Pregnancy is accompanied by a lengthy list of do's and don'ts—take prenatal vitamins, no alcohol, exercise carefully, and eat well. But what about when an unplanned health issue presents itself, such as the necessity for a mammogram? For most women, this might not even be something they think about until they are in a position where breast cancer screening is an option.

Perhaps you're over 40 and in need of your yearly mammogram, or perhaps you have a history of breast cancer in your family and you want to keep your screenings current. More emergently, you've found a lump in your breast. So, can you have a mammogram when pregnant? The answer is yes, but there are several things to consider.

Pregnancy creates substantial hormonal changes that affect the body, as well as breast tissue. Estrogen and progesterone's rise causes the breasts to expand and condition to produce milk, which results in denser tissue. This increased density is more challenging to detect any abnormalities with using mammograms. Even post-delivery, should the woman be breastfeeding, milk-filled glands can also make the breasts denser and, as a result, make mammogram readings less clear.

While 3D mammograms have improved imaging technology to help navigate dense breast tissue, doctors often suggest postponing routine screening mammograms until after pregnancy if there are no symptoms or high-risk factors. However, if a lump or abnormality is found, your doctor may recommend immediate diagnostic imaging.

When Is a Mammogram Necessary During Pregnancy?

Mammograms are not done routinely if a woman becomes pregnant, yet there are specific situations where one might be unavoidable. Breast cancer in pregnancy does occur—1 in 3,000 times—but it's not common. If a lump is detected by a woman, she has constant breast pain and no explanation, or she is at high risk (e.g., strong history of breast cancer in her family or genetic defect such as BRCA1 or BRCA2), a physician will order a mammogram.

The process itself takes very little radiation exposure. The radiation employed by a mammogram is concentrated on the breast, and there is little to no radiation that reaches other areas of the body. A lead apron is also placed over the belly to shield the unborn child.

Alternative Breast Imaging Options During Pregnancy

For pregnant women requiring breast imaging, physicians may initially suggest an ultrasound. In contrast to a mammogram, an ultrasound is not done with the use of radiation and is deemed safe for pregnant women.

An ultrasound of the breast can establish whether a lump is a fluid-filled cyst or a solid tumor that needs further investigation. Yet ultrasounds are not always diagnostic, and in certain instances, a mammogram or biopsy is needed to determine or rule out cancer.

Magnetic Resonance Imaging (MRI) is also an imaging choice but has some drawbacks. The majority of breast MRIs employ a contrast material called gadolinium, which is able to pass through the placenta and to the fetus. Although risks are not entirely clear, physicians usually do not use MRI with contrast unless necessary. Some practitioners may offer an MRI without contrast as an option.

What If You Find a Lump In Your Breast During Pregnancy?

Breast changes throughout pregnancy are normal, but finding a lump should never be taken lightly. If you notice a lump, alert your medical provider right away. They will conduct a clinical breast exam and potentially have you get an imaging study such as an ultrasound or mammogram to see whether anything needs to be done.

If imaging indicates a suspicious mass, a biopsy can be suggested. Core needle biopsy is the most frequently used and is safe during pregnancy. It consists of numbing the skin with local anesthetic and inserting a hollow needle into the area to obtain a small sample of tissue to be tested.

Breast Cancer Treatment During Pregnancy

In the extremely uncommon event of a diagnosis of breast cancer while pregnant, therapy will be determined by the nature and extent of cancer and by how far along in pregnancy one is. The most frequent form of treatment is surgery—either mastectomy (surgical removal of the entire breast) or lumpectomy (surgical removal of the lump)—which is usually safe while pregnant.

Chemotherapy is also possible but usually only attempted after the first trimester, when it can damage developing fetal tissue. Radiation therapy is not used during pregnancy and is typically deferred until after giving birth. Hormonal therapy and targeted therapies are also omitted until after giving birth.

Can I Get a Mammogram While Breastfeeding?

Yes, you can have a mammogram while you are breastfeeding. The radiation in a mammogram does not impact breast milk or hurt the baby. But breast density is still high during lactation, and this might complicate detection of abnormalities. To enhance image quality, physicians usually advise breastfeeding or pumping 30 minutes prior to the mammogram.

