First - NO I am not pregnant. However, my back should be 'all better' by the end of the year, so we're thinking about maybe trying next year. So my question is - what happens to my PMDD during pregnancy? I plan to stay on the diet, of course, but what would I expect from the 9-headed PMDD monster?
To answer your question, PMDD in most women disappears completely during pregnancy . The only problem is if you have PMDD or severe PMS prior to pregnancy from nutrient deficiencies the probability is high that PMDD comes back even stronger after the baby is born. Which is why I always encourage women to take care of the PMS/PMDD prior to becoming pregnant. And it sounds to me that you've done a good job with that, am I right? Are you still having a bout or two of symptoms?
As an example, calcium as well as other mineral deficiencies are common in Celiac -gluten sensitive women due to malabsorption. The need for calcium, magnesium, phosphorus (and other minerals) increase in the mother during pregnancy to help the baby skeleton develop. The baby will tap into the mother's stores leaving mom worse off than prior to pregnancy. It's the same story for essential fatty acids as well.
I would talk to your doctor about the possibility of being tested for some of the most common nutrients:
Iron (storage form), anemia needs to be watched if you ever suffered from it prior to being GF, B12, folate (folic acid), essential for baby development, Calcium levels are hard to test because they're maintained by homeostasis, but he might test your PTH levels to make sure they're low indicating calcium isn't being leached from your bones.
Are you taking fish oil? you'll also want to build your DHA and EPA store levels too from mercury tested fish oil because you'll want to avoid some of the fish high in these essential fatty acids while you're pregnant due to mercury. You might want to start taking a prenatal vitamin a couple months to planning to become pregnant.
Getting yourself ready for pregnancy is smart, I need to search around and talk with some prenatal/pediatric dietitians for the best books on the market. I'll post them here for you.
Try not to worry too much if you can, gluten intolerant women have been having healthy children for hundreds of years now. You should expect a healthy baby with a balanced gluten-free diet.
Well, my hubby and I decided to start trying to get pregnant last month, which is earlier than next year. I am 31, and would like to do everything I can to increase fertility from the get-go. I think being GF and on the cycle diet is a pretty good start.
I currently take: MVI, Calcium with D, extra Vit. D, Folic Acid and Fish Oil. Are there any other recommendations you have for maximizing fertility? I've read some things in another post and elsewhere, but what is reality?
Laura, you're doing so great with what you're doing. All the supplements you're taking are fine. The only concerns I have are eating tuna and large fish too often. Wild Salmon is better farmed and tastes much better too. Stay away from Albacore tune and cat fish.
The other advise I have for you is to try and stay away from food coloring-- Red and yellow and foods with a lot of preservatives. You already know this, but it doesn't hurt to bring it up again.
I'll be going to Philadelphia this weekend for the Food and Nutrition Conference and Expo and will pick up any new research regarding pregnancy.
I don't eat any of the 'bad' fish; unfortunately, I don't eat much of the 'good' fish, either, no matter how hard I try to prepare it well.....
But here's another question for you. As we embark on this journey, I have been going over my cycle charts for the past year. My cycles are always around 28-32 days, but I discovered that I don't ovulate until around day 21, and that I have a short luteal phase (less than 10 days) with 2-3 days of pre-period spotting.
In my brief research, I have seen where nutritional modifications might help - B complex, Vit. C, soy isoflavones, Vitex, Maca, etc. Do you have any input here, or is this out of your realm?
It really sounds like you have what is called "short luteal phase defect", your obgyn will need to test your progesterone after you ovulate to make sure your levels are high enough to support the pregnancy. This is one of the conditions where I do believe in progesterone hormone therapy. If you are diagnosed with short luteal phase defect the sooner you're tested for it the better chance you'll have of remedying the shortage if that's indeed your problem.
The fact that you've been charting your cycle will give him/her a good idea of your situation. Are you taking your temperature or using a home LH surge test for ovulation prediction? Your doctor hopefully will test your B vitamin levels to make sure they're good...particularly B6, folate and maybe B12.
Since you've been taking a daily multi and eating a very good diet I'm thinking you should be fine. Don't take high doses of B6 or complex until after you are tested. I believe what you are reading on other websites and support boards may help in women who are unknowingly deficient and may not be eating as well as you. Your situation, regarding gluten intolerance may play a part in how well you're absorbing so it would good to discuss this with your Obgyn as well to make sure she understands the implications of Celiac. And as you probably already know women with celiacs/gluten intolerance have children all the time.
THat's what I thought, too, but didn't want to be a hypochondriac
I have tried the LH ovulation predictor pee-stick tests, but they just never worked for me. I tried to stick to the times it gives you, fluid restriction, taking them to work, etc., but just never gave me results. I just started taking my temperature this month, but I detected the short luteal phase looking at my charts before I started taking my temp.
I only saw my og/gyn once earlier this year, and really liked her because she was so down-to-earth and laid back. I did tell her I was charting my cycle, which she thought was good; but she told me 'just please don't start taking your temperature'. She may be TOO laid back to deal with this just yet, after we've only been trying for a couple months.
I"m just not sure how long I wait before I go in to see her (or another Dr.). ?
P.S. My new GI Dr. said my GF bloodwork looked good, and my recent small bowel series too. I'm having an endoscopy in a couple weeks.
Did you ask your ObGyn why she didn't want you to start taking your temp? That's rather peculiar...maybe she doesn't think it's a good indicator, or doesn't want to argue with someone about something rather subjective? She wouldn't have control of the measurement...you would. If you like her then give her a chance to explain...good Ob's are hard to find, especially if she's willing to refer you to a reproductive endocrinologist if you should want to see one.
Now that I think about it, you should be looking around yourself to see who's in your area that specializes in reproductive endocrinology...this may be where you want to start....how old are you? Is time of the essence in your case? If you don't get pregnant in 3 months...then you'll want to start making those calls, start by asking you OBGyn next time you're in her office..."My friend is having trouble conceiving..who in your opinion is the best fertility specialist or RE in the area?"
No, I didn't ask, because this was early this year (soon after surgery), and we weren't seriously thinking about it then; so I didn't consider taking my temp to be an issue.
I am 31 - young v. old, depending on how you look at it; we would like to have 2-3 kids, if we are so blessed. I have had several friends struggle with infertility (and lose) around that age, so I"m hypersensitive to it. That, and with my gluten intolerance, PMDD, etc.
I follow TCOYF (Taking CHarge of Your Fertility), a book originally and now with a website. That's how I first began charting my cycle. This will be 3 months trying, so if no baby, I'll revisit my current ob/gyn with my concerns. Besides my other dietary deficiencies, I was on Progesterone after I went off the Pill (a couple years ago). If she is not really pursuing it, TCOYF has an ob/gyn listed who is sensitive to fertility needs. I will pray she's on our insurance plan, if needed.
Thanks again, as always. Your input is invaluable to me!!