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What is Postpartum Depression, and How Can You be There for Your Partner?
Carrying and delivering a baby causes a slew of hormonal changes in a woman’s body. At the very least, many new moms experience “baby blues” after giving birth, which may cause mood swings, anxiety, crying, and difficulty sleeping. Baby blues typically last no longer than two weeks.
Postpartum depression (PPD) is far more severe. This lingering mental condition is not a sign of weakness—it’s simply a complication of childbirth. If your partner experiences PPD, learn how you can be there for her during this difficult and emotional time.
Symptoms of Postpartum Depression
PPD may be mistaken for baby blues at first, but the symptoms are more debilitating and may last months if left untreated. The signs of postpartum depression include:
- Depressed mood or severe mood swings
- Excessive crying
- Difficulty bonding with the baby
- Withdrawing from social outings
- Trouble sleeping or sleeping too much
- Low energy levels
- Unwarranted irritability or anger
- Fear of being a bad mother
- Feelings of guilt, shame, or worthlessness
- Difficulty concentrating
- Anxiety or panic attacks
- Thoughts of self-harm or hurting the baby
- Suicidal ideation
PPD in New Fathers
Between 2 and 20 percent of new dads experience postpartum depression as well, a condition known as paternal postpartum depression. Men with relationship issues, financial instability, a history of depression, or a partner with PPD are most at risk. If you’re a new father experiencing any of the symptoms listed above, talk to a healthcare professional.
How You Can be There for Your Partner
While postpartum depression is a mental illness that often requires medical treatment, you can do many practical things to help your partner recover. Here’s what we recommend:
- Help around the house.
- Prepare healthy meals.
- Reassure your partner that she’s a good mother.
- Tell her you’re proud of how hard she’s working, even though she feels terrible.
- Make yourself available by taking paternity leave or reducing your hours at work.
- Limit your time with extended family and friends.
- Answer her phone and take a message.
- Go with her to doctor’s appointments.
- Play the role of “listener” when she wants to talk about her feelings and struggles.
- Help her get more rest by dividing up nighttime parenting and letting her sleep in.
- Watch the baby so she can pursue a hobby or go out with a friend.
- Seek help from trusted adult friends and medical professionals so you don’t have to go it alone.
Even though you know postpartum depression and other complications are always possible, you may have made up your mind about becoming a parent. If you previously had a vasectomy, the first step is to have a vasectomy reversal. Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men become fathers. To learn more about having your vasectomy reversed, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.
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IVF vs. Vasectomy Reversal
Did you previously have a vasectomy to avoid unwanted pregnancies? What should you do if you and your female partner have decided you want to have kids together? There are two primary options for starting on the path to parenthood: in vitro fertilization (IVF) and vasectomy reversal. Consider what each process entails to help you make an informed decision.
How Does IVF Work?
In vitro fertilization aims to bypass all infertility problems by combining the woman’s egg and the man’s sperm outside the body. The resulting embryo is implanted into the woman’s uterus, where it will hopefully grow and develop into a baby.
When performing IVF after a vasectomy, a urologist must extract sperm surgically. This comes at a greater cost and higher risk than retrieving sperm naturally. Eggs must also be removed from the woman’s ovaries after delivering a cycle of hormones designed to stimulate the release of multiple eggs.
The risks associated with IVF are quite high. The mother and baby face the chance of serious complications, some of which may be life-long. The cost is also three to five times higher than vasectomy reversal surgery. Plus, IVF must be repeated with each failed attempt, often at a considerable emotional and financial cost.
How Does Vasectomy Reversal Work?
A vasectomy reversal is a restorative procedure design to reconnect the severed ends of the vas deferens, the tubes through which sperm travel from the testicles to the urethra. The procedure takes two to three hours to complete and should be performed by an experienced microsurgeon to reduce the risks and improve the chances of success.
If the procedure is successful, male fertility is restored, giving the couple a chance to conceive naturally without treating the female partner. A vasectomy reversal also makes it possible to have multiple children over the years without undergoing any further medical intervention.
Be aware that it can take several months after a vasectomy reversal for the female partner to become pregnant. Of course, even if sperm starts presenting in the ejaculate like normal, pregnancy depends on the female partner’s fertility as well. If she has contributing issues, IVF may be the only option after all.
