Thursday, January 21, 2010

Vitamin Recommendations for Conception and Pre-pregnancy

I believe it is beneficial for all women, pre-pregnancy, as a general rule to take the following:
  1. Prenatal vitamin with 800-100 micrograms of folic acid or a general multi-vitamin that has this is in. These can be obtained over the counter and reading labels will provide the appropriate information.
  2. Omega 3 capsule 1000 mg, two per day. These can be obtained over the counter also.
  3. A B-complex vitamin (also over the counter) that has folic acid, B-6, B-12 at minimum. One such simple B-complex vitamin with the combined prenatal vitamin/multi-vitamin noted above is a good recommendation.
  4. Calcium/Vitamin D 1000-1200 mg per day (any over the counter supplement is sufficient).

    These are simple, general recommendations that, for most patients, are sufficient and beneficial. If you are taking specific medications, it is always wise to speak with your physician regarding such medications and vitamin supplementation. Other supplements (like soy, etc) we do not feel to be detrimental, but their benefit is not known either. The supplements above and otherwise that you may be taking are not thought to be the ‘make or break’ for fertility treatments, but are a general health recommendation.

    Please feel free to contact me via e-mail at pahlering@sherinstitute.com or via phone at (314) 983-9000 if you have questions regarding any of this information. Visit the SIRM website at www.haveababy.com for additional information on fertility and conception.

2 comments:

Dallas Girl said...

Dr. Ahlering,
Thank you for the vitamin information. In another blog post you mentioned antioxidants for those with low ovarian reserve/poor responders. I fall into this category at 31 years old. Can you tell me what antioxidants I should take? I have my appointment with Dr. Saleh in Dallas this week also.

Thanks

Peter Ahlering, MD said...

there are several products out ther, generally one not better than the next probably. they generally all contain: vit C, vit E, pycnogenol, green tea extract, resveratol, grapeseed extract and some b vitmains.
no one knows dose or which combnation is best, or if any is better than the rest...so pick soemthing that has some of these and that is as good as it gets.

remeber, these 'extra things' do not make or break success in reptoduction or IVF success---they may be useful adjuncts. the mainstay of treatment success is optimziing egg and sperm using the techniques and protocls there are, indvidualized to any given case.
in male factors, sperm selection with HRSS is i think a big deal that has been around now for a while and, in our center, has replaced ICSI. other managment of male factor pre-cycle can be of help also...

all this is another blog spot however...

peter ahlering md

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