Are Contraceptives Harmful?

Are Contraceptives Harmful?

One source of chemical exposure that particularly affects women are pharmaceutical contraceptives, which while providing important birth control benefits, can also have adverse effects on the body, particularly when we have systems, organs or tissues with suboptimal functioning or diseases or nutrient deficiencies. (4)

In our modern world, we are all exposed to a significant amount of chemicals from food, water, medications and the environments we live in and ongoing research increasingly indicates a link between such exposure and the presence of disease and/or health imbalances. (3) In this blog, I’ll dive into the specifics around contraceptive toxicity and what you can do to help yourself clear it whilst 

What types of contraceptives are there?

The most common contraceptives used by women are combined oral contraceptive pills (COCs), progestin-only contraceptive pills (POPs) and intrauterine devices (IUDs – such as the Mirena). Lots of abbreviations there!

COCs contain various combinations and doses of synthetic oestrogen and progesterone (known as progestins), while POPs are progestin (synthetic progesterone) only medications. Each are available in pill, patch or vaginal ring dosage forms. 

The most common type of synthetic oestrogen used in these medications is a compound called ethinyl estradiol (EE) (others that can be used include chlorotrianisene, dienestrol, diethylstilbestrol, fosfestrol, mestranol or quinestro). 

Progestins (the synthetic version of progesterone) can contain old (norethisterone, levonorgestrel, gestodene) or new forms (drospirenone, dienogest, trimegestone). The two types of IUDs are available are the copper-bearing (Cu-IUD) and hormonal-releasing forms. [1,5-7] 

How are contraceptives processed by your body?

So, you either ingest these contraceptive medications orally or they are present in your body following insertion. What happens to these hormones once they are in your body?

The pharmacokinetics (how they are absorbed, distributed and removed from the body) varies depending on the different types and dosage forms used, with oral medications generally having more significant biological effects compared with topical, vaginal or intrauterine forms. (But not always). [4

For the oral dosage forms, once it makes its way down the gastrointestinal tract/gut, EE is absorbed quickly (though the rate of absorption can vary from 20-65% between individuals, from day to day and with long-term use). 

Nerdy fact 1: this can be one of the reasons why one woman will respond differently to these medications to another (the fascinating joys of physiology!) 

Once the contraceptive medicine is absorbed, it undergoes metabolism (conversion) in the liver. This produces a range of oestrogen metabolites (substances that have been converted to a different form) that then either leave the body via the kidneys or bowels, or are altered by bacteria in the large bowel/intestine and reabsorbed and recirculated throughout the body. [4,8

Nerdy fact 2: this is one of the reasons why gut health influences hormone levels and activity in the body and therefore menstrual health and fertility). 

So, what about progestins (our synthetic progesterone)? They only go through the step of conversion in the liver (they aren’t reabsorbed and recirculated like oestrogens are). Though (you know what I’m going to say here…) the rate (how quickly or slowly) that progestins are metabolised will be different depending on the type of progestin in the medication used. [8]

How do synthetic contraceptive hormones get processed in your body?

The summary so far:

  • How these synthetic hormones are absorbed and distributed in the body will vary from one woman to the next depending on the type and duration of medication used. 
  • It will also vary because of the wide range of differences between us all in our physiology (which body systems and organs are working well and which ones need some love). This will influence the degree to which such substances can adversely affect our bodies in one way or another. 

Contraceptives and their side effects

The types of adverse impacts associated with such contraceptive medications and devices can include our gut and vaginal microbiomes, liver function, oxidative stress levels, chemical accumulation and nutrient status. [9-16

That sounds like a lot, right? Keep in mind we will all respond differently to such medications, so it’s important to consider your own individual response and if a particular contraceptive is right for your body or not. 

It’s all about the bugs….(gut and vaginal microbiome) 

The link between contraceptive medications and the gut microbiome is complex/complicated. 

Certain intestinal bacterial species with a particular enzyme called beta-glucuronidase and beta-glucosidase in the colon (you may have heard of the term ‘estrobolome’ which this is referring to these type of gut bugs) alters the structure of oestrogen in bile. How is this relevant? This will influence the amount of oestrogen that is reabsorbed and recirculated around the body. [17,18

Nerdy fact 3: intestinal dysbiosis (an imbalance between beneficial and non-beneficial bacteria in the gut) can mean more oestrogen is recirculated in the body, and in this case, more is not better when it comes to too much oestrogen!

And here’s the thing…both oral COC and IUDs can alter gut microbiota and vaginal microbiome composition and the integrity of our small intestinal lining (which can cause, contribute to or exacerbate dysbiosis). [9-16] This means that contraceptives may indirectly contribute to body toxicity by adversely affecting the capacity of the gut to metabolise and excrete other environmental chemicals we are commonly exposed to (xenobiotics including polycyclic aromatic hydrocarbons, nitrotoluenes, pesticides, polychlorobiphenyls, heavy metals, benzene derivatives, azo dyes, artificial sweeteners). [20

Take home message 1: the balance of your bugs matters when it comes to hormone health and fertility. 

Contraceptives and your liver function

Contraceptives can also affect how happy your liver is, which is important because one of the key functions of this important organ is to detoxify a HUGE range of substances from the outside (chemicals from our food, drink, environment and medications, including the hormones from these contraceptives) and inside our bodies to make them safer for removal from the body.

That is, certain contraceptives (and our gut bugs) can affect the activity of our liver enzymes (the good guys that carry out these detoxifying reactions). [21] This can present a problem when the level of our chemical exposure exceeds the ability of these liver enzymes to detoxify them, resulting in higher levels of circulating (unconverted) toxic metabolites, further contributing to an overload of these liver detoxification pathways. [4,8,22

Take home message 2: healthy liver function is another key aspect of hormone health and fertility. 

Contraceptives and their impact on nutrient and trace mineral status

Contraceptive medications may also contribute to endogenous toxicity by modifying endogenous nutrient, heavy metal and trace mineral levels, subsequently influencing (nutrient-dependent) hepatic detoxification and cellular antioxidant enzyme activity.

A range of studies have shown that nutrients that can be lower with use of OCPs, IUDs or injectable contraceptives include zinc, selenium, phosphorus, magnesium and vitamin B12 while higher levels of iron, copper and cadmium can also occur. [31,32, 33, 34, 35]

Lower levels of selenium, zinc and magnesium can influence body toxicity as they are required for the synthesis and activity of antioxidant enzymes in the body (including glutathione (magnesium), superoxide dismutase (zinc), glutathione peroxidase and selenoprotein enzymes (selenium). [36

The toxic effects of the heavy metal cadmium in the body include by depleting glutathione levels, inhibiting antioxidant enzyme activity and increasing the synthesis of free radicals/oxidative stress [37] Copper, when it’s too high, can contribute to pathological oxidative processes in much of the body, including inactivation of glutathione peroxidase and oxidation of hepatic mitochondrial cells, while excess iron results in the formation free radicals. [33,38,39] When there are excessive levels of oxidative stress in body cells and tissues with use of contraceptives, this can have a detrimental impact on detoxification processes and overall body toxicity and functional capacities.   

Take home message 3: nutrient status and oxidative stress can be adversely affected by contraceptives, particularly if you have used them for an extended period of time. 

What can you do if you think contraceptives are adversely affecting you?

The use of pharmaceutical contraceptives has an important place in the population for birth control and family planning purposes – this blog is not a directive to come off all your contraceptives! 

However, their potential detrimental impact on the body (and your reproductive health and fertility in many cases) is an important consideration. This means it is important to identify if the health issues you are experiencing are associated with your contraceptives and getting individualised support with strategies including functional pathology, dietary modifications, nutrient, herbal and lifestyle changes to address such imbalances. 

Written by Senior Fertility Naturopath & Nutritionist, Georgia Marrion MHNut, BHsci (Comp Med), Adv.Dip HSci (Nat) MNSA, MANPA, MFSA

Make a free 10 minute booking with Georgia to get started on your journey towards better health.

