If you find yourself in the unexpected position of needing fertility treatment, how do you find a doctor or a fertility clinic, and navigate your way through a system you never thought you needed to know anything about?
Most of my clients start with their GP – and that can be a fraught experience as GP’s don’t always know enough about fertility issues to order the right initial blood tests or semen analysis, let alone refer appropriately and in a timely manner. Next, most people make their way through the NHS system, with all its inherent delays and standardised protocols. This too can be potluck, as which PCT you live within, for example, can determine what kind of care you get, even down to whether you’ll be offered an IVF cycle!
Many of my clients at some point are lucky enough to be able to opt out of the NHS and into the world of private medicine. How do they find the right doctor or clinic? This is usually a matter of personal recommendation, word of mouth, or with the help of Dr Google, Facebook Groups or Fertility Friends, and a whole lot of trust that whomever they choose will recommend only appropriate, ethical and essential treatment.
Over the last 20 years as a Fertility Acupuncturist, I’ve realised that along with the results I see from my treatment, one of my most valuable abilities is to hold my clients through their fertility journey. After years working closely with consultants, within IVF units both private and NHS, UK-based and abroad, I can talk to my clients in an impartial way about each test and its implications from a Western medical point of view. All too often, I catch things which have been missed, or help clients ask vital questions of their care provider which ensure they are treated as individuals. I have even, on occasion, sent them for blood or sperm tests which have prevented them from undergoing treatment which is either unnecessary or would have had no chance of success.
If I had to define it, I’d say I’m most passionate about helping the potentially vulnerable fertility patient know what we as Traditional Chinese Medicine practitioners can do when we do it correctly. When we practice with integrity, with an understanding of western medicine, with good customer service, and when we decide to continually invest in our own learning (which translates into a higher standard of care and results for the client), then we safeguard the consumer.
I’d also like the potential fertility patient to know that from both a Traditional Chinese Medicine and Western medical point of view. As Fertility Acupuncturists need a minimum of three months before they can expect to see the results we are all working toward. Why is that?
Well, it takes three months for a process to take place which begins with the body signalling to the ovary to begin to bring forward a group of follicles and ends with a mature follicle which ovulates and releases an egg. In this time, we are working on the metabolic, immunological and hormonal environment in which the egg is matured. During these initial three cycles, the environment is still being influenced by what was happening before we began treatment. It is only from month four that the change we have wrought in the internal environment of the body can be seen in the results, both symptomatic and in any blood tests we do.
It is the same for sperm; it takes 100 days for sperm to completely reproduce and it is only after we’ve worked through those days that we should test to see what the difference we’ve made actually is.
The beautiful thing about the way a highly trained Fertility Acupuncturist works, is that they will take all the results you have from a Western medical point of view, and be able to translate this into Traditional Chinese Medicine and treat you effectively, specifically, individually and with concrete results.
For example, if a client comes to me with PCOS and needs an IVF cycle, I can use the results of the oestrogen tests they have during their cycle to help me understand how best to help them avoid being hyper-stimulated and getting OHSS. Or, if a client comes to me with a history of miscarriage, I can look at their progesterone levels and if I can see they are too low, I can treat with Traditional Chinese Medicine and re-measure them each month, watching them come up to a level where the client is safe to try to conceive again.
Whilst we have a situation in the UK where people can buy a well-recognised fertility specialist’s title with minimal training and clinical experience, the public quite rightly assumes that this title comes with great skill. This stands in direct contrast to other countries such as the USA, Canada and Australia where there are specialist fertility acupuncture boards, which stringent exams, which have been created to denote those who spend that extra time and effort to become specialists in their field.
I am a member of the British Acupuncture Council, which ensures that there is a strict standard of training that each practitioner needs to go through before they can practice as an Acupuncturist. Essentially though, when we graduate, we all graduate as GPs, and it is up to each individual as to whether they choose to further their education in a particular field, or just treat within it to the best of their ability. At the moment, as the British Acupuncture Council refuses to make any kind of statement on specialisation, this is a problem as the public continues to be vulnerable to poor standards of practice.
I believe that as a result of this situation, within our profession in the UK, we as Fertility Acupuncturists need to do all we can to differentiate ourselves as practitioners who have decided to educate and invest in themselves on an ongoing basis to improve their results. In this way, patients and practitioners come together in a fantastic, synergistic and most of all effective team.
Three years ago this situation came to a head for me when I had a client come in to see me who had gone through two years of unnecessary treatment with an acupuncturist who had not understood enough about the complexity of fertility work to treat their condition properly. They had several miscarriages both before and during treatment, some of which were the result of natural conception, and some of which were following IVF cycles. When I took a detailed history, I could clearly see this client had a disordered immune system and needed me as a fertility acupuncturist to work with a consultant who specialised in Reproductive Immunology to understand and accurately treat the condition. Once we tested her, we could accurately prepare her (a mere three-month process). She then conceived naturally, was able to take the correct medication, and went on to have a healthy baby. I realised that I had been through this scenario all too many times before, and that I felt a responsibility to try and bring about the same high standards in the UK as other countries had, in order to safeguard the patient.
I therefore went on to create a Diploma in Advanced Level Fertility Acupuncture, downloading the contents of my head and all the practical and clinical experience I have into five modules which cover everything from Reproductive Immunology, to Recurrent Miscarriage, from PCOS to Endometriosis and all manner of testing, ART procedures and even complex Obstetric conditions. Practitioners have to have been in practice for 5 years before they can take this course, and they come out with an extremely high level of specialist knowledge and competence as a result of this extra training. They have a listing on my website, and a logo which I would encourage you as a patient to look for when you are looking for a Fertility Acupuncturist.
One of the most important things you should know as a patient though, is that this logo isn’t renewed upon payment, but upon proof of continuing high level Continuous Professional Development (CPD) in the Fertility and/or Obstetrics field. These are practitioners who are committed to voluntarily maintaining extremely high standards of knowledge, and this translates in a clear way to the kinds of results they can expect to see with their clients.
I’ve been lucky enough in my career to have a long waiting list, so these colleagues who train with me provide a rich and reliable source of referrals for clients who cannot wait the 6 months it usually takes to begin treatment with me. I would recommend each and every one of them as a knowledgeable companion on a journey which can be long, fraught, and unexpected. This process can be made immeasurably easier for having someone to journey with who has the skills both in Traditional Chinese Medicine and in their understanding of Western medicine, and who can change the outcome of this journey for each client to a positive and empowered one.
I would recommend those seeking to benefit from anyone who has gained these skills to visit my website to learn more from individuals who have achieved accreditation to practice.
Naava Carman is an experienced fertility, gynaecological and obstetric acupuncturist and Herbalist specialising in complex autoimmune disorders such as unexplained infertility, recurrent miscarriage, hypermobility in pregnancy, PCOS, Endometriosis and other inflammatory conditions. More information about Naava and her work can be found via www.fertilitysupport.co.uk