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Vitamin D Key After Pregnancy Loss

Among women planning to conceive after a pregnancy loss, sufficient preconception levels of vitamin D was associated with increased likelihood of pregnancy and live birth, compared to women with insufficient levels of the vitamin. Researchers performed a secondary analysis of the Effects of Aspirin in Gestation and Reproduction (EAGeR) trial, which sought to determine if daily low-dose aspirin (81 mg) could prevent miscarriage in women with a history of pregnancy loss. Blood levels of vitamin D were tested for ~1,200 women aged 18 to 40 years before pregnancy and again at the eighth week of pregnancy.

They found:

  • Women who had sufficient preconception vitamin D concentrations were 10% more likely to become pregnancy and 15% more likely to have a live birth.
  • Among women who became pregnancy, each 10 nanogram per milliliter increase in preconception vitamin D was associated with a 12% lower risk of pregnancy loss.
  • Vitamin D levels in the eighth week of pregnancy were not linked to pregnancy loss.

In 2010, the Food and Nutrition Board at the Institute of Medicine of the National Academies established that an adequate intake of vitamin D during pregnancy and lactation was 600 units per day. Most prenatal vitamins contain 400 units of vitamin D per tablet. So we encourage you to incorporate some of the following foods into your diet in addition to supplements.  Foods that contain high levels of vitamin D include:

  • Fatty fish like tuna, mackerel, halibut, trout and salmon
  • Foods fortified with vitamin D like some dairy products, orange juice, soy milk and cereals.
  • Beef liver
  • Cheese
  • Butter
  • Egg yolks
  • Mushrooms
  • Soy products
  • Oatmeal

If you are concerned about your vitamin D levels, please contact Coastal Carolina OB/GYN for further testing.

Why is Sex Painful for Some Women?

Let’s talk about everyone’s favorite subject: sex.

Sex is supposed to feel great—mind-numbingly great. After all, isn’t that the kind of sex people write novels about? It can be devastating when it isn’t like that at all, but it’s important to remember it’s not your fault.

Painful intercourse is also called dyspareunia, and can be due to medical or psychological causes. It affects more women than women—about 20 percent of all American women—and is treatable. But what causes it in the first place?

There are a variety of reasons your vagina doesn’t feel its best after sex, and it all depends on you and your body.

The First Time: The first time you have sex, it is fairly common to experience mild pain and discomfort. Your hymen, or the thin piece of tissue that partially covers the external vaginal opening, may still have been intact. Or you may not have been fully aroused before penetration, which could lead to dryness or too-tight muscles.

After Baby: Your vagina just went through a large change, and it’s understandable to experience discomfort or even a lack of sex drive. Six weeks after giving birth is typically when your doctor will clear you for intercourse, although that doesn’t mean you should expect your sex drive to return to normal on that schedule.

Post–menopause: Many women may experience painful intercourse after experiencing menopause. This is mainly due to significant hormonal changes, medical and nerve conditions, as well as depression or emotional issues. A typical condition of post-menopausal women is vulvovaginal atrophy, where dryness and thinning of tissues in and around the vagina is apparent.


Even if those situations don’t apply to you, painful sex isn’t uncommon, and there’s a variety of names for the pain you may be experiencing.

The most common problem is lubrication. Vaginal dryness can be caused for a variety of reasons, including the Pill and some over-the-counter drugs, but is easily treatable. If your vagina is too dry to accommodate intercourse painlessly, then just give it a little help: a spoonful-sized amount of lube can be all that’s in between you and a pleasurable night.
A yeast infection could be another reason why sex is painful. Studies show that women on the receiving end of oral sex may be more prone to a yeast infection, although it’s a common condition for all women. If your downstairs itches like crazy, and penetration only makes it worse, then you may need to visit your doctor. Treatment is as simple as antibiotics and a correct diagnosis.
Sometimes, curing painful sex is as easy as learning the art of arousal: women need a good twenty minutes of warm-up before they are ready. Your body needs time to lift the uterus out of the way and allow the vagina to expand, and only a little time can do that. Sit back and enjoy, ladies!

Birth Control Options For Your Age Group

Let us walk you through the many options for birth control tailored specifically to your age group.  Starting with women in their 20s to women over 40, we discuss a variety of options that may work best for your age, lifestyle, and your body.  Your Walnut Hill physician will also help you pick the birth control solution that is right for you and your body during your appointment. Click the button below to download.