References
  1. Lackie J. A dictionary of biomedicine. Oxford University Press, 2010. DOI: 10.1093/acref/9780199549351.001.0001.  
  2. Sharma B. Hormonal contraceptive chronic toxicity in females: a review. J Forensic Sci Toxicol. 2018 Aug; 1 (1): 1003.
  3. Bijlsma N, Cohen MM. Environmental chemical assessment in clinical practice: unveiling the elephant in the room. Int J Environ Res Pub Health 2016; 13: 181. 
  4. Mattinson DR, Karyakina N, Goodman M, LaKind JS. Pharmaco- and toxicokinetics of selected exogenous and endogenous estrogens: a review of the data and identification of knowledge gaps. Crit Rev Toxicol 2014; 44 (8): 696-724.
  5. IARC Monographs on the evaluation of carcinogenic risks to humans, volume 72. Oral Contraceptives – combined. 1999. Accessed 14 December 2018 from https://monographs.iarc.fr/wp-content/uploads/2018/06/mono72-6.pdf https://monographs.iarc.fr/iarc-monographs-on-the-evaluation-of-carcinogenic-risks-to-humans-49/
  6. Farman M, Tripathi SK, Babu DK, Nandi S, Kumar G. Influence of estrogen, progesterone and their synthetic derivatives on ovarian functions. J Infertil Reprod Biol 2015; 3 (4): 250-254. 
  7. Amy JJ, Tripathi V. Contraception for women: an evidence-based overview. BMJ 2009; 339: b2895.
  8. Lee CR. Drug interactions and hormonal contraception. Trends Urol Gynecol Sex Health 2009 May/June; 24: 23-26. 
  9. Khalili H, Granath F, Smedby KE, Ekbom A, Neovius M, Chan AT, Olen O. Association between long-term oral contraceptive use and risk of Crohn’s disease complications in nationwide study. Gastroenterol 2016; 150: 1561-1567. 
  10. Khalilli H. Risk of inflammatory bowel disease with oral contraceptives and menopausal hormone therapy: current evidence and future directions. Drug Saf 2016 Mar; 39 (3): 193-7. 
  11. Rezek M, Sayyed T, Maood A, Dawood R. Risk of bacterial vaginosis, Trichomonas vaginalis and Candida albicans infection among new users of combined hormonal contraception vs LNG-IUS. Eur J Contracept Reprod Health Care 2017 Oct; 22 (5): 344-348.
  12. Aminzadeh A, Sanat AS, Akhtar SN. Frequency of candidiasis and colonisation of Candida albicans in relation to oral contraceptive pills. Iran Red Crescent Med J 2016 Oct; 18 (10): e38909. 
  13. Zhou Z, Zhang L, Ding M, Luo Z, Yuan S, Bansal MB, Gilkeson G, Lang R, Jiang W. Estrogen decreases tight junction protein ZO-1 expression in human primary gut tissues. Clin Immunol 2017; 183: 174-180. 
  14. Chen L, Zhang W, Hua J, Hu C, Lai NLS, Qian PY et al. Dysregulation of intestinal health by environmental pollutants: involvement of the estrogen receptor and aryl hydrocarbon receptor. Environ Sci Technol 2018; 52 (4): 2323-2330. 
  15. Morkl S, Lackner S, Meinitzer A, Mangge H, Lehofer M, Halwachs B, Gorkiewicz G et al. Gut microbiota, dietary intakes and intestinal permeability reflected by zonulin in women. Eur J Nutr 2018; 57: 2985-2997. 
  16. Fosch SE, Ficoseco CA, Marchesi A, Cocucci S, Nader-Macias MEF, Perazzi BE. Contraception: influence on vaginal microbiota and identification of vaginal lactobacilli using MALDI-TOF MS and 16S rDNA sequencing. Open Microbiol J 2018 Jun 29; 12: 218-229. 
  17. Kwa M, Plottel CS, Blaser MJ, Adams S. The intestinal microbiome and estrogen receptor positive female breast cancer. Journal of the National Cancer Institute. 2016 Apr 22; 108 (8). 
  18. Fuhrman BJ, Feigelson HS, Flores R, Gail MH, Xu X, Ravel J, Goedert JJ. Associations of the fecal microbiome with urinary estrogens and estrogen metabolites in postmenopausal women. J Clin Endocrinol Metab 2014 Dec; 99 (12): 4632-4640.
  19. Donders G, Bellen G, Janssens D, Van Bulck B, Hinoul P, Verguts J. Influence of contraceptive choice on vaginal bacterial and fungal microflora. Eur J Clin Microbiol Infect Dis 2017 Jan; 36 (1): 43-48. 
  20. Claus SP, Guillou H, Ellero-Simatos S. The gut microbiota: a major player in the toxicity of environmental pollutants? Biofilms and Microbiomes 2016; 2: 16003. 
  21. Greenhaigh K, Meyer KM, Aagaard KM, Wilmes P. The human gut microbiome in health: establishment and resilience of microbiota over a lifetime. Environmental Microbiology 2016; 18 (7): 2103-2116. 
  22. Jacobs CL. An analytical method to investigate the estrogen metabolism in women taking combined oral contraceptives. NWU 2018.  
  23. Ekhato CN, Osifo UC, Akpamu U. Effect of oral contraceptive pills (containing low doses of synthetic hormones) on liver function in adult female rabbits. Asian J Biotech 2014; 6 (1): 15-20. 
  24. Onyesom I, Osioma E, Etagar EE, Ofili MI. Activities of some liver enzymes in serum of humans receiving DMPA and Cu-IUD contraceptives. Schol J Appl Med Sci 2013; 1 (2): 62-64.
  25. Jonderko K, Skalba P, Kasicka-Jonderko A, Kaminska M, Bizior-Frymus D, Dyja R. Impact of oral contraceptives containing ethinylestradiol on the liver microsomal metabolism. Eur J Contracept Reproduc Health Care 2013 Aug; 18 (4): 284-92. 
  26. Mawet M, Maillard C, Klipping C, Zimmerman Y, Foidart JM, Coelingh Bennink HJT. Unique effects on hepatic function, lipid metabolism, bone and growth endocrine parameters of estetrol in combined oral contraceptives. Eur J Contra Repr Health Care 2015 Jul; 20 (6): 463-475. 
  27. Sirtuk-Ware RL, Menard J, Rad M, Burggraaf J, de Kam ML, Tokay BA, Sivin I, Kluft C. Comparison of the impact of vaginal and oral administration of combined hormonal contraceptives on hepatic proteins sensitive to estrogen. Contraception 2007 Jun; 75 (6): 430-437. 
  28. Sitruk-Ware R, Nath A. Metabolic effects of contraceptive steroids. Rev Endocr Metab Disord 2011 Jun; 12 (2): 63-75. 
  29. Dilbaz B, Ozdegirmenci O, Caliskan E, Dilbaz S, Haberal A. Effect of etonogestrel implant on serum lipids, liver function test and hemaglobin levels. Contraception 2010; 81 (6): 510-514.
  30. Archer DF, Thomas MA, Conard J, Merkatz RB, Creasy GW, Roberts K, Plagianos M, Blithe D, Sutruk-Ware R. Impact on hepatic estrogen-sensitive proteins by a 1-year contraceptive vaginal ring delivering Nestorone and ethinyl estradiol. Contraception 2016 Jan; 93 (1): 58-64. 
  31. Akinloye O, Adebayo TO, Oguntibeju OO, Oparinde DP, Ogunyemi EO. Effects of contraceptives on serum trace elements, calcium and phosphorus levels. West Indian Med J 2011 Jun; 60 (3): 308-15.
  32. McArthur JO, Tang H, Petocz P, Samman S. Biological variability and impact of oral contraceptives on B6, B12 and folate status in women of reproductive age. Nutrients 2013 Sep 16; 5 (9): 3634-45.
  33. Babic Z, Tariba B, Kovacic J, Pizent A, Varnai VM, Macan J. Relevance of serum copper elevation induced by oral contraceptives: a meta-analysis. Contraception 2013 Jun; 87 (6): 790-800.
  34. Imperato F, Perniola G, Mossa B, Marziani R, Perniola F, Stragapede B, Napolitano C. The role or copper-releasing intrauterine device or levonorgestrel-releasing intrauterine system on uterine bleeding and iron status (prospective study of 8 years). Minerva Ginecol 2002 Jun; 54 (3): 271-8. 
  35. Luque-Ramirez M, Alvarez-Blasco F, Alpanes M, Escobar-Morreale HF. Role of decreased circulating hepcidin concentrations in the iron excess of women with polycystic ovary syndrome. J Clin Endocrinol Metab 2011 Mar; 96 (3): 846-52. 
  36. Linus Pauling Institute Micronutrient Information Centre. Selenium, Zinc, Magnesium. Accessed 16 December 2018 from https://lpi.oregonstate.edu/mic/minerals/ 
  37. Rahimzadeh MR, Rahimzadeh MR, Kazemi S, Moghadamnia AA. Cadmium toxicity and treatment: an update. Caspian J Intern Med 2017; 8 (3): 135-145. 
  38. Ashish B, Neeti K, Himanshu K. Copper toxicity: a comprehensive study. Res J Rec Sci 2013; 2: 58-67. 
  39. Kohgo Y, Ikuta K, Ohtake T, Torimoto Y, Kato J. Body iron metabolism and pathophysiology of iron overload. Int J Hematol 2008; 88 (1): 7-15. 
  40. Kowalska K, Milnerowicz H. Pro/antioxidant status in young healthy women using oral contraceptives. Environ Toxicol Pharmacol 2016 Apr; 43: 1-6. 
  41. Zal F, Mostafavi-Pour Z, Amini F, Heidari A. Effect of vitamin C and E supplements on lipid peroxidation and GSH-dependent antioxidant enzyme status in the blood of women consuming oral contraceptives. Contraception. 2012 Jul; 86 (1): 62-6.
  42. Cauci S, Buligan C, Marangone M, Francescato MP. Oxidative stress in female athletes using combined oral contraceptives. Sports Med Open 2016 Dec; 2 (1): 40.
  43. Palan PR, Strube F, Letko J, Sakikovic A, Mikhail MS. Effects of oral, vaginal and transdermal hormonal contraception on serum levels of coenzyme Q10, vitamin E and total antioxidant activity. Obstet Gynecol Int 2010; 2010. Pii: 925635.
  44. Rush EL, Singer AB, Longnecker MP, Haug LS, Sabaredzovic A, Symanski E, Whitworth KW. Oral contraceptive use as a determinant of plasma concentrations of perfluoroalkyl substances among women in the Norwegian Mother and Child Cohort (MoBa) study. Environ Intern 2018 Mar; 112: 156-164. 
  45. Agency for Toxic Substances and Disease Registry. Per- and polyfluoroalkyl substances and your health. Accessed 16 December 2018 from https://www.atsdr.cdc.gov/pfas/health-effects.html 
  46. National Institute of Health US Department of Health and Human Services. Perfluorinated chemicals July 2016. Accessed 16 December 2018 from https://www.niehs.nih.gov/health/materials/perflourinated_chemicals_508.pdf 
  47. Khan U, Nicell JA. Contraceptive options and their associated estrogenic environmental loads: relationships and trade-offs. PLoS One 2014 Mar 26; 9 (3): e92630.
  48. Adeel M, Song X, Wang Y, Francis D, Yang Y. Environmental impact of estrogens on human, animal and plant life: a critical review. Environ Int 2017; 99: 107-119. 
  49. Kumar V, Johnson AC, Trubiroha A, Tumova J, Ihara M, Grabic R, Kloas W et al. The challenge presented by progestins in ecotoxicological research: a critical review. Environ Sci Technol 2015; 49 (5): 2625-2638. 
  50. Roberts H. Combined oral contraceptive: issues for current users. BJP; 12.
  51. Peachman RR. Weighing the risks and benefits of hormonal contraception. JAMA 2018 Mar 20; 319 (11): 1083-1084.
  52. Jordan SJ, Wilson LF, Nagle CM, Green AC, Olsen CM, Bain CJ et al. Cancers in Australia in 2010 attributable to and prevented by the use of combined oral contraceptives. Aust New Zeal J Pub Health 2010; 39 (5). 
  53. Morch LS, Skovlund CW, Hannaford PC, Iverson L, Fielding S, Lidegaard O. Contemporary hormonal contraception and the risk of breast cancer. NEJM 2017; 377: 2228-2239.
  54. Hilakivi-Clarke L, de Assis S, Warri A. Exposures to synthetic estrogens at different times during the life, and their effect on breast cancer risk. J Mamm Gland Biol Neoplas 2013 Mar; 18 (1): 25-42.
  55. Oedingen C, Scholz S, Razum O. Systematic review and meta-analysis of the association of combined oral contraceptives on the risk of venous thromboembolism: the role of the progestogen type and estrogen dose. Thromb Res 2018 May; 165: 68-78.
  56. Dragoman MV, Tepper NK, Fu R, Curtis KM, Chou R, Gaffield ME. A systematic review and meta-analysis of venous thrombosis risk among users of combined oral contraception. Int J Gynecol Obstet 2018 Feb; 141 (3). 
  57. Glisic M, Shahzad S, Tsoli S et al. Association between progestin-only contraceptive use and cardiometaboic outcomes: a systematic review and meta-analysis. Eur J Prev Cardiol 2018 May. 
  58. Skovlund CW, Morch LS, Kessing LV. Association of hormonal contraception with depression. JAMA Psychiatry 2016; 73 (11): 1154-1162.
  59. Faryal U, Rashid S, Majra B, Hassan M, Saqib J, Ali MA. Effect of hormonal contraceptives on serum serotonin in females of reproductive age group. J Ayub Med Coll Abbot Pak 2016; 28 (1). 
  60. Meier TB, Drevets WC, Teague TK, Wurfel BE, Mueller SC, Bodurka J, Dantzer R, Savitz J. Kynurenic acid is reduced in females and oral contraceptive users: implications for depression. Brain Behav Immun 2018 Jan; 67: 59-64. 
  61. Erol O, Simavli S, Derbent AU, Ayrim A, Kafali H. The impact of copper-containing and levonorgestrel-releasing intrauterine contraceptives on cervicovaginal cytology and microbiological flora: a prospective study. Eur J Contracept Reprod Health Care 2014 Jun; 19 (3): 187-93.
  62. Chagas BS, Gurgel APAD, Paiva Junior SSL, Lima RCP, Cordeiro MN, Moura RR et al. Synergic effect of oral contraceptives, GSTP1 polymorphisms, and high-risk HPV infection in development of cervical lesions. Genet Mol Res 2017 Aug 17; 16 (3).  
  63. Jatlaoui TC, Riley HE, Curtix KM. The safety of intrauterine devices among young women: a systematic review. Contraception 2017 Jan; 95 (1): 17-39.
  64. Batur P, Bowersox N, McNamara M. Contraception: efficacy, risks, continuation rates and use in high risk women. J Women’s Health. 2016 Aug; 25 (8): 853-6.
  65. Klug CD, Keay CR, Ginde AA. Fatal toxic shock syndrome from an intrauterine device. Ann Emerg Med 2009; 54: 701-3.
  66. Herzer CM. Toxic shock syndrome: broadening the differential diagnosis. J Am Board Fam Pract 2001; 14: 131-6.
  67. Cho EE, Fernando D. Fatal streptococcal toxic shock syndrome from an intrauterine device. J Emerg Med 2013; 44: 777-80.

