An initial fertility examination, including investigative tests, will often uncover if a couple has an obvious medical problem affecting their ability to conceive, such as an absence of periods (amenorrhea) or irregular periods, sexual dysfunction, a history of pelvic inflammatory disease, or prior ovarian or uterine surgery. In addition to these issues, if you believe you have any of the following risk factors, please tell your TRIO fertility doctor:

  • Family history (i.e., mother or sister) of early menopause (before age 51)
  • History of cigarette smoking in either partner
  • Exposure to chemotherapy or radiation to treat cancer in either partner
  • Shortening in the time between periods
  • Skipped or missed periods
  • History of injury to the testicles
  • Exposure to toxic chemicals (certain pesticides or solvents)
  • Certain medications and some herbal supplements (eg propecia, testosterone, progesterone cream)

While it is not possible to slow down or reverse reproductive aging, the following approaches designed to improve your overall health are recommended:

  • Healthy eating
  • Regular, moderate exercise
  • Getting enough sleep
  • Avoiding recreational drug use and excessive alcohol consumption
  • Avoiding smoking
  • Adopting a lifestyle that reduces stress

Studies suggest that smoking, diet, and stress may have a negative impact on the quality of both eggs and sperm, and may accelerate menopause in women. On the positive side, however, changes in lifestyle and exposure can show in the quality of men’s sperm within a few months. And for women, preliminary studies indicate that certain antioxidants, such as Coenzyme Q10, may improve egg quality. Additionally, certain natural health interventions, such as fertility yoga, and acupuncture given pre and post IVF transfer, may increase success rates of fertility treatments. Both yoga and acupuncture lower stress levels, while acupuncture can promote blood flow to the uterus to support implantation.

For more information about any of the above, or if you have other questions, please talk to your TRIO fertility specialist or any member of your TRIO team. You can also email us: