it doesn’t help to wait a year, and we may lose the window of opportunity for pregnancy.”

Other red flags that could indicate a fertility problem earlier in the game include irregular menstrual cycles.

When to Get the Full Infertility Workup

After trying for one year, doctors may recommend a full infertility workup. They may opt to do this sooner if the couple is aged 35 or older, says Mindy Shaffran, MD, a reproductive specialist at East Coast Fertility in Plainview, N.Y.

“After the age of 35, it is recommended that couples try for six months instead of a year,” she says. “The majority of couples will be successful in that time, and if you are not, there may be things that we want to catch sooner rather than later.”

“Fertility declines rapidly after age 35 and sometimes it gets to the point where we can’t really help,” she says. “It behooves women in this age group to start the process earlier even if they would have gotten pregnant on their own so they know that there is not any particular problem that they need to overcome,” she says.

There are many possible causes of infertility, and a full workup will try to identify exactly which is causing the problem. Doctors will examine potential causes of both male infertility and female infertility. The results will help dictate and guide infertility treatment.

The process starts by consulting an infertility specialist. The full workup will entail a semen analysis for the man. In women, the infertility workup consists of blood testing to check levels of thyroid hormone and other hormones, a Pap test to check for changes in the cells of the cervix or infection, and a hysterosalpingogram (HSG), an X-ray procedure that makes sure that the fallopian tubes are open. The HSG can also detect any abnormalities in the uterus.

It’s suggested that men get tested first. “Routine semen analysis is quick and relatively inexpensive.” “Before we put women through invasive, expensive, and painful tests, we better have a pretty good idea that those tests are necessary,” she says.

For couples who want to complete the evaluation as rapidly as possible, They says she will initiate a workup on both partners simultaneously. “Many couples will often have more than one factor at the root of their infertility.”

Troubleshooting Your Fertility Problem

If a problem is identified in terms of the ovulation process, the first-line infertility treatment is typically Clomid or Serophene, drugs that work by stimulating ovulation. “This is usually paired with intrauterine insemination (IUI),” They says. IUI is a fairly low-tech procedure in which sperm is injected directly into the uterus to meet – and hopefully fertilize — a waiting egg.

“We try this for three to six months and if we are unsuccessful, then I may try an injectable and IUI,” They says. Injectable drugs also stimulate ovulation, but are stronger than Clomid. As such, the use of injectables has an even greater risk of multiple pregnancies.

“If that fails, we may advance to something like in vitro fertilization (IVF).” IVF involves combining eggs and sperm outside the body in a Petri dish. Once an embryo or embryos form, they are then placed in the uterus where they will hopefully implant. After several failed courses of IVF, couples may consider using donor eggs or adoption.

Sometimes the cause of the infertility is unexplained. “This can be harder to treat, as there is nothing particular that we can identify as the problem.” “If tubes are blocked, at least we know that the tubes are blocked and we can take steps to overcome it.”

Sometimes de-stressing and taking the focus off of conception is the missing link. “There are studies that suggest stress plays a role in infertility and as a result, we offer mind and body programs that involve counseling as well as acupuncture and massage therapy,” They says.

Infertility Treatment: Risk vs. Reward

We all know the (presumptive) reward of infertility treatment – a beautiful bouncing baby girl or boy (or both), but there are risks, says Millie Behera, MD, a reproductive endocrinologist at Duke University Medical Center in Durham, N.C.

“The biggest risk seen with any type of infertility treatment is multiple pregnancies.” Risks inherent in multiple pregnancies include preterm labor and birth, which poses greater risks of illness, disability, and death. There is also a higher chance of miscarriage and other maternal complications with multiple births.

Overstimulation is a risk if women are given too high a dose of drugs to stimulate ovulation. This is marked by melon-sized ovaries, pain, discomfort, nausea, vomiting, and fluid in the belly. Women who are overstimulated may also get dehydrated and their blood can become thickened and clots may develop, she explains. What’s more, “there hasn’t been good data on the long-term outcomes of these drugs,” she says.

The bottom line? “If we are dealing with two healthy people, give it time because chances are that it will all work out and you don’t have to go through invasive, painful, and expensive testing or procedures,” she says.

