Monday, 30 July 2012

A beginners guide to Natural Fertility

A Beginners Guide to Natural Fertility

Getting to know your cycle is key to understanding your fertility. You need to appreciate what is happening to your body at each stage of the month so that you can interpret signs and work with your natural rhythms to enhance your fertility.

Every aspect of your cycle is equally important. Your menstrual flow is a good indicator of general overall health and fertility. Women today do not talk as much as they used to about their cycle, so more and more women don't know what is considered a "normal" cycle. Now that you want to conceive, it is time to get involved, talk about it, learn about it, feel it like never before. Always remember what is normal for some is not for others. Volume, colour, length etc all vary from woman to woman. If you decide to visit a Traditional Chinese Medicine Practitioner to increase your fertility, you will be asked questions about every little sign and symptom that is involved in your cycle.


The Ovarian-Hypothalamus-Pituitary female sexual hormonal axis. If this regulatory system is balanced the woman will feel very little changes throughout her cycle. Most women have some kind of imbalance, therefore they do feel the changes in their cycle, although, these are good ways to get to know what is going on, and aids in the process of rebalancing. 10-15% of miscarriages happen due to hormonal imbalances. Many infertility problems are due to hormonal ovulatory disorder. It makes good sense to get to know this part of you and start balancing it today.

Start making a daily diary of how you feel throughout your cycle. This is a good way to get in tune with your hormonal fluctuations. Recording your BBT (Base Basal Temperature) temperature each morning is another great contraceptive tool. Basically, all charts record the basal body temperature and compare the values over the the entire menstrual cycle. They also have spaces to note down many other signs and symptoms such as cervical secretions, intercourse etc.

The cycle begins with the start of your period (the first day when normal flow begins). There is about 14 days until ovulation (follicular phase), estrogen levels constantly increase, toward ovulation your sex drive may rise, cervical mucus appears, and you become fertile. The second half, the luteal phase, is from ovulation to your period. This is when fertilization occurs, if not, the egg is absorbed and the uterus prepares to shed its lining. Progesterone rises in the luteal phase and estrogen levels fall in the last 7 days. This is the Pre-menstrual phase.

Fertile signs
Cervical mucus: this is a reliable way to know when you are fertile. The secretions become slippery, elastic, and egg white in character.
Cervix: By feeling the cervix at the same time each day you can tell when you are fertile. When it is high, soft, and open, this is your fertile time.
Basal Body Temperature: Don't become obsessive about this. Pregesterone causes a rise in temperature of about 0.2 degrees celcius immediately after ovulation. This should remain high until menses begin. Other conditions cause raises in temperature; infections, stress, medication, drinking alcohol, of lack of sleep. A temperature that is consistantly below 36 degrees celcius during the follicular phase may indicate an underactive thyroid (lethargy, weight gain, sensitivity to cold). A high temperature before ovulation may indicate an overactive thyroid. If your temperature does not change throughout, it may point to a luteal phase defect, or that you may not be ovulating.
LH surge: This takes place just before the egg is released. Some women ovulate immediately after the surge. Do not wait to have intercourse. These are kits that come with sticks you urinate on daily.
Sex Drive: This is a simple and wonderful indicator of your fertile time. When you want it, go get it!

Week One
Falling estrogen and progesterone levels signal the hypothalamus to release GnRH (gonadotrophin releasing hormone) which triggers bleeding and the start of the cycle. This makes the pituitary release FSH (follicle stimulating hormone) which starts the growth of the follicles with an egg inside each of them.

Bleeding generally lasts from 4-7 days with the heaviest bleeding on day 1. The amount bled is usually about 50-80ml. The endometrium starts to regenerate and by day 5 it will be about 2mm thick.

Most women in the swest believe that menstrual pain is normal, they take painkillers to manage. The painkilling medication can also effect your fertility. Pain is a sign that the flow of energy and blood is impeded. The blood should be red, not dark-brown and thick, or pinkish and watery. Clots also are a sign of imbalance.

Get to bed early during bleeding. Eat nourishing easily digestable foods. Do not expose yourself to climactic extremes. Try not to swim in cold water, and avoid sex if possible.

It is also highly recommended that women stay away from tampons. The use of reuseable pads and cups such as 'the keeper' are the safe way to go, they just take a little getting used to. If you must use tampons, educate yourself in the dangers associated with them, and only use organic cotton unbleached.

