Welcome to MA’s July 2021 Love Letter. We’ve been receiving MA’s monthly love letters from The Melbourne Apothecary since the beginning of 2020. These letters contain links to a variety of life enhancing freebies that our fabulous practitioners are constantly creating to help you cope during COVID and beyond.
The letters are also a fantastic and charismatic resource that share all the goings on within both The MA and Fertile Ground. So we thought we’d best share them with you here so that you can join in and receive the monthly intel from our delightful and ever wisdomous MA. Please enjoy.
Hello hello,
I hope this July 2021 love letter finds you healthy, warm and feeling loved. Word on my MA vine is that there are 2 wonderful projects beginning to blossom in our town. I would love to invite you to be a part of either one in whatever capacity you like.
These projects really align with my desire to help to enrich our community, enhance collaboration, and support sustainability (because as I’m sure you’re aware, there is no Planet B).
This is an initiative brought to you by the wonderful minds of the Fertile Ground Health Group team. The way it works is that everyone is welcome to bring in and donate any beautiful baby apparel that they no longer need (for newborns – apparel to suit up to 12 month old babies). This apparel will all then be available for any patients of Fertile Ground to take and use for their budding family.
This is an opportunity for you to either share apparel you no longer need, or receive lovely new baby apparel with and from people who not only share your health values but have also likely shared some similar struggles as you too.
By being a part of this initiative in any way you will be contributing not only to a circular economy (less waste), but also to rampant happiness on all sides.
If you would like to donate baby apparel, please drop it into the reception team at Fertile Ground when you’re next nearby. Feel free to write a little love note to accompany your clothes – we will be sure to pass it on. And if you’d like to pick up free upcycled baby apparel for your growing family, please ask at Fertile Ground’s reception when you’re next in too.
Project 2 – Shared Holistic Health Library
You may have noticed the gorgeous library of health, fertility and self help books that lives on the wall of the upstairs waiting room at Fertile Ground.
Did you know that it’s a shared library? Meaning – you are most welcome to take a book or two, read them and bring them back/keep them when you’re done. You’re also welcome to add any health / fertility / pregnancy / baby / self help related books you have at home that you wish to recirculate into the community. Take a wander through the Holistic Health Library next time you’re in.
What’s your Fertility Plan and do you qualify for IUI?
Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 5 – “What is IUI & do you Qualify?” If you’ve already read articles 1 to 4, feel welcome to skip this intro and get stuck into part 5 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.
Over this free 6 week article series we are going to discuss all potential options for those of you who are:
single,
in same-sex relationships,
are gender non-conforming,
or are in a heterosexual relationship.
In these articles I will address information around:
trying to conceive,
options if you have been struggling to conceive,
considerations for those of you thinking about IVF,
considerations for those of you currently undergoing IVF treatment,
how beneficial naturopathy can be in optimising your fertility outcomes.
Opportunity to Ask Me Questions – LIVE
After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.
Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.
Your Fertility Plan
Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series.
I am excited to be on this journey with you. If you’ve already registered for the whole free package, take a sneak peek at part four below and check your inbox for the arrival of your full comprehensive article for this week (week 5).
IUI is also known as Assisted or Artificial Insemination (AI), as it is the process of assisting sperm to inseminate into the uterus at ovulation. The two key aspects of IUI include washing the sperm to find the best quality sperm, and timing the insemination procedure to coincide with when you’re ovulating. (2)
Firstly, the sperm sample (from either a partner or known/clinic recruited sperm donor) is washed to find the most active and virile sperm. It is then inserted through the cervix and into the cavity of the uterus via a catheter at ovulation. You could say that the IUI process gives the sperm an advantage in quality, combined with a head start by selecting the highest quality sperm from the sample provided; with insemination increasing the number of sperm that reaches the fallopian tubes. While the sperm still need to find their way to the egg on their own for fertilisation, the greater the quality and number of sperm that reach the tubes, the greater chance of fertilisation occurring. (1,2)
Secondly, your cycle is monitored to determine if/when ovulation is occurring. To refresh your memory, ovulation occurs when an egg is released from one of your ovaries and must occur in order for conception to be successful. In the same way that timing intercourse during your fertile window is important for couples whom can provide both the egg and sperm, IUI is conducted at the time of ovulation by closely monitoring ovulation using blood tests and ultrasound to track the developing follicle to determine when insemination will go ahead.