Free 10 minute Introduction Consults

Fertile Ground and The Melbourne Apothecary

We believe that bodies and minds thrive when given the right ingredients. We are dedicated to boosting our community wellbeing and this is why our brilliant team of practitioners offer free 10-minute introduction consults on rotation, so that you have access to expert care.

These sessions are designed as an introduction to what is possible whilst working with your chosen practitioner.  They are a great way to virtually meet and discuss your needs to see how they can help your individual circumstances, fertility and health care needs. You will , of course, be referred if they think another practitioner will better suit your needs.

With health and fertility, there is endless possibility, multiple angles for fine tuning and a plethora of ways to start to feel better. We want to help you feel your radiant vitality shining through.

Click on each modality to find your practitioner

Acupuncture

  • Registered Acupuncturist & Chinese Herbal Medicine Practitioner – Kiah McGowan
  • Registered Acupuncturist & Chinese Herbal Medicine Practitioner – Effie Psarakis
  • Registered Acupuncturist & Chinese Herbal Medicine Practitioner – Christina Tolstrup

Coaching

  • Instant Calm Breath Coach (Buteyko) & Life Coach – Carly Woods

Counselling

  • Perinatal & Fertility Counsellor – Suzanne Hurley
  • Perinatal & Fertility Counsellor, Accredited Mental Healthcare Social Worker – Chanel Keane

Naturopathy

  • Senior Fertility Naturopath – Charmaine Dennis
  • Senior Fertility Naturopath – Gina Fox
  • Senior Fertility Naturopath & Nutritionist – Georgia Marrion
  • General health & Postpartum/Postnatal Naturopath – Shantini Iyngkaran
  • General & Hormonal Health Naturopath – Tash Goldfinch

Register for your free 10 minute Introduction Consult

Simply head to our bookings page, navigate to Acupuncture, Naturopathy, Nutrition, Counselling or Coaching and choose ’10 min Free Intro Call’ under Acupuncture/Naturopathy/Nutrition/Counselling or Coaching

Note: If you are interested in fertility, IVF support or trying to conceive, please book with a Fertile Ground naturopath. For general health concerns and questions, please book with a Melbourne Apothecary naturopath or nutritionist.

ACUPUNCTURE

Kiah McGowan

Registered Acupuncturist & Chinese Herbal Medicine Practitioner

 

Kiah McGowan, Fertile Ground Health Group, The Melbourne Apothecary, Cosmetic acupuncture, acupuncture

Kiah McGowan is a Traditional Chinese Medicine practitioner who completed studies at University of Technology, Sydney, as well as at the Chengdu University of TCM in China. In their 4 years of practice, Kiah has developed a deep understanding and respect for holistic health, and treating people as whole beings rather than just their symptoms. Their goal is to cultivate a space where you feel valued, heard, and supported in your journey toward balance.