Vitamins A, E, and selenium are all important to build up the endometrium. Foods rich in iron and vitamin C help compensate for the blood loss. CoQ10 helps oxygenate and move the blood, and vitamin B1 also helps build blood.

Do light exercises during your period such as yoga, qigong, or meditation.

Acupuncture and Chinese medicine can help regulate all aspects of your menses. From pain to clots, and irregular cycles to bleeding between periods.

In ancient cultures of all types, menstruation was a time for women to rest and not have to deal with society. It was a cleansing time, cherished and honoured. Take back some of your red tent ritual!

Week Two
Between 10-20 follicles have been developing, but this week, the ONE will be chosen for ovulation. FSH levels continue to rise to stimulate follicle growth. The dominant follicle may grow to become 20 mm in diameter. The ovaries tell the endometrium to thicken to foster the possible coming implantation. When estrogen rises, FSH declines so that no more follicles mature. Estrogen peaks at around day 12, this tells the hypothalamus to release LH. LH levels surge around day 14, 24-36 hours later the wall of the follicle ruptures and releases the egg which then begins its journey into the fallopian tubes.

B vitamins are needed for proper release of the egg and synthesis of RNA and DNA. Zinc, magnesium, selenium, and vitamin A aid egg production and cell division. Vitamin C, E, selenium and zinc are all thought to be important elements in the follicular fluid that surround the egg to aid in its suvival.

During this week you will have more energy, feel more alive. Do regular aerobic activity (brisk walks, aerobics, martial arts, running, swimming, cycling, weights). You cannot have sex too much! This does not weaken the sperm, actually, chances of conception are increased with more frequent sex. Some say that sperm can last up to seven days if their seminal and protate emisions are healthy. An egg is fertilizable for 12-24 hours after release. So when fertile signs are at their optimum, intercourse is important. Day 10-15 are the days on a 28 day cycle where a woman is most fertile. 5 days before ovulation and 2 days after equals 1 week of conception intercourse every cycle. Enjoy!

DO NOT LET SEX BECOME A TIMED SYSTEMATIC EVENT!!!
CARESSING AND FOREPLAY INCREASE FERTILITY!!!
DO NOT USE ARTIFICIAL LUBRICANTS.
TRY TO OBTAIN ORGASM TOGETHER!!!
STAY IN BED FOR 30 MINUTES AFTER SEX!!!
DO NOT GO TO THE TOILET FOR 30 MINUTES AFTER SEX!!!
TRY TO STAY AWAY FROM THE USE OF ALCOHOL AND DRUGS TO SET THE MOOD!!!

Week Three
Now that FSH has dropped, and LH is slowly declining, it is the time of progesterone. This phase is called the luteal phase. This is from ovulation until bleeding. This should last at least 10 days for their to be time for fertilization and implantation. The site where the follicle ruptured on the ovary turns into the corpus lutem which secretes progesterone.
Progesterone; 1. builds and thickens the uterus endometrium to support the embryo which will burrow into its layers, 2. turns off LH and FSH so no more eggs are produced, 3. raises the bady temperature ever so slightly, and 4. closes the cervix and forms a plug to stop things from entering the uterus.

Zinc and vitamin A are important for the production of progesterone. Vitamin C is important for the corpus luteum and its release of progesterone.

Do moderate exercise at this time (walking, cycling, taiji, yoga), and avoid excessive weights and aerobic activity.

Acupuncture at this time can help you relax and aid in the process of implantation.


Week Four
Time to hope, pray, stay calm, and think positive. The embryo gets to the uterus 4-5 days after fertilization. The egg has 2 days to become fertilized. 7 days maximum for the egg to get fertilized and into the uterus. Another 2-3 days may be required to complete implantation. Therefore, implantation occurs about 7-10 days after ovulation. An embryo (or blastocyst) has about 30 cells by the time it reaches the uterus and starts to break its cellular capsule (zona pellucida) to begin implantation. As women age, the zona pellucida becomes tougher. After implantation has taken place, the placenta begins to form and HCG (human chorionic gonadotophin) is released signaling pregnancy. This makes the endometrium not be shed (menses), and the corpus luteum to produce more progesterone to sustain the pregnancy for the next 12 weeks until the placenta can do it on its own. If no conception has taken place, the corpus luteum will degenerate after 12-16 days post ovulation, and the 8-10mm thick endometrium will stop developing and begin to shed. Estrogen and progesterone levels fall, the hypothalamus releases GnRH which releases FSH. Bleeding occurs, follicles begin to develop, and the whole cycle starts again.