Routine screening mammograms are usually delayed in pregnancy unless there is a high-level concern.

If a lump is detected, an ultrasound is typically the initial imaging study done, with a mammogram being a consideration if additional assessment is necessary.

• Pregnancy mammograms utilize minimal radiation and are safe when required.
• Breast MRI with contrast is usually avoided in pregnancy.
• Breast biopsy, when necessary, is safe during pregnancy.

If breast cancer does develop during pregnancy, there are available treatment options that can be adjusted to keep the mother and infant safe.

Pregnancy is a period of significant change, and health issues particularly those involving breast health, are anxiety-provoking. Routine mammograms are typically postponed until after giving birth, but diagnostic testing can be done if necessary. The best you can do is discuss changes you notice in your breasts with your healthcare provider in an open manner. Early detection and prompt treatment can make a very big difference in the health of both mother and fetus.

Failure to conceive using IVF can be devastating, but one should realise that one failed attempt does not determine a couple’s fertility journey. The success of IVF is determined by various factors such as age, egg and sperm quality, and the uterine environment, as well as underlying medical conditions. An unsuccessful attempt can also be a valuable source of clinical information that can be used to guide future treatment procedures. It should be seen not as an ending but as a starting point for more individualised and effective care in future cycles.

What happens after an unsuccessful IVF attempt?

It is necessary to conduct a careful assessment after an unsuccessful IVF cycle. This involves a review of the stimulation protocol, the response of the ovaries, the quality of the retrieved eggs, fertilisation rates, and embryo growth. In some instances, issues with embryo quality, implantation, or hormonal imbalances may be identified. Further tests such as genetic testing of embryos, evaluation of the receptivity of the uterine lining, or screening for conditions such as endometriosis or thyroid disorders may be recommended. These insights can be used to make the subsequent cycle more precise.

Mental health

Emotional health is highly significant in the healing process. A failed IVF cycle may have a considerable psychological impact, leading to stress, anxiety, and self-doubt. Such feelings should not be disregarded, and appropriate support should be sought, whether through counselling, support groups, or simply by talking to a partner. Addressing emotional health not only aids coping but also has a beneficial effect on overall treatment outcomes.

Lifestyle changes to make

Lifestyle changes can also play a role in improving outcomes in future attempts. Maintaining a healthy weight, following a balanced diet, managing stress, and avoiding smoking or excessive alcohol consumption are important factors. Hormonal balance and reproductive health may also be supported through adequate sleep and moderate exercise. Small yet consistent lifestyle adjustments may help prepare the body for another cycle.

Treatment options

Treatment plans can be modified based on previous results. This might include changes in medication regimens or the use of advanced procedures such as intracytoplasmic sperm injection (ICSI), assisted hatching, or preimplantation genetic testing (PGT). In some instances, the use of donor eggs or sperm, or options such as frozen embryo transfer, may be considered. All approaches are personalised, taking into account the medical history of the couple and their previous response to treatment.

How to time the next IVF attempt properly?

The timing of the next attempt is another important aspect. While some individuals may be physically ready to proceed soon after a failed cycle, others may benefit from taking time to rest and recover both physically and emotionally. Such a break also allows for further evaluation and optimisation of health parameters before resuming treatment.

In the end, persistence combined with a personalised, evidence-based approach tends to increase the likelihood of success. Advancements in reproductive medicine continue to offer new hope, even after setbacks in IVF. With careful assessment, emotional support, and appropriate adjustments in treatment, many couples achieve successful pregnancies in subsequent cycles.

Women, are you planning a pregnancy? Do you wish to fulfil the dream of motherhood? Did you know it is possible to improve embryo quality for successful conception? Do not worry—we have you covered. This article highlights how appropriate lifestyle choices, proper nutrition, and timely medical care can play a key role in improving embryo quality. Hence, it is essential to follow the guidelines given below.

Also Read: Breast Cancer Screening: AI May Predict Tumours Before Mammograms Can Detect Them

Why is Infertility a common concern now?

Dr Jyoti Gupta, Senior IVF Consultant, Motherhood Hospitals, Gurgaon, in an interview with Health and Me, shared some simple tips for couples. These can go a long way in improving embryo quality and may even enhance the chances of conception.

