Global Health Asia-Pacific March 2020 | Page 10

SPONSORED FEATURE Top tips to get pregnant after 35 H ave you and your partner been trying to conceive for what seems like ages with no luck? Well, you’re not alone. Infertility is a common problem, especially in high-income societies where people tend to delay conceiving until they’re in their 30s. For some, it can have a crippling psychological impact. There are several important factors to consider if you want to increase the chances of having a baby, in particular if you’re 35 or older, said Dr Lim Min Yu, an obstetrician and gynaecologist (O&G) at Gleneagles Hospital in Singapore, His specialisation is in fertility medicine, and his main area of research is in developing methods of embryo selection to improve IVF success rates. Dr Lim Min Yu is an obstetrician & gynaecologist at Gleneagles Hospital, Singapore. 8 MARCH 2020 Ticking biological clock Did you know that fertility in both men and women declines with age? A woman is born with all the eggs she will ever have and, as she gets older, the number and quality of her eggs decline. Dr Lim explained that a woman’s fertility starts to decline considerably after 35. Beyond 40, the chances diminish further. When she starts to go through menopause around 50 years of age, her chances of becoming pregnant naturally are almost zero. In summary, a woman’s age is the most important factor when it comes to her chances of conceiving. Though men continue to produce new sperm throughout their lives, it’s important to note that infertility may stem from the male reproductive system too. Indeed, both sperm count and quality decline with age and, according to the World Health Organization, general semen quality has been getting poorer globally over the years. As an example, healthcare institutions in Singapore saw an exponential increase in the number of men seeking fertility treatments over the past few years. On average, the female factor is found in one-third of cases of infertility, the male factor in one-third, and a combination of male and female factors in the remaining one-third. Overall health matters Couples should optimise their general health when they’re trying to conceive. Not only can this improve chances of becoming pregnant, but also lower the risk of developing complications. For starters, eating sensibly and having regular exercise are strongly recommended. Other factors that can affect your chances of having a baby include: • Caffeine intake – Caffeine is one of the most popular methods of combating fatigue. However, women who consume caffeine in excess (i.e. around five cups a day) may take longer to get pregnant. In one study, those who consume the most caffeine had a 45 percent risk of waiting more than nine months before becoming pregnant. • Alcohol consumption – Alcohol poses a risk for women who are trying to get pregnant as it decreases conception rates and increases the risk of miscarriage. While there’s no known ‘safe dosage’, you might want to think twice before taking that second or third glass of wine if you’re trying to conceive. It’s also been shown to cause male infertility as well. • Smoking – Smoking has been proven to lower men’s sperm counts and increase the likelihood of a premature birth or miscarriage for women. Scientists have also found that women who are constantly exposed to second-hand smoke, either as adults or children, are more likely to have issues with fertility or suffer a miscarriage. • Stress – Stress on both men and women can affect their chances of conceiving. When women are highly GlobalHealthAndTravel.com