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Five Things To Know Before Starting Fertility Treatment

Five Things To Know Before Starting Fertility Treatment

If you want to start a family, but are struggling to get pregnant you may feel that your world is over. However, you need to know that you are not alone. Statistics show that one in six couples will suffer from infertility and require treatment.  Infertility is defined as not being able to get pregnant after one year of unprotected sex (this is reduced to 6 months for women over 35 years old). [1]

It is important to realise a diagnosis of infertility does not mean that all hope is lost, there are many options available for couples who are struggling to conceive naturally.

Couple hugging

    The following are some of the most important things to remember when you are considering and undergoing infertility treatment.

    1. Understand the fertility treatment options and which is best for you.

    It is impossible to know what option is likely to best for you as a couple without getting professional advice, however, your clinician or specialist does not need to be the only source of information. There are excellent sources of information both online and from various organisations including fertility clinics and charities.

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    Often when people think of fertility treatment they immediately think of IVF, however, this is just one option amongst a wide selection including surgery, drug treatment and surrogacy.[2]

    If you are not suitable for one type of treatment there will be others which can work for you, taking the time to understand what is possible will reduce the stress of the whole experience.

    2. Ensure you are fit and healthy for fertility treatment

    As with any pregnancy, it is good practice to ensure you are as fit and healthy as you can be. Improving your diet will ensure you have healthy eggs and sperm. A healthy diet for conception should include:

    fruit and veg
      • Plenty of fruit and vegetables – try adding fruit with your breakfast and green vegetables or salad with your main meals
      • Complex carbohydrates – these include whole grains such as brown rice, oats and wholemeal bread. Simple changes like using brown rice instead of white and enjoying wholemeal bread instead of processed white will help.
      • Try to include oily fish, nuts, seeds and natural oils
      • Increase the amount of fibre you eat
      • Reduce the amount of red meat you eat
      • Try to avoid additives, preservatives and chemicals including artificial sweeteners
      • Reduce or avoid sugar – be aware of the amount of sugar in manufactured food.
      • Reduce or eliminate caffeine, e.g. coffee, tea, chocolate, colas and alcohol
      • Try to drink at least 1½ litres of fresh water per day, this will help your hormone balance and blood flow.

      You should look to reduce your alcohol intake and of course quit smoking. Following these simple steps will increase the chance of your treatment being successful.

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      3. Consider your age

      When considering treatments such as IVF, age is important. Doctors can support your biology and will do their best to help you become pregnant however they cannot change your body.

      A survey in 2006 showed the average age of a mother at the birth of her first child was 25 (up from 21.4 in 1970).[3] Statistics are now showing that many couples are planning to wait until they are at least 30 before starting a family stating that focusing on their career or being able to afford to start a family being the major reasons stated for the delay in starting a family.

      Whereas the reasons for the delay are understandable, couples should be aware that the later you leave having a family the more difficult it may become.

      Fertility Treatment - IVF Success rates by age

        As you can see from the chart, once you reach 35 years old your chances of having a successful pregnancy via IVF reduces rapidly. It is a similar case for natural pregnancy with the risk of miscarriage or Down syndrome increasing above the age of 35, and you are more likely to have an ectopic pregnancy.

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        This does not mean that you cannot have a family if you are above the age of 35, however, you should ensure you are aware of the risks and speak to specialists to ensure you are provided with the most suitable infertility treatment. If you are told that treatment is not advisable you should not give up hope, there are options like surrogacy, fostering or adoption.

        4. Understand this is going to be a stressful journey…

        Going through any form of infertility treatment is going to be a long and often stressful journey for both of you, statistics show 61% of couples feel infertility is more stressful than divorce [4] You need to be a strong team and be prepared to support each other. The outcome is highly likely to be positive, however, the light at the end of the tunnel may seem a long way away.