Currently, many couples are battling infertility and undergoing in vitro fertilisation (IVF). Embryo quality is one of the most important factors influencing the success of pregnancy, especially in couples who have opted for IVF. Good-quality embryos have a higher likelihood of implantation, resulting in a healthy and successful pregnancy. Even though some factors, such as age and genetics, cannot be changed, there are several ways to support and improve embryo quality both naturally and medically.

Embryo quality is based on the health of both the egg and sperm. As women age, egg quality tends to decline, which can affect embryo development. Moreover, sperm health also plays a vital role. Lifestyle, diet, and stress can negatively impact egg and sperm quality and, in turn, embryo quality.

Tips to improve embryo quality

It is necessary for couples to focus on their diet to improve embryo quality. Including foods rich in antioxidants, such as fresh fruits, vegetables, nuts, and seeds, can help protect eggs and sperm from damage. Nutrients such as folic acid, omega-3 fatty acids, vitamin D, and iron are important for reproductive health. It is also important to stay well hydrated and cut down on processed foods, excess sugar, and caffeine. Seek expert guidance when it comes to diet, and avoid following extreme diets independently, as mindful eating is essential.

1. Maintaining a healthy weight is also important. Both underweight and overweight individuals may experience hormonal imbalances, which can affect fertility. Ensure you exercise regularly—walking, yoga, or light workouts can help improve blood flow and support reproductive health without placing excessive stress on the body.
2. Quitting smoking, alcohol, and illicit drug use, and avoiding exposure to environmental toxins can also improve egg and sperm quality.
3. Managing stress through relaxation techniques such as meditation, deep breathing, or counselling can help regulate hormones and improve overall well-being.

Consulting a doctor to identify underlying issues, such as hormonal imbalances, thyroid disorders, or conditions like PCOS or endometriosis, is essential. Following personalised treatment plans, including supplements and medications as prescribed by a doctor, can help enhance embryo quality.

In today’s fast-paced digital world, convenience often comes at the cost of physical activity. Long working hours at desks, increased screen time, and reduced outdoor movement have led to a dramatic rise in sedentary lifestyles. While the immediate effects, such as weight gain and fatigue, are widely recognised, the long-term impact on bone and joint health is often underestimated.

Medical experts specialising in orthopaedics in Delhi NCR are increasingly observing a surge in younger patients presenting with joint pain, stiffness, and early signs of musculoskeletal disorders. What was once considered age-related is now becoming common among individuals in their 20s and 30s, largely due to inactivity.

Understanding a Sedentary Lifestyle

A sedentary lifestyle refers to a pattern of behaviour that involves prolonged periods of sitting or inactivity with minimal physical movement. Activities such as working on a computer, watching television, or using mobile devices for extended durations contribute to this condition.

When the body remains inactive for long periods, it leads to reduced muscle engagement, poor circulation, and decreased joint mobility. Over time, this inactivity begins to affect the structural integrity of bones and joints.

Impact on Bone Health

Bone health is highly dependent on regular movement and physical activity to maintain strength and density. A sedentary lifestyle can gradually weaken bones, increasing the risk of fractures and long-term skeletal issues.

1. Reduced Bone Density

Bones require regular stress and movement to maintain their strength. Physical activities such as walking, running, or resistance training stimulate bone formation and improve density.

A sedentary lifestyle, however, deprives bones of this essential stimulation, leading to reduced bone mineral density. Over time, this increases the risk of conditions such as osteoporosis, even at a relatively young age.

2. Increased Risk of Fractures

Weak bones are more prone to fractures, even with minor injuries. Individuals who lead inactive lives often have lower bone strength, making them vulnerable to accidental falls or trauma.

Impact on Joint Health

Joint health depends on regular movement to maintain lubrication and flexibility. A sedentary lifestyle can lead to stiffness, reduced mobility, and a higher risk of joint degeneration over time.

1. Early Joint Degeneration

Joints rely on movement to stay lubricated and functional. Synovial fluid, which reduces friction between joint surfaces, is produced more effectively when joints are in motion.

