Build your best healthy pregnancy diet

Freya Lawler Healthy Pregnancy Diet Fertile Ground Health Group
How do you build your best healthy pregnancy diet?

In this article I will share with you our top non-negotiable recommendations.  At Fertile Ground health Group, we believe in educating patients on their fertility journey with the most up to date and relevant research when it comes to making healthy babies.

This type of education involves jumping ahead of the curve in regards to current preconception and fertility dietary guidelines. There is often a wide gap when it comes to emerging research making its way into public policy; therefore our job is to merge the two and share the most up-to date nutritional and dietary information available. At the core of our philosophy on prenatal care is ensuring that every mother is educated on the nutritional foundations of a growing a healthy, thriving baby.

It is now more commonly understood that most conditions occurring in adulthood originate in foetal life. This evidence highlights the importance of following an optimal prenatal diet to not only set the stage for the health of your growing baby and your personal pregnancy, but it holds a strong influence on the health outcomes of future generations. By making evidence-based food choices and becoming familiar with real wholefoods, you will provide an excellent basis for great pregnancy nutrition.

Our top dietary tips during pregnancy include

Eat small, regular meals

The notion of ‘eating for two’ has been largely disproven in literature, when in fact there is only a modest increase in caloric requirements during pregnancy. Smaller meals and snacks benefit a pregnant mother in a number of ways; they balance blood sugar, providing your growing baby with a consistent stream of nutrients, prevent nausea, heartburn and reflux whilst keeping energy levels balanced.

Enjoy high quality proteins and fats

Ensuring meals are rich in quality protein and fats rather than being high in refined carbohydrates will keep you fuller for longer, reducing unwanted energy dips and preventing the incidence of overeating. Our advice is to keep snacks at arms reach at all times to ensure you’re eating regularly. Wholegrain crackers, vegetable sticks, dips and a handful of nuts are all excellent options to keep available at all times.The key is to prioritise high quality foods wherever your budget allows.

Choose grass fed and free range over grain fed and conventionally raised meat and poultry. Healthy fats to include are small fish rich in essential fatty acids, nuts, seeds, extra virgin olive oil and avocados. We understand it’s important to allow yourself some dietary flexibility during your first trimester when you may be suffering from morning sickness and food aversions are prominent. After this period, the above recommendations should form an essential basis of your prenatal dietary requirements, reflecting a wholefood, non-processed Mediterranean style diet.

Avoid sugar and processed foods and adopt a lower GI way of eating 

Evidence shows that increased sugar and processed food consumption during pregnancy may contribute to increased gestational weight gain and the development of pregnancy complications, including gestational diabetes, preeclampsia and preterm birth. To mitigate this, our suggestion is to move away from foods that offer empty calories and little nutritional value. Swap processed bread, white pasta and sweets for more nutrient dense options such as wholegrain sourdough, pulse pastas, legumes, whole grains, full fat yoghurt and seasonal fruits.

Whilst these recommendations are an essential part of any pregnant mothers daily nutrition, we suggest ensuring foods rich in vitamin A, folate, iodine, iron, choline and B12 are consumed regularly and supplemented where necessary. In addition to this, conventional dietary guidelines are designed for women who are healthy and nutritionally replete. Therefore, individual prenatal nutrient requirements may differ from woman to woman. Seeking guidance from an experienced health provider can be beneficial in assessing your unique nutritional needs.​

Written by Freya Lawler

Freya Lawler, Naturopath and Functional Nutritionist at The Melbourne Apothecary, is passionate about food. She believes that in order to optimise your health from the ground up, you must begin with your diet. She loves to identify simple ways to make a huge difference in your health, through optimising your diet and creating tailored nutritional plans. Whether it be for supporting your pregnancy, balancing your hormones, clearing your skin or improving your digestion – Freya can guide you back to your best health through functional nutrition. 

Learn more about Freya

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Springtime In Mind

Springtime in Mind - Suzanne Hurley
Spring and fertility go hand in hand.

By holding springtime in mind as a time of new growth and new life we can harness its vitality. We can get in and hug it close.  I have found myself witnessing my daughters’ raising a newborn lamb after his mother died during his birth. Witnessing him being loved and cared for as he gains strength and recovers from pneumonia has filled me with delight. He provides the perfect container for my daughters to manage their struggles with COVID restrictions dampening their wings, in getting on with the business of taking flight away from the parental gaze. He has provided a structure of feeding times, nappy changing (yes he wears nappies with a hole for his tail) and cuddles. They have also had to figure out how to house him once he is able to be left outside in a little paddock with shelter for protection.