Sounds easy, right? Reproduction always seems so straight forward on paper. But unfortunately for some, and particularly in a world where sperm quality is on the decline due to today’s way of living and environmental factors, it’s a lot more complex. So if IUI assists to find the best quality sperm prior to insemination, what if the quality of sperm is poor to begin with?
If the quality of the sperm sample is poor, then it’s like selecting the ‘best of a bad bunch’ so to speak. Now that it’s week five and I’ve spent all this time going on about the importance of preconception care, please bear with me while I repeat myself… this is why preconception care is so important! We want to be able to holistically assess all the contributing factors to sperm quality to be able to control and optimise those variables as much as possible. We want to have the best quality sperm sample to select from in the first place. We want the best of the best! But more on this and egg quality later…
What does IUI feel like?
The IUI process is described as similar to a pap smear in sensation. A speculum is inserted into the vagina so the cervix can be visualised. A thin catheter containing the selected sperm is then passed through the cervix and into the uterus. The process takes a few minutes to complete, usually with minimal discomfort. IUI does not require sedation. (3,4)
Is IUI for you?
For single cis-women, or individuals or couples assigned female at birth who require donor sperm, IUI is the ART method that is most commonly used. IUI may also be indicated in cases of mild suboptimal semen volume, sperm count, and/or sperm motility, mild Endometriosis, cervical scarring or other concerns that may reduce sperm penetration into the uterine cavity, poor or absent cervical mucous, for those who cannot have regular or penetrative sex, infertility of unknown cause, and for individuals for which ovulation is absent or irregular. (3)
IUI is not indicated for significant sperm quality issues where a good sperm sample cannot be achieved in the andrology laboratory, or for individuals with poor fallopian tube functioning or blockages – these need to be open and functioning for the sperm to be able to reach the egg. (4)
In mild cases of poor sperm quality, while IUI washes and selects the most viable sperm and gives sperm a bit of a helping hand in helping them get closer to where they need to go, it in no way improves sperm quality parameters on a cellular level. This is why focusing on improving all parameters of sperm quality where possible is such an important preconception consideration prior to undertaking IUI.
For those of you using your partner’s or known donor sperm, I hope this gives you some encouragement to at least have a conversation with them about undertaking a semen analysis prior to giving their sample for IUI. Hopefully your partner is open to undertaking preconception care alongside you, and your donor may or may not be open to it. But it’s absolutely worth a discussion to optimise your outcomes and require less samples from them! Even better if your donor is open to 3 months (only 12 weeks) of preconception care to improve their sperm quality. If they need a little convincing, I highly recommend giving them a copy of our book, Create A Fertile Life. It is evidence-based, easy to read, and you can read from any chapter that is relevant to your circumstances. Purchase your copy and get a head start.
For those of you using clinic-recruited donor sperm, it emphasises the importance of undertaking your own preconception screening and individualised preconception care so that we can optimise egg quality and your endometrial lining to increase the chances of successful implantation.
So, you’ve determined IUI is for you or it has been recommended by your fertility specialist. Did you know that IUI can be performed with or without…
What’s your Fertility Plan and is egg freezing for you?
Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 4 – “Is Egg Freezing for You?” If you’ve already read article 1, 2 and 3, feel welcome to skip this intro and get stuck into part 4 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.
Over this free 6 week article series we are going to discuss all potential options for those of you who are:
single,
in same-sex relationships,
are gender non-conforming,
or are in a heterosexual relationship.
In these articles I will address information around:
trying to conceive,
options if you have been struggling to conceive,
considerations for those of you thinking about IVF,
considerations for those of you currently undergoing IVF treatment,
how beneficial naturopathy can be in optimising your fertility outcomes.
Opportunity to Ask Me Questions – LIVE
After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.
Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.
Your Fertility Plan
Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series.
I am excited to be on this journey with you. If you’ve already registered for the whole free package, take a sneak peek at part four below and check your inbox for the arrival of your full comprehensive article for this week (week 4).
Welcome to week 4! Now that you understand the importance of determining your fertility plan, undertaking thorough preconception screening, as well as individualised preconception care, this week we are going to begin to apply that new knowledge to Assisted Reproductive Technology (ART) in the form of Elective Fertility Preservation, aka ‘Egg Freezing’, and how naturopathy can optimise your outcomes.
Egg freezing may be a part of your fertility plan, but for some of you this may not have been something that you’ve thought about. Egg freezing is a method of storing unfertilised eggs as a way to preserve potential fertility in individuals, for any reason. Egg freezing may be a consideration for individuals that wish to reproduce, but may not be in the right place or circumstance to be able to conceive, or may need to freeze their eggs due to medical reasons. When or if the time is right, you can access your frozen eggs, which are thawed to be fertilised with sperm, in the hope to create a healthy embryo to transfer into the uterine wall for a successful pregnancy.
