Gynaecologist Dr Varshali Mali shares 5 health checks every woman above 35 should consider before planning pregnancy

Age 35 and beyond is known as advanced maternal age, where the risk to maternal and fetal health is higher than before. Dr Mali shares health checks to help.

Individuals can feel ready to become parents at any age. However, for women 35 years or older, the period is known as “advanced maternal age,” according to Dr Varshali Mali.

“At this stage, the chances of certain pregnancy-related complications rise, including miscarriage, genetic disorders, chromosomal conditions in the baby and diabetes and hypertension in the mother,” Dr Mali shared with HT Lifestyle.

“Fertility also declines gradually with age as both egg quantity and egg quality reduce. After 35, the chance of conception is about 15 to 20 percent per menstrual cycle, while the risk of miscarriage is around 20 per cent at age 35.”

However, that does not mean that it is unlikely to have a healthy pregnancy above the age of 35. As per the gynaecologist, early medical guidance, preconception checks and appropriate screening can help identify possible risks, detect certain congenital conditions, and support better planning through the pregnancy journey.

She went on to share five health checks that are necessary for women to go through while considering pregnancy after the age of 35. They are presented as follows.

 

1. Fertility and ovarian reserve

An ovarian reserve assessment, usually through AMH (Anti-Müllerian Hormone), early-cycle FSH (Follicle-Stimulating Hormone) and an ultrasound-based antral follicle count, helps understand how much time and flexibility a couple may have.

AMH reflects egg supply, not egg quality, so it should guide planning rather than create panic, noted Dr Mali.

2. Thyroid and hormonal health

A thyroid imbalance can quietly disturb ovulation and make it harder to conceive. If left untreated, it may also increase the risk of miscarriage and affect the baby’s early brain development.

A simple thyroid profile, including TSH, T3 and T4, is often advised before pregnancy, particularly for women above 30, those with irregular cycles, previous pregnancy loss, fertility concerns, unexplained weight changes, fatigue or other symptoms.

3. Diabetes and blood pressure screening

Blood sugar and blood pressure should be checked before trying to conceive, especially after 35. Tests such as HbA1c and fasting glucose can show whether diabetes or prediabetes needs attention. Regular blood pressure readings can help pick up hypertension early.

If these conditions are missed, they can raise the risk of gestational diabetes, preeclampsia, preterm birth and growth-related concerns for the baby. Managing them before pregnancy gives both mother and child a safer start.

4. Nutrition and deficiency checks

Ferritin, haemoglobin, vitamin D and B12 testing can reveal deficiencies that may worsen fatigue, anaemia or fetal growth concerns during pregnancy.

“Women planning pregnancy should also start taking folic acid, as it is recommended to consume 400 mcg daily to reduce the risk of neural tube defects,” stated the gynaecologist.

5. Reproductive health, infection, and immunity review

A pelvic examination and ultrasound can help detect fibroids, ovarian cysts, endometriosis or uterine lining concerns that may affect implantation or pregnancy. Immunity to rubella and varicella, along with STI screening for infections such as HIV, hepatitis B, hepatitis C and syphilis, should also be considered before conception.

“Planning pregnancy after 35 should begin with a frank, unhurried conversation with a gynaecologist,” shared Dr Mali. “These checks do not predict everything, but they help identify risks early, correct what can be corrected, and guide the couple on timing, treatment and care.”

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

Dr. Varshali Mali is a senior consultant in the department of Obstetrics and Gynaecology at Surya Mother & Child Super Speciality Hospital, Pune.

 

 

This is only for your information, kindly take the advice of your doctor for food, medicines, exercises and so on.   

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This Humble Supefood Deserves More Attention!

Nutrient-rich and often overlooked, wheat germ is a tiny powerhouse that packs a serious punch. While it might not seem like much, this small part of the wheat kernel is loaded with vitamins, minerals, and other essential nutrients. For those looking to add more nutrition to their diet without making drastic changes, wheat germ could be the perfect solution. 

 

There are many health benefits associated with this superfood, including improved heart health and digestion. If you’re someone trying to eat healthier, wheat germ is versatile and easy to incorporate into your meals. Read on to uncover why this humble ingredient deserves more attention. 

 

Nutritional Profile of Wheat Germ

 

Wheat germ is a powerhouse of essential nutrients, including vitamin E, folate, magnesium, zinc, and iron. It also contains a significant amount of protein and fiber, making it an excellent addition to a balanced diet. The combination of antioxidants and minerals supports cellular health, energy production, and immune function. A tablespoon or two of wheat germ can deliver a noticeable nutritional boost without adding unnecessary calories.

Wheat germ also contains antioxidants and healthy fats, making it a well-rounded addition to your diet. 

 

1. A great source of antioxidants 

Wheat germ is rich in antioxidants, particularly vitamin E, which helps protect your body against free radicals. These unstable molecules can cause oxidative stress, leading to chronic illnesses like cancer, heart disease, and premature aging. Including wheat germ in your meals can help combat this damage and keep your cells healthy. Additionally, antioxidants play a role in strengthening your immune system, ensuring your body can fight off infections effectively. 

 

This makes wheat germ an excellent choice for anyone looking to boost their long-term health naturally and deliciously. 

