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Fertility 360

Understanding your cycle to optimize your fertility

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Optimize your fertility

Do you have a regular menstrual cycle? Do you know when you ovulate? Do you have a healthy period?

These are all questions you need to be able to answer to optimize your chances of having a healthy baby.

Let’s start with your cycle length. A healthy menstrual cycle will last somewhere between 26-32 days. There are 3 phases of the menstrual cycle.

The first phase starts on the first day of your period and is known as the follicular phase. This is when your eggs begin to develop and reach maturity. This phase on average lasts between 12-18 days. If it is shorter then this, it can mean your body doesn’t have long enough for your eggs to properly mature. A hormone called FSH (follicle stimulating hormone) is released from your pituitary gland and signals to your ovary to begin the process of maturing follicles. Often as we age the follicular phase will become shorter. This doesn’t mean it isn’t possible to get pregnant with a shorter follicular phase as I have had patients report having a healthy pregnancy with ovulating as early as day 9 but if we have to opportunity to develop the eggs a little longer they are generally more likely to be viable.

Your period can also tell you a significant amount about your menstrual health. Your period will ideally begin with menstrual flow that is bright red. If it begins with a lot of brownish discharge this indicates blood that is older and more stagnant. Flow should last between 4-7 days. Ideally you shouldn’t need to change your pad or tampon more then every 2-3 hours for 2-3 days of your period then the remaining days should be lighter. If your flow is lighter, then this it can mean you aren’t developing a robust enough lining for an embryo to implant. If your flow is heavier then this, it may indicate that you have an excess of estrogen compared to progesterone or that you have fibroids. These are both reason to follow up with your health professional.

Mid cycle is known as the ovulatory phase and lasts a few days. During this phase you should see changes in your vaginal secretions. Secretions become thinner and stretchy and will have an egg white like consistency. This mucus is designed to assist sperm and provide easier passage to the ovulated egg. Some women will have a regular menstrual cycle but will not ovulate regularly, while others will have an irregular cycle without regular ovulation.

There are several potential contributors to anovulatory cycles including:

  • Having an endocrine disorder such as PCOS
  • Having low body weight or body fat percentage
  • Poor blood sugar regulation
  • Endometriosis
  • Premature ovarian failure

There are multiple ways to test if you are ovulating or not. At home you can do a combination of monitoring your basal body temperature as well checking your cervical mucous. To test your basal body temperature – measure your oral temperature first thing in the morning before getting out of bed for one full cycle. During the first half or follicular phase your temperatures should average 36-37 degrees Celsius. When you ovulate, your temperature should raise by around 0.4 degrees Celsius. This increase should correspond with the change in cervical mucous to thinner egg white like secretions.

You can also test for ovulation using urine-based test strips that test for metabolites of a hormone called luteinizing hormone (LH). LH will surge right before you ovulate, so this can be a great indicator that your ovary is going to release an egg.

At a fertility clinic health professionals can assess if you are ovulating using a combination of regular blood work and transvaginal ultrasounds. With this option you are able to monitor the number of follicles developing and if they reach a size that is viable for a pregnancy.

If it is determined that you are not ovulating regularly it is very important to try to discern the underlying cause.

If you have been diagnosed with polycystic ovarian syndrome (PCOS) you may have irregular menstrual cycles and only ovulate during some cycles. PCOS is an endocrine disorder which means it has an impact on your body’s ability to regulate its hormonal cycle. Often women will have a challenging time regulating blood sugars, which can lead to inflammation in the body and disruption in healthy hormonal regulation. If this is your situation one of the most important things to do is to begin a regular exercise program. Exercise helps sensitize your hormonal receptors and helps regulate blood sugars as well as other hormones. If you aren’t currently exercising aim to start with regular daily walking for at least 20 minutes. If you are exercising already try to switch up between higher intensity training, cardio and weight training. It is ideal to do something active daily.

If you have an endocrine disorder, an autoimmune disorder (example Hashimoto’s thyroiditis or rheumatoid arthritis) or are low body weight making sure you are eating enough dietary fats can make a significant difference to help you ovulate regularly. Some of the foods to include more of include olive oil, coconut oil, avocado, nuts and seeds. It is also important to make sure you are getting enough carnitine in your diet. Carnitine is an amino acid that comes from animal protein. Carnitine works as a shunt to move fatty acids from the blood stream into mitochondria. Mitochondria are organelles that make energy in the form of ATP. If you don’t have enough carnitine the mitochondria can’t make enough fuel/energy. This can be a concern for cycle regulation as well as in conditions such as chronic fatigue syndrome, fibromyalgia, poor egg or sperm quality.

The third phase of the menstrual cycle is the luteal phase. This phase usually lasts between 12-15 days. During this phase the predominant hormone is progesterone. Progesterone encourages more blood flow into the uterus and is necessary for the fertilized egg to implant. If progesterone drops too early this results in a shortened menstrual cycle and often time can be the cause of early miscarriage if the newly formed embryo doesn’t have enough time to implant properly.

Low progesterone can result from chronic stress. When under stress your body makes more of a hormone called cortisol. Cortisol is made from progesterone, so if your body is making more cortisol than normal this can result in lower progesterone. This will not only impact progesterone during the luteal phase but can also lead to lower progesterone levels during the first half of the cycle. Low progesterone during the first half of the cycle can lead to a thinner uterine lining. If there is a lot of stress (which is commonplace during periods when fertility is an issue) then implementing stress management is critical. Exercise again will be important in this case but not excessive exercise. Aiming for between 30-60 minutes daily is great but going beyond 60 minutes daily can in some cases increase the depletion of progesterone. Eating a diet full of nourishing fruits and vegetables along with minimizing packaged and processed foods also takes stress off the body.

If progesterone is still low after implementing changes, there is an herb called chaste tree that can help support your body’s ability to make more progesterone. There is also the option of using either transdermal or oral progesterone medication. If this is a route you need to go it is important to continue your stress reduction as this extra progesterone can end up converting to cortisol as well.

We can also see a higher ratio of estrogen to progesterone which will give a similar result. If you have too much of either 16-OH estrone or 4-OH estrone this can impact your menstrual cycle as well as contribute to conditions such as endometriosis or fibrocystic breasts. You want to have most of your estrogen processed to end up as 2-OH estrone. A nutrient called indole-3-carbinol (I3C) which is found in brassica vegetables (kale, cabbage, broccoli and cauliflower) can assist your body encouraging estrogen to follow the pathway to end at 2-0h estrone or the “healthier estrogen”. This can then result in your body having a better ratio of estrogen to progesterone and resume regular ovulation.

An irregular menstrual cycle is a sign that hormones are not being effectively regulated in your body. Your body thrives on routine and wants to follow the natural rhythms of mother nature. An effective natural way to help regulate your menstrual cycle is with the use of traditional Chinese medicine and acupuncture or acupressure. Seeing a trained acupuncturist, you will have the opportunity to have imbalances acknowledged and improve the movement of energy or qi through the body. Another effective way to regulate your cycle is to look at the moon every night. Your monthly cycle will often then time with the planets natural moon cycles. Connecting with nature on a regular basis can also go a long way to helping your body’s natural rhythms. Many of us live in cities with very little exposure to the outdoors and nature. If you try to find a trail or to step in your backyard on the grass in your bare-feet these our great ways to connect yourself with the earth. This will not only help your menstrual cycles but your sleep cycle as well. Patients often will also note the more they connect with natural the less stressed or anxious they feel.

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Fertility 360

NEWS: Get access to adult photos of the Cryos sperm donors

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Adult Cryos Sperm Donors Photos

Viewing adult photos of Cryos sperm donors is now a reality. Visit dk.cryosinternational.com today and get access to the new feature.

At Cryos it is now possible to access adult photos of sperm donors on our website, thus adding another dimension to your search for the perfect donor.

