Archive 2019

Contraceptive use and future pregnancy

Women’s fertility may be delayed after years of use of the contraceptive pill. Myth or truth? The contraceptive pill is one of the most popular methods of contraception. It has one or two hormones that resemble those produced in the ovaries during pregnancy, preventing ovulation. The choice of each pill depends on each patient and is indicated by the gynecologist. Contraceptives have some side effects that vary with the body of women, such as gain or loss of weight, mild irritability, headache and increased sensitivity, which decrease with time and adaptation of the body. Usually, the use is done by the 21-day method, where women take the pill at that time and take a break for seven days when menstruation occurs. For more details check out how to get pregnant fast.

The use of contraceptives raises doubts among women, especially among those who have used it for a short time and now wish to become pregnant. Dr. Jarbas Magalhães is vice-president of the Association of Obstetrics and Gynecology of the State of São Paulo (SOGESP) and Secretary of the National Commission of Contraception of FEBRASGO. He explains that the pills do not cause infertility even after years of uninterrupted use. ” It is a myth that still persists in our day, but that has no scientific proof. The hormone levels of the current pills are quite low and as soon as their use is discontinued, fertility returns immediately . “

Dr. Jarbas further points out that this holds true for all brands of birth control pills, regardless of the formula. He points out that the only method that can delay ovulation is the quarterly injectable – that injection that the woman takes every three months. ” In these cases, ovulation can take several months to reappear. In cases of oral pills, even at different doses, there is no delay in ovulation and the woman returns to fertility (the ability to conceive) as soon as she stops taking them. ” If the woman still can not get pregnant, the doctor advises that the patient seek professional help, as this can mean problems of other consequences. ” The woman should seek her gynecologist to evaluate the other causes of infertility. It may be male-cause infertility or other female causes not related to pill use . ” Finally, Dr. Jarbas points out that the woman can take the pill for as long as it takes. This fact will not disrupt future plans to raise a baby. Today’s pills are modern and safe, ensuring a good method of contraception, but also an immediate possibility after discontinuation. ” The woman can take the pill for as long as it takes. The contraceptive pill alone does not cause infertility, no matter the time it was taken, “says the doctor.

Contraceptive use and future pregnancy

Women’s fertility may be delayed after years of use of the contraceptive pill. Myth or truth? The contraceptive pill is one of the most popular methods of contraception. It has one or two hormones that resemble those produced in the ovaries during pregnancy, preventing ovulation. The choice of each pill depends on each patient and is indicated by the gynecologist. Contraceptives have some side effects that vary with the body of women, such as gain or loss of weight, mild irritability, headache and increased sensitivity, which decrease with time and adaptation of the body. Usually, the use is done by the 21-day method, where women take the pill at that time and take a break for seven days when menstruation occurs. The use of contraceptives raises doubts among women, especially among those who have used it for a short time and now wish to become pregnant. Dr. Jarbas Magalhães is vice-president of the Association of Obstetrics and Gynecology of the State of São Paulo (SOGESP) and Secretary of the National Commission of Contraception of FEBRASGO. He explains that the pills do not cause infertility even after years of uninterrupted use. ” It is a myth that still persists in our day, but that has no scientific proof. The hormone levels of the current pills are quite low and as soon as their use is discontinued, fertility returns immediately . “

Dr. Jarbas further points out that this holds true for all brands of birth control pills, regardless of the formula. He points out that the only method that can delay ovulation is the quarterly injectable – that injection that the woman takes every three months. ” In these cases, ovulation can take several months to reappear. In cases of oral pills, even at different doses, there is no delay in ovulation and the woman returns to fertility (the ability to conceive) as soon as she stops taking them. ” If the woman still can not get pregnant, the doctor advises that the patient seek professional help, as this can mean problems of other consequences. ” The woman should seek her gynecologist to evaluate the other causes of infertility. It may be male-cause infertility or other female causes not related to pill use . ” Finally, Dr. Jarbas points out that the woman can take the pill for as long as it takes. This fact will not disrupt future plans to raise a baby. Today’s pills are modern and safe, ensuring a good method of contraception, but also an immediate possibility after discontinuation. ” The woman can take the pill for as long as it takes. The contraceptive pill alone does not cause infertility, no matter the time it was taken, “says the doctor.

Doctor gives tips for traveling by plane during pregnancy

Pregnancy is one of the most intense moments in a woman’s life. And this period mixes celebrations, changes in the body and much emotion. But when it involves a trip, whether it’s to do the lay-out overseas or simply to relax, it beats that doubt about what it will be like to enjoy this new experience. “The most important thing is to make sure that the trip is peaceful for both the mother and the baby,” says Dr. José Sallovitz, cardiologist at Allianz Travel. According to the doctor, “the care goes from the gestational examinations until the choice of the destination”. Check out the doctor’s tips below and get ready to pack and drop in the world!

