Journal Tag: acupuncture

Can Acupuncture Help Pregnancy Nausea?

acupuncture for pregnancy nausea

Pregnancy is a miraculous journey filled with remarkable changes in a person’s life. However, it’s not unusual to experience some level of discomfort, especially during the first trimester. Among the many challenges expectant women and people face, pregnancy nausea is one of the most common. It can vary from barely noticeable, mild to severe, and in some instances, it may require hospitalisation. While there are conventional treatments available to alleviate these symptoms, more and more people are turning to therapies like acupuncture for pregnancy nausea. Are you interested to explore how acupuncture can provide relief from pregnancy-related nausea?

Understanding Acupuncture

Acupuncture is a traditional Chinese medicine practice that involves the gentle insertion of thin needles into specific points on the body’s skin. These points, known as acupuncture points, are believed to be connected to energy channels or meridians within the body. Utilising Chinese medicine diagnosis techniques and thorough case history taking, acupuncturists choose points specifically for you. By stimulating these points, acupuncturists aim to restore balance to the body’s energy flow and promote a natural healing response.

How Can Acupuncture Help Alleviate Pregnancy Nausea?

Pregnancy nausea, often referred to as morning sickness, affects a significant portion of expectant individuals with some experiencing it severely. Acupuncture has gained recognition as an effective natural remedy for managing pregnancy nausea. While the World Health Organization (WHO) acknowledges acupuncture as an effective treatment for morning sickness, the positive experiences of many people also speak to its effectiveness.

Why Choose Fertile Ground for Acupuncture During Pregnancy?

If you’re experiencing pregnancy nausea and seeking a natural remedy to ease your discomfort, Fertile Ground is here to help. Our experienced practitioners are experts in providing acupuncture treatments during pregnancy to help people overcome a wide range of pregnancy-related symptoms, including morning sickness.

Our acupuncture team is dedicated to providing safe and effective treatments tailored to each individual’s needs. They use sterile, disposable needles and follow strict safety protocols to ensure both the patient and the baby’s safety during treatment.

In addition to acupuncture, our practitioners’ comprehensive approach to pregnancy care may also include safe Chinese herbal medicine, moxa, cupping, and diet or lifestyle suggestions to help individuals achieve optimal health during this crucial period. Over the years, our practitioners have helped literally thousands of people overcome pregnancy-related symptoms and achieve a healthy, happy pregnancy.

A Safe and Effective Natural Remedy for Nausea in Pregnancy

Acupuncture is a safe and effective natural remedy for alleviating pregnancy nausea. By stimulating the body’s natural healing mechanisms, acupuncture helps restore balance to the body’s energy flow, promoting relaxation and symptom relief. If you’re experiencing pregnancy-related nausea, consider seeking our Fertile Ground acupuncture services. Our treatments are safe and tailored to your individual needs, ultimately helping you achieve a healthy, happy pregnancy.

Your well-being and the health of your baby are our top priorities, and we are here to support you every step of the way. Embrace the healing power of acupuncture and enjoy a smoother pregnancy experience.

Book an acupuncture appointment or buy an acupuncture gift voucher for someone experiencing pregnancy nausea

Living in accordance to the menstrual cycle

the menstrual cycle, Kiah McGowan

How to optimise your self-care, diet and exercise changes in each phase of the menstrual cycle.

People who menstruate undergo hormonal fluctuations every month. Through each phase of the menstrual cycle, our internal bodies change, and we can feel this through our energy levels, physical symptoms, sociability, appetite and mood. It only makes sense that we listen to these changes and live in harmony with them. Living in accordance with your cycle is an amazing way to support your hormonal health, optimise your lifestyle habits and promote presence in your body.

How does Traditional Chinese Medicine (TCM) understand the menstrual cycle?

TCM understands the menstrual cycle as a complex ebb and flow of the Yin and Yang energies, as well as Blood and Qi (life force; energy). Yin and Yang are the fundamental basis of all life, and the balance of these determines one’s health. Yin is related to night time, cooling, moistening and stillness, while Yang is related to day time, warming, drying and movement. Similarly, Blood nourishes and supports bodily structures (more Yin is quality) while Qi supports bodily functions and mechanisms (more Yang in quality). When these four parts are in balance, our cycles should look like this:

  • Cycle length of 26-32 days
  • 3-5 day medium bleed
  • 30-80 mls bright red rich blood (full pad = 5ml/ full tampon = 10ml/full cup 15-30ml/ full period undies = 15-20ml)
  • No spotting, period starts straight away
  • No bloating, PMS, sore breasts, pain etc.
  • Clear signs of ovulation (days 12-20)
  • Minimum 11 day luteal phase (ovulation – day before period)

The ebbs and flows of Yin, Yang, Blood and Qi in Chinese Medicine are very similar to the hormonal fluctuations understood by Western Medicine. In both medicines, changes that occur in the cycle that do not line up with the above list are seen as imbalances. Which means that if you, say, get horrible period pain every month, this is not normal and is actually a sign that something is out of balance.

