By Dr. Patsama Vichinsartvichai
MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG.
LIFE by Dr. Pat Clinic
A woman’s reproductive system prefers balance. Both underweight and overweight conditions can affect fertility. Body Mass Index (BMI) is an essential indicator, with the ideal range being 18.0-25.0 kg/m².
Overweight: Increases the risk of fertility issues, miscarriage, gestational diabetes, and complications during pregnancy.
Can cause ovulation issues, potentially leading to difficulties in conceiving. Addressing any eating disorders with professional help is essential.
Proper nutrition is often overlooked until pregnancy occurs. Focus on whole grains, Omega-3 fatty acids, lean protein (fish, chicken), and a variety of vegetables and fruits to improve reproductive health. Foods to avoid include those high in trans fats and processed meats.
Reduces egg quality and accelerates ovarian aging.
Unclear effect on fertility, but heavy drinking reduces AMH levels.
Conflicting studies, but moderation is advised.
Regular moderate exercise (150 minutes a week) increases fertility, but excessive exercise can lower chances of live birth by 50%.
Aim for at least 8 hours of sleep a night. Lack of sleep disrupts hormonal balance and immune function, impacting fertility.
Stress significantly impacts fertility. Techniques like mindfulness, meditation, or acupuncture can reduce stress and improve overall wellbeing. Keep a list of activities that make you feel happy and engage in them regularly.
Kermack A. What Lifestyle Adjustments Can Maximize the Chance of a Natural Conception and Healthy Pregnancy in Women over 40? In: Nikolaou DS, Seifer DB, eds. Optimizing the Management of Fertility in Women over 40. Cambridge University Press; 2022:27-38 doi.org/10.1017/9781009025270.
Hart RJ. Nutritional supplements and IVF: An evidence-based approach. Reproductive BioMedicine Online. 2024;48(3) doi:10.1016/j.rbmo.2023.103770.