Try to eat warming foods (cooked), but not too spicy. Stay away from too many raw and cold food and drink. Ensure a healthy supply of essential fatty acids, vitamin B6, E, zinc, and magnesium are in the diet.

Exercise at will unless you think you may be pregnant, then stay away from high impact, heavy weight, extreme aerobic activities. Deep breathing and visualization of an implanting embryo is of utmost importance at this time.

Improving Cervical Secretions
Cervical secretions are vital to fertility. They indicate fertility, and aid the sperm in their journey. The cervix is filled with a mucus secreting membrane. Estrogen changes the cervical fluid. the vagina gets moist wet and slippery, secretions may show on your underwear and toilet paper, and this fluid becomes stretchy like egg white if stretched between finger and thumb. The mucus will stretch 2-4 cm when you are most fertile. The fertile mucus creates ease of passage for the swimming sperm through the cervix. Progesterone kicks in immediately after ovulation which dries up this cervical mucus and gives it a lotion like character.

When you are not detecting fertile cervical mucus, it is possible that you are ovulating right after you are bleeding so that the fertile mucus is blended with the blood.

Other causes for inadequate cervical mucus; low estrogen levels (low body weight), rapid weight changes, too much wheat bran in diet, vitamin A deficiency, antihistamines, ulcer medication, clomid, some antidepressants, too much exercise reduces circulating estrogens, smoking, high doses of vitamin C dry up mucus, synthetic underwear, fabric softeners, scented toilet paper, tampons, vaginal lubricants, pH out of balance, and poor sexual techniques where the woman is not excited enough to produce sufficient secretions.

Cervical secretions can be improved by; eating foods rich in B vitamins, drinking plenty of water, and including wheat germ in the diet all can help.

If you have determined that your pH balance is off the following is a quick dietary reference to help.
Alkaline foods (to correct acidity): millet, almonds, seaweed, beets, artichokes, asparagus, green, broccoli, brussels sprouts, celery, cabbage, carrots, cauliflower, kale, cucumber, endive, escarole, leeks, kohlrabi, lettuce, onions, garlic, ginger, parsley, potatoes, sweet potatoes, pumpkins, turnips, watercress, brown rice, apples, apricots, fresh figs, bananas, berries, melons, kiwi, grapes, lemons, limes, pears, plums, peaches, mangos, papayas, bamboo shoots, bok choy, parsnips, eggplant, okra, peppers, radishes, swiss chard, rhubarb, spinach.
Neutral foods: yogurt, butter.
Acid foods: lamb, chicken, turkey, goose, duck, salmon, white fish, eggs, beans, barley, buckwheat, oats, rye, white rice, mushrooms, raisins, beef, veal, pork, ham, bacon, cheese, goat and cow milk, wheat, corn, tomatoes, oranges, grapefruit.

Sunday, 1 July 2012

Monday's Inspiration

I have decided to a Monday's Inspiration- we all need a little inspiration for the beginning of the week.


Monday, 25 June 2012

Chinese Medicine & Fertility. Life's Balancing Act






CHINESE MEDICINE & FERTILITY.    LIFE'S BALANCING ACT


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Fertility is no longer a topic that is discussed behind closed doors. Today, more and more couples are being affected by the ability to non-conceive.  Being diagnosed as “infertile” literally feels like you’ve had the rug pulled from underneath your feet. The word “infertility” holds so much gravity, negativity and disappointment to it. That in one form or another it eventually attaches itself to our psyche, having a widespread affect on the body, emotionally, physically or mentally. Many couples are now turning to reproductive technologies to help them with their fertility issues.  Whilst time may be a factor in all of this, Chinese Medicine can help assist couples in increasing their fertility.