Deciding Between IVF and Vasectomy Reversal
Every couple should consider what’s best for them when pursuing parenthood after a vasectomy. However, because of the costs and risks associated with IVF, a reversal with natural conception makes the most sense for a majority of couples.
We recommend starting your journey with a consultation at the Center for Vasectomy Reversal. Our highly skilled and experienced microsurgeon, Dr. Joshua Green, is a leader in vasectomy reversal surgery. All infertility procedures we offer are performed using a state-of-the-art, high-powered operating microscope. Our patients benefit from Dr. Green’s remarkable success rates and enjoy concierge-level care and friendly staff interactions every step of the way.
To discuss your infertility treatment options, please contact our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.
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Vasectomy Reversal Myths
As you contemplate whether a vasectomy reversal is right for you, you may stumble upon common myths about this surgical procedure. Dispel any misunderstandings before you meet with a microsurgeon about reversing your vasectomy.
Myth: A vasectomy reversal is as straightforward as a vasectomy.
Almost any doctor can perform a vasectomy, a short and relatively simple surgery that requires minimal training. However, a correctly performed vasectomy reversal is an advanced, technically challenging microsurgery lasting two to three hours. You should only trust an expert microsurgeon with years of successful reversals to increase the chance of success and lower the risk of complications.
Myth: All vasectomy reversals have the same chance of success.
Talk to your surgeon about what could affect the success of your surgery before deciding to have a vasectomy reversal. Factors may include:
- Sperm count and mobility
- Any development of anti-sperm antibodies
- Scar tissue following surgery
- Fertility of your female partner
- Length of time since your vasectomy
Myth: A vasectomy reversal must be performed within 10 years to have any chance of success.
If you had your vasectomy less than five years ago, there is a greater than 95 percent chance of sperm in the ejaculate. Surgeries performed five to 10 years ago have about a 90 percent chance, and if 10 or more years have elapsed, there’s an 80 to 90 percent chance. Experienced surgeons can perform successful reversals over 20 years after a vasectomy. (Note: pregnancy rates are lower than the percentages given here and depend on numerous factors.)
Myth: Pursuing IVF is better than having a vasectomy reversal.
While in vitro fertilization is a viable infertility treatment, it should not be your first choice. IVF costs three to five times more than vasectomy reversal surgery, and it comes with serious risks to the mother and baby—all with no guarantee of a successful pregnancy. With the costs, risks, and success rates in mind, a reversal with natural conception makes more sense for most couples.
Myth: Some vasectomy methods are not reversible.
It is extremely rare for a vasectomy to be performed in such a way that a microsurgeon cannot reverse it. The only time this can happen is if the original surgeon removes too much of the vas deferens, the tube that transports sperm from the testes to the urethra. In this case, there is nothing to reattach, and the reversal cannot be done. Again, this is very uncommon and can be ruled out prior to surgery via a physical exam.
Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in microscopic infertility procedures. If you have decided to pursue parenthood, we can help. Dr. Green has completed hundreds of vasectomy reversal surgeries and takes great pride in his remarkable success rates. We’ll discuss your surgical options, costs, and the chance of success based on your specific situation. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.
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Everything You Need to Know About Vasoepididymostomy
Vasoepididymostomy is a corrective treatment for epididymal obstruction, or blockage near the testicular end of the vas deferens. The procedure surgically connects the vas deferens to the epididymis. A successful outcome relies on the microsurgical skills and extensive experience of the physician performing the procedure.
What is the Epididymis?
The epididymis is a tightly coiled tube situated behind the testis. Sperm leave the testicle and enter this tube, where they learn to “swim,” a skill necessary to fertilize a female’s egg. The epididymis is only 200 microns wide, or twice the diameter of a human hair, so operating on it requires incredible precision. From here, sperm empty into the vas deferens, which takes them to the ejaculation ducts. Sperm then pass into the urethra in the penis prior to ejaculation.
What Causes Epididymal Obstruction?
