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			 Compared to women who generally avoided fast food, women who 
			indulged four or more times a week before they conceived took almost 
			a month longer to become pregnant, the study of 5,598 first-time 
			mothers in Australia, New Zealand and the UK found. 
 Overall, 2,204 women, or 39 percent, conceived within one month of 
			when they began having sex with their partner without contraception 
			and 468, or 8 percent, experienced infertility and failed to 
			conceive after 12 months of trying.
 
 While women who rarely or never ate fast food had an 8 percent risk 
			of infertility, the risk was 16 percent among women who ate fast 
			food at least four times weekly.
 
 "Fast foods contain high amounts of saturated fat, sodium, and 
			sometimes sugar," said lead study author Jessica Grieger of the 
			Robinson Research Institute and the University of Adelaide in 
			Australia.
 
 "Although these dietary components and their relationship to 
			fertility has not been specifically studied in human pregnancies, 
			higher amounts of saturated fatty acids were identified in oocytes 
			(an egg cell in the ovary) of women undergoing assisted reproduction 
			and studies in mice have demonstrated that a high fat diet had a 
			toxic effect on the ovaries," Grieger said by email. "We believe 
			that fast food may be one factor mediating infertility through 
			altered ovarian function."
 
 Roughly 1 in 10 women of childbearing age have difficulty getting 
			pregnant. Most of the time, it's caused by problems with ovulation, 
			often related to a hormone imbalance known as polycystic ovarian 
			syndrome (PCOS). Some signs that a woman is not ovulating normally 
			include irregular or absent menstrual periods.
 
			
			 
			Less-common causes of infertility in women can include blocked 
			fallopian tubes, structural problems with the uterus or uterine 
			fibroids.
 The risk increases with age, and can also be exacerbated by smoking, 
			excessive drinking, stress, an unhealthy diet, too much exercise, 
			being overweight or obese or having sexually transmitted infections.
 
 Women in the current study were typically overweight and most of 
			them ate fast food at least twice a week, the study team notes in 
			Human Reproduction.
 
			
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			Researchers also looked at how often women ate fruit and found that 
			those who had it less than once a month took half a month longer to 
			become pregnant than women who ate at least three fruit servings a 
			day.
 With the lowest fruit intake, the risk of infertility was 12 
			percent, compared to 8 percent with the highest fruit consumption.
 
 The study wasn't a controlled experiment designed to prove whether 
			or how the amount of fruit or fast food women consume might impact 
			their fertility. Another limitation is that researchers relied on 
			dietary questionnaires women completed during prenatal visits that 
			asked them to recall how they ate in the month before they conceived 
			- a method that isn't always accurate.
 
			
			 
			"A lot of maternal lifestyle factors are associated with 
			infertility, like smoking, alcohol drinking or obesity," said Dr. 
			Joachim Dudenhausen, a clinical professor of obstetrics and 
			gynecology at Weill Cornell Medicine in New York City.
 The current study offers fresh evidence of the role diet can play in 
			helping women conceive, Dudenhausen, who wasn't involved in the 
			study, said by email.
 
 "There are some studies showing that preconception intake of fruits 
			and fish increase fertility," Dudenhausen said. "The study is in the 
			same line and has clear data supporting the advice for women who 
			wish to get pregnant to have greater intake of fruit and lower 
			intake of fast food."
 
 SOURCE: https://bit.ly/2Ic3Y6R Human Reproduction, online May 4, 
			2018.
 
 (This version of the story has been refiled to adds dropped comma in 
			paragraph 6 and corrects year to 2018 in Source line at bottom)
 
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