Your Chances of Getting Pregnant Reduced by Iodine Deficiency?

Written by Dr. Steve Chaney on . Posted in Chances of Getting Pregnant, Iodine Deficiency During Pregnancy

Your Chances Of Getting Pregnant Could Be Cut In Half

Author: Dr. Stephen Chaney

 

Are your chances of getting pregnant reduced by iodine deficiency?

It shouldn’t be happening. The introduction of iodized salt in the 1920s virtually eliminated iodine deficiency in this country. However, in just the past twenty years the incidence of iodine deficiency has increased 3-8-fold in women of childbearing age. Recent studies have estimated that today 30-40% of women of childbearing age are iodine deficient.

How did that happen?

  • We have been told to cut back on sodium. Many Americans have responded by throwing away the (iodized) salt shaker. Unfortunately, we still get a lot of salt from processed foods, and that salt is usually non-iodized.
  • When we do add salt to our foods it is usually the “healthier” designer salts. First it was sea salt. Now it is trendy versions like Pink Himalayan Salt. While sea salt might have some iodine naturally, the trendier versions are non-iodized.
  • The New-Age Whole Food diets often ban salt from the diet. That increases the probability of becoming iodine deficient. For example, a recent study reported that women who followed the Paleo diet for two years became iodine deficient (S. Manousi et al, European Journal of Clinical Nutrition, 72: 124-129, 2018 ).

The consequences of iodine deficiency, especially among women of childbearing age, are alarming. In a previous issue of “Health Tips From the Professor,” The Dangers of Iodine Deficiency During Pregnancy, I reported that iodine is essential for bone and neural development during fetal development and infancy. I also reported that the American Academy of Pediatrics, The National Institutes Of Health, and the World Health Organization have all declared that mild iodine deficiency during pregnancy can prevent normal cognitive development and reduce IQ levels in children.

This study (JL Mills et al, Human Reproduction, doi: 10.1093/humrep/dex379, 2018 ) reports that iodine deficiency also reduces a woman’s chances of becoming pregnant. [I might add, this almost seems to be part of Nature’s plan. If the consequences of iodine deficiency during pregnancy are so detrimental, the fact that iodine deficiency also reduces the chances of a woman becoming pregnant could be considered a good thing.]

How Was The Study Done?

This study recruited 501 couples (ages 18-40) from 16 counties in Michigan and Texas. The women had all discontinued contraception within the previous two months with the intention of becoming pregnant and were followed for an additional 12 months. Women with known thyroid disease were excluded from the study.

Urine samples were collected from each woman at the beginning of the study to determine iodine and creatine levels. The women used fertility monitors to time intercourse relative to ovulation (Basically, that means they optimized their chances of becoming pregnant). They then used digital home pregnancy monitors on the day of expected menstruation to identify pregnancies.

Finally, 90% of the women took either a multivitamin or a pre-natal vitamin during the study (The significance of this will be discussed later).

 

Are Your Chances of Getting Pregnant Reduced by Iodine Deficiency?

chances of getting pregnant iodine deficiency pregnancyThe results of the study were:

  • 3% of the women in the study were iodine deficient (defined as iodine-creatine ratios of <100 mcg/g). This was further broken down to:
  • 8% were mildly iodine deficient (50-99 mcg/g).
  • 8% were moderately iodine deficient (20-49 mcg/g).
  • 7% were severely iodine deficient (<20 mcg/g).
  • That is a total of 22.5% who had moderate to severe iodine deficiency.
  • Women who had moderate to severe iodine deficiency had a 46% decrease in the chance of becoming pregnant over each menstrual cycle compared to the iodine sufficient group.

A simple way of reporting those data would be to say that their chances of becoming pregnant were reduced by 46%, but that would not convey the whole picture. Most of the women did become pregnant during the 12-month study. However, it took the women with moderate to severe iodine deficiency twice as long to become pregnant. Iodine deficiency did not prevent pregnancy from occurring, but it delayed it.

The authors concluded: “In summary, our data show that groups of women with iodine concentrations in the moderate to severe deficient range experience a significantly longer time to pregnancy…The US and European countries where iodine deficiency is common should evaluate the need for programs to increase iodine intake for women of childbearing age, particularly those trying to become pregnant”.

 

Where Can You Get The Iodine You Need?

 

chances of getting pregnant iodine deficiency seafood seaweedThe important question becomes: “Where can you get the iodine you need?”

