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Hi doctor, I'm trying for pregnancy nw. Which tests are required to know that I'm normal and healthy both for men and women.married in 2012.now we both are planning for children.my menstrual cycle is 24 days.from the starting day it will end in 5days.
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I really appreciate this question! Thanks for asking. It's absolutely in your hands to prepare your body for a healthy pregnancy with or without IVF. Why I am so passionate about this topic is because I am so thankful that I could be reverse my PCOD and Autoimmune Thyroid disease and could have a healthy pregnancy at 40 without IVF. Being an Integrative Gynaecologist, I have helped hundreds of ladies prepare their bodies for successful IVFs, not to mention they all conceive in first cycle of IVF.Many a times IVF is not even required and pregnancy happens Naturally in the old fashioned way. Preparing your body for IVF not only makes sure that you conceive in first shot, but also prevents problem s like miscarriage s and ectopic pregnancy which is a nightmare for every lady with a successful IVF.My below tips will help you if you are looking to Improve your chances of conception with or without IVF. It will also give you a better picture if you are having second thoughts before going for IVF. If you are planning on conceiving one day, you must also be prepared that it may not happen as easily as you would hope for it to be. However, there’s IVF – which is popularly known to rescue many women’s conception-related worries! Celebrities do IVF, sounds glamorous right?Thanks to advancements in the reproductive technology space, you have a back up option in case you fail to conceive naturally. While you may be hoping to get pregnant the old fashioned way, technology is there to support you in case required. However, please do note that IVF isn’t always a guarantee. The per-cycle success rate is only 20 to 35 percent — and that’s despite the enormous cost of the procedure. Now we have concerns about the long term exposure of so much synthetic hormones on women’s overall health and well being.  Then there’s the toll that the IVF drugs, like Clomid, take on your health. This drug works like the Pill, but in reverse (forcing ovulation instead of suppressing it). And it can bring about a raft of deeply unpleasant short-term symptoms (diarrhea, vomiting, abnormal bleeding, headache, bloating, weight gain, breast tenderness and blurred vision) and long-term consequences (potential for increased risk of certain cancers). In other words, Clomid can be a valuable tool in helping you conceive, but it can send your body into a state of hormonal cascade that lasts for months or years—whether or not you get pregnant. One thing I know is this; the fertility journey can be tough for some of us. Extremely tough. That’s why I write here – to educate and help others make well-informed decisions. I’ve wanted to touch on the physical and emotional strain of IVF for a long while. My main motivation for it is this – to help couples understand IVF isn’t necessarily the easy route (although for some, the only route, granted). In fact, it is far from simple and straightforward as you are about to see. It makes for a very straining, painful and disconnected time. I want you to remember, IVF isn’t always a last resort either – I also see people with failed IVFs who are told they will never have children, fall pregnant all the time. They end up conceiving naturally after going through my protocols. Believe me, it happens. If you are considering IVF as the “easy alternative,” check your resume to see if you have these skills: self-injection experience, high pain tolerance, the ability to control hormonal upheaval, supportive partner willing to be trained as a needle aficionado, willing to give up the social scene/the work scene/the family scene … you get the idea, a desire to have the bits and pieces between your knees and waistline on display for a gallery of doctors. If you have all of these attributes in place and finely tuned, you’re all set. That’s all you need. Best of luck! Oh, one other thing, it’s highly unnatural and very expensive. But don’t worry. If IVF is in your future, you can dramatically increase your chances of conceiving with a few simple lifestyle interventions. Here’s what you need to know. How to Improve Egg Quality: Eat foods that support healthy hormone balance *Increase dietary antioxidants *Reduce environmental toxins *Focus on stress reduction practices *Consider supplements to support diet and lifestyle practices Foods to Balance Hormones and Improve Fertility: Why would you want to balance hormones before becoming pregnant? Well Hormone imbalance may be one of the reason why you need IVF in the first place . Low progesterone, high testosterone, low thyroid hormone, and insulin resistance are a few examples of imbalances that can make it more difficult to get pregnant and impact ovulation. For you to strike a balance between how your hormones function and how that can impact fertility, make sure you focus on the below as a part of your diet: *Healthy hormone building fats *Nutrient dense vegetables *Antioxidant loaded fruits *Microbiome loving ferments *Blood sugar balancing proteins Best Foods to Improve Egg Quality: Many women are often surprised to hear that some of the most ideal foods for women wishing to conceive – are eggs, organic