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In today’s competitive world, everyone is striving hard to reach the peak of success. While you are chasing success, you often forget to care about your health. However, you need to stay healthy to keep moving ahead in life.

 In today’s competitive world, everyone is striving hard to reach the peak of success. While you are chasing success, you often forget to care about your health. However, you need to stay healthy to keep moving ahead in life.

Here are 7 Active Lifestyle benefits:

1. Reduces stress

Yes, you read it right! An active lifestyle keeps your brain away from stress. Exercise is known to be a stress reliever. When you sweat during working out, a chemical called norepinephrine that helps in moderating stress.

2. Sharpens memory

Not able to recollect where you kept the important office file? That’s stress affecting your memory. Staying fit and active will not only help you stay healthy but also help you in your work life. Following a regular fitness regime boosts your memory and ability to learn new things.

3. Helps you relax

After a hectic work schedule, finding a way to unwind is necessary. A short workout, swim, walk, or jog can help release a chemical called endorphins that relax your body.

4. Gives you better sleep

Sleep is a vital part of the lifestyle. Lack of sleep will make you tired soon, and you won’t be able to focus on your work throughout the day. Coming home to a relaxed environment where you can unwind through some activity will help you release stress and sleep better. It will indirectly affect your mood the next day and help you work better.

5. Boosts energy

Hectic work and tiresome traveling strips you off the energy when you return home. Doing anything after coming home becomes a task. However, taking up some activity or exercising will help you relax your mind and body. Workout sessions help you become fit and tend to boost your energy by delivering more oxygen cells to your heart.

6. Fights diseases

An active life means active cells within the body. Regular exercising will help you fight cholesterol and clear the blood flow in your body. While swimming, walking, or jogging relieves stress. Thus, the chance of heart disease decreases.

7. Improves bone and muscle health

Daily workout and stress-relieving activities strengthen your muscles and bones. It keeps you away from osteoporosis.

Thus, indulging in active lifestyle activities is important to live an active and stress-free. But, due to hectic work life, it becomes difficult to spend time on active lifestyle activities. Taking up some sports activities, going to a gym or swimming pool is not feasible. By the time you reach home, you are too tired to go out again. In such situations, homes that offer all the required amenities for an active lifestyle can come to your rescue. 

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Being healthy is at the core of every living being and one does not have to wait to get pregnant to start eating right for your baby. A healthy (fertility foods) diet before conception lowers the risk of birth defects and helps in smoother transition during and after pregnancy. Certain key nutrients form an essential part of the conception process/getting pregnant.

Here are some fertility foods for getting pregnant:

Calcium

The age-old stories and beliefs around calcium are true to each word. Calcium helps smooth the reproductive system thus aiding the conception process. Calcium boosts teeth and bone health and a stable supply of calcium will help in the development of baby’s teeth and bone. 1000mg of Calcium a day is advisable for strengthening and maintaining healthy bones. The following foods are a rich source of calcium:

1. Milk

This is one of the most popular sources of calcium. One cup of one percent milk contains 305 milligrams which is one third a day’s required/recommended intake. This is a great source of Vitamin D as well. If you do not like plain milk, make a smoothie or mango/chocolate or strawberry milkshake. Milk is one fertility food for getting pregnant that can be made to taste.

2. Cheese

Cheddar contains 307 mg and one cup of cottage cheese contains 138 mg of calcium. A spread on the bread or a pizza topped with green vegetables and cheese serves the purpose of both calcium and vitamins in the food. That does not mean that you gobble on the pizza as a staple fertility food for getting pregnant. Cheese can also add to the weight, so it is necessary to take it in controlled quantity.

3. Yogurt

A cup of plain yogurt contains about 415 mg per serving, this is about 40% of the daily recommended intake. Have this with parathas or give it a flavour for a lip-smacking smoothie.
Iron

Women with an adequate amount of iron in their bodies have a higher chance of being pregnant. Plus, iron is a mineral that also aids in a smooth shuttle of oxygen throughout the body. This is very important as this will later deliver adequate oxygen to the baby. Women are recommended to have about 18mg of iron intake per day. Food rich in iron content is below:

4. Fortified cereals

A serving of fortified breakfast cereal contains 100 percent of the recommended iron intake.

5. Meat

Such as chicken, turkey and beef are a rich source of iron.