Several underlying problems could cause a blockage in the epididymis, including:
- Congenital abnormalities, such as the absence of the distal portion of the epididymis and absence of the vas deferens
- Inflammation of the epididymis (epididymitis)
- Young’s syndrome
- Accidental injury from a prior surgery
- Side effect of a past vasectomy, especially if the procedure was performed over 10 years ago
What are the Advantages of Vasoepididymostomy Over IVF/ICSI?
In vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) are two relatively recent advances in reproductive medicine. IVF is the process of extracting eggs from a woman and sperm from a man, and then combining them manually in a laboratory dish. The resulting embryo is then transferred to the woman’s uterus. ICSI is a type of IVF that involves injecting a single sperm cell into an egg.
Here’s why treating epididymal obstruction with vasoepididymostomy could be preferred over IVF/ICSI:
- If the treatment is successful, couples can have children through natural intercourse.
- IVF is an expensive, intense procedure, especially for the female partner.
- There are no ethical issues surrounding
- Pregnancy rates (11 to 56 percent) are comparable with or better than IVF/ICSI.
- Insurance often covers the cost to correct epididymal obstruction but may not cover IVF/ICSI.
- Sperm can be collected during the procedure and cryopreserved for future IVF attempts if vasoepididymostomy is not successful.
Could Vasoepididymostomy be Right for Me?
Your doctor may recommend this procedure if you have the following:
- Male infertility
- Active sperm production in the testis
- Signs of an obstructed epididymis, including thick fluid expressed from the testicular side of the vas deferens following a vasectomy
Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in male infertility microsurgeries, including vasoepididymostomy. Whether you’re simply struggling with male infertility or you want to reverse a prior vasectomy so you can have children, we can help. If you require vasoepididymostomy alongside a vasectomy reversal, we can perform this additional procedure at the same time for no extra cost. To learn more, please call our Sarasota, FL clinic at 941-894-6428 or schedule a free consultation online.
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Symptoms of Male Infertility
Fertility difficulties affect nearly one in seven couples who are trying to have a baby. “Infertility” is defined as the inability to conceive despite having frequent, unprotected intercourse for a year or longer. In up to half of all cases, male infertility is at least partially to blame. Consider what male infertility looks like and how you can combat it.
Causes of Male Infertility
Low fertility in men is a complex subject. In short, semen must contain enough healthy, functional sperm to produce a pregnancy. There are many possible reasons why this may not be the case, including:
- Varicocele (swelling of the veins that drain the testicle)
- Infections, including epididymitis, orchitis, gonorrhea, or HIV
- Retrograde ejaculation
- Dysfunctional immune cells that attack sperm
- Cancer and nonmalignant tumors
- Undescended testicles
- Hormone imbalances
- Tubule defects or blockages
- Chromosome defects
- Erectile dysfunction or premature ejaculation
- Celiac disease
- Certain medications
- Vasectomy or other surgeries on the testicles, scrotum, or prostate
- Exposure to industrial chemicals, heavy metals, or radiation
- Overheated testicles
- Drug, tobacco, and alcohol use
- Obesity
Symptoms of Male Infertility
Apart from being unable to conceive a child, there may be no other indications that you are infertile. However, depending on the underlying cause, these additional symptoms may be present:
- Sexual dysfunction, such as difficulty maintaining an erection, limited ejaculation, or low sex drive
- Pain, swelling, or lump in the testicle area
- Abnormal breast growth (gynecomastia)
- Decreased facial or body hair
Treatments for Male Infertility
If you are struggling to get your partner pregnant, consider that simple lifestyle changes can make a difference. Here’s what to try first:
- Quit smoking, limit your alcohol use, and avoid illicit drugs.
- Maintain a healthy weight.
- Reduce your stress level.
- Steer clear of chemicals and other environmental hazards.
- Avoid tightly fitting underwear and jeans.
- Don’t take steroids for bodybuilding or sporting purposes.
More formal treatments for male infertility include:
- Surgery to correct obstructed tubules or reverse a prior vasectomy
- Antibiotic treatment for underlying infections
- Medication or counseling for erectile dysfunction or premature ejaculation
- Hormone treatments and medications
One in eight male infertility cases are treatable, allowing couples to get pregnant naturally after receiving the proper care. If male infertility treatment doesn’t work, you may still be a candidate for assisted reproductive technology (ART). This involves collecting sperm to be inserted into the female reproductive system or used with in vitro fertilization or intracytoplasmic sperm injection. Your doctor might also suggest considering a sperm donor or adopting a child.
