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Preconception fertility care is based on helping your body produce the healthiest eggs and sperm
possible. In a woman it takes approximately 100 days for the egg to develop towards ovulation and in
the male it’s approximately 116 days for sperm production to be completed. A proactive way to utilise this time involves couples adapting a healthy diet and environment in the four months prior to a
possible conception.
Although the focus is often on women in fertility issues, the reality is that men share 50% of the
responsibility in the creation of a healthy embryo.
My recommendations for both partners include;

• Refraining from cigarette smoking and other social drugs such as marijuana.

• Avoiding the consumption of alcohol.

• Avoiding caffeine based products.

• Avoiding pesticides and chemicals where possible for example; hair dyes, chemical household
cleaners, nail polish remover, garden sprays, and paint fumes.
The following studies suggest areas of special concern.

Smoking
A report prepared by the British Medical Association had the following key findings
• Men who smoke have a lower sperm count and a higher proportion of malformed sperm.
• Women who smoke take longer to conceive.
• Women who smoke are twice as likely to be infertile as non smokers.
• Men and women who smoke have a poorer response to fertility treatment.
• Women who have stopped smoking take no longer to become pregnant than those who have
never smoked.
• Stopping smoking improves sperm count and quality.
British Medical Association 2004 www.bma.org.uk

Coffee
• A study of 1,909 women in America found the risk of not conceiving for 12 months was 55%
higher for women drinking 1 cup of coffee per day. It was 100% higher for women drinking 1
and one half to 3 cups and 176 % higher for women drinking more than three cups per day.
Yale University School of Medicine. Epidemiologic Reviews Vol 14, Pg 83, 1992
• Coffee drinking before and during pregnancy was associated with over twice the risk of
miscarriage when the mother consumed 2 to 3 cups of coffee per day.
Journal of American Medical Association December 22 1993
• A Caffeine intake of 3 or more cups a day by women or their partners doubled the rate of miscarriage in a Danish Study.
American Journal of Epidemiology Vol 160 7 2004 p.661-67
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