 

2. Promotes heart health

The nutrients in wheat germ—like magnesium, folate, and unsaturated fats—are fantastic for heart health. Magnesium helps regulate blood pressure, while folate supports healthy circulation by reducing homocysteine levels in the blood. Additionally, the plant sterols in wheat germ are known to lower cholesterol levels, further reducing the risk of heart disease. Adding a tablespoon of wheat germ to your oatmeal or smoothie could be a simple yet effective way to care for your heart daily. 

 

3. Boosts energy levels 

If you’re feeling sluggish, wheat germ might be the answer. Packed with B vitamins, including thiamine, riboflavin, and niacin, it helps convert food into energy more efficiently. These nutrients are essential for maintaining stamina throughout the day. 

 

Athletes often include wheat germ in their diets because of its ability to provide a natural energy boost without the sugar crash associated with processed snacks. Sprinkle some on your breakfast to kick-start your day with long-lasting energy.

4. Supports digestive health 

Wheat germ is a good source of dietary fiber, which is essential for a healthy digestive system. Fiber helps regulate bowel movements, preventing constipation and promoting overall gut health. A diet high in fiber has also been linked to a reduced risk of colorectal cancer. 

 

The insoluble fiber in wheat germ adds bulk to your stool, while the soluble fiber nourishes the good bacteria in your gut. This makes it a win-win for your digestive tract. 

5. Helps in muscle recovery

 

Thanks to its high protein content, wheat germ is great for muscle repair and recovery. Protein helps rebuild muscle tissues after workouts, making it an excellent addition to a post-exercise snack. The magnesium and potassium in wheat germ also play a role in reducing muscle cramps and soreness. 

 

For athletes or fitness enthusiasts, including wheat germ into shakes or snacks could help speed up recovery and improve performance.

6. Improves skin health 

The vitamin E content in wheat germ makes it a natural choice for glowing skin. This powerful antioxidant reduces inflammation, combats dryness, and protects your skin from UV damage. Additionally, the fatty acids in wheat germ moisturize your skin from the inside out, leaving it soft and supple. Many skincare products include wheat germ oil, but consuming the raw germ can offer even more benefits for your skin’s health. 

 

7. Strengthens the immune system

Your immune system relies on several nutrients found in wheat germ, such as zinc, vitamin E, and B vitamins. Zinc, in particular, is crucial for immune cell production, while vitamin E helps your body fend off infections.

Regularly including wheat germ in your meals can help you build a stronger defense against seasonal illnesses and infections. It’s a simple way to keep your immunity in check without resorting to supplements.

 

8. Aids in weight management  

Wheat germ is nutrient-dense but low in calories, making it an ideal addition to a weight management plan. The fiber in wheat germ helps you feel fuller for longer, reducing the likelihood of overeating or snacking between meals. 

 

Its protein content also plays a role in curbing hunger by regulating appetite hormones. Incorporating wheat germ into your diet can support healthy weight loss without sacrificing essential nutrients. 

 

9. Enhances brain function

The B vitamins and omega-3 fatty acids in wheat germ are known to improve brain health. These nutrients help maintain proper cognitive function and may reduce the risk of neurodegenerative conditions like Alzheimer’s disease. 

 

Additionally, the magnesium in wheat germ helps regulate nerve signals, ensuring your brain stays sharp. Adding wheat germ to your diet could be a step toward better mental clarity and focus. 

 

10. Supports reproductive health  

Wheat germ contains essential nutrients like zinc and folate, which play a key role in reproductive health for both men and women. Zinc supports sperm production and overall male fertility, while folate is crucial for women trying to conceive as it helps prevent birth defects. 

 

Including wheat germ into your meals is a simple way to support reproductive wellness naturally. It’s a nutrient-packed food that benefits people of all ages.

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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Hypertension adversely affects reproductive health of men, women: Family Planning Association

Numerous studies have shown the adverse impact of hypertension on the reproductive health of men and women, the experts at Family Planning Association of India (FPA India) have said.

In a webinar marking the 72nd year of FPA India, the organization stressed that hypertension was a silent killer, given how there are no ​easily identifiable symptoms for it. They added said that hypertension worsens COVID-19 condition in patients.

The event marked the launch of Project PrACHI- Prioritizing Advocacy for Control of Hypertension in India – a nationwide campaign supported by the Global Health Advocacy Incubator, to accelerate hypertension control and treatment in India.

Hypertension, commonly known as High Blood Pressure or High BP is a serious medical condition that affects 1.13 billion people, besides being a leading cause of death.

Statistics say that in India almost 30 per cent of adults have hypertension, and an alarmingly high number are unaware of their condition.

The Government of India aims to reduce the prevalence of hypertension in India by 25 per cent by 2025. Achieving this goal will require effectively treating an additional 4.5 crore people with hypertension in the next four years.

Cardiovascular disease (CVD), primarily ischaemic heart disease and stroke, are the leading cause of death worldwide, accounting for 17.7 million deaths annually. WHO estimates that India accounts for over a fifth of these deaths.

Poor Awareness of hypertension in India coupled with undetected and untreated hypertension is ranked as the highest risk factor for heart disease and related deaths.

Dr Rathnamala Desai, President, FPA India stated that regular preventive health check-ups should be especially encouraged among the younger working age (35-65 years) men and women in the reproductive age to pick up underlying hypertension that can potentially lead to adverse cardiovascular or reproductive health events.

According to Dr Sonu Goel, Deparment of Community Medicine, PGIMER, Chandigarh, “Almost one in five women aged 15–49 years in India has undiagnosed hypertension with implications for personal and reproductive health.”

She added that efforts were underway to work with the government and combat the problem.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement