corticoids (cortisol) may antagonize (work against) egg maturation when present at elevated levels.


Giving yourself a preconception time period can help to lower negative stressors in your life that may be contributing to high levels of cortisol. These high levels of cor- tisol can interfere with fertility health and mental wellbeing. A preconception period allows time to get priorities in order before a baby is on the way, change unhealthy habits, set boundaries to achieve a more re- laxed mind-set, improve sleep, and greatly improve the chances of conceiving. The take away point is to boost fertility prior to trying to become pregnant.


What if You Have Been TTC for Longer Than One Year?


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First, you should consider what type of treatments you are open to exploring on your journey to parenthood. When deciding what treatment options are right for your family, consider the following. Ac- cording to the Center of Disease Control, infertility can be treated with “medicine, surgery, intrauterine insemination, or assist- ed reproductive technology.” In my opin- ion, these treatment options seem limited in scope and do not address the underlying cause of infertility. Yes, some patients need advanced treatment options and through a fertility assessment these couples can be identifi ed and referred accordingly. For other patients, giving a 3-month precon- ception healthcare period where TTC is put on hold, can greatly benefi t overall fertility and well-being for many couples.


First Line Therapy for Fertility Struggles Should Always Include:


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Body weight management. Women with obesity have a 2-fold increased time to conception, while underweight women have a 4-fold increased time to conception. The Center for Disease Control has noted, “energy-rich, nutrient-poor foods comprise an estimated 27% of daily caloric intake in the American diet. Many Americans are exceeding energy (caloric) needs but not meeting micronutrient (vitamins and nutri- tionally essential minerals) requirements,” which can ultimately effect Americans’ overall health and well-being, including fertility health.


Alcohol reduction or complete avoid-


ance. For women, consumption of more than 2 drinks/day had 60% relative risk to infertility. The CDC also noted that alco- hol constitutes an additional 4% of daily caloric intake in the American diet.


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