        Your partner needs to understand that, with your hormones unbalanced due to infertility drugs or pregnancy, you may have moments when anything they do will be wrong or that you will be over emotional and stressed. Certain fertility drugs can cause mood swings and you both need to be aware of this and be ready to support each other.

        Infertility treatment will be series of highs and lows. It may be that the first attempt of any treatment fails to achieve the successful pregnancy you crave, the pressure and stress of waiting for a positive result only to find it has not occurred can be crushing. In IVF, for example, you will be told to give the process three full cycles which, for a woman under 40 years old, will generally yield a greater than 70% success rate. After this, if you are part of the small percentage for which this treatment fails, there are still other options available to you.

        You need to build a strong team around you, with your partner and supportive members of your family (you have the right to be selective and pick those who will help you on your journey!) There are also online groups and Facebook groups where you can meet like minded couples and get shared advice and support. Of course, you have your medical professionals you can turn to when you need to. Remember, whatever happens, you are not who are not alone and there are people who can help you.

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        Ensure that you make time for yourself, even if it is just five minutes per day to relax and reduce your stress levels.[5]

        5. All’s not lost…

        After struggling to conceive naturally it can feel that you will never hold your own child, you may feel like a failure or that you have let your partner down. None of this is true.  You are not a failure and you are not alone, many thousands of couples are going through the same feelings right now and many more thousands now have their own families thanks to successful infertility treatment or surrogacy.

        Infertility treatment is changing all the time, for example in 2016 scientists were able to sustain the life of an embryo beyond the seven days previously thought possible. This innovation will allow doctors to better monitor the embryo and improve the chances of successful implantation. [6]

        It is true infertility treatment will seem stressful at times, however, the potential outcome will make it all worthwhile!

        Reference

        [1] CDC:  https://www.cdc.gov/reproductivehealth/infertility/
        [2] Fertility Treatment Options: https://www.growinggenerations.com/about-us/fertility-treatment-options/
        [3] Mathews TJ, Hamilton BE. Delayed childbearing: More women are having their first child later in life. NCHS data brief, no 21. Hyattsville, MD: National Center for Health Statistics. 2009.
        [4] RMANJ: Infertility In America 2015: http://www.rmanj.com/wp-content/uploads/2015/04/RMANJ_Infertility-In-America-SurveyReport-_04152015.pdf
        [5] 5 Minutes a Day to Find Happiness: http://www.lifehack.org/454873/5-minutes-a-day-to-find-happiness
        [6] IVF Research: https://www.growinggenerations.com/news/new-study-promotes-ivf-success-rates/

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        Last Updated on September 18, 2020

        7 Simple Rules to Live by to Get in Shape in Two Weeks

        7 Simple Rules to Live by to Get in Shape in Two Weeks

        Learning how to get in shape and set goals is important if you’re looking to live a healthier lifestyle and get closer to your goal weight. While this does require changes to your daily routine, you’ll find that you are able to look and feel better in only two weeks.

        Over the years, I’ve learned a lot about what it takes to get in shape. Although anyone can cover the basics (eat right and exercise), there are some things that I could only learn through trial and error. Let’s cover some of the most important points for how to get in shape in two weeks.

        1. Exercise Daily

        It is far easier to make exercise a habit if it is a daily one. If you aren’t exercising at all, I recommend starting by exercising a half hour every day. When you only exercise a couple times per week, it is much easier to turn one day off into three days off, a week off, or a month off.

        If you are already used to exercising, switching to three or four times a week to fit your schedule may be preferable, but it is a lot harder to maintain a workout program you don’t do every day.

        Be careful to not repeat the same exercise routine each day. If you do an intense ab workout one day, try switching it up to general cardio the next. You can also squeeze in a day of light walking to break up the intensity.

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        If you’re a morning person, check out these morning exercises that will start your day off right.

        2. Duration Doesn’t Substitute for Intensity

        Once you get into the habit of regular exercise, where do you go if you still aren’t reaching your goals? Most people will solve the problem by exercising for longer periods of time, turning forty-minute workouts into two hour stretches. Not only does this drain your time, but it doesn’t work particularly well.

