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Fertility Planning – not live

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Pre-Prenatal Phase

The Best Prenatal Care Begins long before you see the plus sign on that pregnancy test. Start with a Fertility Planning consultation with your Viva Eve doctor.

 

When would you ideally like to have kids? How many kids would you like? Developing a plan for creating a family is a great first step to becoming a parent.

 

Whether you are thinking of getting pregnant soon, have been trying for a year (or for six months, if you’re age 35 or older), or even if you don’t intend to get pregnant anytime soon, it is important to schedule a fertility planning consultation with your doctor.

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What Happens During Your Fertility Planning Consultation?

Fertility planning is one of the most important things you will do, whether you are a part of a couple or single. Developing a plan for pregnancy is always a great step toward becoming a healthy mom and having a healthy baby. It is an especially good idea for women who are planning a first pregnancy and for women who have ongoing medical issues.

 

If you have a partner, it would be helpful for both of you to meet with your doctor for a fertility planning discussion. Your doctor may want to know more about your partner’s health and your partner may have questions for your doctor. We can always set up a video conference if your partner can’t be there in person.

If You Are Ready To Get Pregnant In the Coming Year

Discontinuing Your Birth Control

Most birth control methods allow you to try to get pregnant quickly after discontinuing, but others require more time.

Your doctor will instruct you on the best way to discontinue your birth control and will let you know how much time you need to wait before trying to get pregnant, whether you use a pill or any other method (like a Depo Provera shot). Patients with IUDs or implants will need to make an appointment to have them removed.

Making Lifestyle Changes

We advise our patients to start making lifestyle changes long before they are planning to conceive. Things that might come up during our conversation:

  • Your optimal weight and the results of any blood and urine tests.
  • Your medical history and any gynecologic conditions that might affect your fertility or pregnancy, such as irregular periods, polycystic ovarian syndrome (PCOS), uterine fibroids, cysts, benign tumors, endometriosis, or pelvic inflammatory disease (PID). It is important to make sure that these conditions are optimally managed or treated before you get pregnant.
  • The medications you are taking. Some of them you might need to stop taking before trying to conceive, while others you can continue to take until you actually get pregnant. Your doctor might also recommend switching to a different medication for the period of time before and during your pregnancy.
  • Your vaccination record.
  • Your mental health. Depression, anxiety disorders, or any other mental health issues, including eating disorders, can interfere with conception and increase your risk of mood disorders during pregnancy and postpartum. If you normally see a therapist (or think you need to see one), your Viva Eve Ob/Gyn might suggest an additional fertility planning mental health screening with a mental health professional.
  • Your diet, making sure you are getting enough nutrients, and the addition of prenatal vitamins containing folic acid.
  • Your exercise routine. Exercising before you get pregnant may help your body deal with all of the changes that you will go through during pregnancy and labor. If you are not currently exercising, your doctor might recommend you start with at least 30 minutes of brisk exercise up to 4 days per week, both before conceiving and throughout pregnancy.
  • Chemicals you use on your hair (that might include hair straighteners).
  • Alcohol/coffee consumption while trying to conceive.
  • The use of tobacco and other substances that, of course, need to be discontinued.
  • Your doctor might also suggest that you schedule a dental checkup before you start trying to get pregnant. Gum disease is associated with pregnancy complications and also tends to get worse during pregnancy, so now is the time to make sure your mouth is healthy. Do your best to schedule any dental procedures, like crowns, fillings, gum surgery now, so you won’t have to deal with it while being pregnant.

Genetic Screening and Pregestational Testing

If you so choose, you can ask your doctor for a type of test called a genetic carrier screening. This test can be done before you conceive and can tell you if you and your partner are at risk of passing along certain genetic diseases to your children — sometimes even ones that you may not have yourself.

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Ask Us About All Your Options

What if You are Not Ready To Get Pregnant?

You are not ready to start a family now but you are certain that you would like to have children in the future?

 

That is another very important topic you should discuss with your Viva Eve doctor.

 

More and more couples or singles are waiting to start families until they are in their mid-to-late thirties or early forties. If you are concerned about your future fertility options, talk to your Viva Eve doctor about them now. Fertility does decline as you get older, but it does not necessarily mean that you will have difficulty conceiving.

 

Your Viva Eve Ob/Gyn will be happy to discuss with you if egg freezing would be an option in your specific situation and refer you to an excellent practice that specializes in this service.

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What Else Should I Bring to My Fertility Planning Appointment?

It is very important to make a list of all your concerns, symptoms, and questions before your appointment and to bring any information that can help your doctor make a recommendation.

  • If you have irregular period, bring a list of dates of your last six periods to show to your doctor. An irregular cycle once in a while is not considered unusual, but consistently irregular cycles will often require evaluation and testing.
  • If you have been keeping a fertility calendar, please make sure to bring the information from your last six cycles.

It could be helpful to have a list of your concerns and questions in front of you as a prompt so that you and your partner can remember what else you want to ask.

What If You Are Having Difficulty Getting Pregnant?

It is a Viva Eve doctor’s job to advocate and care for your health and your future fertility.

If you are over 35 and have been trying to conceive for at least six months, if you are 40 years old or older, or if you have a condition known to cause infertility, your Viva Eve doctor will most likely recommend some additional testing and evaluation that can be done at our office.

It may include:

  • A basic gynecologic exam and a Pap test
  • Sexually transmitted disease testing (some STDs can cause infertility)
  • Blood work, which may check for infection and hormone levels
  • Ultrasound of your reproductive organs will look for polycystic ovaries, larger ovarian cysts, fibroids, and, sometimes, to confirm that ovulation is taking place. The ultrasound will also let your doctor check the shape of the uterus and the thickness of the uterine lining.
  • Evaluation of endometrial cavity with Sonohystogram
  • Endometrial dating
  • Evaluation of fallopian tube blockage via Hysterosalpingoram (HSG) – Fluoro HSG or Femview® HSG
  • Genetic testing

We will be happy to discuss all your options. Our doctors will take your concerns seriously and, if needed, refer you to a practice specializing in advanced fertility testing and treatments. We have a long-term working relationship with the best infertility specialists in New York City.

Viva Eve doctors will help you make informed and educated decisions about fertility planning and we will listen to your concerns and answer any questions you might have. Together we will come up with a plan that works for you and your unique circumstances.

Symptoms To Be Aware Of

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