Pregnancy At 30

When a woman decides to conceive at the age of 30.

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Common Causes of Infertility

Some women want children but either cannot conceive or keep miscarrying. This is called infertility. Lots of couples have infertility problems. About one-third of the time, it is a female problem. In another one-third of cases, it is the man with the fertility problem. For the remaining one-third, both partners have fertility challenges or no cause is found. Some common reasons for infertility in women include: Age – Women generally have some decrease in fertility starting in their early 30s. And while many women in their 30s and 40s have no problems getting pregnant, fertility especially declines after age 35. As a woman ages, normal changes that occur in her ovaries and eggs make it harder to become pregnant. Even though menstrual cycles continue to be regular in a woman's 30s and 40s, the eggs that ovulate each month are of poorer quality than those from her 20s. It is harder to get pregnant when the eggs are poorer in quality. As a woman nears menopause, the ovaries may not release an egg each month, which also can make it harder to get pregnant. Also, as a woman and her eggs age, she is more likely to miscarry, as well as have a baby with genetic problems, such as Down syndrome. Health problems – Some women have diseases or conditions that affect their hormone levels, which can cause infertility. Women with polycystic ovary syndrome (PCOS) rarely or never ovulate. Failure to ovulate is the most common cause of infertility in women. With primary ovarian insufficiency (POI), a woman's ovaries stop working normally before she is 40. It is not the same as early menopause. Some women with POI get a period now and then. But getting pregnant is hard for women with POI. A condition called luteal phase defect (LPD) is a failure of the uterine lining to be fully prepared for pregnancy. This can keep a fertilized egg from implanting or result in miscarriage. Common problems with a woman's reproductive organs, like uterine fibroids, endometriosis, and pelvic inflammatory disease can worsen with age and also affect fertility. These conditions might cause the fallopian tubes to be blocked, so the egg can't travel through the tubes into the uterus. Lifestyle factors – Certain lifestyle factors also can have a negative effect on a woman's fertility. Examples include smoking, alcohol use, weighing much more or much less than an ideal body weight, a lot of strenuous exercise, and having an eating disorder. Stress also can affect fertility. Unlike women, some men remain fertile into their 60s and 70s. But as men age, they might begin to have problems with the shape and movement of their sperm. They also have a slightly higher risk of sperm gene defects. Or they might produce no sperm, or too few sperm. Lifestyle choices also can affect the number and quality of a man's sperm. Alcohol and drugs can temporarily reduce sperm quality. And researchers are looking at whether environmental toxins, such as pesticides and lead, also may be to blame for some cases of infertility. Men also can have health problems that affect their sexual and reproductive function. These can include sexually transmitted infections (STIs), diabetes, surgery on the prostate gland, or a severe testicle injury or problem. When to see your doctor You should talk to your doctor about your fertility if: You are younger than 35 and have not been able to conceive after one year of frequent sex without birth control. You are age 35 or older and have not been able to conceive after six months of frequent sex without birth control. You believe you or your partner might have fertility problems in the future (even before you begin trying to get pregnant). You or your partner has a problem with sexual function or libido. Happily, doctors are able to help many infertile couples go on to have babies. Infertility treatment Some treatments include: Drugs – Various fertility drugs may be used for women with ovulation problems. It is important to talk with your doctor about the drug to be used. You should understand the drug's benefits and side effects. Depending on the type of fertility drug and the dosage of the drug used, multiple births (such as twins) can occur. Surgery – Surgery is done to repair damage to a woman's ovaries, fallopian tubes, or uterus. Sometimes a man has an infertility problem that can be corrected by surgery. Intrauterine insemination (IUI), also called artificial insemination – Male sperm is injected into part of the woman's reproductive tract, such as into the uterus or fallopian tube. IUI often is used along with drugs that cause a woman to ovulate. Assisted reproductive technology (ART) – ART involves stimulating a woman's ovaries; removing eggs from her body; mixing them with sperm in the laboratory; and putting the embryos back into a woman's body. Success rates of ART vary and depend on many factors. Third party assistance – Options include donor eggs (eggs from another woman are used), donor sperm (sperm from another man are used), or surrogacy (when another woman carries a baby for you). Finding the cause of infertility is often a long, complex, and emotional process. And treatment can be expensive. Many health insurance companies do not provide coverage for infertility or provide only limited coverage. Check your health insurance contract carefully to learn about what is covered. Some states have laws that mandate health insurance policies to provide infertility coverage. Content Source Feature Image Source

