Fertility

Do You Know Progesterone Helps Prevents Miscarriages?


Atinuke was 27 when she had her first miscarriage. Over the next few years, she went on to have two more miscarriages. Her third was the hardest.

She was devastated and depressed that she couldn’t do the number one thing her body was built to do. But few months after she found that a new research, published in Fertility and Sterility online in January this year, may provide hope for women like her who’ve suffered recurrent miscarriages.

The research found that 2/3 of women who used the hormone progesterone before getting pregnant went on to successfully deliver babies despite these women having had at least two previous miscarriages.


The research also stated the biggest study on the topic which involved 15 trials and over 2000 women and also showed that the risk of miscarriage wasn’t reduced if progesterone was commenced at the start of pregnancy.

This study is different, though, because the women started progesterone soon after they ovulated so even before they were pregnant but that there might be compelling reasons to start progesterone at that time, as it may affect your immune system and allow pregnancy tissue to more easily go into the uterus.

Therefore the possibility exists that if progesterone is commenced early enough it may prevent miscarriage but only if this is the primary reason why miscarriages are occurring.

While some women may benefit from progesterone, the difficulty is understanding which women they are. That’s because there is no standard test that can determine who will benefit from its use.

So should you ask your doctor if you should try it?

That depends,  it’s devastating to suffer a miscarriage, those who have had one miscarriage don’t need further investigations or treatment. Miscarriages are unfortunately very common, and that most of them occur as “nature’s way of preventing a pregnancy that would not continue to term, often as a result of major chromosomal abnormalities”.

So if you’ve had one miscarriage, the best thing you can do is to simply start trying again (as soon as you and your partner are ready). But if you’ve had two or more miscarriages, it is best to seek advice to see if there’s a reason why they happened. Those reasons could include structural abnormalities of the uterus (such as fibroids, or a uterine septum), genetic abnormalities, hormonal, clotting or immune issues.

As for Atinuke, she was referred to a fertility specialist after her third miscarriage. While her doctor didn’t recommend progesterone, she fell pregnant again and is thrilled to report she is currently 16 weeks along and her doctor says everything’s “looking good”.

Had she been offered it, Tinuke says she would have gladly used progesterone in the hopes it may have spared her the “heartbreak” she’s been through.

She hopes this new research may prevent other moms from going through the same pain she experienced.

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At What Age Should You Have A Baby?


Scientists have revealed the perfect age for parents to start a family and why, and this might come as a surprise to many.To have the best chance of having just one child naturally, couples should start trying to conceive when the female is aged under 32. But for those yearning for two children, the woman should be about 27.

And to have three children, the new research indicates that women should only wait until they are 23 to start trying to become pregnant.

The researchers, from Erasmus University Medical Center in the Netherlands, said the latest female age that a couple should start trying to become pregnant depended on the importance of achieving their desired family size and their views on IVF.

If couples would consider IVF, those wanting a one-child family could wait until the woman was 35, but 31 was the cap for two children and 28 for three children.


While the results may come as a surprise to many young couples, it may also be reassuring for those aiming for a smaller family.

“For couples who are content with one child and do not wish a very high chance of success: they can start at age 37 for a 75 per cent (chance of success) and 41 years for a 50 per cent success chance,” lead researcher Professor Dik Habbema wrote in the journal Human Reproduction.

The ages were based on a model that combined fertility and IVF success rates for 10,000 couples and assumed the gap between babies was 15 months.

He wrote that many young people were “too optimistic” about their chance of conceiving after 35 and “miracle stories in the media” inflated the success of IVF.

“When there is so much information out there about celebrities having babies in their 40s, when the chances of success are so low (unless they use donor eggs), it creates unrealistic expectations,” Louise Johnson Victorian Assisted Reproductive Treatment Authority CEO said.

“IVF does not provide a silver bullet for age-related infertility.”

It has partnered with Family Planning Victoria to design a fertility education guide for primary and secondary teachers.

“Children need to know about this technology and how it is used to create families,” Ms Johnson said.

A Melbourne mother of three children Alix Blackshaw is only 28, but she has already completed her family.

The registered nurse said both her and her husband, Dwain, were from big families and knew they wanted to have at least three children

“It’s all about personal preference, but it was my intention to have them all before the age of 30 and with a close age gap,” she said.

The benefits are that she will only be in her mid 30s when all her children start school, but it has also meant she has not been able to go travelling.

 

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