        One study shows that “exercising for a whole hour instead of a half does not provide any additional loss in either body weight or fat”[1].

        This is great news for both your schedule and your levels of motivation. You’ll likely find it much easier to exercise for 30 minutes a day instead of an hour. In those 30 minutes, do your best to up the intensity to your appropriate edge to get the most out of the time.

        3. Acknowledge Your Limits

        Many people get frustrated when they plateau in their weight loss or muscle gaining goals as they’re learning how to get in shape. Everyone has an equilibrium and genetic set point where their body wants to remain. This doesn’t mean that you can’t achieve your fitness goals, but don’t be too hard on yourself if you are struggling to lose weight or put on muscle.

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        Acknowledging a set point doesn’t mean giving up, but it does mean realizing the obstacles you face.

        Expect to hit a plateau in your own fitness results[2]. When you expect a plateau, you can manage around it so you can continue your progress at a more realistic rate. When expectations meet reality, you can avoid dietary crashes.

        4. Eat Healthy, Not Just Food That Looks Healthy

        Know what you eat. Don’t fuss over minutia like whether you’re getting enough Omega 3’s or tryptophan, but be aware of the big things. Look at the foods you eat regularly and figure out whether they are healthy or not. Don’t get fooled by the deceptively healthy snacks just pretending to be good for you.

        The basic nutritional advice includes:

        • Eat unprocessed foods
        • Eat more veggies
        • Use meat as a side dish, not a main course
        • Eat whole grains, not refined grains[3]

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        Eat whole grains when you want to learn how to get in shape.

          5. Watch Out for Travel

          Don’t let a four-day holiday interfere with your attempts when you’re learning how to get in shape. I don’t mean that you need to follow your diet and exercise plan without any excursion, but when you are in the first few weeks, still forming habits, be careful that a week long break doesn’t terminate your progress.

          This is also true of schedule changes that leave you suddenly busy or make it difficult to exercise. Have a backup plan so you can be consistent, at least for the first month when you are forming habits.

          If travel is on your schedule and can’t be avoided, make an exercise plan before you go[4], and make sure to pack exercise clothes and an exercise mat as motivation to keep you on track.

          6. Start Slow

          Ever start an exercise plan by running ten miles and then puking your guts out? Maybe you aren’t that extreme, but burnout is common early on when learning how to get in shape. You have a lifetime to be healthy, so don’t try to go from couch potato to athletic superstar in a week.

          If you are starting a running regime, for example, run less than you can to start. Starting strength training? Work with less weight than you could theoretically lift. Increasing intensity and pushing yourself can come later when your body becomes comfortable with regular exercise.

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          7. Be Careful When Choosing a Workout Partner

          Should you have a workout partner? That depends. Workout partners can help you stay motivated and make exercising more fun. But they can also stop you from reaching your goals.

          My suggestion would be to have a workout partner, but when you start to plateau (either in physical ability, weight loss/gain, or overall health) and you haven’t reached your goals, consider mixing things up a bit.

          If you plateau, you may need to make changes to continue improving. In this case it’s important to talk to your workout partner about the changes you want to make, and if they don’t seem motivated to continue, offer a thirty day break where you both try different activities.

          I notice that guys working out together tend to match strength after a brief adjustment phase. Even if both are trying to improve, something seems to stall improvement once they reach a certain point. I found that I was able to lift as much as 30-50% more after taking a short break from my regular workout partner.

          Final Thoughts

          Learning how to get in shape in as little as two weeks sounds daunting, but if you’re motivated and have the time and energy to devote to it, it’s certainly possible.

          Find an exercise routine that works for you, eat healthy, drink lots of water, and watch as the transformation begins.

          More Tips on Getting in Shape

          Featured photo credit: Alexander Redl via unsplash.com

          Reference

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