tips for increasing IVF success rates

Read any article on “tips for increasing fertility” and you’re bound to see something about the importance of lifestyle – typically diet and exercise. A wide range of studies show a correlation between women with healthy weights and increased IVF success rates.

Exercise and IVF, however, is a trickier business. Too much exercise – particularly cardiovascular activity – seems to have an effect on reproductive hormone production, and that affects your ability to conceive.

Another challenge in determining “how much is too much” is that “exercise” for one woman is very different from exercise for another. The frequent low-impact walker exercises, as does the regular triathlete, as does the lifelong equestrian rider or rock climber. However, the intensity levels and risks associated with these various exercises is very different, and some are more conducive to a successful IVF cycle and a healthy pregnancy than others.

Take it Easy and Other Exercise Tips for IVF Success

After reviewing studies regarding exercise, pregnancy and IVF success, we’ve found these 6 tips will help you achieve the healthy pregnancy and live birth you so anxiously desire.

1. Take it easy. That’s the most important and more general advice we can give to women who are pursuing IVF. We realize that taking it easy is a major challenge for women who are used to vigorous exercise. However, the more studies you review, the more you will see a correlation between increased physical activity and decreased rates of conception. If you are a regular runner, biker, marathon runner or participate in workout regimens designed for moderate/advanced athletes, your doctor is probably going to tell you to take it easy while pursuing your fertility treatments.

2. Four hours or less. What does “take it easy mean?” Well, good question. A study, published in Obstetrics and Gynecology, reviewed IVF results for more than 2200 women over a nine year period. Their conclusion was, “Women who reported exercising 4 hours or more per week for 1-9 years were 40% less likely to have a live birth and were almost three times more likely to experience cycle cancellation and twice as likely to have an implantation failure or pregnancy loss than women who did not report exercise.” These findings may inspire you to pare your routine down a bit during the months preceding, during and after your IVF cycle to give you and your baby the best chance for success. Keep your cardio workouts to no more than 4 hours per week and fill in the gaps with lower-intensity options that still increase strength and flexibility, like yoga, water exercise, or tai chi.
3. Ditch high-impact anything. If your exercise of choice is high-impact, it’s time to put it on the backburner for a while. Any serious falls, injuries or impact to the abdominal wall can seriously compromise your reproductive health, especially if there is a freshly implanted baby in there, or if you are prone to miscarriages.
4. Prepare for “no exercise” during the week of egg retrieval. This isn’t because you shouldn’t (although you will want to take it easy), but more because you probably won’t feel like it. The fertility medications you’ll take, combined with some of their potential physical side effects – like bloating, fatigue and mild discomfort – will make you feel more like lying down and taking a nap than going outside to run a few miles. This is A-OK, and we always recommend you listen to your body and not push anything. You are embarking on a very intricate and delicate process, so you don’t want to do anything that could compromise it.
5. Start finding other modes of stress release. For many women, regular exercise is as much about the stress relief and endorphin rush as it is about weight loss or overall health. If this is the case for you, start learning new ways to reduce or eliminate stress. What are some of the things you’ve always wanted to try but haven’t? Yoga, meditation, more outdoor time, a hobby or craft class, all those books you’ve meant to read but haven’t had time to? Now is the time to start fostering a relationship with other modes of stress release and “escape” so you won’t be so shell-shocked when you have to back off from exercising.
6. Take the long view. Perhaps one of the best pieces of advice for any situation in life is to “take the long view.” Your months, or even a couple years, of lower-impact exercise may seem like forever to you, but they’re really not. You are making a tremendous commitment – mind, body, soul and wallet – to bring a baby into your life. The months you spend cutting back on excessive exercise now will be well worth the final results. Once you have your beautiful baby in your arms, you’ll enjoy nothing more than loading him or her up in your jogging stroller and getting back in shape. For now, just enjoy the miraculous process of transforming two single cells into a healthy, happy, miniature human being!

 

IVF and Exercise: 6 Tips for a Successful and Healthy Pregnancy

Tips to Improve Egg Quality

Here are 7 Tips to Improve Egg Quality and Boost Fertility

Women often ask if there is a natural or 'at home remedy' for boosting egg quality and improving fertility and the changes of pregnancy. Dr. Hirshfeld-Cytron explains what you can do to ensure that your eggs are the best that can be when preparing for conception.

1. Stay Away from Cigarettes.

Smoking permanently speeds up egg loss in the ovaries. The chemicals in cigarettes mutate the DNA in a woman's egg cells, making some of the eggs unsuitable for conception. Women are born with all the eggs they will ever have, and the number of eggs reduces with age, so it is best to keep eggs healthy and free of unnecessary chemicals.

2. Manage Stress.

Stress can produce hormones such as cortisol and prolactin that can interfere or halt ovulation, which also hinders egg production. Stress-reducing activities such as yoga, meditation, exercise or a warm bath can help keep stress and frustration at bay.

