Most women are aware that stressful situations can prevent conception. Many perceive this with distrust, but some see this as the reason for the impossibility of getting pregnant.
Stress and Conception
By itself, stress is a useful thing, it is necessary to stimulate the mental and even physical activity of any person. The danger arises if stressful situations become permanent, then the human body ceases to benefit from them and no longer resists them.
Many women know that stress can cause a shift in the menstrual cycle and delay or no ovulation at all. Accordingly, this affects conception, which may not occur if ovulation has not occurred in this cycle. How can stress affect this process?
Hormonal disruptions
One of the hypotheses states that under stressful situations, the body produces large amounts of prolactin, a hormone that negatively affects the production of hormones important for successful ovulation. This can affect both the timing of egg maturation and the thickness of the endometrium, since estrogen production decreases. Due to the insufficient thickness of the endometrium, the fertilized egg cannot attach to the walls of the uterus.
Hormonal abnormalities in men can reduce testosterone levels, which affects potency and spermatogenesis. Stress in men leads to a disruption in the production of follicle-stimulating and luteinizing hormones, which leads to the production of abnormal sperm with defective development and a decrease in other sperm characteristics. All of the above does not lead to successful conception. Stress and conception are not the best tandem.
Disturbances in the nervous system
Stressful situations affect conception on the nerve damage. The reproductive organs are connected to the brain by nerve fibers. When stressed, impulses can flow through them that contract smooth muscles. These contractions can cause a spasm in the fallopian tubes and hypertonicity of the uterus, which means that a woman's reproductive organs will not be able to carry out a transport function and the movement of the egg will be difficult. Sex drive decreases in men. Ejaculation disorders may appear, expressed in the absence of sperm or its movement in the opposite direction.
According to other theories, muscle fiber spasms are due to the production of the so-called "stress enzyme" or alpha-amylase in large quantities. The negative effect on the ovaries, which produce sex hormones, is exerted by cortisol - the "stress hormone". This can cause ovulation and menstrual irregularities. From all of the above, it is clear that stress and conception are incompatible.
Can the negative effects of stress be reduced?
One piece of advice - get out of the state of constant stress pressure. It is necessary to find its root cause and try not to get rid of it partially or completely. Stress can have several reasons - overexertion at work, domestic turmoil, failure to conceive. Perhaps relaxation classes using special techniques will help you. After such exercises, women's stress resistance increases. According to statistical data, 35% of women who used relaxation techniques had a long-awaited pregnancy.
Allies in the fight against stressful situations can be yoga classes, swimming, spa treatments, massage, fitness.
Of course, stress affects the timing of ovulation, but it does not completely interfere with conception. The link between stress and conception certainly affects future pregnancy, but this influence is indirect. The origin of life, in itself, is a burden for the female body. Therefore, do not increase it yourself, avoid stressful situations.
How does mood change during ovulation? Scientists have proven that in 70% of cases, the psycho-emotional state of the fair sex changes on the 14th day during the maturation of the egg and its release from the follicle.
Collapse
How does mood change in different phases of the cycle?
The ovulation process is characterized by preparation for the release of a mature egg from the ovarian follicle. The phase is regulated due to the interaction of gonadotropic and follicular hormones.
The mood during ovulation is characterized by significant changes, during this period a woman experiences a sudden flow of emotions:
- Anger;
- Irritability;
- Nervousness;
- Anger;
- Humor;
- Tearfulness.
Before ovulation, painful symptoms in the abdomen lead to a decadent mood, there is no opportunity to be active, there is depression and a lack of desire to communicate with the outside world.
But now a few days pass and the behavior changes rapidly, cheerfulness and cheerfulness arise, the threshold of sensitivity increases, lightness and detachment appear. Sexual attraction reaches its peak.
In the middle of the ovulatory cycle, the mood sinks, the world is no longer so joyful and colorful. During this period, the egg is ready to leave the mature follicle. The apathetic state appears again.
During this short period, the fair sex blooms, the appearance of the skin improves, the face glows, the hair becomes elastic and elastic. As for the mood, there is a desire for solitude, the peak of intimacy is at a height.
Ovulation is nearing completion - the lady feels great, there are no sudden changes in well-being, she is calm and active. Sexual attraction may be activated. A few days before the onset of menstruation, irritability appears, a depressed mood arises, which changes again at the end of the menstrual cycle.