6. Spinach

The best source of iron has been around for ages. Half a cup of boiled spinach contains 3mg of iron. You can always gobble on the ‘Sarso ka Saag’, a fertility food for getting pregnant that is tasty and effective.
Fatty acids

Fatty acids should form a major part of your pregnancy diet. The reason this is recommended is that Omega-3 fatty acids help regulate key ovulation-inducing hormones thereby increasing blood flow to the reproductive organs. Lowering or cutting back on saturated fats found in butter, red meat etc., and avoiding trans-fat (processed foods like chips and cookies) must be avoided in the diet.

Although prenatal vitamins already contain omega-3 fatty acids, it is advisable to get them from whole foods rather than any packaged food or capsule. You can find them in the following fertility foods for getting pregnant:

7. Fish

Fish is one of the prime sources of Omega-3 fatty acids. The fish variety high in such fat content includes salmon, anchovies, sardines, and herring. All of these being a popular type of fish is easily available.

8. Nuts and seeds

Walnuts, flaxseed and chia seeds contain omega 3 fatty acids. Make soybean and canola oil a part of the cooking process to get the direct nutrient value. You can also add them to your smoothie or pour over a little on your salad for the taste and intake. These are some fertility foods for getting pregnant that you can consume on the go too.
Fibre

Slow digesting carbohydrates which are a little complex in nature must be included in the diet. They help boost your fertility levels aiding in the process of conception. When planning to conceive, increasing fibre intake by 10 grams a day lowers the risk of developing gestational diabetes by 26 percent, according to the National Institutes of Health. Sources of fibre include:

9. High-fiber cereals/ Whole grains

Good old wheat roti/paratha, oats, and quinoa. Just a single serving for breakfast can pack a lot of fibre into your diet.

10. Fruit and vegetables/Beans and legumes

Peas, corn, and broccoli are high in fibre. Add blueberries, raspberries, and peaches too. Lentils, black beans, kidney beans, lima beans, split peas, and chickpeas are again good sources of fertility food for getting pregnant.

Have fun predicting the gender of your baby. The idea is to make your pregnancy period a bit more enjoyable. Whether it’s a girl or a boy, life for you is going to be beautiful anyway.

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Breast cancer arises in the lining cells (epithelium) of the ducts (85%) or lobules (15%) in the glandular tissue of the breast.

Initially, the cancerous growth is confined to the duct or lobule (“in situ”) where it generally causes no symptoms and has minimal potential for spread (metastasis).

Over time, these in situ (stage 0) cancers may progress and invade the surrounding breast tissue (invasive breast cancer) then spread to the nearby lymph nodes (regional metastasis) or to other organs in the body (distant metastasis). If a woman dies from breast cancer, it is because of widespread metastasis.

Breast cancer treatment can be highly effective, especially when the disease is identified early. Treatment of breast cancer often consists of a combination of surgical removal, radiation therapy and medication (hormonal therapy, chemotherapy and/or targeted biological therapy) to treat the microscopic cancer that has spread from the breast tumor through the blood. Such treatment, which can prevent cancer growth and spread, thereby saves lives.

Scope of the problem

Breast cancer is not a transmissible or infectious disease. Unlike some cancers that have infection-related causes, such as human papillomavirus (HPV) infection and cervical cancer, there are no known viral or bacterial infections linked to the development of breast cancer.

Approximately half of breast cancers develop in women who have no identifiable breast cancer risk factor other than gender (female) and age (over 40 years). Certain factors increase the risk of breast cancer including increasing age, obesity, harmful use of alcohol, family history of breast cancer, history of radiation exposure, reproductive history (such as age that menstrual periods began and age at first pregnancy), tobacco use and postmenopausal hormone therapy.

Behavioural choices and related interventions that reduce the risk of breast cancer include:

• prolonged breastfeeding;
• regular physical activity;
• weight control;
• avoidance of harmful use of alcohol;
• avoidance of exposure to tobacco smoke;
• avoidance of prolonged use of hormones; and
• avoidance of excessive radiation exposure.

Unfortunately, even if all of the potentially modifiable risk factors could be controlled, this would only reduce the risk of developing breast cancer by at most 30%.

Female gender is the strongest breast cancer risk factor. Approximately 0.5-1% of breast cancers occur in men. The treatment of breast cancer in men follows the same principles of management as for women.