Transgender, Non-Binary, and Gender-Fluidity and Elective Fertility Preservation (EFT)
EFT may be the insurance policy our wonderful transgender, non-binary, and gender-fluid, community that wish to undergo gender-affirming hormone replacement therapy (GAHRT), and/or gender affirmation surgery need for their family plan. For transgender men and individuals assigned female at birth, undertaking egg freezing prior to the commencement of GAHRT and surgical transition allows you to have the opportunity to have your own biological children should you wish to in the future.
If egg freezing wasn’t something you thought about prior to GAHRT and you have not had gender affirmation surgery affecting your reproductive organs, and is something you wish to pursue, then it may be possible to cease hormone treatment and begin to produce eggs again and either freeze them or try to conceive. For transgender women and individuals assigned male at birth, freezing your sperm prior to GAHRT and/or surgical transition gives you the ability to reproduce in the future also. If this is you, I cannot emphasise enough the importance of having this discussion with your Endocrinologist around your family plan and your goals as soon as possible, so they can carefully manage this process for you medically. It is also important to be aware of the emotional challenges that may arise in undergoing this process as it may require delaying GAHRT and/or gender affirmation surgery. (4)
Understanding The Egg Freezing Process
The goal of egg freezing is to obtain and freeze as many good quality eggs as possible. In order to do this, egg freezing requires a few key steps:
Hormonal Stimulation
This process occurs over 10-12 days, which aims to help the ovaries produce multiple eggs to mature in one cycle. There are a variety of different stimulation techniques and medications, and this will be determined by your fertility specialist. You’re responsible for administering your own medications during this period, which may include some or all of self-administered injections, oral tablets, pessaries, and topical patches.
Egg Collection/Egg Pick Up (EPU)
EPU sees egg retrieval from the ovaries via a fine needle that is passed through the vaginal wall into the ovary, and draws the fluid and eggs from the ovary. This procedure is conducted under a general anaesthetic, with the procedure taking approximately 10-15 minutes.1
Egg Freezing
The eggs collected undergo a freezing procedure in the IVF laboratory, which can be stored for many years and accessed at any time. The entire process from the beginning of hormonal stimulation to the time of egg freezing is approximately 14 days. (1)
Age and Egg Freezing – What’s The Go?
Let’s take our minds back to our very first week. Statistics show a decline in egg quality, and therefore fertility from 35 years of age, with a further decrease after 40-42 years of age. (2,3) So while egg freezing is a great way to preserve your future fertility, ultimately, the younger you are when you freeze the eggs, the better. Egg freezing is discouraged for individuals 39 years of age or older, with the current average age of individuals undertaking egg freezing (in Victoria) being 37 years of age. (5)
So, what’s the chances of having a baby with frozen eggs?
It’s important to note that while there are no guarantees of having a baby in the future when undertaking egg freezing, there are three factors that will largely determine your chance:
Your age when you freeze your eggs
The number of eggs stored
How many cycles you can afford (cost ranges from $4,000 – $10,000 per collection cycle)
Depending on your age and egg quality, a frozen egg has ~5-8% chance of becoming a baby. (6)
Let’s take a look at the graph below. It looks at the probability of having at least one live birth according to age at time of egg freezing and the number of eggs retrieved.
Source: VARTA, 2021
To simplify it for you, for a 75% chance of a baby, individuals:
35 years of age or less need 10 eggs
36 years of age need 15 eggs
37 years of age need 20 eggs
38 years of age needs 25 eggs
As you can see, at 40 years of age, egg numbers required jump significantly to 40 eggs, and increases again at 42 years of age to 60 eggs, highlighting the importance that the earlier you can freeze your eggs, the better the chance that your fertility insurance policy will result in a healthy baby.
What isAnti-Mullerian Hormone (AMH) and why is it relevant?
Conducted as a simple blood test, Anti-Mullerian Hormone (AMH) is an indicator of ovarian reserve. Put simply, AMH provides insight into the remaining quantity of eggs you have. While it provides us with this information, it does not assess…
What’s your Fertility Plan and and how do you enhance your fertility naturally?
Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 3 – “Enhance your Fertility Naturally”. If you’ve already read article 1 & 2 feel welcome to skip this intro and get stuck into part 3 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.
