{"id":627750,"date":"2024-04-12T12:25:55","date_gmt":"2024-04-12T16:25:55","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627750"},"modified":"2024-10-25T10:01:05","modified_gmt":"2024-10-25T14:01:05","slug":"medication-management-while-trying-to-conceive","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/medication-management-while-trying-to-conceive\/","title":{"rendered":"Medication management while trying to conceive"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Deciding to start or expand your family is a life-changing moment, so naturally, many individuals want to do everything they can to prepare. Ensuring a healthy pregnancy starts with looking at your current health and the medicines you take.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicines take effect as the body absorbs them. They interact with cells to affect all sorts of body functions&mdash;from nerve signaling to hormone synthesis. Some medications are known to affect fertility, whereas more research is needed about others. Understanding the medications you take is a vital part of conception planning, as a well-informed approach to medications may help you avoid barriers to getting pregnant.&nbsp;<\/span><\/p>\n<h2 id=\"importance-of-medication-management-while-trying-to-conceive\"><b>Importance of medication management while trying to conceive<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Infertility is more common than you may think. In the U.S., as many as <\/span><a href=\"https:\/\/www.cdc.gov\/reproductivehealth\/infertility\/index.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">1 in 5<\/span><\/a><span style=\"font-weight: 400;\"> married women aged 15 to 49 years with no prior births are unable to get pregnant after one year of trying, according to the Centers for Disease Control and Prevention (CDC). Age, health, lifestyle, and environment all affect a person&rsquo;s capability to conceive.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medications are a modifiable factor that may impact a person&rsquo;s fertility. Some drugs interfere with ovulation or thicken or reduce <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/body\/21957-cervical-mucus\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cervical mucus<\/span><\/a><span style=\"font-weight: 400;\">, which makes it difficult for sperm to fertilize the egg and for the egg to implant in the uterus.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Learn how your medications work so you can talk with your healthcare provider about alternatives with confidence.&nbsp;<\/span><\/p>\n<h2 id=\"medications-that-can-harm-fertility\"><b>Medications that can harm fertility&nbsp;<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Couples trying to conceive should talk with their doctors about the medications they&#8217;re taking, as some may impact their odds of getting pregnant.&nbsp;<\/span><\/p>\n<h3 id=\"non-steroidal-anti-inflammatory-drugs-nsaids\"><b>Non-steroidal anti-inflammatory drugs (NSAIDs)<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">People take <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/nsaids\"><span style=\"font-weight: 400;\">NSAIDs<\/span><\/a><span style=\"font-weight: 400;\"> to relieve aches and pains. There are multiple types of NSAIDS, and each can impact fertility. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Some common<\/span> <a href=\"https:\/\/www.singlecare.com\/drug-classes\/cox-2-inhibitors\"><span style=\"font-weight: 400;\">OTC COX-2 inhibitors<\/span><\/a><span style=\"font-weight: 400;\"> that may affect fertility include but are not limited to Aleve (<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK582870\/\"><span style=\"font-weight: 400;\">naproxen<\/span><\/a><span style=\"font-weight: 400;\">) and Voltaren (<\/span><a href=\"https:\/\/academic.oup.com\/rheumatology\/article\/39\/8\/880\/1784112\"><span style=\"font-weight: 400;\">diclofenac<\/span><\/a><span style=\"font-weight: 400;\">). These medications may <\/span><a href=\"https:\/\/www.fertstert.org\/article\/S0015-0282(03)03022-X\/fulltext\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">prevent pregnancy<\/span><\/a><span style=\"font-weight: 400;\"> by affecting ovulation, fertilization, and implantation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naproxen and meloxicam (prescription only) may also lower sperm count and movement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Note: Ibuprofen&mdash;a common NSAID&mdash;is a <\/span><i><span style=\"font-weight: 400;\">non-selective<\/span><\/i><span style=\"font-weight: 400;\"> COX inhibitor. It acts differently in the body and is <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7580263\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">unlikely to affect fertility<\/span><\/a><span style=\"font-weight: 400;\"> in the same way.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Common prescription medications that may temporarily affect ovulation, resulting in some cases where the ovaries will fail to release an egg, include but are not limited to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mobic (<\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/meloxicam-oral-route\/precautions\/drg-20066928\"><span style=\"font-weight: 400;\">meloxicam<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Naprosyn (<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK582870\/\"><span style=\"font-weight: 400;\">naproxen<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vioxx (<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7580263\/\"><span style=\"font-weight: 400;\">rofecoxib<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Celebrex (<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7580263\/\"><span style=\"font-weight: 400;\">celecoxib<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Note: This is not a complete list of prescription NSAIDs that may affect fertility. Check with your healthcare provider before taking prescription NSAIDs while trying to conceive.