In a sedentary lifestyle, lack of movement leads to stiffness and reduced lubrication, accelerating joint degeneration. This can result in early onset of osteoarthritis, particularly in weight-bearing joints such as the knees and hips.

2. Muscle Weakness and Joint Instability

Muscles play a crucial role in supporting and stabilising joints. When physical activity is limited, muscles weaken, placing additional stress on joints.

This imbalance increases the likelihood of joint injuries, ligament strain, and chronic pain.

Obesity and its Impact on Bones and Joints

One of the most significant consequences of a sedentary lifestyle is weight gain. Obesity places excessive stress on bones and joints, particularly in the lower body.

1. Increased Load on Joints

Every extra kilogram of body weight adds significant pressure on the knees and hips. Over time, this leads to cartilage wear and tear, increasing the risk of osteoarthritis.

2. Inflammation and Pain

Obesity is associated with chronic low-grade inflammation, which can worsen joint pain and stiffness. This further reduces mobility, creating a vicious cycle of inactivity and worsening symptoms.

Rise of Musculoskeletal Disorders

Healthcare providers specialising in orthopaedics in Delhi NCR report a growing number of cases related to sedentary habits, including:

Chronic back pain

Neck stiffness and cervical spondylosis

Frozen shoulder

Repetitive strain injuries

Carpal tunnel syndrome

These conditions are often linked to poor posture, prolonged sitting, and lack of ergonomic awareness.

Role of Poor Posture

Posture plays a critical role in maintaining musculoskeletal health. Sitting for long hours with improper alignment, such as slouching or leaning forward, places undue stress on the spine and surrounding muscles.

Common Postural Issues

Forward head posture

Rounded shoulders

Lower back strain

Over time, these habits can lead to chronic pain and structural imbalances, requiring medical intervention.

Preventive Measures for Better Bone and Joint Health

While the effects of a sedentary lifestyle can be serious, they are largely preventable with conscious effort and lifestyle modifications.

1. Regular Physical Activity

Engaging in regular exercise is one of the most effective ways to maintain bone and joint health.

Recommended activities include:

Walking or jogging for at least 30 minutes daily

Strength training to build muscle support

Flexibility exercises, such as yoga or stretching

Low-impact activities like swimming or cycling

These activities help improve bone density, enhance joint mobility, and strengthen muscles.

2. Maintain a Healthy Weight

Weight management is crucial in reducing stress on joints. A balanced diet combined with regular exercise helps prevent obesity and its associated complications.

3. Posture Correction

Being mindful of posture can significantly reduce the risk of musculoskeletal problems.

Tips for better posture:

Keep your back straight and shoulders relaxed

Ensure your screen is at eye level

Avoid slouching while sitting or standing

Use lumbar support for the lower back

4. Ergonomic Work Setup

With the rise of remote work, having an ergonomic workstation is essential.

Key ergonomic practices include:

Adjustable chair with proper back support

Desk height aligned with elbow level

Feet flat on the floor or on a footrest

Keyboard and mouse positioned comfortably

Taking short breaks every 30–60 minutes to stretch and move is equally important.

5. Stay Active Throughout the Day

Even small changes can make a big difference:

Use stairs instead of elevators

Take short walking breaks

Stand or walk while taking phone calls

Incorporate movement into daily routines

6. Early Medical Intervention

Ignoring early signs of discomfort can lead to more serious conditions. Symptoms such as persistent pain, stiffness, or reduced mobility should not be overlooked.

Consulting specialists in Orthopaedics in Delhi NCR at an early stage can help diagnose underlying issues and prevent further deterioration. Early intervention often reduces the need for invasive treatments.

Conclusion

A sedentary lifestyle is one of the most significant yet preventable risk factors affecting bone and joint health today. From reduced bone density and early joint degeneration to obesity-related stress and musculoskeletal disorders, the consequences are far-reaching.

The increasing demand for Orthopaedics in Delhi NCR reflects a growing need to address these issues proactively. By incorporating regular physical activity, maintaining proper posture, adopting ergonomic practices, and seeking timely medical advice, individuals can protect their musculoskeletal health and improve overall well-being.

Disclaimer: This article is presented in collaboration with C K Birla Hospital. The medical insights shared are intended for educational purposes.