Extending the love you have to a willing recipient is never time lost, but rather the stuff OF you and the life you create. Extending the love you give to include yourself is too often overlooked. It is a gift we love to give but too often fail to receive. Accepting the need to love ourselves somehow is always the last priority that we just never seem to get back to. As I say to my clients it is a discipline that requires your consideration and requires skill building. It is a constant endeavour, also never lost, but it will fade if not fed and watered and fertilised. Just like our lamb.

The idea of fertility is varied and many to different people and life circumstances.

It can be a time of regrouping with new energy for latent projects including our own fertility, be it reproductive fertility, new experiences, wealth creation, new ideas and passions created or reinvigorated. It is a time to uncurl, albeit slowly if needed, from the nestled cocoon of Winter where we have rested our energies and made room for inactivity and quietude, perhaps more so this year than any other. Have a think about how you want to get down and hug in close to your own fertile mind. Care for a lamb, a new baby, nurture your eggs, build a nest, bud forth an idea, spring into life.

Spring is a time of opportunity new and renewed. Seek out the evidence of the fertile season. Spend time in your garden to see the rich green of new leaves, the buds of maples amid the bursts of ideas that spring to mind as you mindfully wander your surroundings. Reap what you sow and do not bypass yourself. Spend time with your goals, your dreams no matter how fanciful, get real with your budget and imagine the life you seek and how to get there. If you can’t spring into life, just walk or crawl, one foot in front of the other, one day at a time and allow the seasonal vitality to be absorbed through your skin, your cells and your imagination. Set your gaze at different distances, near, middle and far and align your ideas with achievable actions at each pinpoint. Join with others, team up, mentor in. Make it sow.

Written by Suzanne Hurley

Suzanne is a Perinatal & Fertility Counsellor at Fertile Ground Health Group. She is available for telehealth consultations to support you through COVID. Learn more more about Suzanne here.

Movement with AbunDance

Movement with AbunDance - Katy Woods
Why AbunDance?

I have always been a fan of moving. I dance when I’m happy, stressed, blissfully confused. I dance out the whole rainbow spectrum of emotion that moves through my body. Free flowing movement gets what is on the inside, out.

When I move, my feelings and thoughts become more tangible, malleable almost. There, in movement, I can choose to literally shape my thoughts and feelings, or purely bear witness to them. To me this shapes potent self connection. This kind of communication to self (and to others beyond words) is aaaaaDictive, extraordinarily humbling and honestly, necessary.

Please, do what you came to do in this life, and dance.

In my youth dancing was an activity like any other sport. So I danced. I grew my foundation, I delighted, I performed. However, the more I craved new ways of moving the more I understood I had only dipped my young toes into the pond of possibility.

There is a Story. Creativity. Connection.

These aspects of movement – they are an ocean. I will always be grateful for my greatest teacher and friend, Kirsty Lee, who nurtured these aspects of dance in my forming years as it has guided much of the joy in my life. I grew my practice, diversified, experimented, listened, watched, felt, made contemporary works, joined contact jams, fused disciplines, spoke for artist circles, trained and performed internationally … and in all that I came to know what I wanted to share – I wanted to facilitate this profoundly connective movement in others.

And so I began facilitating. The more I taught, the deeper I too understood, felt and connected with myself and others. I have a fond memory of directing a dancework named THREADS – this was a site specific performance that considered how a thread could imbue memory, attitude and relationship.

By night I would gather with my gaggle of wonderful movement loving women inside a friendly and eccentric Op-shop in town. Here I explored ideas, created tasks, collaborated and blended together a string of thought in movement (occasionally interrupted by a frenzy of op-shop treasure hunting, of course). It was a space and project where the process was joy and the product was a bonus.

The pure juice of creativity is in the process; it’s in the making and the maintaining. It’s playful, vulnerable and thrilling.

Now, bringing all of this experience, play and creativity together I have created AbunDance.

Abundance is a series of dance workshops that uses grounded contemporary technique, curiosity, improvisation and wholesome conditioning to fuel the sense of embodied feminine.

I offer this series exclusively to Fertile Ground and The Melbourne Apothecary, to the mothers and the mothers to be, to join me in opening to, generating and maintaining your sense of feminine sensual movement. This is about confidence. This is about play. This is about curiosity and moving even more into connection with your body and mind.

AbunDance is a community where you can nurture your capacity to connect, where you can develop a practice of dedication to yourself and all that you are as a woman.

Katy Woods is a professional dancer, group facilitator and dance teacher. She loves developing classes that initiate and sustain the love of movement for others.  to access her current class series – AbunDance. Katy is offering your first class for free.