Promoting natural balance through cyclical living

The Menstrual phase: ‘Blood phase’

This phase of the menstrual cycle occurs from day 1 of full bleeding. Our pituitary gland in our brain begins producing luteinising hormone (LH) and follicle-stimulating hormone (FSH), which stimulates the growth of small sacs in the ovaries, known as follicles. Our uterine lining sloughs off and is lost through the menstrual bleed.

  • Blood is Yin in nature, and therefore we need to support our Yin through promoting stillness and nourishment. Think: cozy, warm and restful.
  • Self-care: Take it easy and enjoy activities such as reading, journalling, meditating and cooking.
  • Exercise: If you feel up to exercising, opt for more gentle activity that won’t deplete you. Yin or Restorative Yoga, stretching and walking is ideal.
  • Diet: Drink lots of tea and water during your period, avoiding ice-cold or refrigerated drinks. Eat plenty of cooked and warming foods like soups, stews and bone broths. Ensure your eat plenty of protein and healthy fats such as beans, meats and seafoods. You can also include TCM blood-stimulating foods like ginger, turmeric and apple cider vinegar.
  • Keep yourself warm: wear socks, stay cozy and keep a hot water bottle on your tummy, which may help promote blood circulation.

The Follicular phase: ‘Yin phase’

This phase of the menstrual cycle occurs from the start of the period until ovulation. The follicles we produced in our menstrual phase grow until one comes the most dominant. Our uterine lining, or endometrium, also thickens up.

  • After menstruation, we focus on Blood and Yin nourishment, and can enjoy the increase in energy that comes with this.
  • Self-care: we begin to feel more extroverted and energetic at this time of the month. It’s time to get out there: go on dates, make new friends, have more sex, try new things! This is a great time to get new projects together, focus on self development and take advantage of creativity.
  • Exercise: This is the time to get those gains in the gym! Lift heavy and focus on endurance, your body can handle it and recover better at this time.
  • Diet: Eat generous amounts of protein, fat, folic acid and B12. Think beans, fish, eggs, meat, cooked leafy greens, berries, avocado, tahini and nuts/ and seeds. Avoid alcohol, coffee, smoking and sugary, processed foods.

The Ovulatory phase: ‘Yang phase’

Ovulation generally occurs around day 11-16 of the menstrual cycle, NOT only day 14 which is a common misconception. Ovulation is affected by many factors, such as cycle length and our physical and mental health. The dominant follicle mentioned in the previous phase releases an egg after a surge in LH occurs. Yin and fluid levels are at their peak, which brings about stretchy (egg-white consistency) fertile mucus.

  • During this phase of the menstrual cycle, we transition from more Yin energy in to Yang, so we can live in a more Yang manner!
  • Self-care: It’s time to bring your creative projects to light! The best time of the month for presentations, work events and hosting. Your libido will be high too. If you’re trying to fall pregnant, this is the time to get busy!
  • Exercise: begin to get a little gentler while still riding on that energy high. It’s a perfect time for swimming, yoga, jogs, lighter weight lifting and HIIT.
  • Diet: begin to eat lighter meals with lots of cruciferous veggies and fibre to flush out excess estrogen. Enjoy warming spices like cinnamon, cloves, cumin, cardamom, cayenne and ginger to nourish the Yang. Limit cold and raw foods or drinks.

The Luteal Phase: ‘Qi Phase’

The egg released during ovulation now becomes the corpus luteum, a temporary hormone-secreting structure (secreting progesterone and estrogen). The corpus luteum will break down if pregnancy has not occurred around ovulation.

  • This is a very Yang time of the month: basal body temperature increases with all the extra warming Yang energy, and if you do become pregnant, Yang is needed here to support and hold the fetus. As we draw closer to the period, we promote Qi flow, which is impeded with stress, frustration, resentment and bottling up of emotions.
  • Self-care: focus on emotional release. Feeling irritable, upset and/or depressive are signs that you need to slow down. Prioritise rest and alone time; get in to breath work, journalling, meditation. Book that massage, acupuncture or facial session and take care of yourself.
  • Exercise: decrease vigorous exercise and opt for low-impact pilates, yoga, barre, body weight exercise or stretching. Many people naturally begin to feel a lack of strength post-ovulation, so listen to your body.
  • Diet: You may notice that your appetite is going a little haywire and this is because your metabolic rate is also increased, meaning you can up your caloric load (this doesn’t mean eat that entire block of Cadbury!!). Instead, opt for hearty meals, slow-cooked meats, stews, soups and broths with plenty of root veggies. Include green and/or pungent foods like basil, fennel, garlic, ginger, vinegar, rosemary dill etc, as well as magnesium and zinc-rich foods like nuts and seeds.