&nbsp;<\/span><\/p>\n<h3 id=\"anti-seizure-medications\"><b>Anti-seizure medications<\/b><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">Anti-seizure medicines<\/span><\/a><span style=\"font-weight: 400;\"> may also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9230745\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">affect your ability to get pregnant<\/span><\/a><span style=\"font-weight: 400;\">. Some of these drugs disrupt reproductive hormone levels, including making some birth control less effective. If you take a prescription for seizures, your healthcare provider can help you figure out if you need a medication change, especially since some of these medications may have significant effects on a fetus. Common medicines in this group include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phenobarbital<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phenytoin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carbamazepine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Valproic acid<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Valproate (an anti-epileptic) has also been shown to cause temporary <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2589986421000204\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">male infertility<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"antidepressants\"><b>Antidepressants<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Prescription depression medications (antidepressants) interfere with the female reproductive cycle. Studies have found that <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/ssris\"><span style=\"font-weight: 400;\">selective serotonin reuptake inhibitors<\/span><\/a><span style=\"font-weight: 400;\"> (SSRIs) <\/span><a href=\"https:\/\/www.ajog.org\/article\/S0002-9378(16)00220-9\/pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">lessen a woman with depression&rsquo;s capability to naturally conceive<\/span><\/a><span style=\"font-weight: 400;\">. They can raise prolactin levels, which blocks ovulation. Common SSRIs include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/wellbutrin-xl\/what-is\"><span style=\"font-weight: 400;\">Prozac<\/span><\/a><span style=\"font-weight: 400;\"> (fluoxetine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/wellbutrin-xl\/what-is\"><span style=\"font-weight: 400;\">Zoloft<\/span><\/a><span style=\"font-weight: 400;\"> (sertraline)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">SSRIs (antidepressants) <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.14111\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may have reversible effects of lower sperm count<\/span><\/a><span style=\"font-weight: 400;\">, reduced sperm motility, and affecting the sperm&rsquo;s DNA.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nonetheless, healthcare providers warn against stopping these medications. If you&rsquo;re taking an antidepressant and want to become pregnant, ask your provider about changing to an alternative. <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/25218-antidepressant-discontinuation-syndrome\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Stopping an SSRI or other antidepressant<\/span><\/a><span style=\"font-weight: 400;\"> cold turkey can have negative effects, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Worsening anxiety and depression symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insomnia<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A healthy mind is just as important as a healthy body when it comes to fertility. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9661871\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Studies show<\/span><\/a><span style=\"font-weight: 400;\"> that individuals who take care of their mental health are more likely to conceive than those who don&rsquo;t take steps to deal with their depression or anxiety.<\/span><\/p>\n<h3 id=\"anti-hypertensives\"><b>Anti-hypertensives<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">High blood pressure medications (anti-hypertensives) also require preconception planning. For example, <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/beta-blockers\"><span style=\"font-weight: 400;\">beta blockers<\/span><\/a><span style=\"font-weight: 400;\"> may reduce blood flow to the uterus and affect implantation, making it harder to conceive.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nonetheless, doctors warn against stopping your anti-hypertensive medication, as you may experience withdrawal symptoms (headache, dizziness, etc.) or <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/article\/000155.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">rebound hypertension<\/span><\/a><span style=\"font-weight: 400;\">. High blood pressure levels increase your risk for heart disease and stroke.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/calcium-channel-blockers\"><span style=\"font-weight: 400;\">Calcium channel blockers<\/span><\/a><span style=\"font-weight: 400;\"> like Norvasc (amlodipine) and nifedipine may affect the sperm&rsquo;s capability to fertilize the egg.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you&rsquo;re taking a prescription for blood pressure and want to conceive, talk to your healthcare provider about a personalized treatment plan.<\/span><\/p>\n<h3 id=\"diabetes-medication\"><b>Diabetes medication<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Diabetic medications are a special concern for women trying to get pregnant. In most cases, they help people with diabetes maintain healthy blood sugar levels and a healthy weight and for some, may improve fertility. However, prescription diabetes medications may <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482386\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cause hypoglycemia<\/span><\/a><span style=\"font-weight: 400;\"> (low blood sugar), which affects fertility, and stopping your diabetes medication may cause an unsafe rise in blood sugar. Hyperglycemia (high blood sugar) in women may lead to low sex drive and menstrual disorders and may cause fetal anomalies.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both Ozempic and Saxenda are popular medications belonging to a drug class called GLP-1 antagonists, which are used to help increase insulin secretion in people with Type 2 diabetes.