The definition of fertility is described as: “The condition, quality, or degree of being fertile”. Similar to a tree, there are many branches to being fertile. What I love about Chinese Medicine is its philosophy and approach to fertility. Chinese Medicine is all about making our bodies fertile.  You plant a seed in the correct environment with the right parameters and you watch this seed grow and blossom into a beautiful healthy flower.  The same principle applies to our body. 

Traditional Chinese Medicine (TCM) views the body as a whole integrated system that looks at the individual person, as well as the signs and symptoms they present.  Through various diagnostic tools, a TCM practitioner can determine a patient’s strengths and weaknesses and irregularities that may affect their fertility. TCM is based on the Oriental philosophy, which centres on the concept of balance- Yin and Yang. Achieving and maintaining balance is the goal of life. When we are in balance, our bodies and minds function correctly. TCM medicine is all about restoring our body to balance so that it may work the way in which it was attended.  Better health brings a greater ability for the body to function properly and overcome fertility issues.

Often when female patients seek out TCM in regards to infertility, they are tired and stressed. They have problems with their menstrual cycles, but assume that everyone’s reproductive system works a little differently and their menstrual cycle is normal. In most cases, there is some form of menstrual issue.  Through acupuncture and herbal medicine the menstrual cycle can be shifted to function correctly. For example: regulated cycle, functioning luteal phase, correct LH surge.  Patients find that once their menstrual cycle is more regulated they feel better, have more energy and handle stress better, often with fewer emotional swings and a more positive outlook on life.  Many patients report they never realized how much the menstrual cycle affected their overall well-being. These outward signs reflect improved functioning of the intricate process of the reproduce system.

The question is, So how do we improve our fertility? My philosophy in life is based on health-life-balance. If you want your eggs and sperm to be healthy and active you also need to be healthy and active. Take the same care of your body as you would if you were already pregnant. Do it for that same reason you would if you were already pregnant. For the most part, the things that keep your body healthy also support your fertility. I take the firm stand: everyone who wants to conceive will benefit by getting himself or herself in good shape before hand. As long as you are making healthy choices for your general health, you will be doing the right thing and you will be rewarded for your efforts. The truth is, the older you get the more the lifestyle choice matters.  When you’re in your 20’s it can be as simple enough thing to get pregnant for some. However. when you’re 38 its quiet a different story. Peak reproductive capacity is a benefit of youth. Women under age 25 years have a 96% chance of conceiving and bearing a child. That figure drops down to 86 % between ages 25 & 34. The odds decrease again for women at age 35 with further drops offs at 38 and again at 42. 

It is important we begin to take care of our bodies and health. Each choice we make in life can impact our fertility further down the track. Be mindful of your choices. Begin to plant that healthy seed in your body and watch the changes as the seed grows and as your grow.  Instead of feeling as though your body can no longer support you, you will begin to feel a new sense of love towards your body.  We are all fertile. Sometimes we just need to make the changes to get us there. Chinese Medicine and Acupuncture can help support you on your journey to fertility either naturally or through your IVF cycles.

Monday, 18 June 2012

For Me!

Sometimes the universe just puts in front of us, words we need to hear. It comes in many forms - friends, songs, words...........................This is what i needed today. Remember to smile and laugh!

Tuesday, 12 June 2012

Pineapple (Bromelain) & Implantation

DID YOU KNOW? 




Using Pineapple & pineapple core can help to assist implantation: Pineapple contains bromelain. Bromelain is a proteolytic enzyme that breaks up proteins that inhibit embryo implantation. Consuming a whole pineapple (focusing on the core as it has the highest concentration of Bromelain) during a fertility cycle can be beneficial.

For IVF [in vitro fertilization] cycle: one pineapple core, divided into 5 portions - consume one portion each day, over five days, beginning on the day of your embryo transfer.

Natural cycle: one pineapple core , divided into 5 portions - consume one portion each day, over five days, beginning on the day after ovulation.

Use Organic Pineapple only!

I mention to all my patients to eat Pineapple prior to their IVF Cycle and Natural Fertility! I have found pineapple to contribute to pregnant bellies! 

