Egg quality, or oocyte quality as you may also see it written, plays an important part in fertility outcomes. But what does this actually mean?
Having higher quality eggs means that the eggs are more likely to be fertilised and develop into an embryo, implant in the uterus and then result in pregnancy. Before ovulation, the primary oocyte (egg) matures which involves cell division, and in doing so, sometimes there are errors in the process leading to genetic abnormalities in the egg. These abnormalities give rise to poorer egg quality. Women with poor egg quality can find it more difficult to get pregnant.
Egg Quality and Age
There are several things we can do to promote good egg quality, but there are some things that we cannot change. Age is one factor that is linked to poorer egg quality when we may see a lower chance of fertilisation and implantation, and a higher chance of miscarriage, but that doesn’t mean to say pregnancy can’t happen in a woman who is a little bit older, we know it can!
Although diet can't repair damaged eggs, a good diet can protect healthy eggs and promote good egg quality.
And when it comes to the key elements you need to promote and protect your eggs, we've dived into the details and come up with the answers...
You’ve probably heard talk of folic acid and folate, with regards to the role they play in fertility and pregnancy outcomes. Folic acid and folate are actually the same vitamin, Vitamin B9, but you find folate in foods whilst folic acid is the manufactured version that you find in supplements. In addition to its well-established role in neural tube defect prevention, research suggests folate plays an important role in promoting egg quality, maturation and implantation. Folic acid supplementation has been shown to improve the environment for the developing egg and is associated with improved chances of pregnancy and reduced risk of ovulatory infertility.
Unless your GP advises a higher dose, women trying to conceive should take a 400mcg folic acid supplement daily, whilst including folate-rich food in their diet.
You can find folate in fortified breakfast cereals, leafy green vegetables, broccoli, peas and chickpeas.
Omega-3 is an essential fatty acid that has been linked to improved egg quality and delayed ovarian ageing. Even short-term dietary treatment with omega-3 fatty acids is thought to improve oocyte quality, although lifelong omega-3 consumption is advised.
In the ideal form of EPA (Eicosapentaenoic Acid) and DHA (Docosahexaenoic Acid), you can find omega-3 in oily fish or an omega-3 supplement. Vegan supplements are also available.
There is evidence to suggest that obesity can decrease the quality of the egg due to the effects of inflammation and reactive oxygen species, where both maturation and metabolism of the egg can be affected. UK guidelines for fertility recommend that women should aim for a BMI of between 19-30kg/m2 to optimise their fertility, as those with a BMI of over 30 usually take longer to conceive. Research also suggests that women with a BMI of over 30 undergoing IVF have smaller eggs that are less likely to fertilise normally.
If you are unsure what your BMI is, click on this link (https://www.nhs.uk/live-well/healthy-weight/bmi-calculator/) to find out.
Do remember that weight management is only one part of a fertility journey, and research suggests that types of food you include in your diet have a bigger impact on fertility outcomes than your weight alone, so don’t put pressure on yourself, and try not to be too restrictive in your eating. Making healthy changes to your diet and lifestyle can help to bring your weight down naturally.
Ro Huntriss is a Specialist Fertility Dietitian based in London. In addition to Ro’s dietetic registration with the Health and Care Professions Council, she has a Master’s degree in Advanced Nutrition, and a second Master’s degree in Clinical Research. Ro has a virtual and London-based fertility nutrition clinic and you will often see her posting on her Instagram page @fertility.dietitian.uk or in the media providing expert comment for national magazines and online newspapers. Ro is also a committee member for the Specialist Maternal and Fertility Specialist Group of the British Dietetic Association.
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