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11 Ways to get Pregnant with Twins

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Factors responsible for infertility

Some people with fertilityproblems never even know it until they try to have a baby. That’s because oftentimes infertility issues don’t have symptoms. So whether you’re actively trying to have children or just planning to in the future, it’s good to know if anything you or your partner are doing might reduce your chances of getting pregnant. While you can’t control everything that might affect your fertility, there are some things you can. Risk Factors for Infertility Men and women are equally at risk for fertility problems. In about one-third of cases, both partners have issues, or doctors can’t find the cause. Some of the factors that affect a couple’s ability to have a baby include: Age. A woman is born with a set number of eggs. That number drops as she ages, making it harder for her to get pregnant after she reaches her mid-30s. By 40, her chances of getting pregnant drop from 90% to 67%. By age 45, it’s just 15%. A man is less fertile after age 40. Can you lower your risk? Sort of. When you’re ready to have children, don’t wait. The younger you are the better. Smoking. If you smoke tobacco or marijuana, you’re less likely to get pregnant. Tobacco and marijuana can increase a woman’s chance of miscarriage, and decrease sperm count in men. Smokers also hit menopause about 2 years earlier than non-smokers. It can also cause erectile dysfunction(ED). Can you lower your risk? Yes. Don’t smoke or use tobacco products of any kind. Drinking alcohol. Doctors now say there’s no safe amount of alcohol women can drink during pregnancy. It can lead to birth defects. It may also lower your chances of getting pregnant and drinking heavily can decrease sperm count in men. Can you lower your risk? Yes. Men and women should avoid alcohol when trying to conceive. Weight. Women who are overweight can have irregular periods and skip ovulation. But women who are extremely underweight can also have problems -- their reproductive systems can shut down completely. Men who are obese can have lower-quality sperm or ED. Can you lower your risk? Yes. Talk to your doctor about how to exercise and eat to maintain a safe weight, especially if you’re over age 40. But don’t overdo it and strainyour body. Mental health. Both depressionand lots of stress can affect the hormones that regulate your reproductive cycle. Women dealing with these issues may not ovulate normally and men may have a lower sperm count. Can you lower your risk?- Yes. Try to reduce the stress in your life before and while trying to become pregnant. STDs. Having unprotected sex puts you at risk for STDs. Chlamydia and gonorrhea can cause pelvic inflammatory disease and fallopian tube infections in women, and epididymis blockages that can lead to infertility in men. Can you lower your risk? -Yes. Use a condom every time you have sex to reduce your chances of getting certain STDs. Environmental factors. There may be factors in your everyday life that are reducing your chances of getting pregnant -- especially if your job involves toxic substances or hazards. Some dangers include pesticides, pollution, high temperatures, chemicals, or heavy electromagnetic or microwave emissions. Radiation and chemotherapy treatments for cancer can affect both sperm and eggs, too. Her Risks There are certain things that apply only to women. Any one of the following could cause problems with ovulation, hormones, or your reproductive organs: Endometriosis Fallopian tube disease Chronic disease like diabetes, lupus, arthritis, hypertension, or asthma Two or more miscarriages History of irregular periods Early menopause (before age 40) An abnormally shaped uterus Polyps in your uterus Leftover scar tissue from a pelvic infection or surgery Uterine fibroids or cysts Polycystic ovary syndrome (PCOS) His Risks Some factors are male-only, as well, and could affect sperm count, sperm health, or sperm delivery, including: A repaired hernia Testicles that haven’t descended An inflamed or infected prostate Mumps any time after puberty Prescription medications for ulcers or psoriasis Cystic fibrosis Premature ejaculation or a blockage in your testicles Enlarged veins in your testes content source