Our periods are our fifth vital sign. When we listen to our bodies and the symptoms that come up during our cycles, we begin to see the things we need to work on. If you suddenly had an excruciatingly painful, emotional period one month, think to yourself: what has my self-care been like this cycle? How have I been feeling emotionally? Have I been eating too much sugar, drinking too much alcohol? Have I been over exercising?

Having this presence in your life and with your body can be a game-changer for your hormonal health. However, natural changes do take time to come in to effect, so be patient with yourself. If you need extra support, acupuncture and Chinese Herbs work cyclically to support your bodies’ changes at each phase to promote hormonal balance and happy periods.

Book your acupuncture sessions with Kiah to get back in to balance naturally. Navigate to heading ‘Acupuncture > Acupuncture Initial’ and select Kiah McGowan.

Cosmetic Acupuncture – a natural alternative to Botox

Cosmetic Acupuncture, Kiah McGowan

What is Cosmetic Acupuncture?

Cosmetic Acupuncture is an ancient technique dating back thousands of years and used in Traditional Chinese Medicine to enhance beauty and skin radiance naturally. It is the insertion of fine needles into the face to stimulate the skin and muscles, and address concerns such as dryness, fine lines and wrinkles, dark, puffy or sagging eyes, discolouration, acne, scarring and much more!

How does it work?

Cosmetic Acupuncture works mainly by causing a ‘micro-trauma’ in the skin, which stimulates collagen and elastin production and increases blood and lymph flow to the face. This is thought to lead to a range of wonderful benefits that acupuncture is known for, including:

  • Improving the firmness and elasticity of the skin
  • Increasing skin hydration
  • Lifting sagging or drooping areas
  • Reducing the appearance and depth of fine lines and wrinkles
  • Softening scarring and pigmentation
  • Brightening the eye area

What to expect from treatments

Many people experience acupuncture as a dull, pinching sensation upon needle insertion that dissipates quickly, however sensitivity varies from person to person. As our skin regenerates and replaces itself approximately every 28 days, 1-2 months of treatment is usually required to see changes in the skin and achieve desired results. Of course, depending on your chosen skin concern, age and constitution, extra sessions may be needed to reach your goals, and realistic expectations will be discussed in your session.

A combination of acupuncture, facial gua sha, facial cupping, jade rolling herbal medicines and lifestyle/dietary advice may be used throughout sessions!

Rather than injecting your skin with chemicals, Cosmetic Acupuncture is a wonderful way to achieve a more youthful and refreshed complexion naturally. As Traditional Chinese Medicine is a holistic practice, treatments will also be aimed at targeting other concerns occurring in one’s body, such as digestive issues, hormonal imbalances and emotional stress, which can all contribute to the health and appearance of our skin. To do this, complementary acupuncture needles will be placed on special ‘grounding’ points on the body. By addressing the skin, mind and the body in all sessions, one is able to achieve a good, holistic harmony, which is essential for having great skin.

Registered Acupuncturist and Traditional Chinese Medicine practitioner, Kiah McGowan, offers their signature Cosmetic Acu-facial treatments at Fertile Ground Health Group and The Melbourne Apothecary.

Book your initial 90 minute session with Kiah and luxuriate in your refreshed natural glow > Navigate to heading ‘Acupuncture’ > Select ‘Cosmetic Acu-Facial Initial’

Zou Yue Zi – Postpartum from a TCM Perspective

Zuo Yue Zi

Zuo Yue Zi is a long-documented practice in China supporting women/new mothers after birth. It literally translates to “Doing the Month” – this is more commonly known in Western culture as the Golden Month after birth.

What is Zuo Yue Zi?

In China, this special time is characterised by 40 days of total rest with a heavy focus on Chinese diet therapy, hygiene and behavioural precautions. This allows for the birthing mother to rest and replenish her strength, while laying the foundation of her health as mother and care giver.

Why Zuo Yue Zi is crucial in postpartum recovery?

Sufficient postpartum care can provide the healthy foundation for the mother and the newborn but also pave the way for healthy pregnancies in the future. Zuo Yue Zi is even said to help the transition into menopause later in life.

From a Chinese medicine perspective, Zuo Yue Zi is crucial for the recovery of the birthing mother. Childbirth requires tremendous amount of energy, resulting in an imbalance of yin, yang, qi and blood. Due to the expenditure of energy and yang the mother is vulnerable to invasion of cold and wind which can cause illness or possible chronic health issues.

Rules of Zuo Yue Zi

Zuo Yue Zi is based on the principles of Traditional Chinese Medicine to protect the new mother and prevent illness. During the 40 days it’s crucial for the mother to prioritise rest, do no housework, limit visitors, stay warm, minimise time spent outside and focus on a nourishing diet that replenishes and harmonises. Traditionally, new mothers are forbidden to wash their hair, go outside, watch TV or read and have zero visitors as it could deplete their energy and unnecessary drama could affect the new family.