Family history of breast cancer increases the risk of breast cancer, but the majority of women diagnosed with breast cancer do not have a known family history of the disease. Lack of a known family history does not necessarily mean that a woman is at reduced risk.

Certain inherited “high penetrance” gene mutations greatly increase breast cancer risk, the most dominant being mutations in the genes BRCA1, BRCA2 and PALB-2. Women found to have mutations in these major genes could consider risk reduction strategies such as surgical removal of both breasts. Consideration of such a highly invasive approach only concerns a very limited number of women, should be carefully evaluated considering all alternatives and should not be rushed.

Signs and symptoms

Breast cancer most commonly presents as a painless lump or thickening in the breast. It is important that women finding an abnormal lump in the breast consult a health practitioner without a delay of more than 1-2 months even when there is no pain associated with it. Seeking medical attention at the first sign of a potential symptom allows for more successful treatment.

Generally, symptoms of breast cancer include:

• a breast lump or thickening;
• alteration in size, shape or appearance of a breast;
• dimpling, redness, pitting or other alteration in the skin;
• change in nipple appearance or alteration in the skin surrounding the nipple (areola); and/or
• abnormal nipple discharge.

There are many reasons for lumps to develop in the breast, most of which are not cancer. As many as 90% of breast masses are not cancerous. Non-cancerous breast abnormalities include benign masses like fibroadenomas and cysts as well as infections.

Breast cancer can present in a wide variety of ways, which is why a complete medical examination is important. Women with persistent abnormalities (generally lasting more than one month) should undergo tests including imaging of the breast and in some cases tissue sampling (biopsy) to determine if a mass is malignant (cancerous) or benign.

Advanced cancers can erode through the skin to cause open sores (ulceration) but are not necessarily painful. Women with breast wounds that do not heal should have a biopsy performed.

Breast cancers may spread to other areas of the body and trigger other symptoms. Often, the most common first detectable site of spread is to the lymph nodes under the arm although it is possible to have cancer-bearing lymph nodes that cannot be felt.

Over time, cancerous cells may spread to other organs including the lungs, liver, brain and bones. Once they reach these sites, new cancer-related symptoms such as bone pain or headaches may appear.

Treatment

Breast cancer treatment can be highly effective, achieving survival probabilities of 90% or higher, particularly when the disease is identified early. Treatment generally consists of surgery and radiation therapy for control of the disease in the breast, lymph nodes and surrounding areas (locoregional control) and systemic therapy (anti-cancer medicines given by mouth or intravenously) to treat and/or reduce the risk of the cancer spreading (metastasis). Anti-cancer medicines include endocrine (hormone) therapy, chemotherapy and in some cases targeted biologic therapy (antibodies).

In the past, all breast cancers were treated surgically by mastectomy (complete removal of the breast). When cancers are large, mastectomy may still be required. Today, the majority of breast cancers can be treated with a smaller procedure called a “lumpectomy” or partial mastectomy, in which only the tumor is removed from the breast. In these cases, radiation therapy to the breast is generally required to minimize the chances of recurrence in the breast.

Lymph nodes are removed at the time of cancer surgery for invasive cancers. Complete removal of the lymph node bed under the arm (complete axillary dissection) in the past was thought to be necessary to prevent the spread of cancer. A smaller lymph node procedures called “sentinel node biopsy” is now preferred as it has fewer complications. It uses dye and/or a radioactive tracer to find the first few lymph nodes to which cancer could spread from the breast.

Medical treatments for breast cancers, which may be given before (“neoadjuvant”) or after (“adjuvant”) surgery, is based on the biological subtyping of the cancers. Cancer that express the estrogen receptor (ER) and/or progesterone receptor (PR) are likely to respond to endocrine (hormone) therapies such as tamoxifen or aromatase inhibitors. These medicines are taken orally for 5-10 years, and reduce the chance of recurrence of these “hormone-positive” cancers by nearly half. Endocrine therapies can cause symptoms of menopause but are generally well tolerated.

Cancers that do not express ER or PR are “hormone receptor negative” and need to be treated with chemotherapy unless the cancer is very small. The chemotherapy regimens available today are very effective in reducing the chances of cancer spread or recurrence and are generally given as outpatient therapy. Chemotherapy for breast cancer generally does not require hospital admission in the absence of complications.