Causes of mood changes during ovulation
The structure of the physiological body is regulated by certain processes that are responsible for the well-being of a woman. The hormone estrogen has a direct effect on internal changes in the reproductive system.
It is he who is responsible for increased libido, a surge of strength and vigor, improvement of a woman's beauty. In the second phase of the cycle, the hormone progesterone prevails, which "gives" calmness and balance. " The level of maternal care is increasing.
Sex hormone levels can fluctuate, and the rise and fall of estrogen and progesterone are responsible for the signs and symptoms of hormonal imbalances.
External signs can influence mood changes:
- Weather - when it is raining outside the window, you want to be depressed and sad;
- Phases of the lunar cycle - absence / arrival of energy for the increase / decrease of the moon;
- Nutrition - lack of vitamins and minerals;
- Fresh air - walks, physical activity in nature.
Ideally, all these indicators should be in harmony with each other, then the effect of hormones will be less noticeable in a woman's behavior, and the emotional state will be stable throughout the month.
How does stress affect ovulation?
Stress and ovulation - how do these factors interact? Numerous experiences, at home, at work, conflicts, mood swings, lead to disorders of the nervous system, affect the vital processes of the whole organism, including ovulation.
This condition is called "distress syndrome", and it is no longer the norm, it requires referral to a qualified specialist, because it has a serious impact on the organs and systems of a woman. In this case, the menstrual cycle may be disrupted, and as a result, the quality of the ovulatory process.
Pathological stress can lead to a shift in the time interval of ovulation, the inability to calculate its onset in the next cycle.
In such a situation, the onset of pregnancy can be an accident, the risk of ectopic fertilization increases, the quality of embryo development decreases, and there may be cases of spontaneous expulsion of an unviable fetus.
How to improve your mood and get rid of depression?
Negative emotions can be eliminated in various ways:
- Meditation;
- Correct balanced diet;
- Full rest;
- Physical exercise;
- Positive emotions (music, dancing, watching a comedy, updating your wardrobe);
- Taking medications;
- Trays with medicinal decoctions;
- Aromatherapy and more.
All you need to switch from a negative emotion to a positive one is to change your thinking, direct your energy into a peaceful channel - work, increase, make repairs, renew your image, go on a journey. 
A spontaneous improvement in the patient's well-being is observed in 20% of cases, and the effectiveness of treatment depends on comprehensive measures, which are based on taking medications.
Antidepressants act as essential drugs; if used correctly, they are a safe class of psychotropic substances (the dosage is selected individually). Popular drugs:
- Melipramine;
- Amitriptyline;
- Paroxetine;
- Tianeptine.
Corvalol, Valocordin, Persen, Valerian are widely used to calm the nervous system. Decoctions of medicinal plants (chamomile, sage, basil, valerian, mint) are used as an effective addition to the treatment.
Brew in the classical way - a spoonful of raw materials per liter of water, soak in a water bath and take a glass three times a day 30 minutes before eating. You can add a few drops of citrus or almond oil to strengthen the body's defenses.
Psychotherapy allows you to develop emotional self-regulation, in the future, independently gets out of stressful situations, not succumbing to the influx of emotions. Additional forms of treatment are family counseling, group psychotherapy.
It is very important during a period of panic to control your thoughts and not give in to emotions. All psychologists in the world are talking about this, creating full-fledged courses on restoring the vital functions of the whole organism (Louise Hay, Senelnikov, Tracy, Dale Carnegie, Stephen Covey, etc.).
It is important to get rid of old habits and create new ones that will allow you to fill your life with joy and pleasant moments, and not hold on to the past and beat yourself up because of the inevitability of fantasies.
To get rid of depression, it is important to revise the diet, introduce more vitamins and minerals into it, go in for sports, and introduce regular walks in the fresh air.
Take care of your health and do not succumb to the influence of hormones - a happy life is only in your hands!
Health
One of the biggest ironies in our lives is that we spend years trying to prevent pregnancy, and then when we are ready, we can no longer. For those who are planning to conceive a child or are already trying, it is worth knowing about those factors that can interfere with this natural process. Here are the most common things that affect our fertility:
1. High temperature
Who is affected: for men
The enzymes needed for sperm production are very sensitive to high temperatures. Men who frequent saunas or jacuzzis, wear tight underwear, or sit or stand in front of a hot stove all day can inadvertently expose their testicles to heat, resulting in disrupted sperm production. The reason the testes are outside is because they keep a lower temperature than body temperature, which is necessary for sperm production.
