Top 9 Things that affect fertility: Here is a quick review of the 9 causes of infertility!! Listen to our podcast for more details around each of these topics!
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Irregular or absent menstrual cycle: a “normal” menstrual cycle is 21-35 days. There are many things that can affect your hormones that control both ovulation and your uterine lining. We will discuss many of these in today's podcast!! Anything that affects ovulation or your uterine lining can affect your ability to get pregnant.
Ovarian reserve is a very important piece of the puzzle. Women are born with all of the eggs we will ever have, and they decrease with time, not only because they are released, but they also degrade over time.
Age: Women in their late 30s are approximately 40 percent less fertile than women in their early 20s and this is primarily because advancing age decreases the amount of eggs we produce, but some women are born with less eggs, or those eggs don’t last as long as others and so they have what we call a decreased ovarian reserve, or less eggs available over all, and have fertility issues earlier than the average.
Stress: We know there is some evidence out there that stress can impact your fertility, Manage your stress, ask for help! cognitive-behavioral therapy, coping skills training, group support, mindfulness, relaxation techniques, and counselling can all help you manage your stress!
Medical Conditions: There are a few medical conditions that we know can impact fertility. These include: PCOS, Thyroid irregularities, autoimmune disorders can all impact your fertility and pregnancy! If you suffer from these (or you think you do…) touch base with your care provider sooner rather than later!
Pelvic disease: Anything that can lead to changes in your fallopian tubes (such as a previous infection), or the shape of your uterus can affect your ability to get pregnant!
One common cause of this is fibroids (Uterine fibroids are common benign smooth muscle monoclonal tumours), particularly those that are in the endometrial cavity or under the mucosal layer of the endometrium.
Timing of intercourse: It is important to understand how your menstrual cycle works and when you are in your fertile window! Check out our youtube video if you need more information about this!!!
Substances: For some people, substances such as ethanol, tobacco, marijuana and other substances can affect our fertility. So do your best to decrease or stop these while trying to conceive! If you are struggling with this, touch base with your physician to get some support!
Lifestyle: Obese and underweight women are at risk of subfertility as well as other adverse effects on health.
Elevated BMI is often associated with ovulatory dysfunction (meaning you have irregular menstrual cycles); additionally, Even in regularly ovulating women, increasing obesity appears to be associated with decreasing spontaneous pregnancy rates and increased time to pregnancy.
Underweight women, particularly those who exercise excessively and/or have a low-calorie intake, may have hypothalamic amenorrhea (meaning that their normal complex hormonal cycle loop is interrupted due to low caloric intake and low-fat mass)