Health
Things to know when trying to conceive at 40
Getting pregnant at the age of 40 is probably more common than you may realise, though it is a fact that the body faces some unique challenges during pregnancy as a woman ages.
However, if you are trying to conceive at an older age, you need to be aware that even though fertility declines naturally as you age, it is possible to get pregnant after the age of 40.
If you are still having your periods, there is a chance you can get pregnant, although you have a much lower chance of conceiving naturally once you celebrate your 40th birthday than earlier in your reproductive years.
There is about five per cent chance during your menstrual cycle that you might get pregnant naturally once you are 40 years old. Compare this to a 25 per cent chance per cycle when you were in your 20s, when your fertility was at its peak.
There are many reasons for the decline in the success rate of pregnancy after 40. The rate of miscarriage is about 40 per cent after the age of 40. This can be due to many reasons, but the biggest reason is that there is a higher chance of genetic abnormality in each egg.
As a woman, your ovarian reserve also decreases over time, meaning you have fewer eggs left by the time you turn 40. The story around eggs is one that has been told several times. When you were born, your ovaries contain all the eggs that you would ever have – about a million in total. This number declines as you age because you typically lose about 30 immature eggs daily. And it’s not just you; this is what every woman of reproductive age experiences.
By the time you reach puberty, your ovaries would contain around 300,000 eggs; and by age 30, you are down to 100,000. At 40, you would have no more than 20,000 eggs left, and these are more than enough for your fertility needs.
Your ovarian reserve can be tested with a blood test called the Anti-Mullerian Hormone test. AMH is a hormone produced by the follicles in your ovaries where egg cells develop. This declines throughout your reproductive lifespan. The lower your AMH number, the fewer eggs remain in your ovarian reserve. But the AMH test result doesn’t tell anything about the quality of the remaining eggs.
The percentage of normal eggs that every woman has decreases as she ages. After age 40, the percentage of genetically abnormal eggs increases. This means that even if those eggs are fertilised, the pregnancy may not end in a live or genetically normal baby.
Clinically, at age 25, a woman has approximately 75 per cent normal eggs. By age 35, that number drops to around 45 per cent, and by 40 years, it’s around 20 to 30 per cent. This is one reason why most physicians recommend genetic testing for abnormal conditions in women pregnant after 40 years.
Besides naturally declining fertility, another challenge you can face as a woman that is over 40 is that you may have been diagnosed with other conditions which can cause pregnancy complications and/or more difficulties getting pregnant. You are at risk if you are obese, hypertensive, diabetic or have thyroid disorders, fibroids and endometriosis.
If you have other medical conditions, you should make sure your physician is aware that you are trying to conceive so that they can optimise your health appropriately to prepare for the pregnancy. A preconception counselling appointment with your regular gynaecologist can help pinpoint areas for improvement and give you personalised recommendations.
Remember that help is available if you haven’t got pregnant. Your fertility specialist can assist with fertility issues, so do not overlook a consultation with a specialist on the options available to you.
Health
NAFDAC warns against purchase of counterfeit anti-malaria drugs
The National Agency for Food and Drug Administration and Control (NAFDAC) has raised the alarm over the circulation of “counterfeit” Paludex tablets and suspensions in Nigeria.
The agency said the drugs, labelled as Paludex (Artemether/Lumefantrine), are manufactured by Impact Pharmaceutical Ltd, and Ecomed Pharma Ltd, Enugu and marketed by MD Life Sciences Ltd, Enugu.
The statement said laboratory tests conducted by a WHO-prequalified laboratory in Germany and NAFDAC revealed that the products contain zero percent active pharmaceutical ingredient (API), rendering them ineffective and potentially harmful.
NAFDAC warned that the products are not on its registered database and all NAFDAC registration numbers stated on the products are false.
“Genuine Artemether/Lumefantrine tablets or suspension is a combination of the two medications Artemether and Lumefantrine used to treat acute, uncomplicated malaria in adults and children,” the statement reads.
“The illegal marketing of medicines or counterfeit medicines poses a great risk to the health of people; by not complying with the regulatory provisions, the safety, quality, and efficacy of the products are not guaranteed.
“Also, poor-quality pediatric formulations or medicines in general have the potential of causing treatment failure when the API content is below the prescribed dose.
“All NAFDAC zonal directors and state coordinators have been directed to carry out surveillance and mop up the falsified products within their zones and states.
“NAFDAC implores distributors, healthcare providers, and patients to exercise caution and vigilance within the supply chain to avoid distribution, administration, and use of the products.
“All medical products must be obtained from authorized/licensed suppliers. The products’ authenticity and physical condition should be carefully checked.”