Gestational period

The doctor explains that before planning a trip it is necessary to make a visit to the obstetrician. “The recommended period for a healthy woman who does not have gestational complications is to travel up to the 28th week. The doctor will do an evaluation on the health of the mother and the baby and, if that’s okay, you can pack your bags! “

Airline Rules

Airlines have rules for boarding pregnant women and these restrictions differ from company to company. “Most allow shipment up to the 28th week of gestation without restrictions. Between 28th / 29th week and 35th / 36th week, most of the time, a medical certificate is required to prove the stability of the picture. In some cases, the company may request the woman to sign a liability statement. Already from the 37th week the pregnant woman will be released to embark only accompanied by her responsible doctor “, emphasizes Dr. José.

Choosing seat in airplane

During this time, it is not advisable to sit without moving for a long time, so the doctor suggests the seat in the front row and in the aisle. “They are the places with more space, because during pregnancy, the woman usually goes to the bathroom more often and if you are in the window or in a tight line the discomfort will be very great. If the seat is near the toilette, so much the better. Walk during the flight to lessen the swelling of the feet that usually happens. “

Choose your destination well

Ideally it is to plan a quiet place and give to rest well before the arrival of the baby. Always prefer places that are not totally distant, because for any sign of complication, it will be necessary to resort to 24-hour obstetrical assistance. “As healthy as the pregnant woman, unforeseen events can happen,” she recalls. For Dr. José, even the geolocation of the city must be observed. “Very high places like Cusco or Macchu Picchu should be avoided, for example, because of the low amount of available oxygen.

When to see an infertility specialist?

 Infertility is defined as the inability to conceive after 12 months of unprotected sex or after 6 months for women over the age of 35. For infertile couples, one of the biggest obstacles is overcoming the fear of discussing the topic with a specialist. What to expect from the first appointment?

When to see an infertility specialist?

The gynecologist credited by the Brazilian Society of Assisted Reproduction (SBRA), Dr. Natalia Paes Barbosa explains in detail the step by step of the meeting between doctor and couple. First, you need to understand the couple’s medical history to determine if there are any important factors that could be the cause of infertility. All records are analyzed. A directed investigation of the ovules, the spermatozoids and the possibility of meeting them is initiated. Exams – The of blood have as main objective to evaluate the hormonal profile, and identify systemic and infectious diseases. The transvaginal ultrasound evaluates the female pelvis and diagnose diseases that may negatively influence fertility as fibroids, polyps, ovarian cysts and endometriosis. The hysterosalpingography is a mixed radiologically visualizing the appearance of the uterine cavity and the permeability of the uterine tubes. The spermogram is indispensable to evaluate the male factor. Spermograms considered abnormal should be repeated after an interval of at least 2 weeks for an adequate diagnostic interpretation.

The outcome of the diagnostic tests will help the doctor determine the cause of infertility and the choice of treatment that offers the best chance of getting a pregnancy. Depending on individual needs, counseling is offered to discuss the physical and emotional implications of treatment, as well as various coping with potential frustrations and disappointments. We list below the main doubts of couples in doctor’s offices when it comes to fertility. “Remembering that couple will receive a lot of information during the consultation. Make notes, ask and remember that it is always good to get in touch with the team if questions arise during the process of research, diagnosis and treatment, “recommends the specialist.

1 – Why have not we been able to conceive yet?

The doctor can give you an answer based on your age, medical history, and exams. If the answer is not clear, further diagnostic tests are needed.

2 – Does my health insurance cover treatment?

Infertility clinics often have a financial advisor who helps determine what the insurance covers, as well as the ways of payment for the various stages of treatment, including exams, medications, medical fees and procedures.

3 – What is the best treatment?

The diagnosis of the cause of infertility through examinations performed by the couple, besides the age of the woman and the man, are fundamental factors in the decision of the type of treatment. Despite all the technological advancement, the success rate is not 100% and the choice of treatment should be based on the potential outcome of gestation.

4 – What types of treatments are available?

The solution involves, in an individualized way, orientation of life and sexual habits, clinical treatments, surgeries frequently performed by video (hysteroscopy and laparoscopy) and artificial insemination. Other cases require assisted reproduction techniques such as conventional in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). When an assisted reproductive technique is indicated, the embryonic genetic study can be performed before transfer to the uterine cavity.

5 – What are the complications of treatment?

The possible complications are rare and are limited to the treatment period, thus not justifying concerns about future physical health.