Reducing Your Risk of Infertility in Women
About 10%-20% of couples in the US experience infertility. Although little can be done to prevent physiologic and genetic causes of infertility, it is estimated that 50%-75% of infertility cases can be prevented through changes in lifestyle.
Maintain Appropriate Body Weight
Women who are very thin as well as those who are substantially overweight may have fertility problems. Low body weight disrupts hormonal function and can cause anovulation (no ovulation) and amenorrhea (the absence of a menstrual period). Being overweight can also disrupt hormone levels and can lead to irregular menstrual cycles. Before attempting to change your weight, you should consult with your physician or a registered dietitian. These trained health professionals can help you determine what weight range is right for you and the best way to attain it. And if you do become pregnant, eating a healthful, balanced diet in the months before pregnancy can help to ensure that your baby is healthy, too.
Chronic, heavy drinking negatively affects ovarian function and can lead to irregular menstrual cycles, loss of ovulation, and cessation of menstruation. Even moderate drinking (five or fewer drinks per week) has been associated with reduced rates of conception and increased risk of miscarriage. It is well documented that drinking alcohol during pregnancy increases the risk of birth defects.
Limit Your Number of Sexual Partners and Practice Safe Sex
The more sexual partners you have, the greater your chances of contracting a sexually transmitted disease (STD). Many STDs produce few or no symptoms in women. They are often left untreated, which can lead to ]]>pelvic inflammatory disease]]> and scarring of the fallopian tubes. Other STDs, such as ]]>human papillomavirus]]> (HPV), can cause cells in the cervix to grow abnormally, necessitating treatments that can make the uterus less able to carry a fetus. Limiting your number of sexual partners and using a condom during intercourse can help to prevent the transmission of many STDs.
Manage Stress and Depression
Depression and high levels of stress hormones can affect ovarian function. Try to develop a system for managing stress and depression, either through regular exercise, yoga, or fulfilling leisure activities. To help reduce mental and emotional stress in your life, consider learning relaxation exercises, yoga or tai chi, or talking to a counselor about problems or stressful relationships in your life. Talk to your healthcare provider about which stress management options may be best for you and request a referral to a stress management program.
Have Regular Physical Exams, Including Gynecologic Exams
Regular physical exams can identify hormonal abnormalities that could reduce your fertility. In addition, gynecological exams, including a pelvic exam and ]]>Pap smear]]> , can help to identify any structural abnormalities that can influence fertility. These exams can also detect reproductive tract infections that, if left untreated, can lead to pelvic inflammatory disease and scarring of reproductive structures.
When to Contact Your Healthcare Provider
Contact your heathcare provider if you:
- Are not sure if you need to gain or lose weight
- Need help designing a healthy, balanced diet
- Need help quitting smoking
- Need help eliminating alcohol
- Need help with depression or other mood disorders
- Have pelvic pain or evidence of unusual discharge from your vagina
American Society for Reproductive Medicine website. Available at: http://www.asrm.org/ .
Reproductive Health Outlook (RHO) website. Available at: http://www.rho.org/ .
RESOLVE: The National Infertility Association website. Available at: http://www.resolve.org/site/PageServer .
Last reviewed November 2008 by ]]>Jeff Andrews, MD, FRCSC, FACOG]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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