Health
Less sugar in a child’s first 1000 days reduces risk of chronic disease, study says
A new study has found that reducing the amount of sugar children get in the womb and as toddlers can protect them against diabetes and high blood pressure in adulthood.
Published in the journal Science, the research reveals a critical period for healthy nutrition in the first 1,000 days of a baby’s life — from conception to age two.
The study found that cutting sugar intake in this window decreased the type 2 diabetes risk by about 35% and the risk of high blood pressure by roughly 20%. The researchers also discovered a delay in disease onset of four and two years, respectively.
The research team anaylsed data from before and after the end of the United Kingdom’s world war II-era sugar rationing in September 1953.
In January 1940, the UK government began food rationing to ensure fair shares for all during the wartime shortage.
Access to sugar, fats, bacon, meat and cheese was limited. When the rationing of sugar and sweets ended in September 1953, the average adult’s daily sugar consumption nearly doubled almost immediately, from about 40 grams to 80 grams.
Analysing the UK BioBank database of 60,000 people, the scientists compared health in middle age for 38,000 people conceived and born during rationing and 22,000 people conceived soon afterward.
The analysis showed a 30% reduction in the risk of obesity among sugar-rationed babies.
The study by the team at the University of Southern California also found that the risk of type 2 diabetes and high blood pressure increased with age. However, it increased faster in those conceived after sugar-rationing ended.
The results showed type 2 diabetes started on average four years later in adult life where there had been sugar-rationing during early childhood, and blood pressure two years later.
There was a 35% reduction in type 2 diabetes for those babies conceived during sugar rationing and a 20% reduction in high blood pressure.
“Sugar rationing created an interesting natural experiment,” said Tadeja Gracner, the study lead author and a senior economist at the Center for Economics and Social Research at the University of Southern California.
“We all want to improve our health and give our children the best start in life, and reducing added sugar early is a powerful step in that direction.
“With better information, environment and the right incentives, parents can more easily reduce sugar exposure, for kids and themselves.”
Also speaking, Keith Godfrey, a professor from the University of Southampton, said: “This is convincing new evidence, providing further support that reducing exposure of the unborn baby and newborn infant to sugar has lasting benefits that include lowering the risk of diabetes and high blood pressure in later adulthood.
“The findings are in keeping with our research showing lower rates of obesity in the children of mothers who eat low glycaemic index foods during pregnancy that are digested and absorbed more slowly, causing a slower rise in blood sugar levels.”
A previous study also suggested that high sugar intake during pregnancy may affect a child’s intelligence.
Health
Five health benefits of aloe vera
Aloe Vera is a spiky succulent plant that grows naturally in dry, tropical climates like Africa, Asia, Europe, and southern and western parts of the United States. Over the years, this scrubby and pointy plant has been cultivated for its medicinal purposes.
Here are the health benefits you get from aloe vera as gel and juice.
- Aids digestion
Aloe vera, particularly aloe vera juice, has been proven to be a natural laxative.
The outer part of this plant contains a compound called anthraquinone glycosides which has laxative effects.
A study discovered that this compound can help relieve constipation while another research found that aloe vera could help reduce the symptoms of gastroesophageal reflux disease (GERD) — a digestive disorder that often results in heartburn — and irritable bowel syndrome.
However, when trying aloe juice for constipation for the first time, consume little amount of it.
- Reduces blood sugar levels
Both the gel and juice of aloe vera can help lower and control one’s blood sugar levels.
Several studies have indicated that taking aloe vera juice has some potential benefits for people with prediabetes and type 2 diabetes due to its effect on glycemic control.
- Rich in antioxidants
Aloe vera gel contains powerful antioxidants called polyphenols, which also have anti-inflammatory effects.
Antioxidants are important to health as they protect your body from damage caused by free radicals. These antioxidants have benefits ranging from reducing one’s risk of cardiovascular diseases to improving the immune system.
Aloe vera also has antibacterial and antiviral properties which is why it is used to treat and relieve burns and wounds.
- Promotes dental health
Due to its antibacterial properties, aloe vera juice and mouthwash improve various dental and oral conditions.
Aloe vera mouthwash is effective in reducing dental plaque. A study also showed that aloe vera mouthwash help reduces gum inflammation in people who had recently undergone tooth surgery to remove plaque.
- Skincare
Aloe vera is perhaps one of the most widely used herbal remedies for topical skin conditions. This is because the gel-like components of the plant are known to heal the skin from a variety of minor ailments.
This plant is also a natural moisturizer that helps soothes dry skin. Its anti-inflammatory properties also make it a potential treatment for skin conditions like burns, acne, and eczema.
Aloe vera also helps reduce the appearance of blemishes and wrinkles.
A 2009 study of 30 females over the age of 45 also prove that taking oral aloe vera gel increased collagen production and improved skin elasticity over 90 days.
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