Over this free 6 week article series we are going to discuss all potential options for those of you who are:
single,
in same-sex relationships,
are gender non-conforming,
or are in a heterosexual relationship.
In these articles I will address information around:
trying to conceive,
options if you have been struggling to conceive,
considerations for those of you thinking about IVF,
considerations for those of you currently undergoing IVF treatment,
how beneficial naturopathy can be in optimising your fertility outcomes.
Opportunity to Ask Me Questions – LIVE
After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.
Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.
Your Fertility Plan
Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series.
I am excited to be on this journey with you. If you’ve already registered for the whole free package, take a sneak peek at part two below and check your inbox for the arrival of your full comprehensive article for this week (week 2).
“What should I eat? What should I avoid? What supplements should I take?”
These are some of the many common questions I’m asked in my practice. When it comes to being proactive at improving your health for fertility, the internet, books, people around us, and social media are all full of their own interpretation of what is “good” and what you “should” be doing. Today I’m hoping to simplify some of that information for you so that it doesn’t seem so overwhelming. Whilst what I share won’t be exactly individualised to your needs, it will provide you with practical ways you can start to optimise your health to support your egg and sperm quality immediately.
Now that you know your optimal preconception window is 3-4 months, I suggest implementing the strategies in today’s article for this period of time alongside any other intervention indicated in your case.
For those of you in same-sex relationships where both of you have ovaries and a uterus, and have decided that one of you is going to provide the egg while the other carries the pregnancy, it is imperative that both of you implement the information in today’s article. Optimising egg quality as well as endometrial receptivity require similar diet and lifestyle interventions, as well as adequate preconception assessment and supplementation where indicated.
Nutritional and Herbal Medicine
Following on from last week – after thorough preconception screening and assessment I will prescribe nutritional and herbal medicine alongside dietary and lifestyle interventions based on your results and individual needs. Even if you have a really good diet, factors including stress, illness, poor digestion, alcohol, caffeine, smoking, medications, shift work, long-term oral contraceptive use, past or current pregnancy, genetic factors, and much more can result in less than optimal nutritional status. This is where we bring in nutritional supplements.
Supplementation is often required to ensure replete nutritional status alongside adequate dietary intake. However, commonly in practice, I see people self-prescribing with over-the-counter supplements from a pharmacy or health food store. While it is great our community has access to our wonderful medicines, just because it is ‘natural’ doesn’t mean it is safe or indicated in your case.
For example, if you have the genetic condition haemochromatosis, supplementing with iron is extremely dangerous and can lead to organ damage. Maybe you are unaware you have MTHFR and cannot methylate folic acid adequately influencing your egg and sperm quality, and implantation among other things. Other examples include the possibility of interfering with medications, or competing for absorption with other medications or supplements, or too high a dose resulting in depleting other nutrients. I’m sharing this with you to help empower you with knowledge – as while nutritional medicine is a very effective and safe tool that I use regularly in clinical practice, it is essential to seek the assistance of a qualified and experienced health practitioner such as a naturopath to determine what is indicated for you, and what is safe.
The same rules apply for herbal medicine. I love herbal medicine. I mean, my parents named me after a herb, I really had no chance did I?! Herbal medicine is powerful and effective when used correctly. And while herbs have so many wonderful positive influences on our health, especially when it comes to holistically supporting someone on their fertility journey down to hormonal imbalances, they also have many cautions and contraindications to consider. This applies particularly if you’ve embarked on your medically managed IUI or IVF journey already. I use herbs for stress management, sleep support, increasing or decreasing different hormones to influence egg and sperm quality, supporting endometrial receptivity and implantation prior to IVF embryo transfer into early pregnancy, and much more.
“That’s great Sage, I’ll be sure to be safe. But is there anything I can do now?” I hear you saying.
What’s your Fertility Plan and do you need preconception screening?
Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes. Below you’ll find Part 2 – “Do You Need Preconception Screening?” If you’ve already read article 1 feel welcome to skip this intro and get stuck into part 2 below. If this is, however, your first time finding out about this series – please read on to learn what it’s about, how it can help you and what to expect over the coming weeks.
Over this free 6 week article series we are going to discuss all potential options for those of you who are:
single,
in same-sex relationships,
are gender non-conforming,
or are in a heterosexual relationship.
In these articles I will address information around:
trying to conceive,
options if you have been struggling to conceive,
considerations for those of you thinking about IVF,
considerations for those of you currently undergoing IVF treatment,
how beneficial naturopathy can be in optimising your fertility outcomes.
Opportunity to Ask Me Questions – LIVE
After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.
Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.
