Let's talk about fertility with Dr Alexander Just : 5 questions, 5 answers

We took the opportunity to give our Children's wish expert Dr Alexander Just 5 questions about fertility that we, and perhaps you too, have been wondering about for a while.

When should a woman start? about the topic of fertility to think about?

A woman's fertility should always be considered in relation to her age. The optimum age for a woman to consider her fertility for the first time is between 19 and 32. Why? If you want to make sure early on that everything is in order in this regard, it definitely makes sense to clarify this at a young age.

It is now even possible to find out how good your fertility is from the age of 25, although very few people realise this. This allows you to find out in good time how well a woman is "biologically positioned" and you can't actually miss anything. If you don't do this because you're afraid of bad news or something similar, it can be difficult later on, which is why I appeal to all young women out there to have their fertility status checked in good time so that you don't waste valuable time later on if you want to have children.

Is there a rule of thumb?
from when you can
a children's wish expert/
an expert on children's wishes
should be contacted if there is a risk of pregnancy
doesn't work right away?

If you want to have children and are already working hard on having a baby, it is enough to consult an expert after two years of trying until you are 32. At 34 or 35, I would reduce this period to one year and from 38 you should seek help after just six months. For the sake of completeness, however, it must also be said that in such cases you should of course always look at the man's fertility.

Why is it important,
about his
Fertility status
To know about it?

When we talk about natural female fertility, we must not forget the two most important aspects: it is limited and time-limited. Unfortunately, many people do not realise that their own fertility has an expiry date, as it is sometimes presented in the media as if there were none. The fact is, however, that a woman is born with a fixed pool of eggs and these are then no longer reproduced. As soon as a woman has her first menstruation, this pool is continuously depleted. This is why it is possible to see when this pool will be exhausted, i.e. when there will be no more eggs available, based on the number of eggs still available with an accuracy of say 1-3 years. This can already be measured nowadays and this is also important. After all, it is important to remember that fertility cannot be restored, not even with artificial insemination.

This is why I launched my "JUST ONE STEP" programme. "JUST ONE STEP" is the first proactive step that women can take if they want to address the issue of reproductive health care. As part of this detailed examination and analysis, my holistic "JUST ONE STEP" concept analyses a woman's body and cellular health as well as her lifestyle and, based on this, we jointly derive age-adapted measures aimed at preserving natural fertility for as long as possible and thus increasing the possibility of a natural pregnancy.

What does it look like
actually with the male
fertility?
When does it start to lose weight?

It is slightly different for men than for women. His fertility also has an expiry date, but it is further back, as new sperm cells are constantly being produced.

However, the decrease in Fertility of the man is now a big issue. There is a very interesting publication on this subject: in 1970, a man still had an average of 100 million sperm cells per millilitre of ejaculate, whereas now it is only 40 million.

And these are dramatic figures. This is not necessarily due to age, because as already mentioned at the beginning, men are fertile for longer due to the constant regeneration of sperm cells. However, from 45, or 50 at the latest, genetic issues begin to play a role. Environmental conditions play the biggest role in men when it comes to fertility decline. This includes, for example, factors such as heat and stimulants, i.e. convenience foods, Red Bull, cola, etc.

How can femsense women
at the
Fertility tracking
support?

One of the biggest advantages of the Fertility tracker femSense is definitely the independence a woman gains when she can monitor her cycle herself. The femSense ovulation tracker is also very easy to use, as the Conventional temperature methodThis means that if you measure your temperature manually every day, there is a high susceptibility to errors. You don't have this problem with femSense, as the smart patch uses a continuous measurement method that is very accurate.

femSense is also very easy to integrate into everyday life, which can sometimes be rather stressful, as the patch is very discreet, comfortable to wear and not restrictive. The app can predict a woman's fertile days and the patch then confirms the fertile period. Ovulation based on the post-ovulatory temperature rise. You can also use the app to track symptoms and cycle complaints, giving you a good overview of your cycle, which you can also share and discuss with your gynaecologist if any complaints or similar occur.