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Our basic testing provides information needed to give a thorough evaluation and diagnosis, and to identify and eliminate any potential concerns. This, in turn, protects the health of the parents, pregnancy and baby.
As conscientious health care providers, we would like to ensure that every pregnancy has the very best chance for a positive outcome. For this reason, we find it important to recommend certain preconception testing and precautions. The information below is designed to help you understand the rationale for the basic testing in an infertility evaluation.
After careful review of your medical history and test results, we will meet with you to discuss your diagnosis, and work in partnership with you to determine the most appropriate procedure for achieving your goal of a healthy pregnancy.
Genetic Screening
Genetic screening may provide you with information regarding your risks of having a baby with a genetic abnormality. At Fertility Physicians of Northern California (FPNC) we recommend genetic screening for all patients who:
- Are over the age of 35
- Experiencing infertility
- Have a family history of genetic disorders
- Are undergoing assisted reproductive technology procedures
Although we routinely recommend genetic screening, it is not mandatory. If you should decide to have a genetic counseling session, please see the list below or notify our office and we can provide you with a list of geneticists you may contact for an appointment.
Genetic Screening Counselors:
Obstetrix Medical Group
900 E. Hamilton Ave, Ste. 220
Campbell, CA 95008
408-371-7111
The ARC Genetics Program™
1-888-990-2727 info@arcfertility.com
UCSF
Reproductive Genetics Unit
Room U-262
San Francisco, CA 94143
415-476-4080
Genzyme Genetics
1-800-848-4436
Peninsula Prenatal Diagnostics
1580 W. El Camino Real, Suite 1
Mountain View, CA 94040
650-964-1505
Genetic screening may be accomplished by participating in the ARC Genetics Program ª which is free of charge if an ARC package of services is purchased. The genetics screening may also be purchased separately for $85.00 by calling ARC. Please see the ARC Genetics Program brochure for details.
Smoking
Smoking has been proven to be a powerful vasoconstrictor which can impair blood flow across the placental/fetal unit. This frequently results in low birth weight. Smoking also changes cervical mucus in the female and reduces sperm count and motility in the male which may contribute to infertility. We advise that both partners discontinue smoking prior to attempting pregnancy.
Alcohol / Drugs
Mental retardation and cranial facial deformities characterize Fetal Alcohol Syndrome. It has been known to occur in infants where mothers drank moderately or lightly during their pregnancies. For this reason we advise abstaining from alcohol use during pregnancy and while you are trying to conceive. Evidence also suggests that men who consume alcoholic beverages may have reduced number of sperm.
Environmental Exposures
Living and working in a complex urban society may present certain risks of exposure to toxic substances. Research into the reproductive effects of exposure to pesticides, insecticides, radioactive materials and industrial solvents is just now being conducted. We recommend that both you and your partner minimize yourself to these exposures.
Another risk to be concerned about is toxoplasmosis. This is a parasite infection transmitted through cat feces. If you have a cat, avoid changing the litter box. Toxoplasmosis can also be caught by eating raw meat. Also wash hands, utensils and cutting board after handling raw meat.
It is impossible to be aware of all possible factors that may cause pregnancy or fetal complications. Nevertheless, common sense avoidance of known toxins and a healthy life-style represent a reasonable approach while attempting pregnancy and being pregnant.
Diet and Vitamin Supplementation
A healthy balanced diet composed of fresh foods, which are not processed or overcooked, is on of the best things you can do for yourself and your future offspring. Children who start life well nourished have a distinct advantage in their intellectual capacity and ability to fight diseases.
A multi-vitamin containing Folic Acid (0.4 Ð 4.0 mg) is a good adjunct to dietary nutrition. Vitamins should be started prior to attempting pregnancy. Clinical research suggests that folic acid taken prior to pregnancy (and early pregnancy) can reduce the risk of birth defects like Spinal Bifida, Neural Tubal Defects and Cleft Lip.
Caffeine
Some medical studies imply that caffeine use may possibly increase the rate of miscarriage. We advise reducing caffeine consumption to a minimum both while you are attempting pregnancy and during pregnancy.
Herbal Remedies
Since many of these remedies are unknown on the type of affect that they may have, we suggest that they not be used without consulting with your physician.
Exercise and Weight Management
For maximum fertility stay close to your ideal weight. If you're very overweight or underweight you can develop ovulation problems as well as have an increased risk of miscarriage. Exercise regularly - staying fit will help control your weight and will keep your body strong enough to carry a nine-month pregnancy with ease.
Mind and Body
The psychological distress of infertility can affect all aspects of life. Depression and anxiety for those diagnosed with infertility has been shown for some to be equal to patients diagnosed with cancer, HIV and heart disease. Along with emotional effects, infertility can also take a toll on your physical health. Research has shown that learning stress reduction techniques, and connecting the body and mind within a supportive group environment may increase your chances to conceive.
FPNC’s comprehensive Mind-Body Program complements advanced medical science with mind-body sessions, acupuncture, yoga, support groups and counseling. We encourage you to explore the options our Mind-Body Program offers and take advantage of them. Our Mind-Body providers are available to discuss with you what aspect of the program may best suit your needs.
For more information on Fertility Physicians’ mind-body resources and programs visit here.
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