Kiah has a personal passion for mental health – initially finding Chinese Medicine in their teenage years as relief for anxiety and insomnia, they now find it incredibly fulfilling to help those struggling with stress, depression, anxiety and sleep issues. Kiah quickly began to discover their fascination with female reproductive health early in to their studies, and enjoys seeing people along their journey through all aspects of hormonal health: from regulating hormones and cycles, promoting optimal fertility and conception, assisting during pregnancy, supporting mothers through the postnatal phase and the transition to menopause. Kiah also provides Cosmetic Acu-facials, having developed a signature combination of traditional Chinese facial tool massage and cosmetic acupuncture to enhance the skin’s natural radiance.

Kiah is your go-to general health acupuncturist, employing holistic approaches for all health concerns, including common conditions such as muscular pain or tension, fatigue, and digestive issues. Kiah has special interests in areas of hormonal health (from balancing cycles, to fertility, pregnancy and menopause), mental health (stress, anxiety, depression and sleep), and offering rejuvenating cosmetic acu-facials for radiant skin. Kiah is committed to nurturing a sense of understanding and self-awareness within all their clients, so that they may recognise the ways their body speaks to them through their symptoms.

Kiah loves to balance the ancient intricacies of Chinese Medicine with their love for modern science and research, and enjoys practicing in an evidence-based manner. Kiah believes in empowering individuals on their path to health, both inside and outside the acupuncture room. They do this through creating highly structured treatment plans which highlight weekly at-home self care tasks, so that patients can take an active role in their healing journey.

Ready to get your journey started and find out if acupuncture can help you? Book your free 10-minute Acupuncture introduction consult with Kiah by navigating to Acupuncture > 10-minute Free Acupuncture Introduction TELEHEALTH.

 

 

COACHING

Carly Woods

Buteyko breath coaching for total health / Financial health coaching for women

Carly Woods Buteyko Breath Coaching / Financial Health Coaching

Instant Calm Breath Coaching (Buteyko) with Carly

Carly is passionate about teaching you simple and powerful ways to be able to regulate your nervous system and enhance healing using Buteyko breathing therapy and naturopathic lifestyle support, because these are foundational aspects that have been so profoundly transformative to her own health. Carly believes in making health fun, engaging, and practical. She loves to give you simple tools to help resolve your stress and anxiety, optimise your respiratory health, enhance your sleep and soothe your digestion.

Begin to experience the effects of healthier breathing ahead of time by accessing Carly’s Free Buteyko Breathing Starter Pack. Maximise your healthy life by rewiring the patterns of your respiratory tract, nourishing your nervous system, resting easy with better sleep and easing your digestion by using these simple Buteyko breathing techniques.

Read more about Carly and book in for a free 10-minute introduction consult with Buteyko breath coach / Financial health coach, Carly by navigating to Coaching  > 10-minute Free Coaching with Carly Introduction TELEHEALTH

COUNSELLING

Chanel Keane

Perinatal & Fertility Counsellor

Accredited Mental Healthcare Social Worker

 

Chanel Keane Fertile Ground Health Group Counsellor

Chanel Keane is an accredited mental health social worker and counsellor with 23 years experience in private practice and a variety of community based and health care settings. She is passionate about being a counsellor – particularly the therapeutic benefits her clients experience of being heard and engaged in a human relationship that is respectful, safe, honest, and focused on their needs and resolution of their struggles.

Throughout Chanel’s counselling and social work career she has been dedicated to supporting women through many life challenges particular to women. This includes experiences with infertility, IVF, unplanned pregnancy, pregnancy loss and perinatal and postnatal mental health issues. She believes deeply in the importance of reproductive choice in a woman’s life and that women’s reproductive journeys are complex and can be fraught with challenges.  So often women can feel very alone and isolated in these experiences which in turn compounds some of the distress and suffering they feel.

Her engagement with clients is passionately grounded in a person centered, feminist counselling practice. Chanel respects that the lives of people are complex – your needs are diverse and always influenced by the broader social, political and economic realities in which you live. Her approach to supporting you is to listen to your experiences and needs in an open, non-judgemental and empathic way, providing counselling, information, options, advocacy and therapeutic interventions in partnership with you. She honours each person’s subjective experience of their struggles, and lived experience, exploring how these experiences intersect with their identity and sense of self.

Chanel has extensive experience  in working with people whose lives have been affected by childhood and adult trauma, mental illness, drug and alcohol dependence, sexual assault, and family violence. It is her hope that through therapy, you can develop a greater self-awareness of your emotions, thoughts, strengths and supports, and in so doing feel an improvement in your overall well-being, connection with yourself and with others.

Chanel  believes that you feelings and struggles are not signs of weakness or ill health, but are most often normal responses in trying to cope with challenging life experiences. She likes to encourage the use of diverse mediums such as creative writing or journal writing and other creative forms of expression to explore and  express your experiences.

Chanel’s employment experience includes roles at Adora Fertility, CASA House (Centre Against Sexual Assault), The Royal Women’s Hospital, Pregnancy Advisory Service (RWH), Marie Stopes Australia, Headspace, Sexual Assault Crisis Line, 1800 Respect.

Areas of counselling experience

  • Women’s mental health and well-being
  • Infertility and IVF
  • Pregnancy
  • Pregnancy options
  • Reproductive loss
  • Parenting
  • Childhood and adult trauma
  • Depression
  • Anxiety
  • Relationship concerns
  • Interpersonal violence
  • Grief and loss

Chanel offers face to face, phone and zoom consultations.

Medicare rebates may apply for up to 10 sessions per year – this requires you are referred from your GP or medical practitioner with a GP Mental Health Treatment Plan and have a valid medicare card. The rebate is $77.80 for Mental Health Accredited Social Workers. 

Private Health Rebates may also apply – please check with your health fund. The amount you can claim depends on your level of cover.

Book your free 10-minute introduction consult with Perinatal & Fertility Counsellor, Accredited Mental Healthcare Social Worker, Chanel by navigating to Counselling > 10-minute Free Counselling Introduction TELEHEALTH

 

Suzanne Hurley

Perinatal & Fertility Counsellor

 

Suzanne Hurley Free 10 minute health introduction consults

Suzanne Hurley is a Perinatal & Fertility Counsellor, Supervisor & Dance/Movement Therapist. She attends to those who may be unhappy, distressed, afraid or otherwise impacted by fertility related events where additional support may be needed. She has an impressive level of expertise having worked with varying degrees of reproductive loss, including pregnancy options counsellinginfertility and IVF supportperinatal mental healthabortion counselling, parenting and with reproductive health issues. She has provided her clients with counselling, group support and presented to health professionals in various perinatal settings. Her expertise and understanding of the issues women, couples and families face when immersed in the perinatal period is highly specialised. She knows that when confronted by the unexpected you need someone by your side.

Suzanne brings with her a wealth of knowledge and experience after having worked in multiple settings where perinatal mental health has been the focus of her work. This has included time on the PANDA Helpline (Perinatal Anxiety and Depression Australia), at Carrington Health in the Community Outreach Perinatal Support Service. She spent 10yrs at The Women’s Hospital’s Pregnancy Advisory Service and other periods of time at Marie Stopes Australia National Counselling Service for unplanned pregnancy, Melbourne Pregnancy Counsellors and at Adora Fertility.

Suzanne also works at Austin Health Psychiatric Unit in the Parent Infant Program as a Dance/Movement/Play Therapist. She has also run groups Pregnant Pause and Moving Stories: explorations of the pregnant body, past present and future, through movement.

Suzanne provides clinical supervision to health professionals often working with perinatal mental health, reproductive loss, grief and infertility and in other areas of public health and community services.

In Counselling Suzanne can address:

Contemplating Pregnancy
  • Fear and worry about pregnancy, birth, baby.
  • Relationship issues including Family Violence
  • Infertility
  • IVF
  • Single women contemplating using donor sperm
  • Another baby after difficult perinatal experiences
  • Health issues
Unintended Pregnancy
  • Pro Choice, unbiased pregnancy options counselling
  • Unplanned/planned/IVF, wanted/unwanted, complexity in circumstances
  • Unplanned and unwanted with beliefs against abortion
  • Unplanned, wanted but am I sure?
  • Difficulties deciding
  • Pregnancy the result of sexual assault
  • Considering abortion later in pregnancy
  • Abortion support; pre and post
Pregnancy Support
  • Anxiety and or Depression
  • History of mental illness
  • Unhappy
  • Change of circumstances during pregnancy
  • Birth preparation
  • Foetal abnormalities
  • Harmony testing at 10wks
Life With Baby
  • Birth debriefs
  • Not enjoying your baby
  • Not feeling like yourself
  • Relationship difficulties
  • Isolation
  • Family issues
  • Postnatal Anxiety and or Depression
  • Missing work or thinking of return to work
  • Who we are as a family?
  • Who am I as a mother/father?
  • Unexpected outcomes
  • Grief and Loss
End of Reproduction
  • Who am I if I am not a mother?
  • Childless not by choice
  • Health issues impacting fertility
  • Hysterectomy counselling
  • But I wanted more children

Suzanne’s approach to counselling:

What I believe…

I firmly believe compassionate, early counselling intervention for all reproductive trauma events, including unbiased abortion support, will establish parents both today and in the future with the best possible outcomes for managing the unexpected realities for if they do, when they do and during having their babies. This can be done alone, isolated and uncertain or accompanied with honour, good humour, and grace. You get to choose…Read more about Suzanne

Book your free 10-minute introduction consult with Perinatal & Fertility Counsellor, Suzanne by navigating to Counselling > 10-minute Free Counselling Introduction TELEHEALTH

 

 

 

NATUROPATHY

Charmaine Dennis

Senior Fertility and Oncology Naturopath 

 

Charmaine Dennis

Charmaine Dennis is a naturopath, fertility and health expert, mentor, writer, mother, and businesswoman with 20+ years of experience. She is the founding director of Fertile Ground Health Group and The Melbourne Apothecary, co-author of Create A Fertile Life and The Breakfast Project and co-creator of the Be Fertile relaxation CD series, among other health inspired projects. Her greatest gift and inspiration is making health, wellbeing, and passionate living accessible, inspiring and achievable for everyone. 