Fertility test for women

If you and your partner are trying to have a baby but haven't been able to, you may start to wonder if you should get fertility tests. Experts say it's time to check with a doctor if you've had regular sex without birth control for 12 months if you are under the age of 35 and for 6 months if you are over 35. It's important for the two of you to go for testing together. When you see your doctor, he'll probably start by asking questions about your health and lifestyle. He'll want to know things about you and your partner like: Medical history, including any long-term conditions or surgeries Medicines you take Whether you smoke cigarettes, drink alcohol, eat or drink things with caffeine, or use illicit drugs If you had contact with chemicals, toxins, or radiation at home or work He'll also want to know about your sex life, such as: How often you have sex Your history of birth control use If you've had sexually transmitted diseases Any problems having sex Whether either of you had sex outside the relationship Your doctor will also have questions about things connected with your periods, such as: Have you been pregnant before? How often have you had periods over the last year? Have you had irregular and missed periods or had spotting between periods? Did you have any changes in blood flow or the appearance of large blood clots? What methods of birth control have you used? Have you ever seen a doctor for infertility, and did you get any treatment? Infertility Tests for Women There is no single best test for infertility. Doctors use a variety of ways to identify any problems that might help cause fertility trouble. You may get a Pap smear. It can detect cervical cancer, other problems with the cervix, or sexually transmitted diseases. Any of these can interfere with getting pregnant. To get pregnant, you need to release an egg each month -- called "ovulation." You may need tests that check for that. Your doctor may ask you to take a urine test at home for luteinizing hormone, or LH. This hormone shows up in high levels just before you ovulate. Your doctor also may check levels of the hormone progesterone in your blood. Increases in progesterone show that you are ovulating. On your own, you can check your body temperature each morning. Basal body temperature rises a bit just after ovulation. By checking it each morning, you'll learn your pattern of ovulation over several months. Your doctor may also run tests on your thyroid, or check for other hormonal problems, to rule out conditions that might cause missed or irregular ovulation. Tests of Reproductive Organs Before you can get pregnant, your uterus, fallopian tubes, and ovaries all need to work right. Your doctor may suggest different procedures that can check the health of these organs: Hysterosalpingogram (HSG). Also called a "tubogram," this is a series of X-rays of your fallopian tubes and uterus. The X-rays are taken after your doctor injects liquid dye through the vagina. Another method uses saline and air instead of dye and an ultrasound. The HSG can help you learn if your fallopian tubes are blocked or if you have any defects of your uterus. The test is usually done just after your menstrual period. Transvaginal ultrasound. A doctor places an ultrasound "wand" into the vagina and brings it close to the pelvic organs. Using sound waves, he'll be able to see images of the ovaries and uterus to check for problems there. Hysteroscopy. Your doctor puts a thin, flexible tube -- with a camera on the end -- through the cervix and into the uterus. He can see problems there and take tissue samples if needed. Laparoscopy. Your doctor makes small cuts in your belly and inserts tools, including a camera. This surgery can check your entire pelvis and potentially correct problems, such as endometriosis, a disease that affects the uterus. Other Infertility Tests A doctor may order other tests to check for fertility problems. You may get a blood test to check your levels of follicle-stimulating hormone, or FSH, which triggers your ovaries to prepare an egg for release each month. High FSH can mean lower fertility in women. The FSH blood levels get checked early in your menstrual cycle (often on day 3). Clomiphene citrate challenge testing can be done with the FSH test. You take a pill of clomiphene citrate on the fifth through ninth days of your menstrual cycle. FSH gets checked on day 3 (before you take the medicine) and on day 10 (after). High FSH levels suggest you have lower chances of getting pregnant. Your doctor may also suggest a blood test to check for a hormone called inhibin B. Levels may be lower in women with fertility problems, but experts are divided about whether the test can predict infertility. Take this assessment to find out if there are other health care providers who can help with your symptoms. Another exam is called postcoital testing. Your doctor examines your cervical mucus after you've had sex. Some studies suggest it may not be so useful. Your doctor may also recommend an endometrial biopsy. In this procedure, he takes a sample of tissue from the lining of your uterus. But evidence is mounting that endometrial biopsy is not helpful in predicting or treating infertility. You may not need to have all these tests. Your doctor can discuss with you which ones are best in your situation. After the testing is done, about 85% of couples will have some idea about why they're having trouble getting pregnant. content source

