4 Signs It’s Time for an Infertility Evaluation

The decision to start your family is an exciting one. You imagine the joyous experience of pregnancy and bringing home your new baby. Getting to the point of conception isn’t always easy, however.  

When you’re trying to get pregnant, it sometimes seems that everyone around you is able to conceive easily while it’s taking you and your partner forever. In reality, about 11% of women and 9% of men have experienced problems with fertility.

How do you know when it’s time to seek fertility help from our team of experts at Capital Women’s Care in Silver Spring and Laurel, Maryland?

If you’ve been trying to conceive without any luck, here are four signs that it’s time for an infertility evaluation. 

One year and no pregnancy

The general guideline is that if you’ve been trying to conceive for one year without success, it’s time to seek professional advice. However, for women over the age of 35, we recommend seeking help after six months due to the natural decline in fertility with age.

Our experienced fertility specialists conduct a thorough examination of both partners, assessing factors such as hormonal balance, ovulation patterns, and sperm quality to identify any underlying issues.

Your period is irregular

Irregular menstrual cycles are often a sign of reproductive health issues, such as polycystic ovary syndrome (PCOS) or hormonal imbalances. If you’ve noticed irregularities in your cycle, or if it’s consistently shorter than 21 days or longer than 35 days, make an appointment at our office.

Regular menstrual cycles are essential for successful conception. They’re a sign that you’re ovulating every month. Ovulation is the time when one of a woman’s ovaries releases an egg that’s ready for fertilization.

Addressing any cycle irregularities early on can significantly improve your chances of getting pregnant.

You’ve experienced pregnancy loss

If you’ve experienced two or more consecutive miscarriages, it’s time to consider an infertility evaluation. Recurrent pregnancy loss can indicate fertility problems, including chromosomal abnormalities, uterine issues, or hormonal imbalances.
Capital Women’s Care offers compassionate care and a comprehensive assessment to identify the root cause of recurrent pregnancy loss, guiding you toward personalized treatment options.

You have a known reproductive health issue

If you or your partner has a history of reproductive health issues, such as endometriosis, previous surgeries, or sexually transmitted infections (STIs), an infertility evaluation is a good idea. These factors can significantly impact fertility and may require specialized interventions.
We’re well-equipped to address pre-existing conditions and develop tailored treatment plans to improve your chances of conception.

If you’re looking to get pregnant but are experiencing challenges along the way, our OB/GYN clinic is here to provide support and expertise. 

If you notice any of these signs that it’s time for an infertility evaluation, set up a consultation today. Call Capital Women’s Care or use this website to request your appointment. Don’t hesitate to reach out to our compassionate team for guidance on your fertility journey.

Fetal Movement: What’s Normal and What’s Not

One of the most eagerly anticipated signs of a developing baby is the sensation of fetal movement. These movements, often referred to as “quickening,” are a reassuring sign that your little one is growing and developing. 

Not all babies move the same way while in the womb, however. It’s normal for expectant mothers to be concerned about what’s considered normal and when to be concerned about fetal movements. 

At Capital Women’s Care in Silver Spring and Laurel, Maryland, our team’s top priorities are your health and your baby’s. We want to put your mind at ease so you know what is normal when it comes to fetal movement. 

Take a moment to learn what’s normal vs. what you should bring to our attention when you feel your baby move. 

Understanding fetal movement

Fetal movement is one of the earliest indicators of a growing fetus. It usually begins between the 16th and 25th weeks of pregnancy, although it may vary from person to person and pregnancy to pregnancy.

These movements start subtly and may feel like gentle flutters, bubbles, or gas. As your pregnancy progresses, the movements become more pronounced and recognizable.

As you approach the third trimester, you might notice a change in the character of your baby’s movements. They may become more deliberate and forceful, which is entirely normal.

Normal fetal movement

The frequency of fetal movement patterns can vary as well, but on average, you should feel your baby move at least 10 times in two hours. This is a general guideline, and it’s important to remember that every pregnancy is unique. Some babies are naturally more active, while others are quieter.

You’ll notice your baby tends to be more active during certain times of the day, often when you’re relaxed or lying down. Pay attention to your baby’s individual schedule. You might notice a daily pattern of increased activity.

Fetal movements can include kicks, punches, rolls, and hiccups. It’s essential to pay attention to different types of movements, not just the intensity.

When to be concerned about fetal movement

While fetal movement is a positive sign of your baby’s well-being, here are some situations where you should contact us:

Decreased movements 

If you notice a significant decrease in fetal movements, or if your baby has been less active than usual, contact our office. This could indicate potential issues with your baby’s health.

No movement

If you haven’t felt any fetal movement by 24 weeks, you should absolutely contact our office. This could be a sign of fetal distress.

Sudden changes in movement

If you experience sudden and severe changes in your baby’s movements, such as constant and violent kicking, this could be a cause for concern.

Lack of consistency 

If your baby’s movements are inconsistent or irregular, it’s a good idea to seek medical advice. A consistent pattern of movements is often reassuring.

Fetal movement is a sign of your baby’s growth and development and creates a beautiful connection between you and your unborn child. We want to help you understand what’s normal and what’s not so you can be attentive to your baby’s health and needs. 

Contact Capital Women’s Care today to set up a consultation if you have any pregnancy or gynecology questions. Call or use this website to request your appointment today.

My Last Pregnancy Was High Risk. What Should I Do to Prepare for the Next One?

Bringing a new life into the world is a beautiful and transformative experience. However, complications develop in up to 50,000 pregnancies in the United States each year, so they’re categorized as “high risk.”

