Question

Catherine decided to see a registered dietitian after watching a news story about the 2006 CDC Preconception Health Initiative (p. 66), including the recommendation that each person should make a reproductive life plan. Currently 29 years old, she has been on oral contraceptives for 10 years. She would like to have children someday, possibly in her mid-thirties, after she has established her career. Her height is 5’6” (1.68 m) and her weight is 175 lb. (79 kg). She considers herself fairly active, exercising for about 30 minutes three times per week. Due to being a busy professional, she admits to drinking close to 40 ounces of coffee most days and only occasionally drinks alcohol. Her personal health history includes iron-deficiency anemia at age 25, although she thinks this has resolved; her family history includes heart disease and type two diabetes; both of her parents are still living. No recent lab work is available.

Comment on the following questions and number your responses:

1. Should she change her method of contraception for nutrition or other health reasons?
2. Are there any risk factors for impaired fertility in her current health status?
3. What recommendations do you have to help her meet her long-term goal of having children someday?

Answer 1

Cathereine include changes in general health as well as in nutritional needs. In terms of nutrition, she need different amounts of some vitamins and minerals. The nutrient requirements is a topic of high clinical relevance and should, therefore, receive great attention. It has been shown that the key nutrient depletions concern folic acid, vitamins B2, B6, B12, vitamin C and E and the minerals magnesium, selenium and zinc.Catherine take oral contraeptive she not always have adequate diet, may have unhealthy life style or may suffer from pathologies of malabsorption, the possibility to prevent vitamin and mineral deficiencies by taking appropriate dietary supplements should be considered a first-line approach by clinicians.

Factors directly related to infertility included increasing age, a history of an ectopic pregnancy, current smoking, obesity, and self reported health status. Protective effects were associated with a history of condom use and having had a Pap smear in the last year. Routine well-women visits offer an excellent opportunity to begin to address the impact of selected risk factors for infertility. Clinicians can utilize these visits to target appropriate interventions for initiating, repeating, and reinforcing messages on fertility risk.

1.More sex will help you conceive
Frequent sex is the best way to conceive. This means having sex every 2 to 3 days throughout the month.1.11.You are most likely to get pregnant if you have sex around the time of ovulation. If your cycle is 28 days long, ovulation usually happens around 14 days before your next period. It can be difficult to know exactly when ovulation occurs, so the best advice is to have frequent sex.

2.Get a health check

3.Maintain a healthy weight

4.Stop smoking

5.Nourish your body

6.Try and keep your stress levels low

The recommendations have to help her meet her long-term goal of having children are