  • You could start by using old-fashioned iodized salt rather than designer salts in your salt shaker. However, I am reluctant to recommend anything that would increase sodium intake. We get far too much from processed foods already.
  • Seafood (or seaweed, if you are a vegetarian) are the best food sources of iodine. However, our oceans are so contaminated I would recommend consuming those foods only occasionally.
  • You will often see bread and dairy mentioned as good food sources because iodine was used in the preparation of those foods. However, iodine has largely been replaced by other agents, so those foods should no longer be considered good sources. For example:
  • Iodine in commercial breads has traditionally come from the use of iodate as a dough conditioner. Today iodate has largely been replaced with bromide in commercial bread making. Not only does this trend decrease the amount of iodine available in our diet, but bromide also interferes with iodine utilization in our bodies
  • Iodine in milk has traditionally come from the use of iodine-containing disinfectants to clean milk cans and teats. However, they have largely been replaced with other disinfectants
  • Fruits and vegetables are a variable source of iodine, depending on where they were grown. That is because iodine levels in the soils vary tremendously from region to region.
  • That leaves multivitamins and prenatal vitamins as your best source. However, you do need to read labels. You should look for supplements that provide 150 mcg of iodine. Unfortunately, only 50% of prenatal supplements in the United States even contain iodine. Remember, 90% of the women in this study took either a multivitamin or prenatal supplement and 44.3% of them were iodine deficient.

 

The Bottom Line

 

The introduction of iodized salt in the 1920s virtually eliminated iodine deficiency in this country. Now, almost 100 years later, iodine deficiency is back. Recent studies estimate that 30-40% of women of childbearing age are iodine deficient. This is concerning. Previous studies have shown iodine deficiency affects mental development during fetal development and infancy. A recent study suggests that iodine deficiency may also make it more difficult for women to become pregnant. Specifically, the study reported:

  • 3% of the women in the study were iodine deficient. This was further broken down to:
  • 8% were mildly iodine deficient.
  • 8% were moderately iodine deficient.
  • 7% were severely iodine deficient.
  • That is a total of 22.5% with moderate to severe iodine deficiency.
  • Women who had moderate to severe iodine deficiency had a 46% decrease in their chance of becoming pregnant over each menstrual cycle compared to the iodine sufficient group.

A simple way of reporting those data would be to say that their chances of becoming pregnant were reduced by 46%, but that would not convey the whole picture. Most of the women did become pregnant during the 12-month study. However, it took the women with moderate to severe iodine deficiency twice as long to become pregnant. Iodine deficiency did not prevent pregnancy from occurring, but it delayed it.

For more details about why iodine deficiency has reemerged in this country and where we can get the iodine we need, read the article above.

 

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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Comments (2)

  • Kathy Brauer

    |

    Fascinating article. One fairly important error slipped past the proofreader. In the description of study participants is says that they had “discontinued conception” in order to get pregnant. While the accrual meaning is probably clear to most readers from the context, it’s just tidier you use “contraception” which is what I believed you meant.

    I also wonder how much this iodine deficiency affects the number of women, in particular, who need to use thyroid medications. I’m also curious about its overall effect in the “obesity epidemic” in the population at large.

    Reply

    • Dr. Steve Chaney

      |

      Dear Kathy,
      Thanks for pointing out the typo. It will be corrected in the archive. Iodine deficiency does increase the risk of hypothyroidism and, potentially, the number of people who need thyroid medication. I have not seen an estimate of how much iodine deficiency contributes to use of thyroid medication in this country. I would hope most doctors would screen for iodine deficiency before recommending medication. Hypothyroidism can also contribute to obesity. Again its contribution is difficult to estimate because there are so many other contributors to obesity in this country.
      Dr. Chaney

      Reply

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Latest Article

Calf Cramps Remedy

Posted February 20, 2018 by Dr. Steve Chaney

Don’t Let A Leg Cramp Stop You Short

Author: Julie Donnelly, LMT – The Pain Relief Expert

Editor: Dr. Steve Chaney

 

calf cramps remedyGetting a leg cramp while you are running can be the “straw that broke the camel’s back.”  If you don’t treat it properly and quickly when it is happening, you may limp to the finish line, and you can suffer from its effects for days afterward.  I will show you the best calf cramps remedy below.  First, let’s go over spasms and muscle cramps.

A spasm and a cramp are similar because it’s a shortening in the muscle fiber, but that’s where the similarity ends. A spasm is a slow-forming shortening of a group of fibers that tie up into a knot in the muscle. You can feel a spasm with your fingertips, it feels like a bump as you slide along the full length of the muscle. With a spasm, as you press down and slide, it doesn’t hurt until you get to the spasm, and then it can really hurt. But then it stops hurting as you slide off the spasm. A spasm refers pain to the insertion points of the muscle and frequently doesn’t hurt where the spasm has formed (that is, until you press on it).

Why Do Your Muscles Cramp?

calf cramps remedy muscle crampsA cramp (Charlie horse) is when all the fibers of the entire muscle suddenly and violently contract. The muscle will quickly shorten and can go into a huge knot, or it will just totally shorten.

