Progress is possible ! Don’t give up!

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𝗣𝗿𝗼𝗴𝗿𝗲𝘀𝘀 𝗶𝘀 𝗽𝗼𝘀𝘀𝗶𝗯𝗹𝗲! 𝗗𝗼𝗻’𝘁 𝗴𝗶𝘃𝗲 𝘂𝗽!⁣ ⁣
Unhealthy diet is a major risk factor for diseases, including infertility. In the United States, poor diet is estimated to be the leading cause of death. I’ve reviewed how important your diet is when trying to conceive previously. Today, let’s review how we are doing in the United States with our diet (1999-2016). 
✅Decrease in percentage of energy intake from low-quality carbohydrates 👍
✅Increase in percentage of energy intake from high-quality carbohydrates👍
✅Increase in percentage of intake of plant protein⁣👍
✅Increase in percentage of intake of polyunsaturated fat⁣👍

BUT⁣

Despite improvements in macronutrient composition and diet quality, there is continued too high of intake of low-quality carbohydrates and saturated fats 👎

As a fertility specialist, to me this study shows #progress . Our diets are not great, but we are making progress. What we eat matters. And with slow and steady changes, we can all get healthier. In terms of fertility, a healthier diet means healthier egg and sperm, increased chance of success, decreased chance of complications in pregnancy, and healthier families for generations to come. ⁣

Is your diet making it harder to get pregnant?

𝐼𝓈 𝓎𝑜𝓊𝓇 𝒹𝒾𝑒𝓉 𝓂𝒶𝓀𝒾𝓃𝑔 𝒾𝓉 𝒽𝒶𝓇𝒹𝑒𝓇 𝓉𝑜 𝑔𝑒𝓉 𝓅𝓇𝑒𝑔𝓃𝒶𝓃𝓉?

A recent study looked at the impact of a processed modern diet on fertility. This study evaluated  areas of India that have recently adopted an urban diet with processed foods. They found that women who ate an urban diet were more likely to have problems with hormonal imbalances like what is found in polycystic ovarian syndrome (PCOS). Women who have PCOS are more likely to have difficulty conceiving. This suggests that as areas of India become more urbanized, infertility may become even more common. 

 

What you can do to optimize your fertility when trying to conceive:

✅Eat a whole foods plant-based diet

✅Avoid heavily processed foods like fast food

✅Cook your own meals whenever possible

✅Eat meat sparingly

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Social media & infertility

Social media and infertility. The future is here. 🙌

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I’m excited to be included as part of a landmark paper series spearheaded by @drkenanomurtagmd advocating for the use of social media in the field of reproductive endocrinology & infertility. 

 

I committed to embracing IG as part of my social media journey earlier this year in the midst of preparing for my final oral boards, having a busy clinical career in private practice, and during my pregnancy. I’m not posting as much as I had hoped recently because I’m adjusting to my return to work from maternity leave. But I hope to be back in full swing soon, especially once I start getting more sleep!

 

I’ve been humbled by the power of this platform to connect with patients and others in medicine. I’ve also realized that being part of IG has helped me find my voice #asawoman , as a physician, and as a mother. I am so incredibly grateful for this community. ❤️

 

Inspired by @nataliecrawfordmd recent podcast, I am sharing with you my #goals for the future of this account.

✅Advocate for the importance of diet and lifestyle in fertility

✅Educate about my field of reproductive endocrinology and infertility using evidence-based medicine

✅Support other women using social media. 

✅Expand my outreach to patients. Share my personal struggles in life as a working mom and physician. Help patients decide if I am the right fit to manage their care. 

 

#plasticfreedocs

Today, I’m talking more about why we should avoid plastic water bottles after reading @natgeo  article on this topic.

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Has anyone else had a super ☀️hot summer? ☀️When the temperature outside is rising, many people turn to ᴘʟᴀꜱᴛɪᴄ ᴡᴀᴛᴇʀ ʙᴏᴛᴛʟᴇꜱ to stay hydrated. But disposable water bottles are made of ᴘʟᴀꜱᴛɪᴄ. And these plastics can get into the water that we ingest, exposing us to dangerous chemicals like ʙᴘᴀ & ᴘʜᴛʜᴀʟᴀᴛᴇs. As these water bottles are exposed to heat, more of the chemicals move into the drinking water, exposing us to even more ᴛᴏxɪᴄ ᴄʜᴇᴍɪᴄᴀʟs. 🧪🧪🧪

The FDA has ʙᴀɴɴᴇᴅ the use of BPA in baby bottles and sippy cups. Why isn’t this enough?
✅”BPA free” does not mean safe. These products often contain similar compounds with even less safety data than BPA, like BPA-S
✅BPA is still legal to add to other products like water bottles
✅Although one single exposure is likely safe, the fact that we have countless exposures to multiple chemicals throughout our day with plastics, increases the risk of harm .

So take the advice of the amazing docs who have participated in this campaign so far. Show us your reusable water bottle made out of metal or glass! 🥤🍶And stay cool this summer!☀️

Thank you for all the wonderful support for this campaign! I’m so excited that the media and medicine are paying more attention to this important topic!
#PlasticFreeDocs

#plastic #plasticfree #lifestyle#femalefertility #egghealth#womenshealth #maleinfertility#endocrinedisruptors #environment#fertility #ivfjourney #ttc #pregnant#pregnancy #ttcjourney#infertilityjourney #infertilty#infertilitysucks #ttccommunity#ttctips #ivfwarrior #ivfsupport#ivfcommunity #doctor#doctorsofinstagram#womeninmedicine #physician#doctorlife

#PlasticFreeDocs

#PlasticFreeDocs .