How you can implement Zuo Yue Zi in your postpartum journey

Zuo Yue Zi is still practiced in China today and traditionally a care giver, aunty or mother would live with the new parents. They would cook, clean and assist in maintaining the household while the new parents spend time to rest and bond with their newborn. Translating these principles into postpartum life is difficult, which is why many women turn to Traditional Chinese Medicine while implementing Chinese diet therapy.

Diet Therapy during Zuo Yue Zi

Food is one of the most important aspects of “doing the month” with ingredients and herbs carefully selected for their warming and blood building properties while strengthening qi and yang. The meals consumed during this time are always abundant in nutrients, slow cooked, energetically warm, and easy to digest. This is to replenish blood, qi and yang lost during childbirth but also and gently correct any disharmonies. Raw and cold food and drink are to avoided during this time as they are hard to digest and deplete the energy of the already vulnerable mother.

Acupuncture, Herbs and Moxibustion

During this time Traditional Chinese Medicine can be extremely beneficial as it can help to balance emotions, improve energy, help with sleep patterns, promote lactation and perineal healing. It is recommended that acupuncture can be used 2 weeks after childbirth – ideally with a home visit session if possible. Once completing the month and feeling ready to leave the home, treatments in the clinic can commence.

If a home visit for acupuncture is not possible but you still want to follow the principles and access the benefits of a nourishing treatment  – here are some ideas. Try to get someone to take you to your session so you don’t have to drive, make sure you are warmly and snuggly dressed, plan to come directly to the clinic and go home again (no ducking into the shops!) and take time to rest (with a warm bath or warm cup of  your Chinese herbs or breastfeeding tea) afterwards.

In clinic, moxibustion (moxa) is used to stimulate the points and meridians to improve circulation, relieve pain, boost energy, dispel cold and warm the body. After childbirth the moxa is used on the abdomen to warm the channel, stop bleeding and help treat postpartum urinary retention. Moxibustion (moxa) is dried mugwort and is commonly referred as Mother Warming during postpartum period. The use of moxa helps energise the mother and facilitate recovery.

Meghan Smith AcupunctureWritten by Fertile Ground registered acupuncturist, Meghan Smith.

Are you in the postpartum period yourself, or do you know someone who would benefit from this style of care and treatment? Book with Acupuncturist, Meghan, by navigating to bookings > Acupuncture > Acupuncture INITIAL (60 mins)

 

The next step in your Acupuncture career?

Are you our new Acupuncturist?

An exciting opportunity for an experienced acupuncturist / Chinese herbal medicine practitioner to join Fertile Ground Health Group is now available.

FGHG practitioners are leaders in their respective professions for IVF support, fertility and pregnancy related treatments and are well respected among medical specialists and experts within this area of practice. The launch of the new preconception bible (Create A Fertile Life) by the team at FGHG, along with moving to beautiful new premises and creating The Melbourne Apothecary, has seen huge growth for us in what evidently (and very sadly) has been a devastating year for many other practices and dispensaries.

We are ready to grow our team and we are looking for our next incredible Acupuncturist. To be eligible for this position you already have passion, confidence and experience in reproductive health, pre-conception care, infertility, IVF/ART, pregnancy, birth and beyond. Importantly, you also have a point of difference and love treating conditions or patient groups we don’t already have covered by our expert practitioners already.

Sound like a fantastic opportunity for you? Would you like to join us?

You will receive

You will have a fabulous, supportive team of well-known professionals to work, grow and collaborate with, along with a highly experienced business management and support team to guide, develop and expand your professional profile. You will have new patients waiting to see you and the established reputation of Fertile Ground Health Group to provide you with a consistent flow of patients to work with on an ongoing basis.

Is this you?

You value collaboration and your ability to develop referrer relationships and patient results are a must. You want to establish yourself as a leader in your profession and you are willing and ready to raise your profile through opportunities that excite you (or even scare you at least a little in all the juicy, good growth ways). You understand the value of writing blogs and social media, marketing contribution, networking, speaking opportunities (to health professionals or patient groups), running workshops, classes or support groups (in person, on zoom or on social media). The opportunities for growth within our team are endless, especially with your full access to all the foundational goods that come as part of the extensive springboard that is Fertile Ground Health Group.

What we’re looking for

We are looking for an experienced Chinese medicine practitioner who would like to simplify the work involved in running a business, who is ready to focus on being a fantastic and fully supported practitioner, dedicating efforts to growing patient reach and enhancing their profile and career with Fertile Ground Health Group.

Mentoring is also available for the right candidate if needed.

Practice session times

You will need to commit to a minimum of three sessions per week including alternate Saturdays. You will be working in one of Australia’s most intentionally beautiful and vibrant clinic spaces with an extensive dispensary supplying all of your prescription needs. We stock a Chinese raw herb, granule and pill dispensary and supply needles, moxa, and general equipment and other needs for practice. There is an extensive nutrition and western herbal dispensary available at The Melbourne Apothecary too.