Breast cancers may independently overexpress a molecule called the HER-2/neu oncogene. These “HER-2 positive” cancers are amenable to treatment with targeted biological agents such as trastuzumab. These biological agents are very effective but also very expensive, because they are antibodies rather than chemicals. When targeted biological therapies are given, they are combined with chemotherapy to make them effective at killing cancer cells.

Radiotherapy also plays a very important role in treating breast cancer. With early stage breast cancers, radiation can prevent a woman having to undergo a mastectomy. With later stage cancers, radiotherapy can reduce cancer recurrence risk even when a mastectomy has been performed. For advanced stage of breast cancer, in some circumstances, radiation therapy may reduce the likelihood of dying of the disease.

The effectiveness of breast cancer therapies depends on the full course of treatment. Partial treatment is less likely to lead to a positive outcome.

Challenges

Survival of breast cancer for at least 5 years after diagnosis ranges from more than 90% in high-income countries, to 66% in India and 40% in South Africa. Early detection and treatment has proven successful in high-income countries and should be applied in countries with limited resources where some of the standard tools are available. The great majority of drugs used for breast cancer are already on the WHO Essential Medicines List (EML). Thus, major global improvements in breast cancer can result from implementing what we already know works.

Global impact

Age-standardized breast cancer mortality in high-income countries dropped by 40% between the 1980s and 2020. Countries that have succeeded in reducing breast cancer mortality have been able to achieve an annual breast cancer mortality reduction of 2-4% per year. If an annual mortality reduction of 2.5% per year occurs worldwide, 2.5 million breast cancer deaths would be avoided between 2020 and 2040.

The strategies for improving breast cancer outcomes depend on fundamental health system strengthening to deliver the treatments that are already known to work. These are also important for the management of other cancers and other non-malignant noncommunicable diseases (NCDs). For example, having reliable referral pathways from primary care facilities to district hospitals to dedicated cancer centres.

The establishment of reliable referral pathways from primary care facilities to district hospitals to dedicated cancer centers is the same approach as is required for the management of cervical cancer, lung cancer, colorectal cancer and prostate cancer. To that end, breast cancer is an “index” disease whereby pathways are created that can be followed for the management of other diseases.

WHO response

Age-standardized breast cancer mortality in high-income countries dropped by 40% between the 1980s and 2020. Countries that have succeeded in reducing breast cancer mortality have been able to achieve an annual breast cancer mortality reduction of 2-4% per year. If an annual mortality reduction of 2.5% per year occurs worldwide, 2.5 million breast cancer deaths would be avoided between 2020 and 2040.

The objective of the WHO Global Breast Cancer Initiative (GBCI) is to reduce global breast cancer mortality by 2.5% per year, thereby averting 2.5 million breast cancer deaths globally between 2020 and 2040. Reducing global breast cancer mortality by 2.5% per year would avert 25% of breast cancer deaths by 2030 and 40% by 2040 among women under 70 years of age. The three pillars toward achieving these objectives are: health promotion for early detection; timely diagnosis; and comprehensive breast cancer management.

By providing public health education to improve awareness among women of the signs and symptoms of breast cancer and, together with their families, understand the importance of early detection and treatment, more women would consult medical practitioners when breast cancer is first suspected, and before any cancer present is advanced. This is possible even in the absence of mammographic screening that is impractical in many countries at the present time.

Public education needs to be combined with health worker education about the signs and symptoms of early breast cancer so that women are referred to diagnostic services when appropriate.

Rapid diagnosis needs to be linked to effective cancer treatment that in many settings requires some level of specialized cancer care. By establishing centralized services in a cancer facility or hospital, using breast cancer as a model, treatment for breast cancer may be optimized while improving management of other cancers.

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Round-the-clock newborn care can turn your life upside down. Use these practical strategies to handle the new stress in your life.

A newborn can bring a whirlwind of activity and excitement to your life — and plenty of stress and fatigue, too. Whether you’re a first-time parent or a veteran, consider 10 practical tips to keep stress under control.