Find out more and register here

Pelvic Girdle Pain

Pelvic Girdle Pain
Pelvic girdle pain. What is it and what can be done to help?

Pelvic Girdle Pain (PGP) is a term given to describe the discomfort felt anywhere from the front of the pelvis (pubic symphysis) to the back of the pelvis (sacrum) and even around to the sides of the pelvis (hips).

During pregnancy 1 in 4 women will experience pelvic girdle pain due to changes the body will undergo in a relatively short period of time. This can occur at any stage of the pregnancy however, it is most commonly experienced in the second and third trimesters.

What causes Pelvic Girdle Pain?

Ligaments throughout the body stretch and soften to accommodate for the growing baby. When these ligaments relax our muscles are required to work extra hard which may result in pain. Additionally increases in load, changes in posture, centre of gravity, walking style and alterations in core function can contribute to pelvic girdle pain.

While some individuals accommodate well to these changes, experiencing limited or no pain, it can be debilitating for others and 7% of women will continue to suffer with this pain after their baby is born – requiring ongoing treatment.

Common symptoms

Sharp, stabbing or grabbing pain that is aggravated climbing up and down stairs, getting dressed/undressed, rolling over in bed, getting in and out of the car, extended periods standing, sitting or walking and pain on sexual intercourse.

Helpful tips

If you are experiencing pelvic girdle pain try these helpful hints:

  • Sleep with a pillow between your knees
  • Keep knees together when rolling in bed or getting in and out of car
  • Focus on maintaining good posture while standing and sitting. Avoid crossing your legs
  • Avoid heavy lifting (your joints are already under enough load), prolonged sitting, wearing heels, carrying uneven loads e.g. bag on shoulder or toddler on hip
  • Wear support bracing or garments such as tubigrip, SRC shorts or Serola belt

The specific tissues causing pain differs between individuals and it is best to seek professional advice from an osteopath with experience in this area for appropriate treatment.

Written by Nicole Cukierman

Nicole is Fertile Ground Health Group’s resident Osteopath. If you’re seeking treatment please feel welcome to book in with Nicole.

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.

Create A Fertile Life Book Launch

We are incredibly grateful for everyone who was involved in making our book launch such a special night. Our book baby has been birthed into the world!

Our attendees enjoyed platters of yummy treats on the night, as well as a show bag full of goodies to try at home and listened to talks by fertility specialist Dr.Lynn Burmeister, building biologist Nicole Biljsma, and of course our book authors Gina Fox, Charmaine Dennis, Tina Jenkins, Rhiannon Hardingham and Milly Dabrowski.

Some people were asking about whether you can still join our private community Facebook group for Create A Fertile Life, as well as sign up for the FREE miniseries we created to celebrate the launch of the book. The answer is YES YES you may join both the facebook group as well as sign up for the miniseries.  You can also purchase your copy of the book here Create a Fertile Life.

P.S. If you are a practitioner and want to join us on 2nd October for our practitioner only launch event, please sign up here. We know as soon as we announce the special guests for this one, spots will be snapped up in a flash. Make sure you are also signed up to our practitioner list for future collaborative events and opportunities too.

Thank you to all of our beautiful friends who took photos xx.

 

Create solid foundations for your fertility

By Gina Fox, FGHG Naturopath and co-author of Create a Fertile Life.

 

Preconception health really does set the foundation for creating healthy eggs and sperm to conceive, and to have a healthy pregnancy and baby. 

So what is involved in a preconception and fertility plan with a naturopath?

Ideally for at least 3-4 months before you begin trying to conceive, you will both pay close attention to your diet and lifestyle, your environment and any chronic health issues that need to be addressed.  Extensive testing for nutritional levels, infections and other contributing factors are all undertaken.  Your family history is explored and your personal medical and health history is extensively mined for clues as to anything that may compromise your fertility.  Everything from digestive issues to nutrient deficiency, hormone imbalance to urinary tract infections can be really important contributors to fertility, many of which are highly treatable or responsive to natural medicine support.

This process is comprehensive, enlightening, empowering and most importantly, takes you on a journey of continuous improvement that at the very least leaves you feeling healthy, energised and vital, but more importantly may help you achieve a healthy baby.

Preconception planning directs us away from unquestioning or despairing acceptance of genetic destiny or environmental randomness. Investing in yourself at this time of your life goes a very long way. There is surely no other time of life in which such major changes occur and where our action is potentially most powerful.