What is The Melbourne Apothecary?

The Melbourne Apothecary has been created to provide Melbourne’s first prescription-only naturopathic dispensary, serving the FGHG team as well as filling prescriptions for Naturopaths all over Australia. The MA serves to protect the privacy of our fertility and IVF patients (for those who need it) along with opening up to the general health population as a street-frontage “shop”. It is a truly beautiful space and strives to be an example of what is possible.

Apply

To apply please email a cover letter and resume to Charmaine Dennis at charmaine@fertileground.com.au

Interviewing now

We will be interviewing as soon as the right candidates land in our inbox.

“Choose a job you love and you will never have to work a day in your life” Confucius

Pregnancy & Skin Changes

Pregnancy & Skin
Pregnancy & Skin – how are they related?

Pregnancy is an exciting journey, but may involve a set of new and frustrating skin challenges. The body undergoes a tremendous amount of change through pregnancy with more than 90% of women experiencing significant and complex skin changes. These changes may be desirable for some, but for others, pregnancy may trigger the onset or worsening of pigmentation, acne or eczema. 

Please understand that the tips included below are a general guide only. Each person requires individualised treatment as we’re all unique – so make sure you book in to get tailored advice before self prescribing as it may not suit your situation or health needs

Pigmentation

Hyperpigmentation (melasma) is one of the most common and early signs of pregnancy. High levels of Melanocyte Stimulating Hormone (MSH), oestrogen and progesterone are believed to be responsible for hyperpigmentation. Progesterone appears to increase oestrogen to signal melanin output, which stimulates pigmentary changes in the skin. This type of pigmentation is seen more in those with darker skin and hair. Melasma is said to be caused by stagnation of Liver energy, which effects the movement of qi and blood throughout the body. Acupuncture around the area of pigmentation is thought to help improve the flow of energy and blood, so that melasma are less pronounced in colour and size.

Tips – Protect the skin from sun exposure with physical sunscreens, as these reflect the heat away from the skin, which is good for a pregnancy-flushed face. Use a natural SPF 30+, such as zinc oxide and titanium dioxide. For targeting localised brown spots, opt for Vitamin C. For safe exfoliation, use Lactic Acid or a gentle exfoliating enzyme mask to brighten the skin.

Avoid – Limit exposure to ultraviolet light. Topical formulations containing hydroquinone and tretinoin should be avoided in pregnancy, but may be added after pregnancy, or as advised by your doctor. 

Acne

Although some women experience improvements or no change in acne during pregnancy, a substantial number suffer acne flare ups during this time, which may also indicate a higher risk for similar flare ups during future pregnancies. A shift in hormones, specifically progesterone, estrogen and androgens, during pregnancy can stimulate the sebaceous and sweat glands, resulting in more perspiration and oilier skin triggering breakouts. Studies show hormone levels spike during the earliest stages of pregnancy and often again in the third trimester, which may explain the initial onset of hormonal breakouts and then another surge of acne toward the end of pregnancy and up until birth. Acupuncture and Traditional Chinese Medicine, when combined with dietary and lifestyle modifications, may help to positively impact any skin changes, improve digestive function, reduce inflammation and redness, swelling and painful pimples, and bring your body into harmony.

Tips – Opt for oil regulating products such as niacinamide (B3) and bentonite clay spot treatment. Reduce acne triggering bacteria with zinc, topical probiotic/ferments, and antioxidants such as resveratrol and green tea.

Avoid – Concentrated salicylic acid formulations should not be used, as well as prescription and oral retinoids, and high strength topical retinoids. Always check the ingredients of your skin care for potential toxins.

Eczema

Atopic dermatitis, otherwise known as eczema, is another commonly seen skin condition that may be worsened through pregnancy. The reason for this is not well understood, but may be due to the effects of oestrogen on cellular responses in the immune system. Specifically, this involves a shift from cell-mediated immunity toward humoral immunity. Additionally, the high estrogen state of pregnancy stimulates mast cell activation and allergic responses. The relationships between skin, brain, and gut health and between eczema and the nervous system suggest an important role for acupuncture due to its known impact on calming nervous system hyperreactivity. 

Tips – Fish oils deliver anti-inflammatory omega 3s, which is great for skin inflammation and dryness of the skin. Probiotics containing lactobacillus rhamnosus are safe to use through pregnancy and helpful in atopic conditions. Mild gel/cream cleansers and products should be used, containing calming and soothing ingredients like Panthenol, chamomile and Licorice root. Barrier-building ingredients such as oats (Avena Sativa), sunflower seed extract and borage seed oil reduce irritation. 

Avoid – No hot showers or abrasive scrubs, as these will irritate the skin. Stay away from artificial fragrances and direct application of essential oils.