What can be done?
Avoid overheating your reproductive organs by limiting your use of saunas and hot tubs, and keeping your laptop on your lap. If your job requires prolonged sitting, get up and move more often and do not sit cross-legged. Wear loose underwear and clothing.
2. Sex at the wrong time
Who is affected: for women and men
If both of you are busy building a career, it can be difficult to carve out time for two at the right time of the month.
What can be done?
Monitor your basal body temperature or use special tests that predict the onset of ovulation so you know when your fertile period is coming. Try to have sex at least one day before ovulation. Once ovulation occurs, it is too late.
3. Medicines
Who is affected: for women and men
There are several common medications that affect fertility. Men who take medications containing cimetidine or heart medicine with digitalishave a low sperm count. Some medications used for high blood pressure can affect ejaculation, sperm motility and their ability to travel to the egg, and antibiotics for urinary tract infections can suppress sperm production. Women using decongestants can inadvertently dry out the mucus secreted by the cervix, which is important for fertility, although this rarely causes infertility.
What can be done?
Talk to your doctor about any medications you and your partner are taking, including over-the-counter drugs. Alternative medicine may be preventing you from getting pregnant. You may also need to temporarily stop taking any medications.
4. Physiological problems
Who is affected: for women and men
The egg and sperm need a relatively clear path to meet. If a woman has uterine fibroids or polyps, endometriosis or scars on the reproductive organs, and the man has such a congenital anomaly as the absence of the vas deferens, then this makes it difficult for the egg and sperm to meet.
What can be done?
If you fall into this category, then most likely you have already sought help from a specialist. But if you tried to conceive a child and did not succeed, you may not be aware of your condition, since there are no symptoms with these disorders. It is worth consulting your doctor to identify the problem.
5. Cancer treatment
Who is affected: for women and men
Testicular cancer is one of the most common cancers in men between the ages of 15 and 45. While cancer itself does not lead to infertility, cancer treatment can. Cancer treatments, such as lymphoma and leukemia, can cause temporary infertility.
Women who are treated for cancer with surgery, radiation, and chemotherapy may experience early menopause, which prevents pregnancy.
What can be done?
If you are facing cancer treatment, talk with your doctor about freezing sperm, eggs, or ovarian tissue that can be used for future conception.
6. Varicocele
Who is affected: for men
Varicocele is a varicose veins of the spermatic cord. Dilated veins cause blood to accumulate, which raises the temperature in the scrotum, which affects sperm production. This is the most common cause of male infertility. About 15 percent of men have this disorder and most are unaware of it.
What can be done?
Varicocele is repaired with a minor surgical procedure in which the surgeon pinches the varicose veins.
7. Irregular ovulation
Who is affected: for women
The average menstrual cycle lasts 28 days. At the same time, it should be noted that a cycle of 23 to 35 days is considered normal. Ovulation, during which the egg moves from the fallopian tube to the uterus, occurs about 14 days before the first day of your next period. But there are a number of diseases that cause irregular ovulation, such as polycystic ovary disease, hyperthyroidism (increased thyroid function) or hypothyroidism (decreased thyroid function), hormonal imbalances (for example, having too many male hormones), under or overweight, stress , diet, perimenopause and others.
What can be done?
Monitor your basal body temperature so you know when you ovulate and when is the best time to have sex. You can purchase tests that predict ovulation. Most of them analyze the surge of luteinizing hormone in the urine, which indicates the upcoming ovulation. Of course, if you have any of the above conditions, then you should see your doctor, as there are several treatments to help stimulate ovulation.
8. Alcohol and smoking
Who is affected: for women and men
Alcohol is a "gonadotoxin", which means it is a "poison" for the testicles that affects sperm production. Men should limit their alcohol consumption to two drinks per week. Women who want to get pregnant should also abstain from alcohol and give up alcohol altogether as soon as they find out they are pregnant.
Both marijuana and cigarettes lead to sperm abnormalities. Women who smoke tend to deplete their egg stores more quickly than non-smokers, and smoking also affects estrogen production. Estrogen plays an important role in the production of cervical mucus, which helps the sperm travel to the egg. Nicotine in a woman's cervical mucus kills sperm, decreasing the chances of conception.