Today, I invited several physicians in many different medical specialties to discuss why they are avoiding using plastics. As a fertility specialist, I believe that the healthier we are before we conceive, the more likely we are going to be successful; this results in healthier pregnancies and ultimately healthier families. An important way for us to stay healthy is by minimizing exposures to dangerous chemicals in our environment. .

𝗪𝗵𝘆 𝗮𝗿𝗲 𝗽𝗹𝗮𝘀𝘁𝗶𝗰𝘀 𝗰𝗼𝗻𝗰𝗲𝗿𝗻𝗶𝗻𝗴? ✅Plastics expose us to dangerous chemicals like BPA and phthalates ✅These chemicals can interfere with how our hormones work
✅These chemicals are called 𝙚𝙣𝙙𝙤𝙘𝙧𝙞𝙣𝙚 𝙙𝙞𝙨𝙧𝙪𝙥𝙩𝙞𝙣𝙜 𝙘𝙝𝙚𝙢𝙞𝙘𝙖𝙡𝙨 (𝙀𝘿𝘾𝙨)
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𝗔𝘃𝗼𝗶𝗱𝗶𝗻𝗴 𝗽𝗹𝗮𝘀𝘁𝗶𝗰𝘀 𝗵𝗮𝘀 𝗯𝗲𝗻𝗲𝗳𝗶𝘁𝘀 𝘄𝗵𝗲𝗻 𝘁𝗿𝘆𝗶𝗻𝗴 𝘁𝗼 𝗰𝗼𝗻𝗰𝗲𝗶𝘃𝗲 𝗯𝗲𝗰𝗮𝘂𝘀𝗲..

EDCs impact egg quality by increasing DNA damage and oxidative stress

EDCs decrease sperm count in men

EDCs exposure in pregnancy is associated with obesity and neurodevelopmental problems in children  

In IVF, EDC exposure is associated with fewer eggs and fewer embryos

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Picture of me with my ♥ reusable metal water bottle ♥. Click on the link in bio for references .
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#plastic #plasticfree #lifestyle#femalefertility #egghealth#womenshealth #maleinfertility#endocrinedisruptors #environment#fertility #ivfjourney #ttc #pregnant#pregnancy #ttcjourney#infertilityjourney #infertilty#infertilitysucks #ttccommunity#ttctips #ivfwarrior #ivfsupport#ivfcommunity #doctor#doctorsofinstagram#womeninmedicine #physician#doctorlife

Mental health matters

0CD2501E-1CB3-4353-BCD4-E0E95E601AF6Your mental health matters. It is estimated that up to 54% of couples with infertility experience a high level of stress, anxiety, and depression before and/or during fertility treatment. It is incredibly common to need additional help when going through fertility treatment, which is why I encourage the use of complementary stress reduction techniques with my patients.

 

But sometimes yoga, acupuncture, and mediation isn’t enough and more help is needed. The most commonly prescribed antidepressant is a group of medications called selective serotonin reuptake inhibitors (SSRIs).

 

A recent study compared women on SSRIs going through IVF to women who were not on antidepressants. They found that the embryo health and IVF outcomes did not differ between the groups. This suggests that, from a fertility standpoint, there is no reason to avoid using an antidepressant if you need it.

 

Fertility treatment is hard enough. There is no reason to suffer through poorly controlled anxiety and/or depression while going through fertility treatment. If you need additional help, please reach out. The best way to have a happy healthy family is to start with a healthy mom before conception. You are not alone.

 

Take home points:

  • The diagnosis and treatment of infertility is stressful
  • It’s common to struggle with stress, anxiety, and depression at any phase of treatment
  • Antidepressant use does not impact IVF success rate.
  • Do not hesitate to get additional help if needed

Is organic worth it?

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How important is eating #organic when you are trying to be healthy and TTC? Is buying organic worth it?

 

Organic food refers to food produced with limited pesticides, fertilizers, and additives. Organic foods tend to be higher in vitamins, minerals, and antioxidant content compared to conventionally grown food. Conventionally produced food is associated with higher rates of various cancers compared to organic foods.

 

Organic food is usually more expensive than conventionally produced food. But is the cost worth it?❓

 

A recent study evaluated pesticide exposure in couples going to a fertility clinic. They found that the more pesticides a couple consumed, the less likely they were to get pregnant and bring home a healthy child. This finding was dose dependent: women with the highest pesticide exposure had the lowest pregnancy rates.  This suggests that dietary pesticide exposure can be associated with difficulty conceiving.‼️

 

Switching to organic products can also reduce your exposure to hormone disrupting chemicals and support beneficial practices for our environment.❤

 

What you can do:

✅Buy organic produce whenever possible. Some products are more worth the cost than others. Consider being selectively organic to keep your budget on track.

✅I will post on IG stories which foods our family tries to buy organic

✅Just because something is labeled as “organic” doesn’t mean it’s healthy. Organic junk food is still junk food.

✅Organic food has just as many calories as conventional food. And buying organic is healthy, but should not be used as a substitute for going to the gym.