Acupuncture & Chinese Medicine

Because acupuncture sessions to improve skin conditions are focused on moving qi and blood, treatment will depend on your current health and stage of pregnancy. Sessions with me will mostly involve a combination of facial gua sha and sliding cupping to move lymph, increase blood circulation to the area, and encourage any skin changes to move towards skin healing, alongside constitutional and pregnancy support acupuncture, nutrition and lifestyle counselling.

Written by Holly Peyton-Smith

Holly Peyton-Smith is an Acupuncturist and Chinese Medicine Medicine Practitioner at Fertile Ground Health Group.

If you’re suffering with a skin condition and seeking treatment, please feel welcome to make a booking with Holly.

References

https://medcraveonline.com/OGIJ/a-review-of-the-clinical-and-immunologic-effects-of-estrogen-on-atopic-dermatitis.html

www.ncbi.nlm.nih.gov/pmc/articles/PMC3114665/

https://pubmed.ncbi.nlm.nih.gov/26957383/

www.ncbi.nlm.nih.gov/pmc/articles/PMC4311336/

https://www.hindawi.com/journals/ecam/2019/1907578/

What does your period tell you about your endometrial lining?

your period
The Chinese medicine take on the quality of your menstrual flow

As a woman, if you’ve ever had a Chinese medicine consultation, it is quite likely you’ve been questioned about the health of your endometrial lining and your period in some detail, even if you are not trying to conceive. We ask a lot of questions because every woman’s period gives us valuable insight into her overall health and these details inform our diagnosis and treatment. Your period reflects what has been happening in the previous weeks, months and years.  As we commence treatment, you may often notice positive changes in your menstrual flow, which give us valuable feedback that we are on the right track with your acupuncture and/or herbal treatment. Having a healthy period is always very important and is especially so if you are trying to conceive. 

Many of my clients are not used to observing their menstrual flow in such detail and may not know how to answer some of my questions. When I was a teenager, all I learned about my period was that it happened. The subject was taboo, only the essentials were discussed, and further information just wasn’t available. If you are the same, then it may take some months of observation to notice things you haven’t before. It is not uncommon that women return and tell me that their period is quite different to what they thought.

So, what do we want to know about your period?

Examples of some of the questions we may ask are:

  • How often do you change your pad or tampon (or menstrual cup or period undies)? 
  • How many days do you bleed for?
  • What colour is the blood? (Red, maroon, purple, black, brown, pink)
  • Is the viscosity like normal blood or is it thick and sticky or watery?
  • Are there any clots? If so, how big (specks, coin sizes, as big as your wrist)
  • Is there any pain? When does it start and finish? How strong? Where is it felt?
  • Does it stop and start?
  • Is there an odour?

What we are looking for are deviations from a healthy menstruation. It should flow easily, be pain free, be a fresh red colour and not contain clots, dark strands or mucous. There needs to be enough blood to reflect a lining of adequate thickness, but it must be healthy too. It should arrive without a lot of fuss, finish up neatly and not outstay it’s welcome. 

Prepare the garden bed

You may have heard the analogy of the garden bed. A strong healthy plant needs a quality nutritious soil that is free of weeds, rocks and clay. If we prepare the soil before we plant the seed, we have a greater chance of it taking root and growing big and strong. 

As a Doctor of Chinese medicine, my main therapeutic tools are herbs and acupuncture. Our herbs are prescribed as formulas containing multiple herbs chosen to suit your particular diagnosis. I mostly use soluble granulated herbs, although pills, tinctures and teas are not uncommon. All herbs are free from endangered species or unethically sourced products and are of the highest quality grade. Specific dietary guidance aimed at improving menstrual health may also be given. 

A Chinese medicine gynaecology or fertility consultation includes enquiring about your menstrual history and the details of your entire menstrual cycle, not just the period. We discuss your diet, digestion, lifestyle, work, stress and anxiety levels and any other health concerns or test results you may have. We use all this information alongside our traditional diagnostic techniques to inform our diagnosis and design your treatment plan. 

If you have been concerned about the health of your period, suffering every month with pain or heavy bleeding or have been having difficulty conceiving and are unsure what to do, then I would love to see you in clinic to discuss your concerns and possible treatment options. 

Written by Kim Riley

Kim Riley is available for one on one in person acupuncture and Traditional Chinese Medicine consultations. You’re welcome to book in with Kim.

How is acupuncture going to help me conceive?

by Naomi Jankowski, FGHG Acupuncturist

The question I receive the most frequently in clinic is ‘How does acupuncture work?’ This is such a fantastic question with multifaceted answers. The question I like even better is ‘How is acupuncture going to help me conceive?’ When I consider this, there are two parts to the answer which are relatively easy to explain, and which are very important for patients to hear so they understand what we are doing, rather than just going along with a bunch of arbitrary needles.