Through her own health crisis at 34 years old (a shocking and life-threatening diagnosis of acute leukaemia in 2010) Charmaine experienced first-hand immersion into the medical system.  This transformative, life-affirming, challenging time has refocused and reinvigorated her drive for good health and living life to its fullest. Undoubtedly this experience has deepened her passion for collaborative health care.

Charmaine’s naturopathic career has followed a special interest in working with people with fertility issues requiring IVF support since 1999.  She has assisted many in realising their dreams to conceive healthy, beautiful babies in collaboration with GPs and fertility specialists, acupuncturists and other health modalities. Since her own cancer experience, she can see the gaping need for more collaboration between natural and medical oncology approaches and enjoys working with people who need support for wellness and advocacy through their own cancer journey at any stage of treatment or recovery.

As well as mentoring and supervising students, naturopaths and other practitioners at Fertile Ground Health Group, Charmaine is running retreats, immersions and workshops for anyone to support their personal or business development.

Book your free 10-minute introduction consult with Naturopath, Charmaine by navigating to Naturopathy – Fertile Ground > 10-minute Free Naturopathic Introduction TELEHEALTH

 

Gina Fox

Senior Fertility Naturopath

 

Free 10 minute introduction consults Gina Fox Fertile Ground

Gina Fox is a naturopath with over 20 years’ experience. She trained under Francesca Naish (author of Natural Fertility Management and Better Babies) and has a Masters in Reproductive Medicine. As well as being an experienced clinician she is a speaker, naturopathic lecturer and student clinic supervisor.

Gina is highly skilled in providing naturopathic care for women’s health issues, pre-conception health, infertility, IVF support, pregnancy care and through menopause. She treats a wide range of issues including recurrent miscarriage, thyroid, auto-immune antibodies and she has seen good results working with men to improve sperm quality. She also enjoys the post birth appointments with mother and baby, maximising wellness for the whole family and educating parents on how to manage many common childhood illnesses. Her professional approach involves working in collaboration with doctors and specialists to create an effective co-ordinated treatment.

Gina loves to help couples achieve full-term pregnancies and give birth to beautiful healthy babies. She excels at addressing underlying stressors while couples achieve their optimal fertility. Her own meditation practice led her to become a meditation instructor and co-develop the Be Fertile series of guided relaxation meditations for women around conception, IVF and pregnancy support, which is now available for free to everyone to access and download.

Book your free 10-minute introduction consult with Naturopath, Gina by navigating to Naturopathy – Fertile Ground > 10-minute Free Naturopathic Introduction TELEHEALTH

Georgia Marrion

Senior Fertility Naturopath & Nutritionist

Georgia Marrion Free 10 minute health introduction consults

Georgia is a naturopath of 19 years’ experience with a Degree in Complementary Medicine and a Masters in Nutrition. Along with extensive clinical experience in reproductive health and fertility, Georgia is also an experienced writer and well regarded speaker.

Initially embarking on reproductive health as a clinical speciality following her own personal experience with sub-fertility and pregnancy complications, she has a strong curiosity and passion for supporting people who are experiencing reproductive challenges. Georgia specialises in supporting individuals and couples during their journey through preconception, conception, pregnancy and postpartum life stages.

Areas of focus  include menstrual cycle irregularities, endometriosis, polycystic ovarian syndrome (PCOS) , pre-menstrual syndrome (PMS), mast cell activation syndrome (MCAS) and histamine issues as well as male fertility and sperm health issues.

With 2 children of her own in their primary school years, Georgia can help to expertly guide you through the early years of family health issues, and enjoys treating babies and children with recurrent infections, failure to thrive, digestive issues at all ages and any challenges that you need support with for your baby or child’s best health.

Georgia also enjoys treating women and individuals during the transition to menopause including peri-menopausal imbalances.

Her clinical approach involves supporting and guiding you to optimise your health physically, mentally and emotionally using an approach blending traditional and scientific knowledge. This is based on an integration of her many years of clinical experience with ongoing education to stay up to date with new research and treatment strategies. Along with gaining her Masters Degree, this includes post graduate mentoring and training with Rachel Arthur, Rhiannon Hardingham, Leah Hechtman, Dr Andrew Orr and The Fertility Mentoring Program (The Baby Maker Network) among others.

Georgia believes that a team approach gets the best outcomes for all. She works in close collaboration with her patients’ medical care team to ensure the most effective, appropriate evidence-based treatment plans for each individual.

Book your free 10-minute introduction consult with Naturopath, Georgia by navigating to Naturopathy – Fertile Ground > 10-minute Free Naturopathic Introduction TELEHEALTH

 

Shantini Iyngkaran

General Health & Postpartum/Postnatal Naturopath

 

Shantini Iyngkaran Free 10 minute health introduction consults

Shantini Iyngkaran is a Naturopath whose practice focuses on maternal care including pre and postpartum experiences. She believes the vitality of a mother is the result of unconditional support, attuning the mother to her body and replenishing all her cups, emotionally, physically, and relationally.

She also has a special interest in gut and immune health. As someone who has struggled with her own health challenges in these areas, she approaches this with lived experience and compassion.

Shantini values time and presence in her consults as she learns about the individuals physical, spiritual, emotional, and home health. She discerns a variety of modalities, techniques, herbal, and nutritional knowledge to identify and support health needs.

Shantini brings insights to her work from her multifaceted career as a solicitor, entrepreneur, personal trainer and yoga teacher. Her multi-passionate approach to her career and life, allows her to provide a holistic and tailored naturopathic practice.

When she isn’t working at the Melbourne Apothecary, you will either find Shantini walking in nature, with her beloved pooch, Sir Waffles, creating in the kitchen, serving her local community, enjoying a matinee at the cinemas or relishing the company of her friends. She is a connoisseur of hugs, so if you feel like a warm embrace book in with her.

As someone who deeply values connection and community, Shantini is currently offering free Naturopathic 10-minute consults to help to get you started towards better health. These sessions are a chance for you to make sure the therapeutic relationship is a great fit and get clarity about what you want to achieve on your health journey.

Book your free 10-minute health consult with Shantini by navigating to Naturopathy – Apothecary General Health > 10-minute Free Naturopathic Introduction TELEHEALTH

Ten Fertility Enhancing Foods

Ten fertility enhancing foods

Let’s talk about the top ten fertility enhancing foods. Of course, there are a number of foods that are great for fertility and health, however there are some that are indeed more super than others. Getting the basics of healthy heating right is the most important step. From there you can integrate some nutrient dense superfood options that are still commonly over looked by many people.

There is a lot of talk about superfoods and all the amazing things they have to offer for just about every conceivable human ailment and worry. From Cacao to Gubinge, Maca to Goji and Acai the promises include increased fertility, cures for cancer, recovery from all sorts of disease, anxiety and woe. Certainly these foods have so much to offer and definitely can be considered to be powerful, nutrient dense foods with super qualities. However, they fall short of being miracle foods. No amount of goji berries is going to make up for the 2 or 3 coffees or cokes you might drink in a day, or if you gorge on junk foods week after week. If you haven’t got the basics covered, superfoods are not your miracle cure-all for a modern-day poor lifestyle.

Get the basics right first

While superfoods can be fantastic, we (naturopaths and nutritionists) are big believers in the necessity of getting the basics right. Eat whole, live foods that are as close to their fresh form as possible, preferably locally grown or even better straight from your garden. This includes veggies, fruits, nuts, seeds, legumes, pulses, grains, meat, fish and dairy. Often it’s the unassuming, simple whole foods that actually have incredible super qualities that should be taken advantage of daily.