Dr. Joshua Green of the Center for Vasectomy Reversal is a leader in helping men overcome infertility problems. All infertility procedures, including vasectomy reversal, are performed with state-of-the-art equipment, including a high-powered operating microscope. Patients can expect concierge-level care and friendly staff interactions every step of the way. To learn more, please call 941-894-6428 or schedule a free consultation online.
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11 Tips for Choosing the Right Baby Name
As an expectant parent, choosing a baby name can be both thrilling and intimidating. After all, the name you bestow upon your little one will be part of their identity for the rest of their lives. Here are 11 tips to help you choose a baby name you won’t regret.
- Avoid trendy misspellings: Ask yourself—will my child have to spell or explain their name to everyone they meet? Will a chic pop-culture reference sounds silly in 10 years? Will it be impossible to ever find the name on a keychain souvenir? If you answer “yes” to any of these questions, consider choosing a different name.
- Consider the classics: Not all traditional names are “boring.” If Sarah, Mary, John, and Will don’t do it for you, think Clarice, Audrey, Oliver, and Theodore.
- Seek inspiration from your family tree: Consider naming your baby after a significant family member, even if it’s “just” the middle name.
- Honor your heritage: Search for names derived from your country of origin. You’re bound to fall in love with at least one.
- Look up meanings: A name might sound nice, but this step ensures you don’t end up choosing one that implies something horrible. Or, if you simply love a name like Calvin, you can come up with a one-liner to jokingly explain why “bald” is the perfect meaning behind your baby’s name.
- Contemplate nicknames and teasing potential: To help prevent bullying on the playground, brainstorm possible ways other kids could construe the name you’ve picked out.
- Write down the initials: There are plenty of unpleasant two- and three-letter combinations. Remember this when considering your baby’s initials.
- Say it out loud: Test the rhythmic flow. Maybe what you had planned for the middle name would work better as the first name after all.
- Find out if anyone famous has that name: There’s a reason no babies today are named Adolf or Ebenezer. Search your baby name choices online to make sure they don’t reveal a serial killer or adult movie star with that same name.
- Know that you can change your mind: There’s nothing wrong with realizing the name you picked out doesn’t fit once you see your baby for the first time. Even if you have already announced to everyone what name you have chosen, you have until you leave the hospital to make your final decision.
- Consider keeping the name a secret: Unless you want to risk receiving unsolicited feedback about what you should or shouldn’t name your baby, consider keeping your ideas between you and your partner.
Does thinking about baby names make you interested in getting your vasectomy reversed? At the Center for Vasectomy Reversal, we specialize in helping men and women become parents. Our experienced physician, Dr. Joshua Green, performs fast, effective procedures from our state-of-the-art clinic in Sarasota, FL. To learn more about vasectomy reversal, please call us at 941-894-6428 or schedule your free consultation online.
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Help Getting Pregnant: Things You and Your Partner Can Do
The journey into parenthood can be emotionally charged. Once you and your partner are ready to conceive, follow these tips to increase your fertility.
Know Your “Fertile Window”
A man’s sperm is most likely to reach a woman’s fertile egg on ovulation day and the five days leading up to it. Most women ovulate about 12 to 16 days before starting each period, so track your menstrual cycle on a calendar to help you better predict when you might be ovulating. Then, have sex with your partner every other day during this six-day “fertile window.”
Maintain a Healthy Body Weight
Being overweight makes it harder to get pregnant, but so does being underweight. Strive for a body max index (BMI) in the “normal” range of 18.5 to 24.9. At the same time, don’t exercise too much. Strenuous physical activity could interfere with ovulation, so work with your doctor to determine a moderate exercise plan that will work for you.