The first part of this relates more broadly to the question of how acupuncture works. Through my experience in clinic, I have found that so much of acupuncture works on benefiting blood flow and circulation.  Acupuncture does not just work by bringing blood flow to the area where the needle is inserted, in fact often the needles selected will direct the blood flow to an entirely different area of the body.  For example, I routinely use points on the hands that have a direct affinity to the ovaries and uterus.  If a patient comes to see me on a day that they have menstrual cramping, using these points on the hands usually decreases the pain within a few minutes.  By facilitating blood flow to the area, the uterus is then able to function more efficiently.

In many cases, menstrual cramping is caused by a small amount of uterine clotting that is stuck.  The cramps occur when the uterus has small contractions to try to push the clots out.  Unfortunately, the contractions often become inefficient, and then we have the problem which we so often see in clinic, where a woman either has pain or heavy bleeding.  Increasing the blood flow to the uterus facilitates more efficient uterine contractions.  This in turn will decrease pain, decrease heavy bleeding, and, most importantly, create a good basis of endometrial lining.

This brings us to the next point, and our next question of ‘How is acupuncture going to help me conceive?’ Patients often tell me they have low AMH, and that their fertility specialist has told them they cannot conceive as a result of poor egg quality.  Egg quality is certainly part of the picture, and cannot be overlooked.  But let’s consider another perspective.  What good is the perfect egg if the quality of the endometrial lining is so poor that implantation cannot occur?

The analogy of soil works best to illustrate this point.  A seed will not be able to form roots in soil that is littered with rocks, debris and clumped up dirt.  No matter how much fertilizer you add, if there are enough rocks in the soil, your seed will not grow.  These rocks are the clots in the endometrial lining.  First and foremost, our job is to help eliminate this clotting.  Secondly, we work to add fertilizer to the soil i.e. thicken the endometrial lining.  Then, if necessary, we work on egg quality.  Often I never need to directly work on step three, because by that time, conception has successfully occurred.

It is important to note here that patients often have their lining measured, and are told that it looks fine.  This is a measurement in millimeters that does not take into account quality of lining and possible clotting.  Clots will, in a sense, artificially increase the ‘true’ lining of the uterus present on the scan.  It is detrimental lining that leads to a false reading in millimeters.

So to summarize and answer these clinically relevant questions, the benefit of traditional Chinese gynecology is that it takes into account the quality of the endometrial lining.  Acupuncture can facilitate blood flow to the uterus, to improve the quality of this lining which increases the ability of an embryo to implant.

NaomiJANKOWSKIColourNaomi Jankowski is a highly experienced, registered acupuncturist and Chinese herbal medicine practitioner. Naomi is known for her ability to build relationships with her patients where they feel truly supported supported, even the most difficult of fertility and reproductive journeys.

Does acupuncture really help improve IVF outcomes?

acupuncture

The latest review of evidence is out and yes the results are clear. It seems it has been missed by many as it was published in the holidays on the 2nd January 2019!

This is considered the most up to date evidence from a systematic review and meta-analysis and should help to clarify the benefits and rectify the recent misunderstanding from a study published in 2018 that put the use of acupuncture under question.

If you are interested to read the research in full, follow the link to the review and jump to the discussion section for details on effectiveness.

Here is the link: “Acupuncture performed around the time of embryo transfer: a systematic review and meta-analysis”  Smith, Caroline A. et al. Reproductive BioMedicine Online, Volume 38 , Issue 3 , 364 – 379

In this review of all of the latest and relevant evidence from English speaking publications, Smith concludes that:

  • Acupuncture with IVF may have potentially significant benefits when compared to IVF only in regard to both clinical pregnancy AND live birth rates.
  • Acupuncture seems most effective when there are more treatments (higher dose) than just pre and posttransfer acupuncture – especially with treatment in both the stimulation and implantation phase.
  • Further benefits are seen when points selected are tailored to the individual rather than using a pre-prescribed treatment protocol.
  • Benefits are especially true for women who have had multiple previous IVF cycles.

What has been confusing in recent research and discussed in this review is that when acupuncture is compared to sham acupuncture as the control, the benefits are not seen for acupuncture over sham acupuncture. Rather than negating the effects of acupuncture (which seem clearly beneficial), this begs further questions about the placebo effect of acupuncture and/or the validity of sham acupuncture – these devices or points used may not be inert after all and have some effect.

It seems acupuncture is in fact considered effective when compared to IVF alone and worth pursuing for IVF patients.

Smith also mentions how acupuncture may be working via the stress relieving and psychosocial benefits with a significant anxiolytic effect reported and potential beneficial effects such as increase in uterine blood flow, endogenous endorphins and cytokines. The non-needling benefits of acupuncture treatment (the holistic nature of a consultation with palpation, education, self-care and diagnosis etc) are discussed too.

Smith further states that acupuncture remains a low-risk intervention.