The unique chance to see both childhood and adult photos of your sperm donor, provides you with a more comprehensive idea of who your sperm donor is and moreover of the features of your future child. We hope that this extra dimension will upgrade your experience making your decision of a sperm donor easier.

The 5-6 adult photos are taken by a professional photographer and are a part of the donors extended profile where you also have access to childhood photos, an audio recording of the donor’s voice, a handwritten message, an emotional intelligence profile, and finally our staff impressions of the donor, amongst other exclusive features.

The adult photos require special access on our website. Visit our website and find out more and get access to this new feature now.

Please note that the person in the photos is a model and not a Cryos donor.
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Fertility And Sex: Why Her Orgasm Matters

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Why her orgasm matters

For many couples, trying to conceive can make sex feel less fun and more pressured. Instead of being an intimate and enjoyable experience, baby-making sex can start to seem like a finely choreographed routine. Often, the female orgasm is one of the first things to go, but the maleorgasm is not the only orgasm that matters when it comes to fertility.

Before I dive into discussing the potential benefits of the female orgasm for fertility, it’s important to note that reaching climax is not technically essential for conception. If you never, or rarely, achieve orgasm, don’t worry, you can still get pregnant! Around 1 in 10 women don’t experience orgasm, ever. What’s more, the exact nature of the female orgasm remains somewhat elusive. Some experience orgasm through clitoral stimulation, some through vaginal intercourse, some through both, and others through something else entirely, or not at all.

Even without reaching orgasm, sexual arousal is itself beneficial to fertility. Like an orgasm, arousal is, first and foremost, a good indication that sex is enjoyable. Sexual arousal and climax causes significant changes in your levels of neurotransmitters including noradrenaline, oxytocin, prolactin, dopamine, and serotonin. These ‘reward’ neurohormones help you bond to a sexual partner and make it more likely that you’ll have sex more often, thereby increasing your chances of conception.

Second, orgasm and arousal have a range of physiological effects that might aid conception, which I’ll discuss in a moment. And, third, sexual arousal and orgasms for everyone can help sperm-producing partners avoid feeling like they’re being used just for their sperm. In fact, some studies show that male partners who engage in cunnilingus prior to vaginal intercourse have greater sexual arousal and produce more semen!

HOW ORGASMS ENHANCE FERTILITY

The female orgasm can help relieve stress, and promote healthy circulation and balance in the body. Stress is a key cause of diminished libido and may also reduce the chances of conception by raising levels of the stress hormone cortisol. Conversely, good sex can help raise levels of oxytocin and the other neurohormones mentioned above. These help you to relax and bond to your partner.

Published in 1967, the author even went as far as suggesting that the increase in these hormones after orgasm help support conception by temporarily incapacitating you. Put simply, this ‘poleax’ effect means you’ll feel so relaxed that you’ll stay lying down, which may increase your chance of conceiving. Whether staying supine does make conception more likely is still under debate, but I’m all for promoting relaxation, so if this theory provides added motivation, go for it!

CERVICAL TENTING

There is some suggestion that orgasm affects the shape and function of the cervix. These effects, which may include cervical ‘tenting could enhance the likelihood of conception by promoting the movement of sperm into the uterus and beyond. If you are curious as to what your cervix looks like during different stages of your cycle, check out these photos.

THE ‘UP-SUCK’ THEORY

One of the main ways in which female orgasm has been linked to fertility is something called the ‘upsuck’ theory (or, sometimes, the ‘insuck’ theory). This theory proposes that the female orgasm causes uterine and vaginal contractions that actively draw semen up into the uterus and towards the fallopian tubes, thereby increasing the chances of an egg being fertilized.

Scientific evidence to support this theory is rather inconsistent, but there’s certainly no harm in trying! One proposed underlying mechanism of this theory is oxytocin-mediated uterine peristalsis, i.e. the same mechanism that causes uterine contractions during labour could be partially responsible for increasing the likelihood of conception. Indeed, some research has found higher pregnancy rates in women shown to experience this ‘insuck’ phenomenon.