1. Take care of yourself

Resist the urge to count caffeine as a major food group or a substitute for sleep. Instead, eat a healthy diet, drink plenty of water and get some fresh air. Sleep when the baby sleeps — and try to work out a nighttime schedule with your partner that allows both of you to rest and care for the baby. Good habits will help you maintain the energy you need to care for your newborn.

2. Establish visiting rules

Friends and loved ones might come out of the woodwork to admire your newborn. Let them know which days work best and how much time you have for a visit. Insist that visitors wash their hands before holding the baby, and ask anyone who’s ill to stay home. Let trusted visitors care for the baby while you get some much needed rest.

3. Go with the flow

Allow plenty of time each day for nursing sessions, naps and crying spells. When you need to head out, give yourself extra time to pack your supplies and make that inevitable last-minute diaper change.

4. Expect a roller coaster of emotions

You might go from adoring your baby and marveling at tiny fingers and toes to grieving your loss of independence and worrying about your ability to care for a newborn, all in the space of an hour. Chances are, you and your partner are both tired and anxious as well. To help you stay connected, talk about what’s bothering you — such as a strained budget or difficulty soothing the baby. A shared laugh might help lighten the mood.

5. Relax your standards

Leave dust bunnies where they lie for now. Store clean clothes in the laundry basket — or in stacks on the floor — until you need them. Clean the bathroom with a fresh diaper wipe. Serve cold cereal and peanut butter toast for dinner when you’re too tired to prepare a more traditional meal.

6. Get out of the house

If you’re going stir-crazy with a fussy newborn, take the baby out for a walk. If you can, let someone you trust take over for a while.

7. Accept a helping hand

When friends and loved ones offer to help, take them up on it. Suggest holding the baby, folding the laundry or running a few errands — whatever would help you the most.

8. Nurture other relationships

FYour newborn needs your love and attention, but you won’t let your baby down by spending time with others. If you have other children, set aside one-on-one time with each of them. Schedule dates with your partner. Meet a friend for lunch or a movie..

9. Keep your perspective

The newborn days won’t last long. Step back and appreciate the moment, even amid the chaos.

10. Know when to seek additional help

Parenting is a challenge, even on a good day. If you’re depressed or you’re having trouble adjusting to life with a newborn, consult your health care provider or a mental health provider. Learning to handle the new stress in your life can help you enjoy the riches parenting has to offer.

Dr Bedekar Hospital Thane Offers Hospitals in Thane city Do Get in Touch to Book Appointment With Our Experienced Team of Doctors.

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Fertility issues affect up to 15 percentTrusted Source of couples. The road to parenthood can sometimes be a huge challenge, but know you’re not alone in those challenges.

Luckily, there are a few natural ways to increase your fertility. In fact, food choices and lifestyle changes can help boost fertility.

Here are 16 natural ways to boost fertility and get pregnant faster.

1. Eat foods rich in antioxidants

Antioxidants like folate and zinc may improve fertility for both men and women. They deactivate the free radicals in your body, which can damage both sperm and egg cells.

One 2012 study of young, adult men found that eating 75 grams of antioxidant-rich walnuts per day improved sperm quality.

A studyTrusted Source of 232 women showed that higher folate intake was associated with higher rates of implantation, clinical pregnancy, and live birth.

The jury is still out on how much antioxidants will or won’t affect fertility, but there’s evidence pointing to the potential.

Foods such as fruits, vegetables, nuts, and grains are packed full of beneficial antioxidants like vitamins C and E, folate, beta carotene, and lutein. Eating more of these healthy foods shouldn’t hurt in the effort.

2. Eat a bigger breakfast

Eating a substantial breakfast may help women with fertility problems.

One study found that eating a larger breakfast may improve the hormonal effects of polycystic ovary syndrome (PCOS), a major cause of infertility.

For moderate weight women with PCOS, eating most of their calories at breakfast reduced insulin levels by 8 percent and testosterone levels by 50 percent. High levels of either can contribute to infertility.

In addition, by the end of the 12-week study, these women had ovulated more than women who ate a smaller breakfast and larger dinner, suggesting improved fertility.

However, it’s important to note that increasing the size of your breakfast without reducing the size of your evening meal is likely to lead to weight gain.

Check out these ideas for healthy, delish breakfast options if you need some inspiration.

3. Avoid trans fats

Eating healthy fats every day is important for boosting fertility and overall health.