Usually a cramp happens in your calf muscle, although it can happen to any muscle in the body.  Your calf is comprised of two major muscles, the gastrocnemius and soleus. The gastrocnemius, which is shown in this graphic, originates behind your knee and inserts into your Achilles tendon.

Visualize the muscle suddenly shortening, pulling up on your Achilles tendon, and becoming a mass of tight knots through the entire muscle.

Muscles have an “all or nothing” response.  This means that when a muscle fiber contracts, it will shorten 100% of its length.  It never starts to shorten and then make a U-turn and lengthen.  A cramp is seriously painful, and if you try to stretch it out as it’s happening, you can tear the muscle fibers. In fact, that’s the reason it hurts for sometimes days after the cramp.

A Calf Cramps Remedy You Can Administer Yourself

calf cramps remedy squeezeThe best thing to do is to squeeze the two ends of your calf muscle together, which will help the cramp complete as quickly as possible. This will hurt, but for less time than the normal cramping process.  Hold your calf tightly, as shown in this picture, and continue to press the two ends toward each other.

Hold it until you can breathe normally (about 30-45 seconds), and then release. Breathe for a minute or so, and then push the two ends together again.  This second time won’t hurt, you are only doing it to make sure that all the fibers have completed the contraction.

calf cramps remedy hold sittingOnce you have stopped the cramp, don’t stretch…yet. You need to flush out the hydrogen ions (AKA lactic acid) that rapidly built-up in the muscle during the cramp.

There are many ways to self-treat your calf. If you are out on the road you can either sit on a bench or lie on the ground and put the sore calf onto your opposite knee.  Press down and hold the pressure for 30 seconds. Then deeply press along the muscle going from the back of your knee toward your ankle.

calf cramps remedy opposite footYou can also use your opposite heel and press deeply, straight into your calf.

Start at the top of the muscle and move down toward your ankle. Stop whenever you come to a point that is especially painful. The point should be close to the area shown in this picture.

Hold the pressure for 30-60 seconds, or until it doesn’t hurt anymore.  Release, and then repeat 2-3 times.

Complete this self-treatment by squeezing your calf muscle, like you are wringing out a wet towel.  This will force blood into your muscle and get your circulation moving again.

Proof That My Treatments Work

I once taught this technique at an Ironman Triathlon during a 15-minute session I was giving to the triathletes.  Several days later a triathlete emailed me and told me that he had a cramp as he was running, and he did the treatment I’d taught him.  It cost him a few minutes (he wasn’t in the top three, so the time loss wasn’t a huge issue) but he was able to get up and get back to running, totally without pain.

About a mile later he got a cramp in the other leg, but he automatically started to just stretch it like he’d always done before.  He ended up limping all the way to the finish line, and days later it was still hurting.  He wanted to let me know that my cramp treatment really worked great.  This was especially helpful because I’d always wondered what body chemistry did to the outcome of treating a cramp, and here I found out that chemistry wasn’t involved in the treatment of the muscle fibers.

What To Do After The Calf Cramps Remedy

If the cramp happens during a race or athletic event, knowing how to stop it, and these quick massage techniques, will get you back into the game. But it hasn’t totally resolved the issue. Finally, when you have the time to be detailed (after the race, in the evening, etc.), it is important to work out all the spasms and then stretch properly.

When you are treating the muscles afterward, I suggest you consider getting an analgesic cream that goes way deep into the muscle fibers. Use it when you are massaging the muscle, but don’t put it on before you play, run, or before/after a shower because it will go too deep into the muscle and burn like crazy. After you do the treatments, use ice &/or arnica gel (get it at a good health food store) to heal the bruised muscle fibers and help with pain and swelling. Arnica is fantastic, it’s an amazing homeopathic remedy that has been around for ages and really works.

Naturally you will also want to make sure you hydrate properly and that your diet, vitamins and minerals are all in balance.

calf cramps remedy bookCramping is a common problem athletes face, but with a little bit of effort you can prevent muscle injury and get back in the race quickly!

You can find the full treatments for your muscle cramps by going to my book, Treat Yourself to Pain-Free Living . This book has treatments for your entire body, from your head to your feet.  YOU are your own Best Therapist!  Stop pain quickly and easily with self-treatments you can do anytime, anyplace.

Wishing you well,

Julie Donnelly

julie donnelly

About The Author

Julie Donnelly is a Deep Muscle Massage Therapist with 20 years of experience specializing in the treatment of chronic joint pain and sports injuries. She has worked extensively with elite athletes and patients who have been unsuccessful at finding relief through the more conventional therapies.

She has been widely published, both on – and off – line, in magazines, newsletters, and newspapers around the country. She is also often chosen to speak at national conventions, medical schools, and health facilities nationwide.

 

These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure or prevent any disease.

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