Eat a Balanced Diet
In addition to helping you achieve a healthy weight, eating a balanced diet provides your body with fertility-promoting nutrients. While trying to get pregnant, eat more:
- Fruits and vegetables
- Lean protein
- Whole grains
- Lentils and beans
Then, eat less:
- High-mercury fish
- Soda
- Caffeine
- Trans fats
Take Prenatal Vitamins
It doesn’t hurt to start taking prenatal vitamins as soon as you start trying to conceive. Finding a prenatal vitamin that agrees with your system now makes it easy to stay on it during pregnancy. Choose a supplement that provides at least 400 micrograms (mcg) of folic acid to promote healthy brain and spine development in your future fetus. Dietary sources of folic acid include leafy greens, broccoli, beans, citrus fruits, orange juice, and fortified cereals.
Stop Smoking and Drinking
Smoking causes fertility issues in men and women alike. Even secondhand smoke can affect the chances of becoming pregnant, so keep away. Also, because alcohol consumption can cause birth defects, a sexually active woman should stop drinking as soon as she goes off birth control. Cannabis and other recreational drugs should be avoided as well while trying to conceive.
De-Stress
Research shows that high stress levels make it more difficult to get pregnant. Of course, relaxing is easier said than done. Try reducing stress in your daily life with these tips:
- Take a walk.
- Learn deep breathing exercises.
- Get plenty of sleep.
- Find activities that make you smile and laugh.
- Try yoga or meditation.
- Go on vacation.
- Catch up with an old friend.
- Avoid overbooking yourself.
At the Center for Vasectomy Reversal, we love helping men and women become parents. If you’re ready to begin your journey into parenthood, consider a vasectomy reversal performed under the direction of Dr. Joshua Green. Our state-of-the-art clinic in Sarasota, FL provides a comfortable setting to receive your fast, effective procedure. To learn more, please call us at 941-894-6428 or schedule your free consultation online.
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Can COVID-19 Affect your Reproductive Organs?
Information about COVID-19 continues to evolve, and we learn new things about it all the time. Because we know that seasonal flu and other viruses with high fevers tend to negatively impact male fertility, there’s been concern that this may be true of COVID-19 as well. Recent evidence seems to indicate that this concern is valid.
One reason that viruses are thought to be harmful to a man’s fertility is that high fevers heat the testicles and damage sperm. For weeks or even months after recovering from influenza, for example, patients may experience abnormal sperm as well as a decrease in sperm count, motility, and genetic health. Since a major symptom of COVID-19 is a high fever, it’s not a leap to assume that the same will be true of that illness. Fortunately, though they may linger, the affects of a fever on male fertility are still temporary and fully reversible.
The information we have about COVID-19, however, is still evolving. Because we’re in the early days of understanding this illness, it could be a long time before we truly understand who is at risk, how and when problems develop, how quickly they resolve, and whether they persist. There are a few different aspects of COVID-19 that researchers are looking at closely in regard to male fertility.
A big question is whether the virus gets into the testicles. If it does, then the question becomes one of how long it remains and how much it damages the cells that produce sperm and testosterone. Recent research done by American, Chinese, and European scientists indicates that many COVID-19 patients have significant testicular cell damage without the virus actually being present in the testicles themselves. How could this be?
One thing raising concerns among researchers is the protein enzyme to which the coronavirus binds, known as ACE2. This enzyme is on the surface of many cells in the blood vessels, heart, lungs, kidneys, gastrointestinal tract, and reproductive orders, and it provides a gateway for the virus to infect these cells. Because the testes have high levels of ACE2, they’re likely to be affected. Studies have demonstrated that the virus affects hormone levels, diminishes sperm quality and concentration, and can reduce semen volume.
The good news it that COVID-19 does not seem to be sexually transmittable. As to long-term effects, there’s no way to know at this point whether the damage done by the virus is reversible. For men who have had COVID-19, it’s advisable to see a urologist about any reproductive concerns.
If you’re interested in reversing your vasectomy and you’re looking for an experienced professional surgical team, the Center for Vasectomy Reversal is here for you. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.
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Things you can do to Improve Your Sperm Count
A low sperm count is one of the most common factors in male infertility. If you’re struggling to conceive, it’s important to see your doctor. However, if your problem is low sperm count, you may be able to improve it naturally through a few simple lifestyle changes.
- Stay active. Regular exercise increases testosterone, which improves the quality of semen. Bear in mind that too much exercise can reduce testosterone levels, so it’s important to strike a healthy balance. Some sources indicate that weightlifting and outdoor exercise may be particularly beneficial.