Tuesday, 29 May 2012

IS OUR BIOLOGICAL CLOCK TICKING? FERTILITY IN OUR LATER YEARS

 IS OUR BIOLOGICAL CLOCK TICKING?  FERTILITY IN OUR LATER YEARS


There is a vast majority of women trying to conceive in there 40’s. A high percentage of women I see in my clinic are in the mid 40’s. While the statistics can be discouraging, it still doesn’t mean you can’t have a baby.  Did you know, we are born with around 1 to 2 million eggs and by the time we have our first period they are pared back to around 300,000.  At which point they take turns ripening then bursting out of their follicle to be released through ovulation as part of our menstrual cycle. The number of eggs we have left therefore decreases with each menstrual cycle. On average a women ovulates 487 times during her lifetime. To have baby in your 40’s is therefore not impossible. There is a myth that at the age of 35 years the alarm bells go off, “there are fewer oocytes and poorer fertility outcomes”.  However, if we look at the way we treat ourselves it’s a surprise the alarm bells of our ovaries don’t start ringing at age 25. For women that are leaving it a little longer, they need to be educated about their fertility and equipped with the knowledge so they can make the informed decision about having a baby later in life. For some it can be as easy as “let’s have a baby and fall pregnant”. And for others the process can be a little more challenging.   Whilst people can blame it on age, there is a lot more to it other than your chronically age. Age can be a factor, however I see a lot of older women falling pregnant.

It is true and I will be one of the statistics; having a baby later in my life, getting married later and establishing my career. Realistically, if I had the chance I would have had a baby earlier.  That unfortunately is not a choice I currently have. The reality is we are getting married later, forging our careers and pushing off having babies till later in life.  However, I am putting the necessary steps in place to look after my health and my fertility.

Primary care of our health is so important for those who are leaving having children till later in life. For so long now we’ve all heard “you are what you eat, exercise is so important, stress is the underlying cause of some many illnesses”. All of this advertising we constantly keep hearing and seeing rings true.  Advice I offer my patients is all about making lifestyle changes in a holistic fashion. My view is about treating the patient holistically. It’s not just a get pregnant approach. We focus on a healthy pregnancy and healthy person. In doing so, we are creating a fertile, mind, body and soul.

We need to educate women about Fertility. If you are leaving it till a little later in life. Here is some great advice:

  • KNOW WHERE YOUR CURRENT FERTILITY IS!!!
  • GO AND SEE YOUR GYNAECOLOGIST
  • HAVE A PELVIC ULTRASOUND
  • HAVE YOUR HORMONES TESTED
  • GET YOUR PARTNER TO HAVE A SPERM ANALYSIS

This advice will help you understand where your current fertility is and help you plan for your future. You can take charge of your health and begin to put the steps in required to have a healthy baby.  Even better may avoid having to go down the path of IVF.  At Angea Fertility Clinic we can help you on your path to improving your health and most of all increasing your fertility. 

Brown Rice Congee with Apples and Dates. It's a date!

Brown Rice Congee with Apples and Dates. It's a date!

It's that time of year again and all you want to do is snuggle up in front of an open fire.  During the colder months I can't even imagine beginning my day with a cold breakfast. It sends shivers down my spine just thinking about it.  This brown rice congee is delicious and warm and is the perfect way to start your day.

From 7 am to 11 am, energy flows through the acupuncture meridians (Stomach and Spleen) that are dominated by the Earth element. The Earth element governs our digestive functions in the body. Breakfast is the perfect opportunity to redefine your experience with food. We all must begin our day with Breakfast, I can't stress this enough.  Certain foods and herbs will strengthen your digestive system and Earth element, rather than exhaust it. During the cold winter months, it is a good time to experiment with making congee. Why not try it with grains; millet, quinoa, and amaranth.

2 cups of brown rice
1 to 1 ½ cups apple or pear juice to cover
2 green apples or your favorite kind (sliced thinly)
¾ cup dates (pitted and sliced)
1 teaspoon coconut oil (optional)
1 to 2 tablespoons honey or agave (optional)
A little cinnamon + 1 Cinnamon Stick
Pinch of salt
Filtered water (if needed while cooking)

You can add any fruit and nuts you like.

Place all ingredients in a slow cooker and allow about four hours for it to cook. Check it about every 30 to 45 minutes and add a little filtered water as needed.

Once cooked serve with good quality yoghurt, shredded coconut, nuts and seeds, chia seeds, and fruit and berries if you like

Note: If the congee tastes too sweet next time try using half juice and half filtered water as your liquid to cover and do not add extra sweetener.