What can be done?
If you smoke or use drugs, it is time to stop. Limit alcohol consumption to rare, or better stop altogether.
9. Weight
Who is affected: for women and men
Women who are underweight and overweight may suffer from hormonal imbalances. Underweight men may have lower testosterone levels, and both underweight and overweight are associated with lower sperm count and concentration.
What can be done?
If your weight is abnormal, make adjustments to bring it to a healthy weight. Exercise in moderation and make sure your diet is complete.
10. Stress
Who is affected: for women and men
In men, stress affects fertility by decreasing sperm volume and increasing abnormal sperm count. Women suffering from chronic stress produce less gonadotropin-releasing hormone, which leads to a number of changes in the hormonal background associated with ovulation.
What can be done?
Learn to cope with stress through exercise and meditation. Set aside at least 15 minutes a day for yourself to relax and get all the problems out of your head.
11. Sexually transmitted infections
Who is affected: for women and men
If left untreated, infections such as chlamydia and gonorrhea can lead to scarring of the fallopian tubes, uterus, and ovaries, preventing sperm from reaching the egg or preventing a fertilized egg from attaching to the uterus. Scars on the tubes can also lead to an ectopic pregnancy. In men, scarring in the ducts of the epididymis and vas deferens can block the path of sperm to the egg and prevent fertilization.
What can be done?
If any of you have a sexually transmitted infection, tell your doctor. In many cases, scar tissue can be removed with surgery, resulting in the desired pregnancy.
12. Age
Who is affected: for women and men
By the time a woman reaches 35 years old, she has lost many viable eggs through menstruation and natural exhaustion. The optimal age for conceiving a child, at least in terms of biology, is between 20 and 30 years of age. And although men can technically become fathers in old age, the risk of conceiving a child with chromosomal abnormalities, especially Down syndrome, increases after age 35, as in women.
What can be done?
If you are under 35, most doctors will not refer you to a fertility specialist until you have tried to conceive for at least a year. If you are over 35, you should consult with a specialist as early as possible. The sooner you seek help, the higher your chances of conceiving.
The question of how relevant the topic of the influence of stress on conception is, is of interest to many, but unambiguous answers have not yet been found. Nevertheless, more and more facts indicate the relationship between the onset of pregnancy and the emotional state of not only women, but also men.
The dependence of natural biological processes in a woman's body on the state of her nervous system is a proven fact. If stressful situations occur regularly or the shock was "deep", then the cycle is often lost, menstruation can vary in intensity and duration. Naturally, such changes may also affect a woman's ability to become pregnant and bear a child.
Possible reasons
There are the following opinions on how the effect of stress on conception occurs:
- Hormonal changes. With nervous tension, the concentration of adrenaline increases and this hormone gives conditioned signals in the form of impulses that the body is in danger. An organism that is struggling to survive blocks all non-essential functions, including reproduction. Cortisol increases, suppressing a number of sex hormones, prolactin, which negatively affects the onset of ovulation. There is less estrogen, and without a sufficient amount of it, the egg (fertilized) will not be fixed in the uterus;
- Muscle tension, spasms. Nervous tension can be transmitted to internal tissues in the form of muscle contractions, which are extremely undesirable for the pelvic organs. The movement of the egg to the uterus will take longer, the quality of movement will be impaired;
- Mood, sex drive. In some women, the reaction to stress is a loss of strength, deterioration in mood, depression, and lack of sexual desire. Such phenomena can be temporary, but this is enough to prevent pregnancy, since ovulation lasts for several days;
- Nervous disorders can provoke exacerbations of chronic diseases. If they are accompanied by inflammation and other pathological processes, then there is a risk of complications in the form of ovulation disorders, problems with conception;
- Exhaustion of the body. Regular psychological stress can lead to physical exhaustion of the body, a decrease in immunity, and metabolic disorders. All this in combination provokes diseases of the internal organs, including the pelvic organs, the genitourinary system and, as a consequence, reproductive problems.
According to statistics, many women who did not succeed in getting pregnant, but they strenuously walked towards their goal, managed to do this when they “let go” the situation, did not focus on the result. This is a kind of proof that constant nervous tension from unsuccessful attempts, to some extent, affects the ability to fertilize.