3. Eat Healthy.

Healthy foods improve overall health, this includes helping your eggs stay healthy and high quality, as well as improve overall fertility. Eat plenty of leafy greens, whole grains, lean meats, nuts, fresh vegetables, and fruits. Stay away from trans fats, refined carbs, processed foods or meats, and excessive salt and sugar.

4. Achieve a Normal BMI (body mass index).

Obesity has been linked to reduced fertility and decreased egg quality due to alterations of mitochondrial function and increased oxidative stress. Being overweight can also alter hormonal balance, disrupting ovulation. A body mass index (BMI) between 18.5-24.9 is recommended to achieve pregnancy. To give you an idea of what that looks like, a woman that is 5’6” falls within a normal BMI with a weight range of 115-154 lbs.

5. Boost Blood Flow.

Good egg health is aided by oxygen-rich blood flow to the ovaries. Blood flow in the body can quickly decrease from dehydration, so aim to drink 64 oz. of water each day. Yoga is a healthy and relaxing way to improve blood flow, with poses such as the lotus pose, child’s pose, reclining hero and seated forward bend offering a specific fertility benefit.

6. Invest in Supplements.

No need to break the bank on vitamins, but there are three low-cost options that can help with egg health: Coenzyme Q10, melatonin and fish oil. CoQ10 can boost mitochondrial function as well as antioxidants, improving the quality of eggs (200 mg, 3x daily); melatonin can boost antioxidants, encourage ovarian function and aid in sleep (3mg each evening); and fish oil (EPA/DHA) can help produce higher quality eggs and help reproductive function in advanced maternal age (1200-1500mg EPA + DHA daily, do not exceed 3000 mg/day).

7. Freeze Your Eggs.

If you are planning on delaying motherhood, the best way to protect your fertility future is to stop your biological clock and freeze your eggs. With time, a woman’s natural fertility declines, but frozen eggs remain the same biological age as when they are cryopreserved, boosting your chances of future success.

How does the egg donation process work?

Egg donation is a process in which a fertile woman donates an egg, or oocyte, to another woman to help her conceive. It is a part of assisted reproductive technology, or ART.

The procedure typically involves a doctor removing an egg or eggs from the donor, fertilizing them in a laboratory, and then transferring the resulting embryos into the recipient’s uterus. Doctors do this using an implantation procedure, such as in vitro fertilization (IVF).

Sometimes, specialists at the facility may freeze some or all of the embryos for later use or implantation in different women.

Egg donation frequently benefits women who cannot use their own eggs for various reasons, including ovarian failure, avoiding congenital anomalies in the fetus, or advanced age.

One 2014 entry in the journal Fertility and Sterility suggested that 93 percentTrusted Source of all fertility centers in the United States offer egg donation. The same study indicates that the procedure results in a successful birth 49.4–50 percent of the time.

In this article, we look at the criteria for selecting donors, the procedure itself, and legal ramifications following an egg donation.

 

 

The clinic will conduct a thorough selection process for potential donors.

Specialists at the fertility facility will conduct an intensive selection process to find a suitable donor and will carefully run through the legal procedures.

Before starting the procedure, most donors will need to take medication that stops their normal menstrual cycle.

Side effects of this medication might include:

• hot flashes
• headache
• fatigue
• body aches

The donor will then take a series of fertility drugs that stimulate the ovaries to produce several eggs at once. This is known as hyperstimulation. Donors will need to self-administer this medication by injecting it under their skin or into a muscle.

Some women may experience mild side effects, such as bruising at the injection site, mood swings, and tender breasts. In rare cases, a woman may develop severe ovarian hyperstimulation syndrome (OHSS). This occurs when too many eggs develop in the ovaries. Women who develop OHSS may require hospitalization.

Donors do have a risk of pregnancy before the eggs are retrieved, so it is a good idea to avoid intercourse or use a barrier contraceptive, such as a condom.

Throughout the donation cycle, a donor will undergo frequent blood tests and ultrasound examinations to monitor their reactions to the medications.

 

During extraction

Shortly before the retrieval of the eggs, the donor will receive a final injection in preparation for the procedure.

The doctor will perform a transvaginal ovarian aspiration to remove the eggs from the donor’s ovaries. They will insert an ultrasound probe into the vagina and use a needle to remove the egg from each follicle.

During the procedure, which lasts around 30 minutes, the doctor might give the donor painkillers, sedatives, or an anesthetic.

As this is a minor procedure, a donor will not need to stay at the clinic or hospital overnight.

After donation

Some women find they need several days of rest to recover from the transvaginal ovarian aspiration. Others return to normal activities the next day.

Some programs provide aftercare to donors, but others do not. As the egg donation process can have a psychological impact, some women may find it useful to work with a counselor or psychotherapist after the procedure.

 

How does the egg donation process work?