00:01 - Title
00:16 - Planning for pregnancy when age is greater than 30 years
00:26 - What to do?
02:20 - MMR and Chicken pox vaccine is very important
03:02 - Pregnancy planning after 32 years of age
03:54 - Clinic details
How to plan pregnancy, when age is between 30 - 35
• Now a days, pregnancy planning after 30 years is very common for ladies
• They should not stress them out, but should have a clear idea and plan
• Folic Acid 5 mg once daily should be started
• If on regular medicine, should consult their treating physician for knowing if they can start pregnancy planning with them
• MMR and Chicken pox vaccine to be taken if they are susceptible to Chicken pox/ rubella
• Physical relationship with husband twice or thrice weekly will optimise chance of becoming pregnant
• If age of female partner is 32 years or more, then assessment of ovarian reserve and some basic investigations for the couple will be very much helpful to plan how should they proceed
Now a days marriage after 30 years of age is very common, especially for working self-employed ladies. They also do pregnancy planning late. Though they should not stress them out for this, but at the same time they should have clear idea, how should they plan it.
They should maintain a healthy weight with proper diet so that the BMI stays within normal range. They should not do very extensive physical exercise as it affects the hormonal balance. Thalassemia test is needed to be done, if not done earlier. Should start taking 5mg of Folic acid once daily. If they are under any regular medicine for sugar/ high pressure/ thyroid or others, they should consult their physician regarding right time for planning pregnancy. Also, consultation with a Gynaecologist will be very much helpful. A lower abdominal USG and Semen analysis of husband may be opted for more accurate assessment of fertility potential. MMR and Chicken pox vaccine to be taken if not taken earlier and if they are not immune to rubella and chicken pox, as, these diseases if occur during pregnancy period, can harm their babies. Physical relationship with husband twice or thrice a week is needed. Moreover, patience and mental stability is needed to achieve the desired pregnancy.
If, age of female partner crosses 32 years, then consultation with Gynaecologist is very much required. As ovarian fertility potential starts declining rapidly after 32 years of age, in most ladies. Assessment of ovarian reserve by a blood test measuring Anti Mullerian Hormone (AMH), along with a special USG assessment of Antral Follicle Count (AFC) will be beneficial. Basic USG needed to rule out any structural problem of female reproductive system. If all reports are normal then 6 months try will be all they should go for of their own and if still unable to conceive, should consult an expert. Obviously, if there is some problem then they should visit Gynaecologist to solve it as early as possible.
Dr Sutapa Sen, Consultant Gynaecologist & Infertility Specialist
• MBBS, MD (Gynea & Obs)
• Director, Prapti Fertility Institute, Kolkata
• Consultant Gynecologist, Laparoscopic Surgeon and IVF Specialist
• Received Advance ART and IVF training from Dr. Purnima Nadkarni, Pardi, Gujrat and Keil University Germany
• Received Advance Ultrasound training from Dr. A. Badade Chikitsa Institute Chembur, Mumbai
• Received Advance Laparoscopy training from Dr. P.Das Mahapatra, Spectrum, Kolkata
• Received Advance training in Hysteroscopy from Dr. Osama Shawki Egypt
Prapti Fertility Institute Pvt Ltd
129/1, B. B. Ganguly Street. Kol- 12
5 mins from Sealdah Rly Station | Besides P. C. Chandra Jewellers Bowbazar
8436036000 / 9874346006
( Mon to Sat)
Apollo Clinic
66(92) Barasat Road, Near Wireless Gate,
Beside SBI Nona Chandanpukur, Near Chandanpukur, Rabindrapally
Barrackpore, Kol- 122
9874346006 (Wed, Sat)
Nehru Memorial Techno Global Hospital
6, Barrackpore Barasat Rd, Near Lalkuthi
Barrackpore, West Bengal 743122
9874346006 (Wed, Sat)
Day and Night Polyclinic
Feeder Rd, Santigarh, Shyamnagar, Near 2nd gate of Annapurna Cotton Mill Kolkata, West Bengal 743127
9330977469, 8584922518, 8981233052
K P C Diagnostic Centre
A-B/6 JNM Hospital Rd, Kalyani, Nadia West Bengal 741235
9874746906
Health Care Diagnostic
55, Netaji Subhash Rd, Shyambazar, Santipur, West Bengal 741404
9836914126 / 9874746906
Thursday (once in a month)
The Arogya Diagnostic & Polyclinic
168, RC Das Road, Kalitala, Purba Burdwan, West Bengal 713101
(opp Bardhaman Nurshing Home)
9874746906
Thursday (once in a month)
Manabik Mukh
Park Road,
OppMc William High School,
Alipurduar 736121
9733118854 / 9733118864
North Bengal Medicals
R.N Roada Near CPI(M) Party Office, Chowpathi, Cooch Behar
70001263203 / 9832055899 / 7384202505
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