Pre-Conception Health Planning: Optimize Your Fertility and the Health of Your Baby
Are you thinking about starting or growing your family in the future? Perhaps you wonder if you are doing everything you can to enhance your fertility and increase the chances of a healthy pregnancy and baby. Even if you have never considered the health of your eggs or sperm don’t feel bad. Many times we only consider our health when we don’t feel good or things aren’t working. This is especially true around fertility but there are so many things you can do to prevent problems in pregnancy, optimize the health of your future children, and increase the likelihood of getting pregnant by following a pre-conception health plan.
Preconception health is the health of men and women prior to conceiving so a pre-conception health plan is a protocol to improve health with the goal of healthy eggs/sperm, a healthy pregnancy and healthy baby.
Pop Quiz Time! Who should be following a pre-conception health plan?
- Women over 35 trying to conceive
- All Women trying to conceive
- All Men trying to conceive
- Men/Women who have been diagnosed with unexplained infertility or suboptimal fertility
- Women/Couples undergoing fertility treatments including IVF and IUI
- ALL of the above
The answer is F—all of the above. Are you surprised? If you chose answer “A” you aren’t alone. Many people think only women over age 35 trying to conceive should follow a pre-conception health plan. While age is one factor relating to egg health and fertility, it is certainly not the only factor and all women will benefit from improved fertility as well as healthy pregnancies and babies. Perhaps you knew this and chose answer B—which leads me to my next point.
Yes, all women should be following pre-conception health plans, but what about the men? Men are often forgotten about when it comes to fertility but ALL men trying to conceive should be following a pre-conception health protocol. The lack of knowledge and interest about all the ways men can improve the health of their sperm is absurd because sperm make up 50% of the equation and provide half of the genetics of the baby. Pre-conception health plans specific to sperm health can mean getting pregnant more easily and with fewer complications. Healthy sperm = healthy baby.
Perhaps you assumed that a preconception health plan would be too simple or basic to help men and women with unexplained infertility or suboptimal fertility but that couldn’t be farther from the truth. A pre-conception health plan that addresses the root cause could solve the unexplained infertility cases that make up 1/3 of the total cases of infertility. Comprehensive pre-conception plans that address healthy weight, toxicant exposure, adrenal hormone dysfunction, hormonal imbalance, endometriosis, autoimmunity, inflammation, nutrient deficiencies, nutrigenomics, and egg/sperm health at a cellular or even DNA level can often solve unexplained and suboptimal fertility issues.
In my experience, these items may not show up on conventional screening labs or perhaps are not addressed due to lack of familiarity by other health care providers. For example, there was research published in the journal Reproductive BioMedicine Online which showed 80% of the “unexplained fertility” cases in the study involved sperm DNA damage. (This won’t show up on a basic semen analysis so it would be missed.) A pre-conception health plan which addressed the health of the sperm at a DNA level by improving antioxidant status could be extremely beneficial in these situations and treat the underlying issue without resorting to more expensive and invasive treatments.
Another area which is often overlooked is the importance of incorporating a pre-conception health plan as part of fertility treatments such as Intrauterine Insemination (IUI) and In Vitro Insemination (IVF). Preparing for pregnancy and optimizing the health of the egg and sperm utilized in the fertility treatments leads more successful pregnancies. You just need to make sure you are woking with someone who is knowledgeable about combining natural and conventional therapies so you are enhancing and not interfering with fertility treatments. Integrative fertility treatment (combining conventional and natural therapies) is quickly growing in popularity because of better outcomes and there is a growing body of research published in peer-reviewed medical journals showing the efficacy of many botanical, hormone, nutrient therapies and lifestyle changes used alone and in conjunction with conventional fertility treatments. I am always happy to share these studies during appointments upon request.
Now that you know how important it is for all men and women trying to conceive to follow a pre-conception health plan, you may be wondering how far in advance you should schedule an appointment to create an individualized pre-conception health plan. This will depend on individual factors but the MINIMUM amount of time is 3 months. This is based on the amount of time it takes for the egg and sperm to complete a cycle. (It takes about 74 days for the sperm to complete a cycle and about 90 days for the egg.) It is pretty amazing that you can create healthier sperm and eggs in only 3 months. If you have known health issues or if health issues are diagnosed with basic screening tests it can take longer than 3 months so it is never too soon to schedule an appointment to create a pre-conception health plan.
Because the pre-conception health protocol is individualized to each person after considering health history, lab workup, age, lifestyle, fertility history, and goals, it is beyond the scope of this article to go into detailed treatment plans. Scheduling an appointment with Dr. Hulsing or another Naturopathic Doctor who specializes in fertility is the next step if you are interested in getting personalized and detailed recommendations to optimize fertility and achieve your goal of a healthy pregnancy and baby.
What can you expect from a pre-conception health appointment with Dr. Hulsing?
- A warm, welcoming environment which does not discriminate on the basis of sexual orientation, gender identity, genetic information, sex, marital status, race, color, age, ethnicity, religion, or national origin. Everyone involved in the pre-conception planning is welcome to attend the appointment.
- Review of complete health history including current lifestyle, environmental factors and dietary choices. Review of all medications and supplements taken relating to fertility. Complete physical exam including well woman exam and pap (An additional appointment may be required for well woman exam/pap)
- Pertinent labs to identify health conditions which may affect fertility and pregnancy. Any labs ordered may incur fees in addition to the initial appointment.
- Discussion of how to increase the likelihood of getting pregnant with each cycle using natural fertility awareness methods such as temperature monitoring, cervical changes, best use of ovulation predictor kits
- Individualized treatment plan which may include evidence-based lifestyle, dietary, botanical, and nutrient therapies to optimize fertility
- Recommendations and referrals for stress management surrounding fertility issues as well as referral to other specialists if indicated by lab testing and health history. Local resources relating to fertility such as support groups, yoga classes, maya abdominal massage, in-house referrals for Chinese medicine and acupuncture, abdominal massage