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Symptoms of infertility

Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age. The main symptom of infertilityis not getting pregnant. You may not have or notice any other symptoms. Symptoms can also depend on what is causing the infertility. Many health conditions can make it hard to get pregnant. Sometimes no cause is found. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Symptoms include: Abnormal periods. Bleeding is heavier or lighter than usual. Irregular periods. The number of days in between each period varies each month. No periods. You have never had a period, or periods suddenly stop. Painful periods. Back pain, pelvic pain, and cramping may happen. Sometimes, female infertility is related to a hormone problem. In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. Signs of Potential Infertility in Men Infertility symptoms in men can be vague. They may go unnoticed until a man tries to have a baby. Symptoms depend on what is causing the infertility. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. Women 35 and older should see their doctor after six months of trying. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. A sperm analysis can be done to check a man's sperm count and the overall health of the sperm. Your doctor may refer you to a reproductive endocrinologist. That's a doctor who specializes in infertility. You will be asked questions about your infertility symptoms and medical history. Before you go to the doctor, write down the following information and take it to your next doctor's appointment: All the medications you take, including prescriptions, vitamins, minerals, supplements, and any other drugs bought without a prescription How often you have unprotected sex, how long you have been trying, and the date of the last time you tried to get pregnant Body changes or other symptoms you have noticed Dates of any surgeries or treatments in the past, especially those involving the reproductive tract. Any radiation or chemotherapy you have had How much you smoke, how much alcohol you drink, and any illegal drug use Any history of sexually transmitted diseases (STDs) Any genetic disorder or chronic illness, such as diabetes or thyroid disease, in you or your family Listen to your body. Tell your doctor any time you notice a symptom. Early diagnosis of an infertility problem may improve your odds of getting pregnant. content source

Pregnancy worries and overcoming tips

    Pregnancy brain may cause woman to stress over being pregnant, health of baby inside their womb and issues related to normal delivery as every mom wants best for their babies.  Stressing over these issues may lead to preoblems like insomnia, lack of concentration, fatigue,etc.. Here is the list of common pregnancy worries and exercise that helps in releasing some stress.  I Could Lose the Baby. A miscarriage was fear No. 1 among the moms-to-be.  About 10 to 15 percent of pregnancies end in miscarriage, usually early in the first trimester. Seventy percent of miscarriages are due to chromosomal abnormalities. Many moms also worried about their baby being stillborn (fetal death occurring after 20 weeks of pregnancy). The rate is a teeny 0.6 percent. You're probably already taking the best measures to lower your risk for miscarriage and stillbirth if you eat right, don't smoke or drink alcohol, and limit caffeine. And your health-care provider will keep tabs on any medical conditions (such as diabetes) that could increase your risk.  Something Will Be Wrong with My Baby. According to a poll , 78 percent of moms-to-be fret about birth defects. In this country. Yes, the sheer number of ultrasounds and tests you have to undergo can be overwhelming. They can also begin to create a feeling of helplessness, like desperately hoping for a perfect score on an exam you have no way of prepping for.. I'll Embarrass Myself on Delivery Day. The Pain Will Be Bad. How long will it last? How much will it hurt? These are huge unknowns. "It's no wonder women freak out," Labor means work! But it doesn't have to be excruciating. We want to make the entire experience as comfortable as possible." Talk about pain concerns with your doctor, and trust that she won't want you to suffer. I Might Not Make It to the Hospital!  In truth, you'd probably have enough time to fly across the country between your initial contraction and the baby's first cries. labor and delivery last between 12 1/2 and 21 1/2 hours on average. "It's usually toward the longer end of the range for firstborn children. And do a trial run, so you'll know how long it takes to drive there! I'm Not Going to Be a Good Mom. "If you're concerned about being a good parent, it means you really, deeply care. And if you care, you are going to be a good moms." Reduce Stress and Boost Your Mood Calming Stress Exercise Step 1: Sit, close your eyes, and take five deep, slow breaths through your nose. Make sure the exhales are longer than the inhales. "This will shift your nervous system into rest-and-relax mode." Step 2: Say the following soothing mantra to yourself, either out loud or in your head: May I be happy. May I be healthy. May I be peaceful. Step 3: Repeat this mantra to your baby: May you be happy. May you be healthy. May you be peaceful. "It helps to cultivate positive, compassionate feelings. "The more you do this exercise, the quicker you'll be able to center yourself, because your body will remember and respond to what you're asking of it." content source

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In Vitro Fertilization (IVF) - an overview

