Dr. Sharmistha Sarkar

Essential Supplements for Pregnancy

Essential Supplements for Pregnancy: What to start and when to start?

When you’re planning to conceive, every decision matters, and that includes the timing of your fertility supplements. Proper timing can maximize the effectiveness of fertility vitamins and increase your chances of conception. In this guide, we’ll explore the best practices for taking fertility supplements for women and prenatal vitamins, ensuring you’re on the right track with your fertility vitamins timing. Folic Acid: It is recommended to take 400 micrograms of folic acid everyday when trying to get pregnant.Folic acid deficiency can affect fertility, but this is usually temporary and can be reversed with folate supplements. Folic acid should be started at least three months before you start trying for pregnancy and continue till 12 weeks of your pregnancy. The best time to take it is in the morning with your other prenatal vitamins to help your body use it better. Iron supplements: Iron is supplemented for women with low haemoglobin levels prior to conception. Low haemoglobin levels can cause ovulatory problems, irregular periods and other reproductive health issues. Anemia can cause female subfertility. Furthermore, anemia also increases the risk of complications during pregnancy and childbirth. It is best to take iron when your stomach is empty for better absorption, but if it makes you feel unwell, you can take it after food. Ideally, Iron levels should be supplemented 3 months prior to pregnancy Calcium supplements: In women, calcium helps to maintain healthy estrogen levels and regulates the menstrual cycle. Whereas in men, calcium is involved in sperm production and it regulates sperm motility. Calcium deficiency has been  linked to male infertility. The recommended daily amount of calcium for adults is 1000mg.You can take calcium at any time during the day.   It is ideal to take calcium and iron at different times of the day, to avoid stomach problems and for better absorption. Vitamin D: Vitamin D is also very important if you’re trying to get pregnant. Various studies have proven that women with higher levels of Vitamin D in their blood have higher chances of conceiving and giving birth to a healthy child. Vitamin D can also improve the efficacy of IVF treatment by increasing the number of euploid embryos. Start taking Vitamin D at least three months before you start trying. Additionally, Vitamin D helps your body absorb calcium, which is important for you and your developing baby. The best time to take Vitamin D is in the morning with a meal once a week for three months before planning pregnancy. Omega-3 Fatty Acids: These healthy fats are known to improve egg quality and support overall reproductive health.They increase the blood flow to the uterus. Omega-3 also contribute to reducing inflammation and promoting a balanced hormonal environment, which is beneficial for conception. In an IVF cycle, omega-3 improves the egg quality and enhances embryo implantation. There is also evidence showing that omega -3 are essential for sperm function as well. What not to take Do not take cod liver oil or any supplements containing vitamin A (Retinol) when you are trying to get pregnant. Always check the label. Fertility Vitamins Timing Guide: Key Takeaways Start Early: Begin taking prenatal vitamins and folic acid at least three months before trying to conceive. Morning Routine: Take your prenatal vitamins and folic acid in the morning with a meal to improve absorption and reduce nausea. Meal Timing: For omega-3 and calcium supplements, taking them with meals can help with absorption and minimize side effects. Iron Supplementation: Best taken on an empty stomach but can be adjusted based on personal comfort. Taking your fertility supplements at the right times can really help them work better. Start taking prenatal vitamins and folic acid at least three months before you start trying to get pregnant. This helps prepare your body. Take these in the morning with a meal to help your body use them better and avoid any stomach issues. Taking Vitamin D and omega-3 in the morning can be helpful. Iron is best taken on an empty stomach, but if it makes you feel sick, you can take it with food. Remember, everyone is different, so ask your IVF doctor for advice that’s right for you. Following these tips can help you feel more ready and confident as you start trying to get pregnant.

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How to Manage Infertility and Depression: Expert Tips by Dr. Sharmistha Sarkar

Infertility is a deeply personal and often painful experience, and when combined with depression, it can feel overwhelming. Dr. Sharmistha Sarkar, an infertility specialist in reproductive health, offers valuable advice on managing both infertility and depression, including essential strategies for infertility support and infertility and depression treatment. By addressing mental health and fertility issues, Dr.Sharmistha Sarkar helps you find a path to healing and hope. Understanding the Connection Between Infertility and Depression Infertility isn’t just about physical health—it can also deeply affect your emotions. The stress of trying to get pregnant, along with pressure from society and personal hopes, can lead to feelings of sadness and not feeling good enough. Depression can come from and make infertility even harder, so it’s important to address both issues together for better overall well-being. Strategies for Managing Infertility and Depression 1. Consult with a Specialist Dr. Sharmistha Sarkar, a gynecologist and fertility specialist, provides essential medical support for infertility. To address the emotional impact, it’s important to also consult a mental health professional who can help manage stress and depression. Integrating both medical and emotional care is key to a comprehensive approach. 2. Build a Support Network Connecting with others who understand what you’re going through can be incredibly comforting. Support groups, either in person or online, offer a space to share experiences and gain encouragement from others facing similar challenges. 3. Explore Fertility Treatment Dr. Sharmistha Sarkar, a specialist in fertility, recommends discussing all available treatment options. Understanding your choices and having a clear plan can help Dr. Sharmistha Sarkar provides the best support, reduces anxiety, and gives you a sense of control over the process. 4. Practice Self-Care Physical Health: Engage in regular physical activity, maintain a balanced diet, and ensure adequate sleep. Physical well-being can positively impact mental health. Mindfulness and Relaxation: Techniques such as mindfulness, meditation, and deep-breathing exercises can help manage stress and promote emotional balance. Hobbies and Interests: Engage in activities that bring joy and relaxation. Pursuing interests outside of infertility can provide a much-needed emotional break. 5. Set Realistic Goals Focus on Small Steps: Set achievable short-term goals rather than focusing solely on the end result. Celebrate small victories and progress along the way. Be Kind to Yourself: Acknowledge that it’s okay to have difficult days. Be kind to yourself and remember that your feelings are okay. It’s normal to feel how you’re feeling. 6. Communicate Openly With Your Partner: Regular, honest communication with your partner is crucial. Share your feelings, discuss your needs, and work together to support each other. With Your Healthcare Provider: Keep an open line of communication with your fertility specialist. Discuss any emotional or psychological concerns you have; they may be able to offer additional resources or referrals. The Impact of Infertility on Mental Health Emotional Ups and Downs: Going through infertility treatments often involves a lot of hope and disappointment. This constant cycle can be very draining and may lead to feelings of sadness and inadequacy. Feeling Isolated: People dealing with infertility might avoid social situations, especially those involving children or pregnant friends. This can make them feel even lonelier and more depressed. Strain on Relationships: Infertility can put a lot of stress on relationships. Couples might argue more, have trouble communicating, and cope with the situation in different ways. Dealing with infertility and depression is undoubtedly challenging, but with the right support and strategies, it’s possible to navigate this journey with resilience and hope. Dr. Sharmistha Sarkar is dedicated to providing compassionate care and expert advice to support you through this difficult time. Dr. Sharmistha Sarkar MBBS, MS (Obstetrics & Gynaecology), MCh(Reproductive Medicine and Surgery),  CMC, Vellore

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