Yesterday when I wasn't in bed with a migraine, I started reading this book. Much of the information in it is stuff I already know, but I am finding it an interesting read nonetheless.
One thing that interested me was her appendix on lifestyle changes. Everything else I have read indicates that regular, moderate exercise has no adverse effect on fertility and in fact, is recommended for optimal health. Dr. Domar (who is not a medical doctor) recommends taking a 3-month break from exercise, saying that for some women, infertility can be caused by even moderate exercise. She says you shouldn't do anything that will raise your heart rate over 110 beats per minute for three months.
I'm curious if anyone has tried this, or knows someone who has, and had success. I am by no means an exercise fanatic, but I do average 2-3 days a week of 30-minute cardio sessions. I am careful not raise my heart rate above 15o bpm in the two-week wait but have never held back on cardio at all pre-ovulation.
I'm not truly considering trying this exercise break, as I have not seen it recommended anywhere else. Also, my internal medicine doctor has told me that I need to be exercising 3-4 times a week for my cholesterol (which is high) and losing weight. So I have had specific advice to the contrary. I'm still interested in hearing whether there is any merit to this recommendation, though.
I am also wondering if perhaps I should wait a cycle or two before moving on to injections. I have read in a few places that injectible gonadotropins can be less effective in women with a BMI over 27. My BMI is over 30. While I don't think that I have the time it would take to get my BMI into a normal range--even losing at a rate of a pound a week, it would take months--perhaps losing 10-15 lbs before starting injections would be a good idea. Hmmm.
I am also starting to wonder whether counseling related to TTC might be a good idea for me. I think that I am coping pretty well with all of this stuff most of the time, but I do find myself distracted at work and often feel like a failure (at least in this area of my life). I have noticed that I have been more irritable of late, too (though that could well be related to medication side effects). I have definitely had a crisis of faith related to TTC, too, as has probably been apparent from some of my blog posts.
At 38, there is such a feeling that "time is of the essence" that I'm disinclined to not forge ahead. But if there would be a benefit to me in taking a break--and especially if it would mean greater odds of achieving pregnancy--perhaps I should consider it.