ghee, wild caught cold water fish and avocado. Fats are how you build your hormones and without them, your body will have a difficult time creating the hormones you need. Hormones are stabilised in the fat matrix. The importance of healthy fats cannot be understated! Of course you should also have a healthy liver to metabolize all that fat which we ensure in our protocols. For one thing, we need fats, especially cholesterol to make the hormones. Your fertility and pregnancy require a particular balance of hormones and fats supply the body with the building blocks required for hormones.However, the quality of fats is important. Healthy fats have an immeasurable impact on fertilisation. Foods I recommend my patients, to increase fertility: Organic eggs Leafy green vegetables Nuts and seeds Organic, grass-fed meats fermented foods, homemade pickles, fermented veggies, kimchi Wild caught, cold water fish Organic berries Avocados Ghee, cold pressed olive oil, coconut oil and other health fats Improve Egg Quality Support the Mitochondria: When I am working with a woman on improving egg quality my treatments are heavily focused on supporting the mitochondria. Why support the mitochondria? Mitochondria are the only source of energy for the egg and the important factor to note is mitochondrial function is heavily dependant on age factor. As women age, their mitochondrial function diminishes and can greatly affect egg quality. One of the main roles of mitochondria is the production of ATP, which is the main source of energy for all of our cells. It also controls intracellular pH, which improves fertilisation of the egg. And it is responsible for spindle formation.  I won’t go into too much biology, but briefly, spindles are responsible for helping equally divide chromosomes in a parent cell. This is very important, as it is the main reason doctors are so worried about Down’s syndrome and other chromosomal disorders that can occur in the offspring of women over 35. If chromosomes don’t separate correctly, these genetic disorders could be the result.  Older women have less mitochondria per egg so it is more difficult to do all the tasks required of it, including proper chromosomal separation Some of the most important nutrients for mitochondrial health are.. B vitamins Fish oil and other health fats L-Carnitine CoQ10 N-Acetyl Cysteine (NAC) Magnesium Alpha Lipoic Acid Preconception care, including diet, lifestyle and supplement changes should be started at minimum 6 months before trying to conceive, but again 1-2 years is much more ideal. Reduce Toxin Exposure In addition to taking supplements that improve mitochondrial function women and men should do their best to reduce exposure to mitochondrial toxins. Here are some of the mitochondrial toxins Tobacco Alcohol Stress hormones like cortisol Pain relief and anti-inflammatories drugs Certain prescriptions such as metformin Cholesterol lowering medications Anti-anxiety medication Antibiotics While all that is said, here’s the solution or a way forward towards a way to improve the egg quality in 90 days! Your egg takes 3 months to mature, which means it will take at least 90 days of a focused preconceptional protocol in order for you to make significant changes in your egg quality. I  believe in creating a custom lifestyle, nutrition and supplementation plan for each of my patients based on their body’s needs and metabolic typing. But universally, women need more antioxidant support, specific B vitamins, and many of my patients have required digestive and detoxification support prior to pregnancy – hence it differs from patient to patient. As part of this protocol we ensure every woman is taking a quality prenatal vitamin. Steps You Can Take Today: Here are the 3 steps I have every patient take to improve their fertility and egg quality: 1.A daily dose of good quality prenatal vitamin 2.Whole foods diet with an emphasis on loading veggies, healthy fats, and protein. 3.5 to 15 minutes of daily meditation + journaling every night Using food based medicine, along with targeted nutritional supplementation and lifestyle medicine, I’ve helped many couples succeed in becoming pregnant and creating an amazing pregnancy experience with my integrative approach. Always remember, your body knows the very best for you. If you are struggling to conceive, it’s a sign that your body is not ready for it. You can change that by doing the basic preparation as mentioned above. Once you start understanding the language of your hormones,  you can start making better choices that finally start to work for you. I strongly believe that fertlity is your birthright and you should be able to choose if and  when and how you want to have a baby. Sending you my best wishes and love on your fertlity journey….. Dr.Disha
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Hello, You should better visit a gynecologist and she will suggest you all the necessary tests before planning to conceive. You can also take folic acid tablets. Wish you a healthy pregnancy ahead!
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Start folic acid tablet daily once. Do ultrasound pelvis. CBC Thyroid function test and blood sugar level. Do Husband's semen analysis with 3 to 6 days of abstinence. If you have 24 days cycle then follow alternate days intercourse from 8 to 16 th day as ovulation occurs 14 days prior to next period.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.