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;Over the last six months, I have been seeing more people in my fertility practice who are either using this medication and want to know if it is safe for them to take while trying to conceive, or they ask if they can start using this medication to lose weight as part of their infertility management,&rdquo; says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/ginevra-mills-01a60265\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Ginevra Mills<\/span><\/a><span style=\"font-weight: 400;\">, MD, a reproductive endocrinologist with <\/span><a href=\"https:\/\/www.olivefertility.com\/blog\/what-to-know-about-ozempic-and-pregnancy-and-fertility\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Olive Fertility Center<\/span><\/a><span style=\"font-weight: 400;\">. She suggests that neither of the medications is safe to be used during pregnancy, and both should be stopped prior to trying to conceive. She recommends waiting at least three months after stopping Ozempic and waiting one month after stopping Saxenda. Also, these medications <\/span><a href=\"https:\/\/www.washingtonpost.com\/wellness\/2024\/04\/05\/ozempic-babies-weight-loss-fertility\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may reduce the effectiveness of some birth control medications<\/span><\/a><span style=\"font-weight: 400;\">, resulting in an unplanned pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you&rsquo;re diabetic and plan on becoming pregnant, talk to your healthcare provider about your diabetes medications. People with Type 2 diabetes are sometimes able to control their blood sugar through diet and exercise while trying to conceive.<\/span><\/p>\n<h3 id=\"steroids\"><b>Steroids<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Steroids are another class of prescription drugs that affect conception. New evidence shows that <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/corticosteroids\"><span style=\"font-weight: 400;\">corticosteroids<\/span><\/a><span style=\"font-weight: 400;\"> like prednisolone may <\/span><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcell.2021.647496\/full\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">stop a fertilized egg from lodging in the uterus<\/span><\/a><span style=\"font-weight: 400;\">. Interestingly, some fertility doctors use corticosteroids to <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0165037820301662\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">improve pregnancy outcomes<\/span><\/a><span style=\"font-weight: 400;\">. This mixed evidence means it&rsquo;s best to discuss any steroids you&rsquo;re taking with a healthcare provider. It&rsquo;s shown that prednisone may also <\/span><a href=\"https:\/\/www.oncotarget.com\/article\/12956\/text\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">lower sperm quality<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<h3 id=\"natural-supplements\"><b>Natural supplements<\/b><b>&nbsp;<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">There are countless natural supplements on the market these days, and knowing which are safe to take while trying to conceive is important. Many plant-based supplements act in the same way prescription drugs do. For example, turmeric acts like a COX-2 inhibitor, which could affect ovulation. Also known as curcumin, it reportedly <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7522354\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">alters fertility<\/span><\/a><span style=\"font-weight: 400;\"> by reducing sperm motility.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">St. John&rsquo;s wort can have positive benefits for mental health, but it&rsquo;s not encouraged to take while trying to conceive. While it isn&rsquo;t thought to be harmful to pregnancy, research hasn&rsquo;t proven that it&rsquo;s completely safe either.&nbsp;<\/span><\/p>\n<h2 id=\"medications-that-can-boost-fertility\"><b>Medications that can boost fertility<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Supplements have become wildly popular, with up to 75% of Americans taking one daily, <\/span><a href=\"https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db399.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">according to the CDC<\/span><\/a><span style=\"font-weight: 400;\">. A quick internet search will turn up capsules, tablets, and teas designed to enhance fertility. Unfortunately, since the FDA has not approved these products to treat infertility, <\/span><i><span style=\"font-weight: 400;\">buyer beware<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FDA regulates dietary supplements as food. In other words, it does not fully evaluate their effects in the same way as medicines. The good news is that when it comes to fertility supplements, many are basically vitamin and mineral blends. In fact, many labels look similar to prenatal vitamins.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Folic acid is an important vitamin that has been shown to increase fertility by <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19221098\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">as much as three times<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6480978\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">micronutrients that may boost fertility<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vitamin B2<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vitamin B6<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Copper<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Manganese<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zinc<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Selenium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Omega-3 fatty acids<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">When considering a supplement, <\/span><i><span style=\"font-weight: 400;\">always<\/span><\/i><span style=\"font-weight: 400;\"> check the label. Steer clear of any ingredients you&rsquo;re unfamiliar with. Also, do your research to learn about what the ingredients are for.&nbsp; Beware that since the <\/span><a href=\"https:\/\/www.pbs.org\/newshour\/health\/analysis-some-natural-supplements-can-be-dangerously-contaminated\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA does not evaluate vitamins and supplements<\/span><\/a><span style=\"font-weight: 400;\">, many may have impurities, contaminants, or insufficient effective ingredients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Instead of self-prescribing, consult a healthcare provider or dietitian about supplements. A medical professional can give you the most up-to-date information on how they affect fertility.<\/span><\/p>\n<h2 id=\"preconception-medication-consultation\"><b>Preconception medication consultation<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Preconception care can support a healthy pregnancy before a woman conceives. This preventive approach focuses on taking steps now for a healthy baby in the future. Currently, <\/span><a href=\"https:\/\/www.aafp.org\/about\/policies\/all\/preconception-care.