While it is so good to read this validation of the use of acupuncture during IVF, for us, although our patients having a take home baby is obviously a key desired outcome, benefits of treatment are not only about the pregnancy and live birth rates. Reduced anxiety levels and a better ability to cope with infertility and IVF is so important for people with poor outcomes, fragile emotional health, and those doing back to back cycles who need to ‘gear up again’ after a negative result. This effect cannot be underestimated. Sometimes it can be the difference between patients feeling like they have the internal resources to take on the next cycle, or need a break. Regular acupuncture with practitioners skilled in working with IVF patients can provide support they need to navigate their experience as seamlessly as possible, potentially with fewer side effects and positive outcomes more quickly.

We continue to offer acupuncture services to support IVF patients at Fertile Ground Health Group as a 1:1 appointment or in our multi-bed facility which works really well for the flexibility of fitting IVF transfer patients in on the day when they find out their transfer times.

We generally recommend patients come in at least once before the transfer as the follicles are stimulated, one to two times on the day of transfer, and another around five to seven days after transfer for implantation support.

Even more ideally where possible and time permitting, we recommend weekly appointments in the two to three cycles leading up to IVF.

Hope you find this helpful. If you are considering booking in. you can see our practitioner profiles here or go straight to our online booking page here.

Please help us share this information to anyone you know involved with IVF as a specialist, practitioner or patient to ensure they know about choices available for appropriate supportive treatments.

Our acupuncture team is more than happy to write or speak about this new systematic review and meta-analysis to IVF and fertility groups too. Please be in touch if you have an opportunity for us to be involved in spreading the word about this.

CharmaineDENNISC

 

Charmaine Dennis is the founding director of Fertile Ground Health Group and has been practicing naturopathic fertility and preconception health care for nearly 20 years. She is passionate about collaborative health care and ensuring that people going through IVF are given accurate information about all the many ways IVF outcomes can be improved with lifestyle and complementary medicine interventions.

 

 

Beautiful times through pregnancy to see your Acupuncturist

Acupuncture Pregnant Belly

Pregnancy can be so demanding on the body.

Physically and emotionally.

Acupuncture can be Oh So Useful in pregnancy.

As an Acupuncturist I often get asked – when are the most delicious times to check in with your Acupuncturist?

So let’s jump in.

 

Regularly though the first twelve weeks

Especially if it’s taken some time to conceive this babe, you’ve experienced pregnancy loss in the past, or you’re feeling particularly anxious about this pregnancy.

Also, if symptoms like nausea and fatigue are having a considerable impact, give your Acupuncturist a call. And the sooner the better on this one.

 

Through the middle of the pregnancy: as symptoms arise

And again, the sooner the better on this one. Catch things like carpal tunnel, back pain, insomnia and indigestion as they arise.

An alternative to the ‘catch things as soon as they creep in’ approach is to schedule monthly check in appointments with your Acupuncturist through the middle of the pregnancy. There is always work to do. And a month can be a very long time during pregnancy!

Go with what you feel will work best for you.

 

Weekly in the final weeks of pregnancy

Weekly from 37 weeks is ideal. This will help facilitate the smooth preparation of bringing this divine soul earthside and prepare your body for labour.

There is so much divine work going on inside your body during this time. Many women become physically more tired and sore. And it may become harder to reach good pockets of sleep.

On top of that, there can be car seats to fit, renovations to finish (why does that always happen?!), and an influx of information coming at you from your birth provider.

There’s the endless thoughts of what labour is going to be like. How we are going to work with the pain.

In other words, there is A Lot. And our minds at this time can go into overdrive.

As the To Do List can whir around us, it’s time to breathe and come home.

A space that Acupuncture is so great at facilitating.

 

More often if you pass your estimated due date

Great to book in some treatments for 40.5 weeks and even 41 weeks. It’s very common to reach these! An estimated due date is just that, an estimate.

So if you do become ‘overdue’, lets use the pins to create some calm space, and facilitate the most optimal environment for your body to go into labour.

 

On ‘the other side’

If you’re seeing an Acupuncturist, ask them what to do regarding treatment on ‘the other side’.

Once pregnancy has drawn to a close, the summit of labour has been climbed, and you have that sweet delicious soul in your arms, there may still very well be work to be done.

Stepping over the threshold from pregnancy to motherhood does not mean you no longer require support.

In general, Chinese Medicine advises that it’s absolutely best for mum and babe to stay indoors and rest for the first 6 weeks. To get to know each other, facilitate recovery from the big experience of birth, and sync up in their rhythms.

At the same time, be in contact with your Acupuncturist if any bumps arise. They may be able to help you. Or they may be able to guide you towards the correct support you may require. Early intervention can be so useful with many postpartum conditions, so please remember that it is always, always okay to ask for help.

 

AmyObrienColourAmy O’Brien is a registered Acupuncturist and Chinese Medicine practitioner with a passion for preconception, fertility and pregnancy care. Amy has extensive experience in acupuncture, including a 2 year period of administering acupuncture in a Melbourne hospital. She enjoys working with every aspect of health and disease to assist you in creating fabulous health.