Medical News: Contraception and Pregnancy

Wednesday, November 12th, 2014 No Commented
Categorized Under: Sexual Health

TERMINATION OF PREGNANCY

I have become pregnant and really don’t want a baby at the moment. Is diabetes grounds for termination of pregnancy? Contraception

No, not unless your doctor considers that the pregnancy would be detrimental to your health, which may sometimes be the case if you have complications of diabetes. If you do not have any complications the reasons for termination of pregnancy apply equally to women with and without diabetes.

I am going into hospital for an abortion. I am worried that the doctors might not do it as I have diabetes. Should I have told someone?

There is no added hazard for women with diabetes who undergo termination of pregnancy, and care of the diabetes during this operation does not raise any special difficulties. It is still important to tell your gynaecologist that you have diabetes so that good control can be maintained during this time.

FERTILITY

I have recently got married and my wife and I are keen to start a family. Are people with diabetes more likely to be infertile?

There is nothing to suggest that men with diabetes are any less fertile than men who do not have diabetes and in general this is also true for women. However, women with consistently high blood glucose readings may find it more difficult to conceive. This may be a good thing as there is sound evidence to show that the outcome of pregnancy is much worse in women who conceive when their control is poor.

I have been trying for a baby for years and we have now decided to go for fertility counselling and possible treatment. Can people with diabetes expect the same treatment for infertility as people without?

Yes. As mentioned in the previous question, diabetes is rarely the cause of infertility. If control is anything other than excellent, improving control, aiming for an HbA1c of less than 7.5% should be the first goal. Referral to an infertility expert is the next step but good control would be necessary before treatment could be started.

I have told that I have PCOS and my doctor says this might make it difficult for me to conceive and also puts me at risk of developing diabetes. Could you explain this.

Polycystic ovary syndrome (PCOS) is a condition in which the ovaries have multiple small cysts that interfere with function and may upset the normal hormone balance, causing irregular periods. This can lead to reduced fertility. PCOS is often associated with being overweight and can lead to an increase in body hair. It is also linked with insulin resistance and an increased risk of developing type 2 diabetes. There are a number of possible treatments but in the past few years, metformin has been identified as an effective treatment which may increase fertility and reduce body hair.