GEMS for "Gynaecology Endoscopy Maternity Menopause Surgery"
During preconception counseling at GEMS Specialty Clinic For Women, we look for anything that may cause problems either during your pregnancy, or for you or your baby after the birth. If testing does indicate some potential risks, the doctors will look for ways to eliminate or reduce those risks, in order to give your baby the best possible start in life.
Factors that may affect pregnancy :
1. Existing medical conditions : Such as Diabetes, thyroid problems.
2. Potential fertility issues – related to irregular menstrual cycle, irregular bleeding, abdominal pain, absence of periods.
3. Method of contraception being used - are you taking the pill? Sometimes taking the pill can mask underlying gynecological issues - it's beneficial to have such problems investigated before pregnancy begins.
4. STDs - Some STDs, such as Chlamydia, may present no symptoms but can impact fertility. Given that Chlamydia commonly lacks symptoms, people pass the disease on to others without knowing they that have it themselves.
5. Woman’s age – As a woman gets older, potential risks to your pregnancy change.
6. Lifestyle considerations – You will be advised about diet, alcohol consumption, caffeine intake, exercise, drug use, medication use and anything that could influence your fertility and/or your pregnancy. We always start you on folic acid supplementation the moment you start planning for a baby. Because good levels of folic acid in the blood go a long way in decreasing the risk of neural tube defects in your baby.
If you're pregnant but haven't gone for preconception counseling, there's no need to panic. Many of the considerations listed here will have already been taken into account by your doctor. If you haven't gone to see a doctor yet, do so as soon as possible. If you have reason to think your medical history or lifestyle may cause problems during pregnancy, be sure to raise this with your doctor and make sure he knows about any medical problems you already have.