How smart eating can help fertility and pregnancy.
When most of us think of fertility treatment, we
imagine sophisticated diagnostic testing, powerful medications, and high-tech
procedures. Choosing certain foods and drinks as a way to influence your
ability to become pregnant sounds more like folktale wisdom than medical
advice.
No wonder, then, that in a society blessed with many medical
advances, we sometimes overlook the natural tools we have to help us with our
fertility and pregnancy experiences. While your diet can influence your overall
health, if you make dietary changes and still having difficulty conceiving,
consider these top causes of
infertility in women.
Yet, science now is coming full circle to take another look at the role nutrition may play in improving fertility and supporting healthy pregnancies. While many women don't start getting serious about eating
healthfully until after they've become pregnant, there's increasing evidence that diet matters long before conception.Watch your weight
Unhealthy food intake—whether too much or too little—has been
recognized as a contributing factor to infertility for many years.
Too little or too much weight can make your reproductive
cycle irregular. That causes you to ovulate only now and then, or not at all.
"Your ovaries and your fat cells regulate estrogen,
which affects ovulation. If you're too thin, you may not be producing enough
estrogen, and if you're overweight or obese, you may be producing too
much," says Maria Biasucci-Vianna, MS, RD, CDN, a New Rochelle, NY,
dietitian who has counseled women with infertility problems in her private
practice.
The first order of business, Biasucci-Vianna says,
is to achieve and maintain a healthy weight to keep your reproductive cycle in
balance. She advises the women she sees to check their BMI (body mass index)
score. A BMI ranking of 19-24 indicates a healthy weight (athletes may have
higher scores due to muscle mass). Anything below or above that range should be
discussed with your health care provider.
Foods to improve ovulation
If weight isn't a problem, but you're experiencing
infertility, will changing your dietary habits help you eat your way to
motherhood?
Recently, researchers from the Harvard School of Public
Health published findings from a study of more than 18,000 women who were
followed over eight years to see if their diets influenced their ability to
become pregnant.
The study found that women who ate foods containing higher
amounts of trans fats, animal proteins and carbohydrates, among other dietary
factors, were more likely to have an ovulatory disorder. Ovulation problems
cause infertility in about 20 percent of women seeking help in becoming
pregnant. The researchers concluded that a majority of such cases "may be
preventable" by adjusting diet and lifestyle.
Those
findings apply only to women with ovulation problems and not to all infertile
women. Yet, key study findings could give many women new avenues to explore,
including:
·
Switch
protein sources: Replace some of the beef, pork or
chicken you eat (animal protein) with vegetable protein sources, such as cooked
dried beans and nuts. When five percent of total calories eaten come from
vegetable protein instead of animal, the risk of ovulatory infertility drops by
more than 50 percent.
·
Add some
high-fat dairy: Call it the Chunky Monkey
Effect. The more low-fat dairy products you eat, the greater your risk of
ovulatory infertility. Yes, you read that right—although the study's authors
caution against using this to justify late-night freezer raids for a pint of
premium ice cream. Instead, try replacing one low-fat dairy serving per day
with one high-fat serving, such as a glass of whole milk.
·
Don't
forget your vitamins: Women in the study who
regularly took iron supplements and multivitamins containing folic acid had
less ovulation-related infertility.
·
Building a
healthy baby nest
·
Let's face it: Everyone knows women
whose food choices are awful, but who have no problem getting pregnant.
Likewise, there are plenty of women eating healthy meals consistently, yet
struggling with infertility.
·
"It's not clear how what we eat
can determine how easily we will get pregnant," says Melinda Johnson, MS,
RD, spokesperson for the American Dietetic Association and a dietitian with a
private practice in Chandler, AZ. Despite that, Johnson adds, "It makes
sense to eat a healthy diet while you are trying to get pregnant. It may
increase your odds of getting pregnant, but, beyond that, it nourishes your
body so that it is at its healthiest the moment that you do get pregnant."
·
If you're trying to become a mom,
Johnson advises focusing on the following foods to help your body function at
its peak right now. That will improve your fertility environment as well as
create the best nutritional foundation for fetal growth and development:
Eat more |
To gain |
Whole grains |
B vitamins, vitamin E, fiber |
Fruits, vegetables |
Vitamin C, antioxidants |
Lean meats, beans |
Protein, zinc, iron |
Low-fat dairy |
Protein, calcium |
DHA/Omega-3 (salmon, canned light
[not albacore] tuna, some egg brands) |
Benefits baby's brain and nervous
system development; reduces risk of premature birth |
Multivitamin with 400 mcg of folic
acid |
Reduces risk of spinal cord and
brain defects, especially in weeks before conception and first trimester of
pregnancy |
More
tips
·
Consume
choline: You may never have heard of
it, but choline is a nutrient with the potential to reduce harmful gene effects
that may result in birth defects. It also is important for brain function,
among other benefits. Most women don't get enough choline; many prenatal
vitamins don't even contain it. Egg yolks are rich in choline; only beef liver
contains more. Cauliflower, the highest choline-containing veggie, has 25
percent of the choline found in one egg yolk.
Watch
your herbal teas and supplements: "You
really have to be careful of having too many botanicals in your diet,"
cautions Biasucci-Vianna. Some herbs—including licorice, sassafras, ginseng,
St. John's wort and ephedra—should be avoided while in fertility treatment or
pregnant.
It
takes two (usually) to tango: Fertility
problems may be due to the male partner's weight or diet. Johnson says that
vitamins C and E, zinc and folic acid help improve sperm health. Sperm motility
can also be damaged by smoking, drinking alcohol (including beer) and
recreational drug use.
Fish
carefully: Don't eat sushi or any raw
fish. Avoid fish that have high mercury content due to their
environment—including swordfish, tilefish, king mackerel and shark.
Stay
fluid: When you don't drink enough
water, your cervical fluid (the stuff that helps the sperm find the target egg)
becomes sluggish, Johnson points out. The same goes for a man's ejaculate
fluid. Drink enough water so that your urine is a light yellow color.
Cut
caffeine: High caffeine intake
interferes with conception. You may want to consider eliminating it from your
diet altogether by avoiding caffeinated coffee, tea and soft drinks (decaf is
fine). Once you're pregnant, caffeine also crosses the placenta and can affect
the fetus and even cause miscarriage. Stick to no more than two five-ounce cups
of regular coffee a day, advises Biasucci-Vianna.
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