Both the sperm and egg take around 3 months to develop / mature and in this time they are both vulnerable to damage; creating interruptions to normal healthy development and even chromosomal abnormalities.  The embryo and developing baby are significantly influenced by their environment, and their genetic development is profoundly altered by influences from outside.  So we focus on reducing risk factors, optimising the environment in which they develop and hopefully creating the most positive outcome possible: a sweet, healthy baby.

What is the ‘perfect embryo’?

Both the egg and the sperm contain 23 individual chromosomes, which combine at the moment of conception to create the 23 pairs of chromosomes required to make a human. At the very moment conception occurs your child’s genetic stamp, the strongest predictor of their future health, learning abilities and susceptibilities, is created. And the thing that dictates these outcomes are those individual 23 chromosomes in the sperm and the egg.  And the good bit is that you can influence the genetic make-up of your child by improving your own health during the months prior to conception.

Your fertility is a barometer of your general health. As well as an increased chance of conceiving a healthy baby. This approach promises a host of other benefits.  All treatment approaches have their side effects and ours is no different.  Reported effects of regular visits here have included: improved aging (anti-aging), increased energy, healing or improvement of chronic health issues, stress reduction, weight loss, sleep enhancement, reduced disease risk, especially for some of the most common lifestyle diseases including diabetes, cardiovascular disease … and so much more! The investment you make in your health now will have consequences well into advanced age.

We are often asked by patients what the odds are of their falling pregnant, or, what our success rate is. It is a fair question but not a straight-forward one to answer. Unlike a running race, the fertility journey for most people is not a straight run to the finish line. But very much like a race, those who do well are usually the ones who have put in the hard yards: done the training, eaten well, taken care of themselves, made adjustments along the way, done as their team of experts has advised and consequently showed good endurance.

At Fertile Ground our focus is on optimising, creating the best you, making the most of what you’ve got.  Are you ready to start?

We hope you enjoyed this peek into our new book, Create a Fertile Life which is packed with practical information – It’s an A-Z of pre-conception health so you can create the ideal foundation for your healthy baby.  

Written by Gina Fox, Naturopath, Fertile Ground Health Group and co-author of Create a Fertile Life

 

 

 

 

 

 

 

 

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.

The emotional rollercoaster of infertility

Emotional Support

by Suzanne Hurley, FGHG counsellor

Anyone in the throes of trying to conceive knows the grueling fertility cycle of hope then worry realised into disappointment, the grief and numbness that takes hold right before a new found fortitude and grit. Each new hope that is a little less sure of itself with each cycle, that if allowed, will vanish and harden into a no expectation kind of expectation.

They will know how disorienting, chaotic, demanding and painful it is to be a part of a world that all too often disallows space for such a massive struggle. Workplaces that have little or no flexibility, friends you simply cannot tell for fear of bringing darkness into their baby making bubble, families that will not or do not understand the what, how and why of what is involved. Your right to privacy and confidentiality that cannot be upheld and the all encompassing feeling of failure and shame, albeit real or imagined that prevents you from stopping the spilling over of grief from your heart, carried as tears that first pool and then pour for all to see.

In times such as these we can benefit from slowing the pace and collecting ourselves long enough to create a simple structure to help keep our vulnerability safe. Establishing some emotional scaffolding can alleviate us of any unnecessary burden we may keep on trying to carry. It can help to ground us in knowing some core well-being skills, either not yet learnt along the way to our adult selves, or are no longer effective. How can we ever be prepared to face infertility when the norm is for our bodies to work when we ask it of them?

No one expects this level of adversity in thinking about starting a family. We may dread it or worry that it may be our story but mostly we expect things to go smoothly. When it does not it can rock us to our very foundations of who we are in the world. It is this crushed illusion of who we are that needs the scaffolding in the same way we provide a stick or trellis for a plant that may struggle to bear fruit if not supported.

Identifying with a fertility counsellor who you are, why you are the way you are and knowing where you are right now when faced with fertility challenges, can be the glue that holds you together. It will be the scaffold you need until you too bear fruit. A task made easier with someone who can hold you lightly as you rise and more tightly as you yield.

The extra bonus is whilst doing all of this you earn yourself a confidant and a witness to the best and worst of you. A person who will see you and get to know you and listen and keep learning what it is that you need. They can plan with you how to have that need met, respectfully and honourably, with compassion and awe.

 

SuzanneHURLEYCSuzanne Hurley is an exceptionally compassionate, understanding and experienced counsellor with a very specific skill set and deep understanding of the challenging nature of infertility and the path to becoming a parent. Learn more about Suzanne Hurley here.