How to reduce the impact of stressful situations on conception
Correct behavior in tense nervous situations will be useful not only for women who plan to become pregnant and bear a baby, but also for those who want to maintain their psychological and physical condition in the norm. There are several tricks for these purposes:
- It is necessary to reduce being in an environment where stressful situations occur more often. At the same time, priorities should be determined, it is important to prove your case or abstract from the situation and leave the opponent with his opinion;
- Breathing exercises. An excellent option is to calm down right on the spot, to come to a normal state is to start breathing deeply and evenly, you can simultaneously count up to three on inhalation, exhalation. There are many techniques to calm down only thanks to breathing, you need to learn how to use them, it can be useful during childbirth;
- Physical exercise. It distracts from problems and brings health benefits. Swimming, a great option, fitness, especially since it can be in the form of various dances, aerobics;
- Yoga, relaxation, meditation. With the right approach, such relaxation programs can help restore psychological balance;
- Lifestyle, hobbies. Reading, aromatherapy, meeting with loved ones and other activities that bring pleasant emotions should be used if you feel nervousness, psychological stress.
There are various ways to normalize the nervous system, but when planning a pregnancy, you do not need to use strong sedatives. Chemical compounds can adversely affect conception and subsequent childbearing. In especially severe conditions, it is better to consult a specialist.
Stress and emotional leaps in a single manifestation, for example, 1-2 times a month, are not the main problems for conception. Such periodic loads can also have a positive effect, since the body includes protective functions, a number of biological processes are stimulated. It is not necessary to completely blame the absence of pregnancy only on a stressful condition, since conception can be postponed for other reasons.
Medical aspects of infertility
But I, as a gynecologist, still wanted to start the article with the medical causes of infertility. I will list the main factors that prevent pregnancy:
Endocrine infertility - hormonal disorders in a woman due to the presence of a number of diseases (polycystic ovary syndrome, hypothyroidism, pituitary tumor, luteal phase failure, etc.);
- tubal-peritoneal factor - impaired patency of the fallopian tubes against the background of adhesions in the small pelvis;
- uterine fibroids, endometriosis;
- malformations of the genital organs (Shereshevsky-Turner syndrome), uterine hypoplasia ("children's" uterus);
- male factor - violations of the male reproductive function;
- immune factor - the presence of antisperm antibodies (ASAT) in the vas deferens in a man and / or in the cervical mucus in a woman; ACAT coat sperm, thereby reducing their viability and motility;
According to the WHO definition, a marriage is considered infertile if pregnancy does not occur with regular sexual activity (at least 4 times a month) for a year without using contraception. In this case, the couple must consult a doctor and undergo a full examination, including: spermogram, infection screening, hormonal profile, ultrasound, assessment of the patency of the fallopian tubes, CT (computed tomography) of the Turkish saddle, etc. After the diagnosis is made, the doctor prescribes treatment. However, it is no secret that in many patients the cause of infertility cannot be found out. In this case, a woman should pay attention to psychological factors.
Stress makes you less likely to get pregnant
Today, it is scientifically proven that stress has a significant impact on female fertility. A group of American researchers from Ohio State University led by C.D. Lynch examined 501 women between the ages of 18 and 40. None of the observed suffered from infertility, all at the time of the study were trying to get pregnant.
The follow-up lasted 12 months or until pregnancy occurred. Saliva samples were taken from the subjects regularly to determine the level of alpha-amylase, which is a biological marker of stress. A total of 401 (80%) couples completed the study protocol.
Of 401 (80%) women, 347 (87%) became pregnant, 54 (13%) were unable to do so. All other factors being equal (age, race, income, alcohol, caffeine, and cigarette consumption), women with high levels of alpha-amylase were 29% longer than women with higher levels of alpha-amylase than those with lower levels of this enzyme. This decrease in fertility corresponded to a twofold increase in the risk of infertility among the surveyed.
Unfortunately, the authors were unable to study whether stress levels continue to increase if the woman is still unable to help but get pregnant. But scientists believe that childless couples should not blame themselves for this situation, since stress is not the only and not the most important factor affecting the ability to conceive.
Depression and pregnancy
Not only stress, but more serious mental disorders cause infertility. Today, it has been proven that women who have experienced severe depression have a 38% lower chance of conception, regardless of taking psychotropic drugs.