Consider blueberries, salmon, oats, green leafy veggies and garlic just to name a few. To be super, food does not necessarily need to be exotic. For example, eating a seasonal diet ensures that the foods you do consume are as fresh as possible and are consumed when they are picked – not after they have been stored for a year or two. Truly super eating is actually quite simple. The foods we most commonly refer to as superfoods (spirulina, maca, goji, acai, etc.) are really just the cherry on top!

Superfoods are a useful and highly beneficial addition to your diet. But of course, as always, there is no quick fix and no way around eating the basic ‘super’ foods with every meal, everyday for ultimate health and a fertile life.

Tips for daily essential top 10 ‘super’ foods for fertility and health

 

Chia seeds

Chia seeds for fertility are an important addition to your diet if you aren’t already eating them. They are gluten free and as well as being high in fibre, they absorbs water to form a gelatinous texture that is soothing and healing to your digestive tract. Chia seeds contains eight times more Omega 3 than salmon, more calcium than dairy, is high in iron as well as vitamin C, potassium and antioxidants. Best of all, chia seeds are a complete protein and contain all 8 essential amino acids. Athletes find Chia seeds improve endurance and hydration as well as maintaining blood sugar levels. Chia seeds for fertility – aim for 1-2 tablespoons daily.

Blueberries

These little bundles of joy are packed full of antioxidants! Blueberries for fertility are low in sugar (a low GI fruit) and so are great for women with PCOS or people trying to lose weight. They are a good source of fibre, vitamin C, manganese and Vitamin K. Best of all, they taste delicious. Be careful to choose organic with berries as they are commonly sprayed because bugs really like berries too. Look for local berries as many berries available in major supermarkets have been shipped from across the globe (often China), which makes it harder to ensure the freshness and quality of your final product.

Green leafy vegetables

Include silverbeet, spinach, rocket, kale, lettuce, parsley, coriander, mint, etc in your diet for fertility. These foods are a good source of fibre as well as being high in important vitamins A, B, C, K and folate. They are essential for women who are preparing for pregnancy or are pregnant as they contain folinic acid, which is the most absorbable form of folate. Maximise your daily intake with a green smoothie during the warmer months.

Eggs

Free range, organic eggs for fertility are one of your best sources of protein, vitamin D, B12, zinc, phosphorus and selenium. Yes, they contain cholesterol, so if it is a problem for you, take fish oil at the same time to lessen the absorption of cholesterol. Also, as part of a healthy diet that is low in saturated fat and high in healthy fats, a little cholesterol is required. Cholesterol has been painted as the bad guy but it’s also what our hormones are synthesised from. If cholesterol is an issue, check with your naturopath about how to use food to regain control.

Yoghurt

Organic, full-fat, unflavoured yoghurt for fertility contains calcium, good fats and ‘friendly bacteria’ to keep your digestive system healthy. Have a serve of yoghurt daily to keep your immune system strong.

Quinoa

While technically a seed, quinoa cooks up like a grain and unlike most (even whole) grains, quinoa is a complete protein. That simply means that it contains all 9 essential amino acids. It also contains more fibre than other grains and is rich in essential fatty acids, iron, lysine (great if you suffer from cold sores), magnesium, B2 and manganese. Quinoa is also gluten free. It is a significantly better grain choice than pasta or even brown rice due to its protein and nutrient content.

Salmon

One of the richest sources of anti-inflammatory omega 3 fatty acids. It’s also high in protein, selenium and B vitamins, especially B12. Eat salmon with the bones for the added bonus of calcium. Most of the salmon in Australia is farmed but the best source is Huon Tasmanian salmon. Locate your nearest Huon stockist.

Oats
High in soluble fibre, oats eaten daily have been shown to lower and help maintain healthy cholesterol and blood pressure. They improve bowel function and are a good source of B vitamins, vitamin E, magnesium, zinc and selenium – all the best nutrients for fertility. Oats are also considered to be a ‘nervine tonic’ in herbal medicine, which means they are useful for calming and nourishing your nervous system. Eat oats for fertility regularly throughout your week.

Walnuts

Researchers from UCLA in California found that men who ate a couple of handfuls of walnuts (75gms) a day saw improvements in their semen quality. They found improvements in sperm motility and morphology and the suggestion is that it was due to walnuts being a rich source of alpha-linolenic acid (an Omega-3). Other benefits with these great fats include improved brain and heart health. Be sure the walnuts taste fresh and are organic. Try eating walnuts for male fertility every day.

Remember, superfoods are a useful and highly beneficial addition to your already amazing diet. As always, there is no quick fix and no way around eating the basic ‘super’ foods at every meal, everyday for ultimate health. Get the basics right and build from there.

MA’s July 2021 love letter

July 2021 Love Letter

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).

Project 1 – Brilliantly Upcycled Beautiful Baby Apparel
(or BUBBA for short)

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.

Love & Snowflakes

Your MA 💕

MA’s love letters – June 2021

MA Love Letter June 2021

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.

👉Sign up here for the Free Preconception series

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.

Read Food Cravings – what are you really craving? With Nutritionist, Jane Holland

Love & Wooly Jackets
Your MA💕

Putting A Pause On Menopause

Menopause with Suzanne Hurley from Fertile Ground Health Group

What to do when the desire to have a baby collides with fertility’s end (menopause)?

Thinking about a good time to have a baby may be considered good family planning, but what happens when reproductive circumstances dictate how and when this time needs to be?  Never more so than when we enter into our midlife years and there is a realisation that it actually needs to be right NOW.

To get to this place the desire to have a baby can have been a source of great ambivalence, entirely missing or lay dormant in some people. At times this will be a reflection on other life circumstances such as health, mental health, past trauma, being unpartnered, partnered with uncertainty about the relationship enduring, partnered with another who does not wish to be a parent or to parent again, or without a clear point of readiness for life as it has been to change.

Your reproductive rights

Many people may have previously experienced a pregnancy they were unable to continue, even though they would have chosen to if the context in which they found themselves pregnant were different. Whether they are adequately supported to continue is often outside of their control. Some have experienced reproductive coercion, either in being coerced into pregnancy when they did not wish to be, or forced to terminate when they would have liked to continue.

A decision to continue any pregnancy comes with it an assessment as to whether a person has ‘enough’ support, be it financial, emotional, health, their partner’s health if they have one, age factors, being adequately housed and feeling safe – not only now but for the life of that future child. These are all common considerations for any child a parent will be responsible for. Parenthood, I believe, begins with these considerations, as does the willingness to make some hard choices for the life of another above one’s own life choices.

With so many factors to interrupt a choice into parenthood what happens when it has to be right NOW? One such example is the medical need for a hysterectomy, particularly potent in someone who has not only not yet had children, but also may not yet have considered whether they want to have children. Imagine the frantic scrambling of thoughts and feelings that need to be explored, all without adequate time to do so. Mix this with the all too often narrow lens of the medical profession that rarely takes on the bigger picture in a person’s life outside of the part they will play in performing their surgical prowess. Add to this gender imbalances of male dominated gynaecological surgical practices and any biases they might hold about age and fertility. What might you expect?

The right to options

If a person in their midlife (40’s) presents for a medically required hysterectomy, has not yet had children, may know they either want to have children or may have not yet have considered if they want children. What might you expect? I know that what I would expect would be to be given options with regard to the surgery, such as, any alternative surgery that may provide additional time for the person to consider, decide and reconcile with their choices and circumstances, a thorough breakdown of medical risks in relation to their medical condition and any delay or alternative surgery, a referral to a counsellor to begin to explore the decision before them, a referral to a fertility specialist to discuss their options (eg. egg freezing, surrogacy, pregnancy, IVF), patience with regard to any indecision, and above all compassionate consideration for their predicament without personal bias or unfounded harmful statements. Basic assumptions you and I might think, but quite the contrary to what I have come across in my practice recently.

Moving into menopause

Moving into menopause is no small transition physically, as we are mostly aware of, with the common symptom picture of hot flushes, irritability, fatigue, weight gain etc. Psychologically it can be even harder, particularly for those whose fertility journey has been fraught with challenges, missed opportunities, losses and broken dreams, but equally so for those whose opportunities have never taken them to the foot of the parenthood mountain to raise the challenge of do I or don’t I. Passing through menopause can be graceful and welcome when one’s reproductive expectations have been met and satisfied, for those fortunate enough to not hold regret for any children unborn.

When a medical event removes your uterus and/or your fertility in one fowl swoop, great care needs to be exerted by everyone surrounding that individual, always giving them control over their choices, supporting them in their decisions even if they seem counter intuitive or differ from your own.  Without this unconditional regard for their right to choose we overlook the wisdom within people to know their own bodies, to make their own choices and know their own minds. Without this basic human right you can expect a very poor mental state and outcome for people and their reproductive rights.

For anyone who has had a negative experience of hysterectomy you may like to contact;

InternationalHERS Foundation

After speaking with The New Daily, Health Issues Centre CEO Mr Vadasz said the body is interested in hearing the experiences of women who were encouraged to undergo hysterectomies.