Your Fertility Plan
Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the 6 weeks of this series.
I am excited to be on this journey with you. If you’ve already registered for the whole free package, take a sneak peek at part two below and check your inbox for the arrival of your full comprehensive article for this week (week 2).
Before we jump in to preconception screening, it’s important to understand what your optimal preconception window is, why it’s important, what medical preconception screenings are available to you, and how naturopathic clinical assessments and further pathology investigations provide us with key information to tailor your treatment plan to complement your fertility journey.
Your Optimal Preconception Window
As we touched on last week, the optimal preconception window for both egg and sperm quality is approximately 3-4 months. This is because although individuals assigned female at birth are born with the basic cells that will eventually form their eggs, these follicles do not contain eggs ready for fertilisation. In order to develop eggs required for fertilisation, they must go through what’s known as ‘maturation’ and this process takes approximately 100 days. So the egg released during ovulation each month actually started maturing 3-4 months ago!(The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice, 2014; Fertility Society of Australia, 2018).This means that given 3-4 months of tailored preconception care, you can positively influence the health and development of your ovaries, follicles, and the eggs maturing and growing inside.
Similarly, when it comes to sperm health, preconception screening and care is just as important as egg quality. Sperm also undergo a process of development ready for ejaculation, and take nearly 90 days to be produced from scratch to the time they are ejaculated. So the sperm trying to fertilise an egg this month was already being produced 3 months ago! (Rowley, et al., 1970)
But what if time is not on my side?
For many of my patients, time is of the essence with their fertility plan; due to age, their partner’s age, and if they’re about to/are already undertaking IVF. Time considerations will also vary for individuals wishing to freeze their eggs due to egg freezing not being recommended for individuals older than 38 years of age. If this is you, in these circumstances, I still recommend preconception screening so we can use this information to tailor a treatment protocol to complement any stage of your fertility journey. By implementing key dietary, lifestyle, nutritional, and (where indicated) herbal medicine interventions, I can support you at any stage of your fertility journey. However, if time is not on your side and/or you are currently undergoing IVF, our treatment protocol aims to support your egg quality & endometrial receptivity in the background so that should you be unsuccessful, we have begun to positively influence your egg and sperm quality throughout this window putting you in a better position than before.
Preconception Screening and Your Health Team
It can be really overwhelming knowing where to start with preparing to conceive. Some of my patients come to their initial consultation with blood test results referred by their GP for general health, nutritional status, immunological markers, cervical screening, and sexually transmitted disease (STD) screening. If their fertility specialist has referred them for further testing, I review these test results too.
While it requires some organisation and commitment, pathology testing provides us with very important data about your health status. If you have already had preconception testing performed, how long ago did you have them conducted?
We’ve been receiving MA’s monthly love letters from The Melbourne Apothecary since the beginning of 2020. These letters contain links to a variety of life enhancing freebies that our fabulous practitioners are constantly creating to help you cope during COVID and beyond.
The letters are also a fantastic and charismatic resource that share all the goings on within both The MA and Fertile Ground. So we thought we’d best share them with you here so that you can join in and receive the monthly intel from our delightful and ever wisdomous MA. Please enjoy.
Hello and a wonderful crisp sunny June to you!
I feel really thrilled to write to you this month (ahem – I feel thrilled every month actually because I just LOVE connecting with you about my favourite thing – health 🥳 ). I have 3 fabulous things to share.
Free preconception series
Firstly, this month Sage King, one of our expert fertility Naturopaths, has put together a 6 part article series designed to help you navigate your fertility journey and create your Fertility Plan. And what a wealth of information this is. I have had the privilege of sneak peeking a couple of Sage’s articles and I can tell you they are off ⚓️ the ⚓️ hook ⚓️ with information about options to proceed and succeed when creating your healthy family 💕
The way Sage writes is so comprehensive AND YET so digestible and clear. Find out more about what this series covers and then go ahead and register to receive all the freebies.
World Environment Day
Saturday the 5th of June is World Environment Day 💕 🌏 💕 This day is designed to encourage awareness and action for the protection of the environment – which is SO glorious!🦚🐍🦧🦩🦥🕸🦜🐊🦓🦔🦙🐇🦕
I recently watched David Attenborough’s latest film, ‘A Life on This Planet’. It was completely motivating and deeply eye opening 👀 beyond the level that my plant farming, naturopathic, chemically free, environment loving eyes have been opened before…
The result? We started a Sustainability Action Group at Fertile Ground and The MA – SAG for short (because SAGging is what my heart ♥ does when I think of the health of our planet and what will happen if we, personally and as a community, don’t take greater responsibility for our daily actions that contribute to the devastation of this world).
