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How to Potentially Save Dollars, Time, and Emotional
Effort with Fertility Treatments
It is well known that lifestyle
issues can interfere with a couple's fertility.
Some leisure activities, jobs, and the use of drugs &
medications may all increase the chances of infertility. On the positive side,
some lifestyle changes may bolster a couple's chances
of having a family.
Smoking can have significant deleterious
effects on sperm motility,
sperm morphology and erectile function increasing the chance of male infertility. The effects
correlate with the amount smoked, so men who smoke should
cut back as much as possible even if they can't completely
give up. After smoking cessation, it takes about three
months to restore these functions to their normal state.
It is a known fact that cigarette
smoking does have a deleterious effect on a woman's
ability to reproduce, evidencing itself in longer times
before conceiving, more spontaneous
abortions, early menopause and abnormal oocytes.
Follicular fluid, when tested in women who smoked, showed
high levels of cadmium, a heavy metal present in cigarettes,
as well as cotinine, a metabolite of nicotine.
Any woman trying to get pregnant
should avoid unnecessary drugs, both for the sake of
her fertility and because
in early pregnancy, some drugs have a devastating effect
on the developing embryo. Excessive use of "recreational"
drugs or more than one drink of alcohol a day can also
harm fertility in both men and women. Some medications,
such as cimetidine, nitrofurantoin, sulfasalazine, spironolactine
and nifedipine are known to harm sperm quality as do
anabolic steroids including testosterone.
Certain industrial chemicals and
environmental pollutants, as well as radiation, are
known to contribute to or cause infertility. Lead poisoning,
for example, has long been associated with infertility
in men and women. Chemotherapy and x-ray therapy
for cancer can be extremely toxic to sperm and eggs
and can render the patient indefinitely infertile. HRC
recommends that men who will be undergoing chemotherapy
store their sperm before treatment. Sometimes we are
able to do an egg retrieval before a woman's cancer
treatment and freeze the embryos for later use.
Two toxic pesticides, dibromochloropropane
and kepone, were found to cause infertility in men and
they are no longer produced. It has been documented
recently that sperm counts worldwide are falling. Britain
is concerned enough about this issue, according to Environment
Minister Michael Meacher, that they are planning to
launch a government research program to "investigate
whether falling sperm counts are endangering the nation's
reproductive capacity". Although this position
may be somewhat excessive in its viewpoint, it is illustrative
of a concern over global falling sperm counts. This
fact has been corroborated in many studies. At present,
however, the whys and wherefores are still under scientific
investigation.
Gonadal exposure to excessive
heat can cause male infertility . Long soaks in
the bath tub or hot tub or long hours of sitting (for
example, truck driving) and excessive bicycling can
cause the temperature in the scrotum to increase enough
to impair sperm production. Because sperm take up to
two months to mature, winter saunas can affect the sperm
of early spring. A febrile illness (one with a temperature)
can also lead to a significant decline in sperm motility
that may take up to 3-4 months to restore. Extreme exertions
in exercise can also significantly reduce sperm motility
for several hours.
Women who exercise so strenuously
that they stop having menstrual periods or lose too
much body fat may induce a temporary infertility. Physical
fitness is appropriate in moderation. However a certain
amount of body fat appears to be necessary for a woman
to be able to have a successful pregnancy. On the other
hand, obesity in women
is often counter productive to conception.
Whether stress causes infertility or not remains unclear. However, couples with extremely
busy schedules, or who do extensive traveling may not
find time to have intercourse every two days around
the time when the woman is ovulating. Busy couples with
fertility problems may also find it hard to cope with
the demands of an infertility evaluation and treatment
plan. Timing is very important. Having intercourse too
often may result in fewer sperm and impaired motility.
Infrequent intercourse can also cause sperm counts to
drop, or can cause a couple to miss an opportunity to
conceive.
Caffeine and Infertility - Yes or
No (Tea for two) While previous research has suggested
that women who drink coffee regularly and other caffeinated
beverages may experience fertility problems, a new study
did not find that coffee drinking had a significant
effect on fertility. In fact, a study of 210 women who
were trying to conceive found that those who drank as
little as a half a cup of caffeinated tea each day were
twice as likely to become pregnant as women who did
not drink tea. All the women reported their caffeine
consumption and pregnancy status monthly and were followed
for 12 months or until they become pregnant. The positive
effects of tea drinking were only observed in the first
three cycles.
It is postulated that the polyphenolic
compounds in tea may promote fertility by inhibiting
chromosomal abnormalities, thereby decreasing the number
of nonviable embryos. Also hypoxanthine, another chemical
in tea, might be the primary component of follicular
fluid contributing to maturation and fertilizability
of oocytes. On the other hand, tea drinking may simply
be a marker for a healthier lifestyle. Women who drink
tea typically eat less fat, exercise and smoke less
than do coffee drinkers. Also there may still be a negative
relationship between too much caffeine and pregnancy,
so that women should still be cautious about how much
caffeine they consume once they are pregnant.
Couples trying to conceive who want
lubrication during intercourse are best advised to go
to their refrigerator rather than their medicine cabinet.
Vegetable oil, and olive oil don't have too much of
an impact on sperm survival and petroleum jelly is also
a relatively safe alternative. However, lubricants such
as K-Y Jelly, Sugilube, Alpha Keri & Keri Lotion
contain bacteriostatic agents, which can significantly
decrease sperm motility. Saliva contrary to popular
belief, is also toxic to sperm. The best option is to
use nothing.
Lifestyle changes may not result
in pregnancy in and of themselves, but in combination
with treatment they certainly may increase the chances
of conception occurring.
Other Fertility Links
Ovarian
Factor Infertility, Ovulation and Anovulation
Tubal
Factor Infertility - What is the best treatment, IVF
or Surgery
IVF
Cervical
Factor Infertility and IUI
Uterine
Factor Infertility
Endometriosis
Unexplained
Infertility
Weight
and Infertility
Expectations When Your Expecting in Your Forties and Fifties
How
Age Reduces Fertility
Environmental
Factors and Fertility
Male
Evaluation
Female
Evaluation
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