To contact the Health Issues Centre, call (03) 8676 9050.

For more support, Suzanne Hurley, Perinatal Counsellor, is available for consultations at Fertile Ground Health Group or you can make an appointment for a phone or video session for your convenience. Learn more about Suzanne.

Weight loss and PCOS

PCOS and weight loss with Josephine Cabrall from Fertile Ground Health Group

Weight loss improves just about every aspect of polycystic ovarian syndrome (PCOS). Whilst it is often more difficult to lose weight when you have PCOS, even modest weight reductions can have a significant impact on PCOS symptoms plus reduce the risk of developing cardiovascular disease and diabetes.

How do I know if I need to lose weight?

Being overweight, especially around the waist, causes insulin resistance (even if you don’t have PCOS) because fat cells release substances that mess with insulin sensitivity. This means that being overweight increases insulin levels even more, worsening PCOS signs and symptoms. In short, being overweight is bad news for PCOS.

Body mass index (BMI) is a good guide to determine if you are in the overweight range or the healthy weight range. You can calculate your BMI using a simple online calculator and plugging in your height and weight (there are many available).

How to get started on weight loss

It’s not so simple to just lose weight and if you have PCOS with insulin resistance, this can be even more difficult because insulin is a hormone that promotes fat storage. Both diet and exercise matter when it comes to weight loss but if you need to make changes in both areas, start with diet and once that is a routine for you work on your exercise routine – changing everything overnight is hard and you don’t want to set yourself up to fail.

When it comes to diet, head over here and get your copy of my free PCOS & Diet eBook. It outlines the dietary changes that have the most impact on weight loss for people with PCOS. If you check out the eBook but still need more help or have questions, you might need to work with a naturopath to work out the best diet for you as an individual.

What’s the best type of exercise for weight loss and PCOS?

There are two types of exercise that have been shown to be effective for PCOS and weight loss:

  1. Resistance training

Resistance training means moving your body against a resistance. The resistance can be your own body weight (e.g. push ups, planking or yoga) or equipment such as bands or weights. You can do resistance training at home if you’ve already got some experience with how to do it safely. If not, get help from a professional PT to ensure you adopt the correct posture and alignment, avoiding injury.

If you can’t afford a personal trainer, join a gym and ask the staff for assistance in getting your posture and alignment right on their equipment. If the gym is not your thing, join a strength yoga class such as Iyengar, Ashtanga or Vinyasa.

Resistance training is designed to build muscle mass. Increasing muscle mass has a positive effect on insulin resistance and boosts metabolism, meaning your resting metabolic rate is faster; you burn fat while at rest.

Research has shown resistance training can reduce androgens, waist circumference, body fat percentage and fasting blood glucose: all good things for PCOS. However, the best results come with doing a combination of resistance and aerobic exercise.

  1. Aerobic exercise

Aerobic exercise is also known as ‘cardio’ exercise and refers to any exercise that gets your heart and lungs to work faster. You breathe harder, your heart pumps faster and you work up a sweat. There are many ways to do this and lots of them are actually fun! Dancing, swimming, sex, aqua aerobics, team sports, cycling, HIIT, circuit training and jogging are just a few of them.

Beyond improving insulin resistance, aerobic exercise has many benefits. Aerobic exercise improves circulation, increases energy levels, increases endurance, reduces risk of heart disease and diabetes, reduces body fat, maintains a healthy weight, improves mood and improves sleep.

How much exercise do I need to do?

Based on the research you should do 1hr of resistance training three times weekly but you should start slowly and build up to this. On alternate days you should do 30 minutes of aerobic exercise. Have one day off per week to give your body a rest.

More is not better

If you push yourself beyond the above guidelines you run the risk of pushing your stress hormones too high, which inhibits weight loss and increases insulin.

My top 4 tips for success
  1. Get friends and family in on it

Making a time to exercise with friends or family increases your motivation and makes exercise more enjoyable. It makes you accountable for showing up. Likewise, a healthy diet, such as outlined in my PCOS & Diet eBook, is something that can be done as a family or with friends. It is a health choice that is beneficial for everyone, not just those with PCOS (if you have children they can eat the same as you, just let them eat freely of healthy carbohydrates rather than limiting their intake).

  1. Any type of exercise is better than no exercise

If all you can do today is just go for a walk then it’s better than nothing – you are still having a beneficial impact on your hormones when you exercise, even if weight loss is not achieved.

  1. Set realistic goals

If you can’t stick to a strict regime as outlined in the exercise section above, just do what you can. Any sort of increase in physical activity is better than none.

Set a goal of something you can do that is easily achievable. Once you can stick to that for 3 weeks, set a higher goal. For example, if you currently walk for 10 minutes per day, increase this to 15 minutes. Or get a pedometer and increase your daily steps by 2000 each week.

  1. Prioritise it

One of the excuses you might give yourself is that you simply don’t have time exercise and prepare food. This is when you need to sit down and make a list of all of the things that take up time in your life and prioritise which ones are going to make you the happiest. Chances are that being healthy is going to be near the top of your list.

Other things might have to take a back seat in preference of your health.
You might find that some things can be combined. For example, seeing friends and exercising could be rolled into one on some days. Preparing food and family time are other things that could be done together. How you shape your life is up to you but one thing is for sure: if you don’t prioritise time for weight loss, it won’t happen.

Need more help?

Losing weight can be really tough, so don’t be afraid to reach out for help if you need it. Some great choices are personal trainer or exercise physiologist, naturopath, nutritionist, osteopath, acupuncturist and psychologist or counsellor. All of these professionals can help you tailor a plan that is most effective for you as an individual and help keep you accountable and motivated along the way.

Josephine is currently offering free 10 minute consults to everyone. These sessions give both practitioner and patient the chance to see if the therapeutic relationship is a great fit, as well as to get you started on the path to feeling better, whether that be prescriptions on the day, referral for testing, or simple extras that you can incorporate to support yourself even more. 

Book in with Josephine to get started > bookings > Naturopathy > Free 10 min consult

How do you know if you have Leaky Gut?

Leaky Gut with Georga Holt at The Melbourne Apothecary

Leaky gut – you have probably heard it before, but what exactly does it mean?

Leaky gut refers to when the lining of your gut wall becomes damaged, causing pathogens/toxins to leak into the gut and reduce nutrient absorption. Unfortunately leaky gut is relatively common, but fortunately it is something that we can heal. So let’s get a bit deeper into it. I’ll share with you WHY you need a healthy gut wall, HOW you know if you’ve got a leaky gut, and a few key HEALING options to factor into your leaky gut care plan.

 

What is the purpose of your gut wall?

Your gut wall is essential for the uptake of minerals, nutrients & water. It also prevents entry of pathogens & toxins and also reduces the loss of nutrients that you consume. If there is a ‘leak’ it can cause a vicious cycle with your health systemically, as your gut health plays a significant role in every organ and system of your body.

 

How do you know if you have a leaky gut?

If you notice any of the following symptoms it’s a good idea to chat with your naturopath or practitioner about it during your next treatment session.

  • Irregular bowel motions
  • Diarrhoea
  • Bloating
  • Gas
  • Abdominal pain
  • Low energy/fatigue
  • Constipation
  • Brain fog
  • Nutrient deficiencies

 

How do you get leaky gut in the first place?

Here are a few factors that can contribute to or reduce the integrity of your gut. Cast your mind back to the time when you started developing any of the above symptoms and see if it lines up with any of the following triggering factors.

 

Triggering factors:

  • Antibiotics
  • Alcohol consumption
  • Medications
  • Poor diet/inflammatory food
  • Stress

 

Okay, so this is all great to know. But how do you heal the gut?

Well, there are certain steps that need to be taken to ensure you are on the right path – for example see a trained health practitioner – whether that be a Naturopath or Nutritionist – this allows investigative work to take place to find out underlying causes/triggers, plus they will be able to design an individualised treatment plan to heal YOUR gut. Because at the end of the day, everyone’s gut (and health) is so unique and what worked for the person next to you won’t necessarily work for you.

In saying this there are some key components to a healthy glowing gut so here is a list of my top 4 go-to nutrients – make sure you consult with a practitioner to access high quality products at the right dose for your situation:

 

Glutamine

It repairs the tight gap junctions, boosts immune cell activity in the gut, prevents infections & reduces inflammation. It also soothes the intestinal tissue which can contribute to improving the integrity of the gut lining.

 

Zinc

Strengthens the tight gap junctions of the GIT lining which will reduce a leak of pathogens/toxins into the gut and plays a regulatory role in the immune system – which we know communicate quite closely.

 

Vitamin D

Plays a role as an immune modulator, anti inflammatory and antimicrobial agent. Low Vitamin D levels can contribute to IBS like symptoms due to a reduction of Vitamin D receptors which are found in the gut, this can reduce gut function such as motility causing bloating & digestive upset. Vitamin D also plays a role in intestinal epithelial barrier function and bowel inflammation.