The PRESTO (Pregnancy Study Online) study of American authors (Nillni Y.I. et al., 2016) included 2146 women (USA and Canada) aged 21 to 45 years who tried to get pregnant. The follow-up lasted 12 months or until pregnancy occurred. At the beginning of the study, the participants took a survey that allowed them to assess demographic indicators, the presence of a documented diagnosis of depression and anxiety, self-reported depressive symptoms and the use of psychotropic drugs. Follow-up examinations were performed every 8 weeks.
Overall, 22% of those observed reported seeing a doctor for depression, 17.2% had taken psychotropic drugs in the past, and 10.3% had used them now. It was found that the presence of severe depression in a woman at the beginning of the study, regardless of treatment, caused a significant decrease in fertility.
Several previously published studies have shown that antidepressants can cause infertility. New work dispelled these notions. The authors have shown that the use of psychotropic drugs, antidepressants and mood stabilizers does not harm the onset of pregnancy. Conversely, women who had previously taken SSRI antidepressants had an increased fertility rate. At the same time, it was found that the use of more serious drugs - tranquilizers (benzodiazepines) is associated with a decrease in reproductive capacity.
Unfortunately, the results did not answer the question of why women with more severe depression are unable to conceive longer than patients with mild depression. But the authors have speculations: the fact is that depression disrupts the regulation of the hypothalamic-pituitary-adrenal system, which negatively affects the menstrual cycle and the possibility of conception. What if you can't get pregnant?
Meditation as antidepressants
Let me remind you: first of all, if it is impossible to become pregnant, it is necessary to undergo an examination and exclude the medical aspects of infertility. In addition, for all women planning to conceive, regardless of the presence or absence of factors of infertility, I recommend using various ways to reduce stress levels, such as yoga, qigong, breathing practices and meditation.
The therapeutic effect of the latter has been proven by scientists from the University of Oxford. It turns out that specific types of meditation can be as effective in preventing depression recurrence as antidepressants. This fact was confirmed in a comparative study conducted in the UK, the results of which are published in the journal Lancet.
All 424 participants with an established diagnosis of depression were divided into two groups: the first received antidepressants, and the second received cognitive psychotherapy based on mindfulness (meditation). Eight group sessions were conducted with the participants of the second group. They also meditated on their own at home every day to learn how to recognize and deal with negative thoughts. For two years, all patients were regularly assessed for their emotional state. Both treatment options were equally effective in terms of the frequency of relapse of depression: in the first group - 44%, in the second - 47%.
According to study leader Willem Kaiken, psychotherapy offers an alternative for millions of people, especially those who want to stop taking antidepressants. According to the data obtained, without treatment, four out of five patients experience a relapse.
What will help you get pregnant?
The results of two studies by American scientists, published in the journals Fertility and Sterility and Physiology and Behavior, proved that the onset of pregnancy is promoted by nothing more than sexual activity, as it causes systemic changes in the immune system that increase women's fertility and the chances of getting pregnant.
Scientists from Indiana University in Bloomington analyzed data obtained during 30 menstrual cycles in women. Half of the subjects were sexually active and the other half abstained from sex.
Sexual activity has been found to induce immune changes. We are talking about the level of the so-called T-helpers: 1 type of these protective cells prevents pregnancy, 2 - promotes. It turns out that in sexually active women in the luteal (second) phase of the menstrual cycle, when the endometrium is preparing for embryo implantation, the level of type 2 T-helpers is higher than in sexually inactive women.
In contrast, the levels of type 1 T-helpers, which help the body to defend itself against external threats, in the first group of women were higher in the follicular phase than in the second. The absence of sexual activity did not cause such fluctuations in the immune function.
In the second study, the researchers focused on various immunoglobulins. In the luteal phase, sexually active women increase the level of immunoglobulin G (protective blood proteins), which perform general protection, without exerting a local effect on the uterus preparing for implantation. During the follicular (first) phase, higher levels of immunoglobulin A are found, which has only a local protective effect of the mucous membrane of the female genital tract, which prevents the introduction of a genital infection.
In this way, the immune system responds to behavioral and social stimuli and prepares a sexually active woman's body for pregnancy. The conclusions reached by the authors may influence the recommendations on the mode of sexual activity for couples planning to conceive a child.
Meditate and enjoy life to the fullest! Happy conception and happy pregnancy!
Always with you,