Fertile Ground and The Melbourne Apothecary already have deep values of sustainability and supporting climate action ✨ 🌏 💓 however after watching this film📽we stirred into even greater action to identify all the ways that we must DO BETTER in the clinic – our revised mission being helping people to make healthy babies — AND a healthy planet for them to live on!
So please see our MA instagram posts to check out what we’re identifying and changing in the clinic to do better ourselves, and perhaps you’ll find some motivation and inspiration therefor things you can do at home to help healthify the planet even more too♥️
Food cravings?
The third thing I want to touch on is food cravings. It’s lockdown again here in Melbourne, and if you’re a person you are likely feeling emotions about that.😧😪😶😡😩🤨🧐🤯
Many of us use food as an emotional buffer🧀🌭🍕🥖🍔🥞🍫🍷
When things get a bit emotionally intense (hello the last 1+ years of COVID…)it’s a good idea to get some support around healthy eating ESPECIALLY if you know that you have a relationship with food that you’d like to change for the better, or one that becomes topsy turvy during stress.
Read this bang on article from Jane Holland, our MA holistic nutritionist, all about diving under the surface of food cravings. Remember that Jane is available for free 10 minute consults to you if you want to connect with her and find out how you can begin to create a healthier relationship with your food.
What’s your Fertility Plan and do you know how to identify your unique fertility needs?
Welcome to this free 6-part article series designed to help you determine your fertility plan and understand the steps you can take to optimise your fertility outcomes.
Over these 6 weeks we are going to discuss all potential options for those of you who are:
single,
in same-sex relationships,
are gender non-conforming,
or are in a heterosexual relationship.
In these articles I will address information around:
trying to conceive,
options if you have been struggling to conceive,
considerations for those of you thinking about IVF,
considerations for those of you currently undergoing IVF treatment,
how beneficial naturopathy can be in optimising your fertility outcomes.
Opportunity to Ask Me Questions – LIVE
After each article release, you have the option to submit any questions you may have by 7pm Monday evening to the Create A Fertile Life Facebook group. If you’ve not yet joined that private group you are welcome to go there and request to join.
Each Tuesday, I will be answering your questions live in this Create a Fertile Life Facebook group at 7pm AEDT, so we can all learn from each other.
Your Fertility Plan
Now, some of you may know exactly what your plan is, others may not have thought about it so concisely yet. Whatever stage you are at, I want you to provide you with the tools to determine what your fertility plan can look like and how you can optimise your outcomes with Naturopathy. Grab a pen and a piece of paper, or type in to a document on your phone/computer so that you can create the skeleton of the items that relate to YOUR individual journey and we will build on this each week over the next 6 weeks.
I am excited to embark on this journey with you. Let’s get started!
Part One: Identify Your Unique Fertility Needs
In the same way that we are all our own unique individuals, no two fertility journeys nor pregnancies are the same.It is important for you to identify what your family plan looks like, taking into consideration your age, who your fertility plan involves – who is providing the egg (you or your partner?), who is providing the sperm (you or your partner? Sperm donor – known? Clinic recruited?), who will be carrying the pregnancy and in which timeframe you wish to try to conceive.
Age & egg quality
For individual’s trying to conceive, age is something that is spoken about regularly. I see frustration in many of my patients when age is spoken about and I understand that frustration because, well, you know the impacts of age on fertility. While age is something we cannot change, thorough preconception care can positively influence your egg quality and reduce the impacts of biological age as much as is possible.
Statistics show a decline in fertility from 35 years of age, with a further decrease after 40-42 years of age. (The American College of Obstetricians and Gynecologists Committee on Gynecologic Practice, 2014; Fertility Society of Australia, 2018) Individuals assigned female at birth are born with all their eggs and research now shows that egg quality can be positively influenced in the 100 days before ovulation. (Fertility Society of Australia, 2018)
If you’re 34 years old or younger, you’re fortunate enough to have at least 12 months to undertake a thorough preconception screening and treatment protocol.
If you’re 35 years or older, your time to conceive considerations are a little different. If you’re wanting to try to conceive within the next 3, 6, 9, 12 months, it is essential you undergo a thorough preconception screening for your individualised preconception care as soon as possible to maximise your time to influence your biology in a positive way. The more time, the better! In some cases, the best opportunity to conceive involves using donor eggs, however this is something that is determined on a case by case scenario and takes many factors into account.
