Women And Infertility

I was watching General Hospital and one of the characters received the news that she could not have children.  Any child she carried would not be carried to full term.  She would lose the baby.  What heartbreaking news.  It hurts to see women who want to be mothers and who would be great mothers unable to have children while those who are unfit have children.  It doesn’t seem fair.  Lulu, the character wondered why this happened to her since there was no family history of infertility.  Before that she blamed herself for her condition because she had had an abortion when she was a teenager.

I have often wondered why are some women unable to have children or carry them to full term?  There was a time when I was afraid that I would not be able to have children.  In biblical times barren women were looked down upon by other women.  Sarah was despised by her servant Hagar because she was able to conceive while her mistress couldn’t (Genesis 16:4).  Hannah was tormented by Peninnah, her husband’s other wife and rival because the LORD had closed her womb.  She made Hannah’s life a living hell until God blessed Hannah with children.  Rachel rejoiced when she conceived her first child, saying, “God has taken away my reproach” (Genesis 30:23).

In developing countries women face ostracisim and see their infertility as a failing or a curse.  Newsweek ran a story in 2008 about women around the world who are coping with infertility.  One woman was uable to conceive for the first 13 years of her marriage.  She said that people would ask a woman her name—and then, “How many children do you have?” When the woman answered “none”, they don’t know what they can talk to you about.”

It must be so difficult for a woman to be surrounded by family members and friends who have children of their own or to see mothers where ever you go with their children and know that she would never have that experience.  It’s ironic. There are women who can have children but choose not to and there are women who would like to be mothers but are unable to have children.

What causes infertility in women?  Women’s Health Government has a fact sheet which answers these and other questions about infertility.

What is infertility?

Infertility means not being able to get pregnant after one year of trying (or six months if a woman is 35 or older). Women who can get pregnant but are unable to stay pregnant may also be infertile.

Pregnancy is the result of a process that has many steps. To get pregnant:

  • A woman’s body must release an egg from one of her ovaries (ovulation).
  • The egg must go through a fallopian tube toward the uterus (womb).
  • A man’s sperm must join with (fertilize) the egg along the way.
  • The fertilized egg must attach to the inside of the uterus (implantation).

Infertility can happen if there are problems with any of these steps.

Infertility among women is common.  According to  the Centers for Disease Control and Prevention (CDC) about 10 percent of women (6.1 million) in the United States ages 15-44 have difficulty getting pregnant or staying pregnant.

What causes infertility in women?

Most cases of female infertility are caused by problems with ovulation. Without ovulation, there are no eggs to be fertilized. Some signs that a woman is not ovulating normally include irregular or absent menstrual periods.

Ovulation problems are often caused by polycystic ovarian syndrome (PCOS). PCOS is a hormone imbalance problem which can interfere with normal ovulation. PCOS is the most common cause of female infertility. Primary ovarian insufficiency (POI) is another cause of ovulation problems. POI occurs when a woman’s ovaries stop working normally before she is 40. POI is not the same as early menopause.

Less common causes of fertility problems in women include:

What increases a woman’s risk of infertility?

Many things can change a woman’s ability to have a baby. These include:

Check out the Women’s Health Government fact sheet to find out how age can affect a woman’s ability to have a child; how long a woman should try to get pregnant before consulting a doctor; how a doctor determines if a woman and her partner have fertility problems and treatments.  They also offer more information (links) on infertility that may help you or someone you know who may be having difficulty getting pregnant.

Glen Meade Center for Women’s Health outlines the ways in which women can be tested for infertility:

  • Blood tests to check hormone levels, including progesterone and follicle stimulating hormone (FSH)
  • Checking morning body temperature to determine if ovaries are releasing eggs
  • Hysterosalpingography (a radiologic assessment of the uterus and fallopian tubes)
  • Pelvic ultrasound
  • Laparoscopy (inspection of pelvic region)
  • Luteinizing hormone uterine test (ovulation prediction)
  • Thyroid function tests

There is hope for women experiencing infertility.  Glen Meade offers the following treatment options depending on the cause of the infertility:

  • Education and counseling
  • Fertility treatments, such as intrauterine insemination (IUI) and in vitro fertilization (IVF)
  • Medications that treat infections and clotting disorders
  • Medications that help women grow and release eggs from the ovaries

Notes to Women wants to reach out to women facing infertily by encouraging them to read articles from women who are coping with it such as this one.  We hope that the tips for living with infertility will be helpful to you and give you some comfort.

Sources:   http://womenshealth.gov/publications/our-publications/fact-sheet/infertility.cfmhttp://www.glenmeadehealth.com/ms_infertility.html; http://www.thedailybeast.com/newsweek/2008/09/14/what-it-means-to-be-a-woman.html

Post Pregnancy Belly

It has been close to three years since I gave birth to my son but still my tummy is still high.  I look at other women who were pregnant around the same time as I was and their tummies are flat.  You never would guess that they had babies.  I have been trying to get my tummy down but not having much success.  I heard that breastfeeding helped but I breastfed too.  Walking and drinking lots of water helped some women.  I don’t walk as often as I used to or drink as much water as I should.  Of course, a healthy diet helps so I have been watching what I eat.

I asked a few women how they managed to get their stomachs down.  One said going for walks, pushing the stroller and another said sit-ups.  I pushed my son in his stroller once or twice because he preferred to walk.  I have started and stopped doing sit-ups.  I read that crunches don’t work.  They may do more harm than good. 

“Crunches put pressure on the tissue that connects the outermost abdominal muscles, which can further separate them,” says Julie Tupler, a nurse and coauthor of Lose Your Mummy Tummy. The key to toning up your tummy: Brace your stomach and focus on engaging the innermost ab muscle, the transverse abdominus, since this is the muscle that really supports the uterus and gut and keeps your belly sucked in. This also helps prevent back pain.

You can engage and tone your transverse ab muscle while you do almost any activity – or when you’re just sitting around. How? Sit up straight, shoulders down, and draw your belly button in toward your spine. “Imagine you’re wearing a corset and you’re pulling its strings tight,” says Lisa Druxman, a fitness trainer and author of Lean Mommy. Believe it or not, sitting this way (say, while you’re reading to your child) or standing this way (maybe while you’re waiting in line at the store or changing a diaper) will make your abs firmer and flatter. It’ll instantly elongate your torso and strengthen your abs and back. If you think you’ll forget to do this, tie a piece of string around your waist while your ab muscles are drawn in, and leave it there. Every time you expand your stomach, you’ll feel the string pull and remember to keep your abs taut (http://www.parenting.com/article/ways-to-lose-and-hide-baby-weight?page=0,0).

This exercise seems easy enough and can be done anywhere.  Even as I type this post I am holding in my tummy.   If this works, I will definitely recommend it.

If you are like me, tired of looking in the mirror and seeing your mummy tummy and you want to go back to wearing a smaller size in your pants and skirts, then act now.  Start sucking in your tummy!