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:

• Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy
• Physical problems with the uterus
• Uterine fibroids, which are non-cancerous clumps of tissue and muscle on the walls of the uterus.

What increases a woman’s risk of infertility?

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

• Age
• Smoking
• Excess alcohol use
• Stress
• Poor diet
• Athletic training
• Being overweight or underweight
• Sexually transmitted infections (STIs)
• Health problems that cause hormonal changes, such as polycystic ovarian syndrome and primary ovarian insufficiency

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.cfm; http://www.glenmeadehealth.com/ms_infertility.html; http://www.thedailybeast.com/newsweek/2008/09/14/what-it-means-to-be-a-woman.html

Beauty Rest

Just recently I was thinking about this nursery rhyme:

Early to bed,
Early to rise.
Makes a man,
Wealthy and Wise.

I guess I was thinking about it because I have a very bad habit of going to bed late at night and struggling to get up early in the morning.  Sometimes I feel as if I am sleepwalking.  I am so tired.  I keep promising myself that I will turn in early but I end up going on the computer and spend hours on it (another habit I need to break).  For someone who loves sleep I am just not getting enough of it.

What happens when we get enough sleep?

The Harvard Women’s Health Watch suggests six reasons to get enough sleep:

1. Learning and memory: Sleep helps the brain commit new information to memory through a process called memory consolidation. In studies, people who’d slept after learning a task did better on tests later.
2. Metabolism and weight: Chronic sleep deprivation may cause weight gain by affecting the way our bodies process and store carbohydrates, and by altering levels of hormones that affect our appetite.
3. Safety: Sleep debt contributes to a greater tendency to fall asleep during the daytime. These lapses may cause falls and mistakes such as medical errors, air traffic mishaps, and road accidents.
4. Mood: Sleep loss may result in irritability, impatience, inability to concentrate, and moodiness. Too little sleep can also leave you too tired to do the things you like to do.
5. Cardiovascular health: Serious sleep disorders have been linked to hypertension, increased stress hormone levels, and irregular heartbeat.
6. Disease: Sleep deprivation alters immune function, including the activity of the body’s killer cells. Keeping up with sleep may also help fight cancer (http://www.health.harvard.edu/press_releases/importance_of_sleep_and_health).

A new study, derived from novel sleep research conducted by University of California, San Diego researchers 14 years earlier, suggests that the secret to a long life may come with just enough sleep.  Less than five hours a night is probably not enough; eight hours is probably too much.  Read more.  http://www.sciencedaily.com/releases/2010/09/100930161837.htm.

Sleep is important to create a healthy life and maintaining appropriate weight. If you want to have a healthy life and perfect weight for your body you have to create consistent lifestyle behaviors to support health. It means looking at what you eat, when you eat, exercise, sleep and lifestyle habits (http://www.empowher.com/healthy-eating/content/weight-gain-not-getting-enough-sleep-can-make-you-fat?page=0,0).

I generally try not to eat late but there are times when we get home after seven and have to prepare dinner and eat after 9.  Then we turn in around mid-night.  And then we have to get up at 5:30 to get ready for work.  This schedule is not only affecting our sleep but our weight.  We have to stop this vicious cycle and start making changes.

Growing up I used to get more sleep and I felt great!  I was full of energy and more active.  Now I am tired and don’t feel like doing much.  And I get irritable.  There’s a solution to all of this.  Go to bed early.  Make sure I finish eating dinner and snacks 3 to 4 hours before I call it a night. 

Ladies, let’s make an effort to get our beauty rest.  Our weight, health and overall well-being depend on it.