Timeframe of starting your fertility journey
Have you considered the time in which you want to start trying to conceive? Considerations include your age, sourcing a sperm donor and individualised preconception recommendations. It is good to start with an estimated time frame. The time required to optimise your health for conception will become clearer once you’ve undertaken a thorough preconception screening.
The minimum recommendation for your optimal preconception screening is 3 months. However, some of my patients have more time-sensitive scenarios where we will tailor their treatment protocols to support where they’re at in their fertility journey, whilst closely monitoring their pathology and working alongside their fertility specialist.
Questions you might want to consider
What does your timeframe of trying to conceive look like?
Do you have an age in mind of when you want to start your fertility journey or have children?
Given the information you know now, has this changed or become clearer?
Will you need support in trying to improve your cellular health and egg quality due to your biological age?
Maybe you’ve already started your fertility journey and unfortunately are yet to achieve conception. No matter what your circumstances, preconception screening and care is the best way to optimise your…
Food cravings come in all tastes and sizes. Have you ever walked past a bakery early in the morning and spied the rows of croissants in the window and found yourself thinking about nothing else but those buttery flaky pastries for rest of the day??
Or perhaps you’ve arrived at the end of a busy afternoon and found yourself thinking of nothing else but the moment when you can crack open the cupboard and dig your hand into a packet of salty crunchy crisp chips??
Or perhaps after dinner when you’re winding down, your mind becomes filled with the idea of biting into a delicious chunk of chocolate, that sweet goodness bringing you some kind of wild euphoria…
Chances are, if you are a human, you have experienced some form of food craving.
In fact, surveys suggest that up to 90% of women and 70% of men have experienced food cravings at some point during their life (Magee 2005).
Food cravings can be defined as an intense desire to consume a particular food, differentiating it from a feeling of hunger, which can be alleviated by consumption of any type of food (Muele 2020).
The Complexities
And it’s more complicated than you might think! We tend to think food cravings are driven by a primal instinct to stay alive, an evolutionary advantage embedded in our genes. And while that’s partly true, what is now also known, is that areas of the brain responsible for memory and sensing pleasure are also partially to blame (i.e. conditioned responses to stimuli), as well as a need to satisfy emotional states, such as calming stress and reducing anxiety. In other words, it’s complex.
When our needs are not being met – physiologically, emotionally, mentally, or energetically – our natural impulse is to rectify this. In other words, when we are ‘out of alignment’, we will find a way to bring ourselves ‘into’ alignment. Our brain can’t always differentiate between fulfilling needs in a resourceful versus unresourceful way, however, so if we are not aware of the ways we have learnt to ‘fulfil’ these needs (i.e. we have learnt to do something that brings relief but not necessarily long-term satisfaction), we will continue to repeat this behaviour over and over again, despite our seemingly ‘conscious’ desire to change it.
Mindfulness for Food Craving
Mindfulness, and self-awareness through sensation and the body, are some of the ways to bring us back into deep connection with our intuitive self. From here, we can respond to our needs in a more honest way, rather than a reactionary, automated way. But it’s tricky business. The parts of us that work to protect us (often formed during childhood or adolescence to ‘meet the needs’) might feel fear or hesitation or resistance to a different response, which can lead to more dissonance and contraction if we are not willing to listen and be ‘in relationship’ with them! Simply put, in order to understand our needs, we need to engage with them in a compassionate and honest way, to find out how we can support them (and ourselves) in a more resourceful way.
Stopping the Self-Punishment
As we bring more awareness to these needs and honour our deeper stirrings and get curious about the places where we are betraying ourselves, our physical body changes too. Instead of punishing or banishing the parts of us that crave chocolate after dinner, or eat a whole wheel of cheese at the party, or yearn for a hot cross bun smeared with butter, we start to notice that actually, those parts just wanted to feel safe in that moment, or connected, or loved.
Over time, as we integrate and listen to our different parts, our behaviour changes too. Learning to notice and feel what we are truly craving, fulfilling our needs and honouring our intuition leads to deep and lasting changes. It just requires deep compassion, radical honesty and a willingness to listen.
Book in with Jane to understand and reshape your food story, build a healthy relationship with your food and body, and create behaviours in your life that support your healthiest self. (Jane is currently offering free 10 minute Nutrition consults to help you take action – when booking navigate to heading Nutrition > Free 10 min consult > Jane Holland)
Zucchini and chilli pepita salad is a simple dish that I love for shoulder seasons where we are still having some nice days but the weather is getting colder. It’s still got a lot of freshness about it but the grilled zucchini is easier to digest than raw salad and the chilli pepitas give it some warmth. The lemon, dill and feta really get your tastebuds going.