 

Vitamin A

Studies have found that Vitamin A deficiency increases intestinal permeability (leaky gut), as it modulates inflammation and is an important component to the integrity of the GIT lining.

Written by Georga Holt, Naturopath.

Georga Holt is a respected general health Naturopath at The Melbourne Apothecary. Book in with Georga to improve your gut health and start  to reignite your sense of vibrancy.

 

References

Bischoff, S. C., Barbara, G., Buurman, W., Ockhuizen, T., Schulzke, J. D., Serino, M., Tilg, H., Watson, A., & Wells, J. M. (2014). Intestinal permeability–a new target for disease prevention and therapy. BMC gastroenterology14, 189. https://doi.org/10.1186/s12876-014-0189-7

Camilleri M. Leaky gut: mechanisms, measurement and clinical implications in humans. Gut. 2019 Aug;68(8):1516-1526. doi: 10.1136/gutjnl-2019-318427. Epub 2019 May 10. PMID: 31076401; PMCID: PMC6790068.

Rao JN, Wang JY. Regulation of Gastrointestinal Mucosal Growth. San Rafael (CA): Morgan & Claypool Life Sciences; 2010. Intestinal Architecture and Development. Available from: https://www.ncbi.nlm.nih.gov/books/NBK54098/

Skrovanek, S., DiGuilio, K., Bailey, R., Huntington, W., Urbas, R., Mayilvaganan, B., Mercogliano, G., & Mullin, J. M. (2014). Zinc and gastrointestinal disease. World journal of gastrointestinal pathophysiology5(4), 496–513. https://doi.org/10.4291/wjgp.v5.i4.496

IVF Support Masterclass now open

IVF Support Masterclass with Rhiannon Hardingham

Rhiannon Hardingham has just opened intake for her 2020 IVF Support Masterclass program for Naturopathic practitioners.

Rhiannon is incredibly passionate about professional and clinical improvement. This is evident in everything that she does. It is no wonder that she is in such high demand with both patients seeking reproductive support, and with practitioners searching for top-notch clinical mentorship in the fertility and IVF arena.

We are so honoured to have her practicing with us at Fertile Ground and feel thrilled to be able to offer the opportunity for practitioners who are passionate about the fertility space to learn from this brilliant woman. She has amassed years of experience with results that speak to her calibre.

Gain confidence and become equipped to consult with complex fertility cases

Aren’t you supposed to know this information already? Actually, no. The information that Rhiannon shares is not taught in Naturopathic programs, university level or otherwise. If you are a practitioner looking to register, what you will gain from this masterclass series is clinically relevant practical application processes for preconception interventions, with specific IVF focus.

With IVF becoming increasingly common place, accounting for nearly 5% of all births in Australia & NZ, you are now more likely than ever to come across complex fertility patients in your day-to-day naturopathic general practice. However, there is little information available for you in regards to what is safe, effective & appropriate for this highly medicalised patient group.

What do you get?

In this four-part series Rhiannon shares her extensive clinical knowledge with you.  You will learn all about IVF support, including the most up-to-date research supporting naturopathic interventions for this complex patient group.

Participants will receive detailed clinical assessment and treatment tools to assist in day-to-day practice, as well as up-to-date resources regarding evidence-based support for IVF patients.

On completion practitioners will be better positioned to make sense of medical fertility protocols, manage complex fertility patients, as well as confidently communicate with medical specialists regarding evidence-based interventions for improved IVF outcomes.

Participants will earn 6 CPE points.

Find out more about this Masterclass and take your practice up to the next level.

Rhiannon is also giving the special early bird prices to her email group only, so if you’d like to join to receive those deals please register here.

Warmly

The Fertile Ground Health Group team on behalf of Rhiannon Hardingham

Your Free COVID Care Package

COVID Recovery Package with Fertile Ground and The Melbourne Apothecary

We are here to help you – it’s what we love to do. This COVID care package is for you if you:

  • Want better health, rest and body-wide repair,
  • Want help with navigating the complexities of making your Fertility Plan,
  • Have PCOS and want to start making healthy recovery strides simply by adjusting your diet,
  • Need help creating better breathing and respiratory health habits to carry you through a COVID climate,
  • Are experiencing frayed mental edges that need soothing,
  • Want relief, attention and release of areas that experience cyclic or persistent pain,
  • Love to have beautiful restorative sleep,
  • Want insights into how to ramp up the health of your diet and your digestive tract
How can we help?

You may have noticed that we’ve enacted an outpouring of free things to you since the inception of COVID. We have made a concentrated effort to create free resources for you with love from many of our wonderful practitioners, to support your mind, body, and sense of connection through all the recent challenges and beyond.

These resources have felt like a lifesaver for many people who have felt disconnected, stressed, in pain, anxious and fearful with reverberating body-wide repercussions like restlessness, digestive issues, insomnia, panic attacks, breathing difficulties, muscular pain and more. It’s important that you pay attention to your health with even more precision during stressful times like these.

We are robust and resilient when given the right ingredients for thriving and surviving.

 

Your COVID Care Package Freebies

We are dedicated to supporting you now and beyond – download any and all of the freebies contained below in our free COVID Care Package. We have built all of these resources for you and will be adding to this package often over the coming months, so keep your eyes peeled on our newsletters and Instagram OR Facebook pages so that you can grab each freebie as it comes out.

It is our pleasure and mission to support your glowing health and healing always.

 

Free 10-minute Naturopathic Wellness Consults

Book here for anyone who needs preventative wellness strategies for immunity, symptomatic relief for an acute condition and general health enquiries. We will, of course, refer you if needed for more complex issues/conditions, but this is a great way to make a start toward your healthier life.

 

Immune Essentials E-book

Nine simple steps to enhance your health and resilience written by our wonderful naturopathic team.

Get instant free access and start taking simple actions every day to improve your immunity and stay well this winter.

 

Your Fertility Plan

Naturopath, Sage King, is putting together a free 6 part series designed to help you navigate your fertility journey. Sage touches on everything from preconception care, pathology screening, to assisted reproductive technology (ART) and how to optimise your outcomes with Naturopathy. Register to be notified when the series is released.

 

Free PCOS & Diet Guide

Do you have PCOS? Access this simple Naturopathic guide to get started with balancing your body through your diet. Inside you’ll receive delicious PCOS friendly recipes, detoxification details, information on how to approach carbohydrates, fats and proteins, food swap charts, as well as steps that you can take to really kickstart your healing. Well known PCOS treating Naturopath, Josephine Cabrall, has put this together to help anyone suffering with PCOS start to find the path to healing. Get your free copy of this fantastic resource.

 

Deep Sleep Yin Yoga

Jane Holland, yoga teacher, international retreat facilitator and educator has lovingly created this Deep Sleep online series in collaboration with Fertile Ground at The Melbourne Apothecary.

These yin classes are designed to guide you into your body to fully inhabit sensation, find release and arrive in spaciousness, allowing you to melt tension and move into a deep state of rest. Jane is generously offering to everyone to come and experience their first class free.

Register for your first free class and get ready for the rest 😴 of your life.

 

Free Buteyko Starter Pack for Healthier Mask Breathing & Nervous System Relief

Mask wearing and mask breathing is really hard. Why? Much of it is to do with carbon dioxide which, when understood and used to your advantage, can actually be used to improve your health rather than hinder it. In fact it can be part of the solution to many health issues beyond respiratory protection. Use this Starter Pack to begin to address your foundational respiratory health.

The Starter Pack includes 3 x 15 minute Buteyko embedded meditations and comprehensive instructions about duration, frequency, what to expect as results. Made with love by our breath specialist naturopath Carly Woods

Carly has also made a hilarious and informative online quiz entitled ‘Are you a Dirty Mouth Breather?’ So go ahead and find out – are you a Dirty Mouth Breather?

 

Acupressure for Stress Relief

Stressed? Understatement of the year perhaps.

Download this wonderful Acupressure for Stress Relief Guide from Acupuncturist, Chinese Medicine practitioner and Naturopath, Holly Peyton-Smith (thanks so much Holly).

Grab it fresh out of the digital inbox and take therapeutic action to slay your stress.

 

Winter wellness Super Soups RecipEbook

This fabulous Super Soups Ebook has been built for you with love by Naturopath Tina Jenkins. Do you want to ramp up your Winter wellness in an oh-so-delicious way??  If so, make sure you grab your copy here.

 

Phew! That’s A LOT of resources for healthy living that you can use right now or access later as you need. Feel welcome to share it with your friends too – these resources are for everyone.

Have a great time consuming all of these wonderful resources packed full of actionable health-enhancing goodness. Thank you to all of our loving practitioners and team for putting these together for our community so quickly and with such care.

Brought to you by Carly Woods Director, Naturopath and Breath Specialist, Fertile Ground Health Group and The Melbourne Apothecary.