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">less than half of women<\/span><\/a><span style=\"font-weight: 400;\"> receive medical advice preconception, even though growing evidence says pre-pregnancy care leads to a healthier pregnancy.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A preconception medication consultation may improve your outlook if you&#8217;re trying to conceive.<\/span><\/p>\n<h3 id=\"role-of-the-healthcare-provider-in-medication-management\"><b>Role of the healthcare provider in medication management<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">During a preconception medication appointment, your healthcare provider will consider your current health, asking you questions and talking about your goal of getting pregnant. They will also review your medicines, vitamins, and supplements to ensure they are safe for pregnancy. A healthcare provider can explain the possible advantages and dangers of pre-pregnancy medications, including any adjustment recommendations.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For instance, a woman with high blood pressure may need to switch or taper her medications before conception since stopping the medication could be dangerous. Women with diabetes who are hoping to conceive must maintain healthy blood glucose and an optimal weight, meaning they may need medication monitoring as well.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Preconception medication management is sometimes tricky. Thankfully, you don&rsquo;t have to figure it out by yourself. Working with your healthcare provider in a collaborative relationship removes the stress, leaving you free to focus on taking care of your body and preparing for a pregnancy.<\/span><\/p>\n<h3 id=\"common-questions-to-ask-your-healthcare-provider\"><b>Common questions to ask your healthcare provider<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When working with your provider to manage medications, you will gain the best outcome by being proactive in the process. One way to actively participate in your medication management is to make a list of your current and past health problems. Also, make a list of medicines, vitamins, and supplements you take or have taken recently.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You should also write down specific questions you have in case your mind goes blank when you&rsquo;re in the exam room. Take time to jot down what concerns you. Consider these questions as a starting point if you&rsquo;re unsure where to begin.&nbsp;<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How may my current health and medical conditions affect my fertility?&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Might any of my medications affect my capability to get pregnant?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Should I make any changes to my medications or dosages while trying to conceive?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are there safer alternatives I should consider?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are there any vitamins or supplements I should take pre-pregnancy?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Which OTC, herbal, and supplement products should I avoid?&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What foods, supplements, or other medications may interact with what I am taking now?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What changes will I need to make when I find out I am pregnant??<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">When talking to your provider, be open and honest to ensure you receive the best care and advice.<\/span><\/p>\n<h3 id=\"medication-changes-before-trying-to-conceive\"><b>Medication changes before trying to conceive<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When you need to make medication changes, talk to your healthcare provider. In many cases, your healthcare provider will be able to recommend alternative treatments. For instance, instead of an NSAID for pain, your healthcare provider may suggest a different medication, like Tylenol (an analgesic), perhaps even a non-pharmacologic option, like cryotherapy or acupuncture.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some medications, such as Accutane (isotretinoin), must be stopped for a certain amount of time before trying to get pregnant. This is especially important since isotretinoin can cause severe fetal anomalies. Medications like isotretinoin may cause changes in the menstrual cycle of some people. It is also recommended that you wait one month after stopping isotretinoin before trying to get pregnant.<\/span><\/p>\n<h3 id=\"understanding-the-risks-and-benefits\"><b>Understanding the risks and benefits<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">When you&rsquo;re ready to get pregnant, your provider will help you determine if medication changes are necessary. They will help you weigh the risks versus benefits of changing your medication regimen. Many factors come into play, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The advantages of making medication changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Possible side effects of starting or stopping a medicine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How medications may affect your fertility or pregnancy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">By working through these concerns, you and your provider can make a plan that works for your overall health and goals.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Deciding to start or expand your family is a life-changing moment, so naturally, many individuals want to do everything they can to prepare. Ensuring a healthy pregnancy starts with looking at your current health and the medicines you take. Medicines take effect as the body absorbs them. They interact with cells to affect all sorts [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":627751,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[8615],"coauthors":[8861],"class_list":["post-627750","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-pregnancy","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medication management while trying to conceive | SingleCare<\/title>\n<meta name=\"description\" content=\"Some medications may influence reproductive health and fertility. 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