- Lost weight. One benefit of exercise is that it can help reduce your weight, which can increase your sperm count. A recent study showed that men at a healthy weight have more mobile sperm than those at an unhealthy BMI, and weight loss has been shown to significantly increase semen volume, concentration, mobility, and sperm health. If you have a lot of weight to lose, losing even a little bit can help.
- Relax! When you’re under stress, sex is less satisfying, and fertility is reduced. Additionally, stress can raise cortisol levels, inhibiting testosterone levels. Taking time to unwind every day can help boost your fertility. Make sure to get enough sleep, too, because men who get seven to eight hours of sleep each night have better fertility health.
- Mind your substances. Don’t drink heavily, don’t smoke, or use tobacco, and avoid illegal drug use. If you smoke or have a substance abuse problem, get help from your doctor.
- Eat a healthy diet. Pack your diet with nutrient-dense foods, including citrus fruits, green vegetables, nuts and seeds, plant-based oils, beef, and chicken. Focus on antioxidants, which can boost your sperm count. Consider supplements, because vitamins like D, C, E, and CoQ10 and minerals like zinc can help sperm health. Because plant estrogen, called phytoestrogens, reduce men’s sperm production, it’s best to avoid consuming too much soy.
- Clean up your environment. Environmental toxins may affect your sperm count, and while you can’t control pollution, you can limit your exposure to harmful substances in your environment. Substances like pesticides, painting materials, herbicides, degreasers, and solvents can all negatively impact fertility. Radiation and x-rays are harmful to sperm production, and overheating the testicles by wearing tight clothing, visiting a sauna, or working with a laptop in your lap can also lower your sperm count.
- Herbal supplements may help. If you’re interested in natural food supplements, you might try holistic remedies like fenugreek, Tribulus terrestris, ashwagandha, or maca root.
At the Center for Vasectomy Reversal, we love helping men improve their fertility and build their families. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.
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Tips for Older Dads
Over the past several decades, the average age of first time parents in the United States has steadily gotten older. People are waiting longer to start families, taking the time to establish themselves in their careers and build some financial stability before they procreate. There are pros and cons to parenting at a later age, but we’ve got some tips to help older dads be great dads.
- Recognize that there are a few drawbacks, but it’s nothing you can’t handle. You may have some health concerns, and you may not have the energy of your younger years. It may take a while to adjust to parenthood if you’re set in your ways, and you may keenly feel the generation gap between you and your kids. What’s more, you may find yourself needing to care for aging parents when you’d really prefer to have grandparents that help with the kids. The good news is that you’ve got plenty of experience managing your life and dealing with stress, and you’ll step up to the challenges of parenting exactly as you have with every other challenge you’ve faced.
- Remember, there are tons of benefits, as well. Older parents are typically more financially secure, and many have more time to spend with their kids than they would have in their career-building years. When you’re older, you know more about gratitude and appreciating the little things, because you understand how quickly time passes. This can give you a more positive attitude toward, and a greater appreciation of parenting. Additionally, you probably have a stable relationship, and you definitely have more life experience than younger parents.
- Now that you’ve considered the pros and cons, stop the comparison. Don’t compare yourself to younger parents, because there are good and bad things about parenting at every age. Instead, focus on the blessings in your life, embrace your strengths, and set aside time for things that help you enjoy life and keep your mind sharp.
- Stay healthy. Embrace a healthy lifestyle, eating well, sleeping well, and staying physically active. Challenge yourself to keep up with your little ones, because it will help keep you feeling young. Play actively with your kids and prepare nutritious meals together, so that you can set an example for them in terms of healthy exercise as well as a healthy diet.
- Connect with your children emotionally. Make sure to embrace the caregiving aspect of parenting, even if you’re the primary breadwinner. Men who are emotionally involved with their children tend to be more satisfied with their lives and less stressed by their work.
At the Center for Vasectomy Reversal, we love helping people build their families and experience the joy of parenting. Under the direction of Dr. Joshua Green, our team provides state-of-the-art treatment for men who need a reversal of their vasectomy or have other fertility concerns. To learn more, contact us through our website, or call 941-894-6428 for a free consultation.
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