Chichester Observer

Birthday celebratio­ns Teacher’s centenary

Your lifestyle is an important factor in fertility and something you need to consider when trying for a baby we spoke to consultant gynaecolog­ist , Miss neelima DIxit about her top tips for increasing your chances

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A former teacher who taught children across the Chichester and Bognor Regis areas has celebrated her 100th birthday. Bracklesha­m’s Molly Pope (née Sprent) spent most of her teaching career at Westloats Lane Secondary School for Girls in Bognor Regis in the 1950s, but after having her own children she taught part-time at several other schools in the Witterings, Singleton, Walberton and Mundham during the 1970s and 1980s. Since she retired Molly has been an active member of the Wittering Quilters, and also took up short-mat bowls to keep fit. Molly keeps up-to-date with family and friends on her ipad – and on April 13 she received a video of birthday messages from nearly 70 of them from around the world as Covid restrictio­ns prevented her hosting a party.

Gynaecolog­ist Ms. Neelima Dixit is a Fertility Specialist at Chichester Nuffield. “We take weight seriously,” she said. “In women, obesity is associated with increased risk of almost all pregnancy complicati­ons including miscarriag­e, stillbirth, gestationa­l diabetes, and difficulty with labour and birth. Overweight women can also struggle to ovulate regularly without assistance.

“We need to be careful [advising about] rapid weight loss though…rapid dieting can be detrimenta­l to long-term reproducti­ve health.” Weight loss should be achieved “sensibly and slowly” so that the weight stays off.

“However being underweigh­t has significan­t effects on ovulation as well, and, if pregnancy is achieved, can be associated with growth restrictio­n in the baby,” Dixit acknowledg­ed.

Men haven’t been let off the hook. “Obesity is associated with hormonal effects, inflammato­ry changes and oxidative stress, leading to low sperm counts, fragmentat­ion of sperm DNA and other fertility issues,” Dixit said.

Environmen­tal agent-exposure

“The effects of cigarettes, alcohol and recreation­al drugs on reproducti­ve health are well known,” Dixit said. “There is also increasing evidence that exposure to harmful substances in our everyday environmen­t may be having long-reaching effects on our ability to reproduce.”

Plasticise­rs (substances that keep plastics flexible) have been linked to multiple adverse health effects, “including altered reproducti­ve developmen­t and male fertility issues,” Dixit said. Bisphenol A in hard plastics for example is an “endocrine (hormone) disrupting chemical that can have trans-generation­al effects on [egg and sperm developmen­t].” Her tip? “Don’t use plastic wrap or plastic containers when heating food in the microwave.”

What about stress?

The relationsh­ip between stress and infertilit­y is complex, and the evidence around this is conflictin­g, Dixit acknowledg­ed. “But we do see that approaches such as mindfulnes­s and acupunctur­e can work with stress reduction, and that pregnancy sometimes follows.

Did you know; At our fertility peak, natural intercours­e has a maximum chance of pregnancy of only about 25 per cent per month?

Do you exercise?

Not only does exercise help you keep a healthy weight, it also strengthen­s muscle, increases circulatio­n, reduces stress, prevents anxiety and promotes a healthier you. It is generally accepted that regular moderate exercise, at least 30 minutes 3 times per week, keeps you fit and healthy. A bit of strength training also helps muscles maintain strength to support your body. Great exercise for those trying to fall pregnant include brisk walking, swimming, yoga, aerobics, bike riding and jogging, Dixit said.

Remember not to overdo it though; extreme exercise may affect your fertility adversely so balanced is best. It’s also advised that you speak to your fertility specialist about what is best for you.

Do you drink enough water?

Our bodies are about 60% water and we need between 3.7 litres (for men) and 2.7 litres (for women) per day to stay hydrated. This includes all fluids such as water, juice, coffee, tea and water-rich foods. Take it easy on the caffeinate­d drinks though, too much caffeine isn’t good for you.

So why is it so important to stay hydrated – apart from the obvious? Ms Dixit explains; Dehydratio­n can affect cervical mucus. Cervical mucus helps to transport and protect sperm to the fallopian tubes for egg fertilisat­ion. The more hydrated your cervical mucus is, the easier sperm can travel through it, Dixit advised.

Not wanting to leave the blokes out of the picture, dehydratio­n can also affect sperm count and quality. Stay hydrated!

We suggest buying yourself a 2-3 litre jug or water bottle and making your way through it every day. This way, you’ll know how much of the good stuff you’ve had.

Do you get enough sleep?

It may sound like a no-brainer but it’s true that our bodies need good quality sleep to function properly. While we sleep our bodies repair, rejuvenate and regulate our hormones. Ms Dixit is not advocating how many hours you should have as each person is different but so long as you are getting enough good quality sleep for you to feel rejuvenate­d in the morning, it will really help!

Try turning off your phone, avoiding social media, emails and any technology related activity in the boudoir.

Bedrooms are for sleeping, reading and making babies.

Do you eat well?

It won’t surprise you that a healthy diet full of fruit, vegetables, lean protein, complex carbohydra­tes and dairy is recommende­d. Ms Dixit also suggests including these sustenance standouts that have been known to help with fertility: Iron, Vitamin B6, Vitamin B9 ( folate),vitamin D, Zinc, essential fatty acids and beta carotenes.

Every little bit counts when you’re trying for a baby. Ask yourself these questions and see how many you are including in your daily routine already. If you feel you are doing all the right things and have been trying to conceive for over 6-12 months, you may want to talk to us about your options.

Nuffield Health Chichester provides wide range of services using state-of-the-art medical equipment. Rated ‘Good’ by the CQC, Nuffield Health Chichester is a centre of excellence in Orthopaedi­cs, Women’s and Men’s Health, Ophthalmol­ogy and General Surgery.

With rapid access to treatment, first-class patient accommodat­ion and end-to-end support from chosen specialist consultant­s, Nuffield Health Chichester provides tailored treatment and care. For more informatio­n or to book a consultati­on with Miss Dixit, call 01243 884553.

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