The first step in IVF involves injecting hormones so you produce multiple eggs each month instead of only one.You will then be tested to determine whether you're ready for egg retrieval. Prior to the retrieval procedure, you will be given injections of a medication that ripens the developing eggs and starts the process of ovulation. Timing is important; the eggs must be retrieved just before they emerge from the follicles in the ovaries. If the eggs are taken out too early or too late, they won't develop normally. Your doctor may do blood tests or an ultrasound to be sure the eggs are at the right stage of development before retrieving them. The IVF facility will provide you with special instructions to follow the night before and the day of the procedure. Most women are given pain medication and the choice of being mildly sedated or going under full anesthesia. During the procedure, your doctor will locate follicles in the ovary with ultrasound and remove the eggs with a hollow needle. The procedure usually takes less than 30 minutes, but may take up to an hour. Immediately following the retrieval, your eggs will be mixed in the laboratory with your partner's sperm, which he will have donated on the same day. While you and your partner go home, the fertilized eggs are kept in the clinic under observation to ensure optimal growth. Depending on the clinic, you may even wait up to five days until the embryo reaches a more advanced blastocyst stage. Once the embryos are ready, you will return to the IVF facility so doctors can transfer one or more into your uterus. This procedure is quicker and easier than the retrieval of the egg. The doctor will insert a flexible tube called a catheter through your vagina and cervix and into your uterus, where the embryos will be deposited. To increase the chances of pregnancy, most IVF experts recommend transferring up to three embryos at a time. However, this means you could have a multiple pregnancy, which can increase the health risks for both you and the babies. Following the procedure, you would typically stay in bed for several hours and be discharged four to six hours later. Your doctor will probably perform a pregnancy test on you about two weeks after the embryo transfer. In cases where the man's sperm count is extremely low, doctors may combine IVF with a procedure called intracytoplasmic sperm injection. In this procedure, a sperm is taken from semen -- or in some cases right from the testicles -- and inserted directly into the egg. Once a viable embryo is produced, it is transferred to the uterus using the usual IVF procedure. content source

Infertility and In Vitro Fertilization

  Today, in vitro fertilization (IVF) is practically a household word. But not so long ago, it was a mysterious procedure for infertility that produced what were then known as "test-tube babies." Louise Brown, born in England in 1978, was the first such baby to be conceived outside her mother's womb. Unlike the simpler process of artificial insemination -- in which sperm is placed in the uterus and conception happens otherwise normally -- IVF involves combining eggs and sperm outside the body in a laboratory. Once an embryo or embryos form, they are then placed in the uterus. IVF is a complex and expensive procedure; only about 5% of couples with infertility seek it out. However, since its introduction in the U.S. in 1981, IVF and other similar techniques have resulted in more than 200,000 babies. What Causes of Infertility Can IVF Treat? When it comes to infertility, IVF may be an option if you or your partner have been diagnosed with:   Endometriosis Low sprem counts Problems with the uterus or fallopian tubes Problems with ovulation Antibody problems that harm sperm or eggs The inability of sperm to penetrate or survive in the cervical mucus An unexplained fertility problem IVF is never the first step in the treatment of infertility except in cases of complete  tubal blockage. Instead, it's reserved for cases in which other methods such as fertility drugs, surgery, and artificial insemination haven't worked. If you think that IVF might make sense for you, carefully assess any treatment center before undergoing the procedure. Here are some questions to ask the staff at the fertility clinic: What is your pregnancy ratio per embryo transfer? What is your pregnancy rate for couples in our age group and with our fertility problem? What is the live birth rate for all couples who undergo this procedure each year at your facility? How many of those deliveries are twins or other multiple births? How much will the procedure cost, including the cost of the hormone treatments? How much does it cost to store embryos and how long can we store them? Do you participate in an egg donation program? content source

Your age and fertility

Fertility starts to decline for women from about the age of 30, dropping down more steeply from the age of 35. As women grow older the likelihood of getting pregnant falls while the likelihood of infertility rises. Most women will be able to conceive naturally and give birth to a healthy baby if they get pregnant at 35. After 35 the proportion of women who experience infertility, miscarriage or a problem with their baby increases. By the age of 40, only two in five of those who wish to have a baby will be able to do so. The average age at which women have in vitro fertilization (IVF) treatment is on the upward trend too. This reflects the increase in infertility due to age. However, the success rates of IVF treatment for women over 40 are low and have not increased much over the past decade. From a purely biological perspective, it's best to try to start a family before you're 35. Men can remain fertile for much longer than women. Even though male fertility also declines with age, it tends to happen gradually for men. While many men remain fertile into their 50s and beyond, the proportion of men with sperm disorders increases with age. The decline in male fertility is more gradual for men than women. The decline in male fertility can affect the health of the children they may go on to have. Content Source Feature Image Source

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