This dish is super yummy as a BBQ side salad with just about every type of protein – fish, tofu, tempeh, chicken, red meat, falafel, chickpea or lentil burgers. If I have some leftover I often have it for breakfast on a slice of dense wholegrain bread with a poached egg on top.
Zucchinis are very high in fibre, which feeds beneficial gut bacteria and helps you to feel full and satisfied, as well as aiding healthy bowel movements. They are also very low in carbohydrate. All of these things are great for hormone balancing, general health and are compatible with a PCOS diet, if that is what you are aiming for. Being dark green in colour, they are a natural source of antioxidants and folate, making them great for fertility and pregnancy.
Pepitas (pumpkin seeds) add a good source of zinc – helpful for skin, hair, immunity, fertility and so much more.
Ingredients
4 large zucchinis, sliced lengthwise
A large handful of pepitas (pumpkin seeds)
A pinch (or more as desired) of cayenne pepper (chilli powder)
Half a bunch of fresh dill, leaves picked
30-40g of goat’s chevre or goat’s feta
Half a lemon, juiced
Olive oil
Salt
Method
Brush zucchini slices with olive oil and cook them on a grill plate until soft and browned, flipping halfway. You could also roast them in a 200 degree oven on trays (don’t overcrowd the trays or they’ll go soggy before they brown).
Toast the pepitas in a fry pan with a splash of olive oil, pinch of salt and the cayenne pepper until just starting to go light brown, then remove from heat to cool on a plate.
Assemble the salad by tossing the zucchini with the dill, lemon and olive oil, crumbling the feta on top and sprinkling over the pepitas.
It can be quite overwhelming for any individual or couple to decide if their family plan includes children, let alone go one step further and reach out for support to optimise or facilitate fertility. These decisions can be even more complex for those who fall outside of the mainstream heteronormative, coupled, gender binary.
Fertility plan – where to start?
Knowing when you want to have children is key to where you can choose to start on this journey. Does your family plan include children within the next 3-12 months? Did you know that preconception care takes a minimum of three months to positively influence reproductive health, including egg quality?
One of our expert fertility naturopaths, Sage King, has written a 6-part series to help individuals and couples of all gender identities and sexual orientations confidently navigate their fertility journey and create their own fertility plan. This series is inclusive of everything from preconception pathology screening, naturopathic preconception considerations, how to enhance your fertility naturally, to egg freezing, intrauterine insemination (IU) and In vitro fertilisation (IVF). Sage will be taking a deep-dive in how you can optimise your fertility outcomes.
What you’ll learn in this free 6-part article series
Part One: Identify Your Unique & Individual Needs
Individual considerations
Couple considerations
Sperm donor considerations
Part Two: Do You Need Preconception Screening?
Understanding your optimal preconception window
GP preconception screening
Your functional preconception assessment options
Naturopathic preconception considerations
PCOS, Endometriosis and the impacts on fertility
Part Three: Enhance Your Fertility Naturally
Eating for your fertility
Exercising for your fertility
Stress management
Enhancing sleep quality for your fertility
Endocrine disrupting chemicals and why you should avoid them
Part Four: Is Egg Freezing for You?
Age and egg freezing – what’s the go?
Understanding the egg freezing process
How to access Naturopathic support for egg freezing
Part Five: What is IUI & do I qualify?
What is intrauterine insemination?
Is IUI for you?
Natural vs. medicated cycle
Importance of collaborative care
Naturopathic support options for IUI
Part Six: Your Guide to IVF
What is IVF?
Is IVF for you?
Importance of collaborative care
Naturopathic support options for IVF
Are you single? In a couple? Do you wish to use your own eggs, or do you want to carry using your partner’s eggs, or vice versa? Do you have a known sperm donor, or will you use clinic-recruited donor sperm? Perhaps a child is not in your short-term plans but you wish to freeze your eggs for peace of mind down the track – there is great information here for you too.
Register to receive notification as each article in this 6 part series is released. Sage is dedicated to helping you identify your unique and individual needs, as well as to provide you with the information you need to feel more informed, more confident on how to best navigate your situation, and most importantly helping you feel fully supported on your fertility journey.
Bonus Preconception Q&As with Sage online
Get your questions answered by joining our closed Create a Fertile Life Facebook group. Submit your questions in this group and Sage will answer.