However, trans fats are associated with an increased risk of ovulatory infertility, due to their negative effects on insulin sensitivity.

Trans fats are commonly found in hydrogenated vegetable oils and are usually present in some margarine, fried foods, processed products, and baked goods. Some of the faves, we know.

Studies have found that a diet higher in trans fats and lower in unsaturated fats was linked to infertility for both men and womenTrusted Source.

4. Cut down on carbs if you have PCOS

Following a lower carb eating plan (where less than 45 percent of calories come from carbs) is generally recommended for women with PCOS.

Several studies have indicated that managing carb intake provides beneficial effects on some aspects of PCOS.

Lower carb diets may help you maintain a healthy weight, reduce insulin levels, and encourage fat loss, all while helping menstrual regularity.

Here’s a primer on how to eat fewer carbs in a healthy way.

5. Eat fewer refined carbs

Speaking of carbs: It’s not just the amount of carbs that’s important, but also the type.

Refined carbs may be especially problematic. Refined carbs include sugary foods and drinks and processed grains, including white pasta, bread, and rice.

These carbs are absorbed very quickly, causing spikes in blood sugar and insulin levels. Refined carbs also have a high glycemic index (GI). The GI tells you if a carbohydrate-dense food will raise your blood sugar significantly.

Insulin is chemically similar to ovarian hormones. These hormones help our eggs mature. Consistent elevated insulin can cause the body to produce fewer reproductive hormones because it thinks it doesn’t need it. This can contribute to a lack of egg maturation and ovulation.

Given that PCOS is associated with high insulin levels, refined carbs can make it even worse.

6. Eat more fiber

Fiber helps your body get rid of excess hormones and keeps blood sugar balanced. Certain types of fiber can help remove excess estrogen by binding to it in the intestines. The excess estrogen is then removed from the body as a waste product.

One older 2009 studyTrusted Source associated soluble fiber, such as from avocados, sweet potatoes, oats, and fruits, with lower levels of estrogen and progesterone. Soluble fiber from fruit especially had the strongest association with lower concentrations of estrogen.

Some examples of high fiber foods are whole grains, fruits, vegetables, and beans. The daily recommended intake of fiber for women is 25 grams per day and 31 grams for menTrusted Source.

One 2009 study found that eating 10 grams more cereal fiber per day was associated with a 44 percent lower riskTrusted Source of ovulatory infertility among women older than 32 years.

However, the evidence on fiber is still mixed. Another study of 250 women aged 18 to 44 showed that increasing fiber by 5 g per day decreased hormone concentrationsTrusted Source with a higher probability of anovulation (when ovulation doesn’t take place).

Check with your doctor on your current fiber intake to see if you should be eating more.

7. Swap protein sources

Replacing some animal proteins (such as meat, fish, and eggs) with vegetable protein sources (such as beans, nuts, and seeds) is linked to a reduced risk of infertility.

A study showed that when 5 percent of total calories came from vegetable protein instead of animal protein, the risk of ovulatory infertility decreased by more than 50 percentTrusted Source.

A 2018 study concluded that eating more fishTrusted Source correlates to a higher probability of live birth following infertility treatment.

Consider replacing some of the proteins in your diet with protein from vegetables, beans, lentils, nuts, and low mercury fish. Try this coconut chickpea curry for a protein-filled dinner.

8. Choose high fat dairy

High intakes of low fat dairy foods may increase the risk of infertility, whereas high fat dairy foods may decrease it.

One large study from 2007 looked at the effects of eating high fat dairy more than once a day or less than once a week.

It found that women who consumed one or more servings of high fat dairy per day were 27 percent less likely to be infertile.

To reap these potential benefits, try replacing one low fat dairy serving per day with one high fat dairy serving, such as a glass of whole milk or full fat yogurt.

This buffalo chicken dip made with full-fat Greek yogurt is divine.

9. Add in a multivitamin

If you take multivitamins, you may be less likely to experience ovulatory infertility.

In fact, an estimated 20 percentTrusted Source of ovulatory infertility may be avoided if women consume 3 or more multivitamins per week. Micronutrients found in vitamins have essential rolesTrusted Source in fertility.

For women trying to get pregnant, a multivitamin containing folate may be especially beneficial.

