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Losing weight before conception

Weight loss before baby: Princeton IVF blog
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This time of year is a time when many couples who are having trouble conceiving decide it’s time to start seeking help. That help could come from the OBGYN, a midwife or a fertility specialist. It’s also a time in the year, after indulging during the holidays, when many of us have a few extra pounds to shed.

For those who are overweight, part of that advice will be to lose weight before conception.

While this may not be easy, there are multiple reasons why weight loss before pregnancy is good advice.

  • Being overweight will reduce the chances of you getting pregnant on your own

  • Being overweight will increase the chances that if you do get pregnant, you will miscarry

  • Being overweight will increase the chances of medical complications during pregnancy such as diabetes and high blood pressure.

  • While diet and exercise during pregnancy can help limit weight gain during pregnancy, it is not likely to reduce the likelihood of pregnancy-related complications such as diabetes and hypertension.

Delaying pregnancy and excess weight are both bad for fertility, so delaying pregnancy for weight loss is balancing two risks.

At what point do the risks of delaying pregnancy offset the benefits of weight loss?

  • According to a recent study presented at the American Society for Reproductive Medicine, women in their late 30’s or those have poor ovarian reserve may be best off not delaying childbearing despite the obvious benefits.

Pain medicine and miscarriage

NSAIDS and miscarriage risk: Princeton IVF blog

Opioid pain medications are making all the headlines, but are over the counter pain medications really safe?


New research suggests that taking over the counter pain meds could increase the risk of miscarriage.

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California researchers tried to determine whether using over the counter pain medications such as acetominophen (Tylenol) and non steroidal anti-inflammatories ( such as ibuprofen, Motrin or Advil) might affect the risk of miscarriage. They studied almost 1100 pregnant women, comparing those women who took no pain medications to those who took acetaminophen, those who took non-steroidal and those who took both.

What they found was interesting…

  • Women who took tylenol or NSAIDs such as ibuprofen were more likely to miscarry that those who did not

  • Taking this medications around ovulation appeared to be the riskiest

  • Women who used these drugs for longer periods of time were at the greatest risk

  • Thin women were more at risk than overweight women

So, what does this all mean…

  • It does not mean that over the counter pain medications actually cause miscarriages, just that women who take them for whatever reason are more likely to miscarry.

  • It is a good idea to avoid Tylenol, Motrin, Alleve and other over the counter pain medications around the time of ovulation is you are trying to have a baby