High-risk pregnancies can be challenging and require extra care and attention from both you and your health care provider. Remember, knowledge and preparation are your allies in ensuring a safe and healthy pregnancy journey.

At Capital Women’s Care in Silver Spring and Laurel, Maryland, our team’s top priorities are the health of you and your baby. If you had a high-risk pregnancy in the past, we’re ready to help. 

Share with us your concerns, medical history, and details about your previous high-risk pregnancy. We can help you determine whether it’s safe for you to conceive again. 

If another pregnancy is in your future, learn how to prepare for it to minimize the likelihood of complications.

Address any underlying health conditions

If underlying health conditions, such as diabetes or lupus, contributed to your previous high-risk pregnancy, it’s essential to manage them effectively before getting pregnant again. This may involve medication adjustments, lifestyle changes, or specialized treatment plans to optimize your health for pregnancy.

Optimize your lifestyle

Maintaining a healthy lifestyle is always important for a healthy pregnancy. Focus on:

Eating a healthy diet

Eat a balanced diet rich in nutrients. Consider consulting with a nutritionist for a personalized plan.

Exercising

Engage in regular, moderate exercise to keep your body strong and prepare it for the physical demands of pregnancy.

Stopping smoking and alcohol consumption

If you smoke or consume alcohol, now is the time to quit. Both can have adverse effects on pregnancy.

Keep up with your weight

Achieve and maintain a healthy weight before conception. Obesity can increase the risk of complications during pregnancy.

Take prenatal vitamins

Start taking prenatal vitamins with folic acid at least one month before you plan to conceive. Folic acid helps prevent certain birth defects of the baby’s brain and spine.

Ask about genetic counseling

If your previous high-risk pregnancy was due to a genetic condition or you have concerns about inherited diseases, consider genetic counseling. This can help you understand the risk and explore options for genetic testing.

Take care of your emotional and mental well-being

Pregnancy can be emotionally challenging, especially after a high-risk experience. Seek emotional support from friends, family, or a therapist. Joining support groups for women who also had high-risk pregnancies can provide a sense of community and reassurance. We can help you find you the appropriate support.

Monitor your cycles

Keep track of your menstrual cycles and ovulation to maximize your chances of conceiving when your body is most fertile. This can be particularly important if you’ve been trying to conceive for some time.

Get regular check-ups during pregnancy

Once you become pregnant, don’t miss any scheduled prenatal check-ups and screenings. High-risk pregnancies require close monitoring through exams and ultrasound, and detecting issues early can lead to better outcomes. We set up appointments in advance and ensure you get the necessary evaluations.

With careful planning, proactive health management, and the guidance of our skilled team at Capital Women’s Care, you can take important steps to reduce the risk of having another high-risk pregnancy. And, if you need extra care and support, we’re here for you. 

Contact Capital Women’s Care today to set up a consultation if you have any pregnancy or gynecology questions. Call or use this website to request your appointment today.

Why Do I Need to Give a Urine Sample at My OB/GYN Appointment?

You might be asked to provide a urine sample at routine gynecological visits and prenatal check-ins. Obtaining and handing over this sample isn’t really the most fun. It can be awkward, messy, and frustrating if you just don’t have to “go.”

A urine screening is important, however. It reveals multiple diseases, including bladder malignancies, liver dysfunction, and renal disease. It can also be the fastest and simplest way to confirm a pregnancy! 

If you already know you’re pregnant, a urine screening can reveal problems including preeclampsia and placenta percreta. 

At Capital Women’s Care in Silver Spring and Laurel, Maryland, your health and well-being are our team’s top priorities. Take a moment to better understand why a urine screening is such an important aspect of your visit.

Why urine samples matter

Even if you feel healthy and vibrant, your urine can reveal essential information about your health that might not be apparent from the outside. Urine samples can provide:

Early detection of conditions

Your urine can provide early indications of potential health issues. For instance, protein in your urine might signal preeclampsia during pregnancy, a condition that requires careful monitoring to ensure both you and your baby stay healthy.

Infection screening

Your urinary tract is no stranger to infections, and some of these can be tricky to detect without a proper urine sample. A simple urine test can identify urinary tract infections (UTIs) or even asymptomatic bacterial infections that, if left untreated, could lead to more severe complications.

Pregnancy monitoring

Urine samples are particularly important for expectant mothers. They help monitor hormone levels, detect gestational diabetes, and assess kidney function. If you have any of these conditions, the Capital Women’s Care team helps you manage and promote a safe and healthy pregnancy.

General health insights

Your urine can offer insights into your overall health. Conditions like diabetes and kidney diseases are often detected through urine tests, allowing us to intervene early and provide necessary care.

What it’s like to give a urine sample

When you arrive for your appointment, our friendly staff provides you with a sterile container in which to collect your urine sample. Don’t worry — it’s a quick and straightforward process. 

We explain how to use a sanitary wipe to clean your vaginal area and catch the urine midstream. Once you’ve collected the sample, you hand it over to our medical team for analysis.

Privacy and confidentiality are a priority

Rest assured, your privacy and confidentiality are paramount to us. We handle your urine sample with the utmost discretion and share the results only with authorized medical personnel who are involved in your care. We adhere to strict privacy regulations to ensure your information remains secure.

Now you have a better idea of why we ask you for a urine sample at your OB/GYN appointments. We use the sample to get valuable information about your health and to detect potential problems early, when they’re most treatable. 

If you need a routine well-woman exam, are seeking prenatal care, or have concerns about your pelvic organs, contact Capital Women’s Care today to set up an appointment. Call or use this website to request your appointment today.