Have a chat with your doctor about supplements including any multivitamins that could help get you closer to pregnancy.

10. Get active

Exercise has many benefits for your health, including increased fertility. Increasing moderate physical activity has positive effectsTrusted Source on fertility for women and men, especially those with obesity.

The trick is that moderation is key. Excessive high intensity exercise has actually been associatedTrusted Source with decreased fertility in certain women.

Excessive exercise may change the energy balance in the body, and negatively affect your reproductive system. If you plan to increase your activity, add it gradually and make sure your healthcare team is aware.

See if your doctor is in favor of you adding these yoga poses to your routine.

11. Take time to relax

If you’re trying to conceive, stress is probably on the menu, too. As your stress levels increase, your chances of getting pregnant decrease. This is likely due to the hormonal changes that occur when you feel stressed.

Research on the links between stress and fertility are mixedTrusted Source, but there’s evidence that stress can suppress fertility.

Receiving support and counseling may reduce anxiety and depression levels, and increase your chances of becoming pregnant. And don’t forget to take time for you.

12. Cut the caffeine

The association between caffeine and fertility isn’t very conclusive.

One older 1997 study suggests that women who consume more than 500 milligrams of caffeine daily take up to 9 1/2 months longerTrusted Source to get pregnant.

However, other studiesTrusted Source did not find a strong link between caffeine intake and an increased risk of infertility.

Consider limiting your caffeine intake to one or two cups of coffee per day to be on the safe side. Give these non-coffee options a try.

13. Aim for a healthy weight

Weight is one of the most influential factors when it comes to fertility for men and women. In fact, being either underweight or overweight is associated with increased infertility.

This is because the amount of fat stored in your body influences menstrual function. Having obesity especially is associated with lack of ovulation and menstrual irregularity but also with impaired egg development.

To improve your chances of getting pregnant, work with your healthcare provider to try to lose weight if you’re overweight and gain weight if you’re underweight. They can help you do it in a healthy and sustainable way.

14. Check those iron levels

It’s time to start pumping iron. The supplement kind, that is. Consuming iron supplements and non-heme iron, which comes from plant-based foods, may decrease the risk of ovulatory infertility.

A recent 2019 study concluded that heme iron (from animal sources) had no effect on fertility and non-heme only had some benefit for women who already had iron deficiency.

More evidence is needed to confirm whether iron supplements should be recommended to all women, especially if iron levels are already healthy. But making sure your iron levels are solid with your doctor is a good step.

Non-heme iron sources are more difficult for your body to absorb, so try taking them with foods or drinks high in vitamin C to increase absorption.

15. Avoid excess alcohol

Alcohol consumption can negatively affect fertility. However, it’s unclear how much alcohol is needed to cause this effect.

One 2016 study found that having more than 14 alcoholic drinks per weekTrusted Source was associated with a longer time to get pregnant.

An older 2004 studyTrusted Source involving 7,393 women found that a high alcohol intake was associated with more infertility examinations.

However, the evidence on moderate alcohol consumption is mixed. One older studyTrusted Source found no link between moderate consumption and infertility, while other studies report that moderate intake can affect fertility.

Ultimately, avoiding excessive consumption of alcohol is recommended. Talk to you doctor about your own intake to ensure the best outcome for you.

16. Natural supplements

Certain natural supplements have been linked to increased fertility, especially in animal studies. Always check with your doctor before taking of natural supplements as efficacy in humans has not been well studied.

Examples include:

• Maca: Maca comes from a plant grown in central Peru. Some animal studies found it improved fertility, but results from human studies are mixed. Some report improvements to sperm qualityTrusted Source, while others find no effectTrusted Source.
• Bee pollen: Bee pollen has been linked to improved immunity, fertility, and overall nutrition. One animal studyTrusted Source found that consuming bee pollen was linked to improved sperm quality and male fertility. However, human studies are still needed.
• Bee propolis: A study of women with endometriosis found that taking bee propolis twice a day resulted in a 40 percent greater chance of becoming pregnant after 9 months. More studies are needed.
• Royal jelly: Royal jelly, which is also made by bees, is packed with amino acids, lipids, sugars, vitamins, fatty acids, iron, and calcium. Animal studiesTrusted Source found it may improve reproductive health in rats.

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