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Planning for a Baby? Know the right time for effective sex and cautions before concieving from Dr Ranjana Sinha

Most women under the age of 40 years who want to become pregnant (conceive) will achieve this within 12 months of starting to try. Here we explain how you can improve your chances of getting pregnant and having a healthy baby.

Medishala reached to one of Top Gynecologist in Patna Dr Ranjana Sinha Currently practicing at her clinic situated at
West Boring Canal Road, Devanti Gas Agency Campus, near Udyan Hospital to know about the habits effecting the fertility of a woman and also the cautions that should be kept in mind before concieving a baby. Here is what she has to say:

If you are planning to become pregnant, it is a good idea to see your Gynecologist for a pre-conception health check-up. 

A pre-conception health check-up usually includes:

  • a medical history and a general examination
  • blood tests to check your haemoglobin level, blood group, immunity for German measles (rubella) and chickenpox (varicella), hepatitis B and human immunodeficiency virus (HIV)
  • tests for any sexually transmissible infection (STI)
  • advice about change change in medication and its dosage
  • Control of Hypertension and Thyroid Disorders
  • Test for Diabetes

Timing and conception

To conceive you need to have sex around fertile window which is 14 Days before your next menses

Most women know when ovulation is approaching because they notice changes in their normal vaginal discharge, which becomes clear and slippery.

Age, fertility and conception

The most important factor for the chance of getting pregnant and having a healthy baby is your age. Starting at about age 32, a woman’s chance of conceiving starts to decline. From age 35, the fertility decline speeds up and by age 40, fertility has fallen by half.

The impact of the male’s age is less dramatic, but matters too. Men aged 45 and older are less fertile and some health conditions are more common in children with older fathers. 

Weight, fertility and conception

Being overweight or underweight can cause hormonal changes that interfere with ovulation and reduce your fertility. Women who are obese take longer, on average, to conceive than women in the healthy weight range and are more likely to experience infertility.

In men, obesity can lower fertility. This is likely due to a combination of factors including hormone problems, problems with erection or other health conditions linked to obesity.

Diet, exercise and conception

There is no special diet that improves the odds of conception, but a healthy range of foods that includes lots of fresh fruits, vegetables and lean meats is recommended. 

Vitamins and minerals (micronutrients) are essential for the body to function. Read more about the benefits of vitamins and minerals for fertility and pregnancy health, including folic acid, iodine, vitamin D, zinc and selenium supplements. 

Regular exercise also improves fertility.

For men and women who are overweight or obese, exercise can help to prevent further weight gain or achieve a modest weight loss that improves general health and fertility. 

Tobacco, alcohol and other drug use and conception

If you use tobacco, alcohol or other drugs your chances of becoming pregnant are reduced. If you become pregnant and continue to smoke, drink alcohol or use other drugs, it can affect the health of your baby at birth and into adulthood. 

Alcohol and pregnancy

Alcohol can reduce both male and female fertility; even drinking lightly can reduce the likelihood of conception. In men, alcohol can impair fertility because it can cause impotence, reduce libido and affect sperm quality.

Binge drinking (more than six standard drinks on one occasion) can cause miscarriage, stillbirth, premature birth, small birth weight, and foetal alcohol spectrum disorder (FASD).

Drug use and pregnancy

Prescription medication and recreational drug use can potentially affect the health of the foetus. A pharmacist or doctor should be consulted about any drug use.

Having trouble conceiving?

If you haven’t conceived within 12 months, there may be a fertility problem.

Fertility difficulties can be due to:

  • female fertility problems (about 30 per cent)
  • male fertility problems (about 30 per cent)
  • both male and female fertility problems (about 10 per cent)
  • unknown cause (about 25 per cent ). 
  • Other Cause (about 5 per cent)

Female fertility problems include: 

  • problems with ovulation, including polycystic ovary syndrome (PCOS)
  • blocked fallopian tubes
  • endometriosis
  • age over 35.

Male fertility problems include:

  • poor sperm quality
  • blockage of the spermatic cord, which is the tube that transports the sperm from the testis to the penis. Common causes are vasectomy, infection and some sexually transmitted infections
  • ejaculation disorders
  • age over 45.

If you are experiencing difficulty becoming pregnant, talk with your Gynecologist who can refer you for tests to find out the cause of your problem.

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