SPERM RETENTION AND FERTILITY

More recently, one small study found that orgasm may increase sperm retention. This study involved women using a syringe to insert a sperm simulant (lube) prior to external stimulation to orgasm. As such, the study’s findings may be especially applicable to anyone undergoing artificial insemination (IUI).

The take-away: Chances are that if you orgasm 1 minute before or up to 45 minutes after insemination (whether artificial or otherwise), you will probably retain more sperm, which may increase your chance of conceiving.

IN CONCLUSION

To sum up, the female orgasm might enhance fertility in a variety of ways, but it isn’t essential to conception.

The take home message is that orgasm and sexual arousal itself have many benefits to fertility, partner relationships and stress relief. Don’t worry though, if you have a low libido, conception can still happen even in the absence of arousal and orgasm!

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What Is Polycystic Ovary Syndrome (PCOS)?

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Polycystic Ovary Syndrome

Polycystic Ovary Syndrome or PCOS is a hormonal imbalance that affects 5 to 10 percent of women of reproductive age across the world, and results in irregular or absent periods, acne, excess body hair and weight gain. It is also a major cause of infertility and yet is frequently misdiagnosed and often missed completely.

PCOS gets its name because under an ultrasound scan, the ovaries can look like a bunch of grapes, each one covered in what look like multiple cysts. In fact, these aren’t cysts at all, but are small, undeveloped follicles.

Symptoms

Not every woman with PCOS will get the same symptoms, but common signs to look out for include:

  • Few or no periods
  • Excess hair on the face or breasts or inside of the legs or around the nipples
  • Acne
  • Oily skin
  • Scalp hair thinning or loss (male pattern baldness)
  • Skin tags (known as acrochordons)
  • Skin discolouration (known as acanthosis nigricans) where the skin looks ‘dirty’ on the arms, around the neck and under the breasts
  • Mood swings
  • Depression
  • Lack of sex drive
  • Weight gain especially around the middle of the body
  • Difficulty in losing weight
  • Cravings and binges
  • Irregular or no ovulation
  • Difficulty in becoming pregnant
  • Recurrent miscarriages

PCOS creates a vicious cycle of hormone imbalances, which has huge knock-on effects throughout the rest of your body. With PCOS, the problem often starts with the ovaries, which are unable to produce the hormones they should, and in the correct proportions. But linked to this is the very common problem of insulin resistance. Women with PCOS very often have difficulties with blood sugar levels which can cause weight gain and the excess insulin can stimulate your ovaries to produce yet more testosterone. Half of all women with PCOS do not have any problems with their weight, yet they can still have higher insulin levels than normal.

How is Polycystic Ovary Syndrome diagnosed?

The most widely accepted criteria for the diagnosis of PCOS says that you should have two out of these three problems:

  • Infrequent or no ovulation
  • Signs (either physical appearance – hirsutism or acne – or blood tests) of high levels of male hormones
  • Polycystic ovaries as seen on an ultrasound scan

The Seven Nutritional Steps to beat Polycystic Ovary Syndrome

Good nutrition is the foundation of your health and you should never underestimate how powerful it can be. It is the fuel that provides you with the energy to live your life and it gives your body the nutrients it needs to produce your hormones in the correct balance. The better the supply of those nutrients, the more healthily your body will function.

The fundamental aim of my nutritional approach to PCOS is to target a number of areas simultaneously so that you get the maximum effect in the minimum amount of time.  

Here’s how:

  1. Switch to unrefined carbohydrates (eaten with protein) and never go more than 3 hours without food to keep your blood sugar levels balanced
  2. Eat oily fish and foods rich in Omega 3s to help your body to become more sensitive to insulin so it can overcome insulin resistance
  3. Cut out all dairy products for 3 months to bring levels of male hormones under control
  4. Eat more vegetables and pulses to which helps control male hormones
  5. Cut right back on or cut out alcohol for 12 weeks to allow your liver function to improve
  6. Cut down on caffeine to give your adrenal glands a rest
  7. Cut down on saturated fats and eliminate trans fats to help control the potentially damaging inflammatory processes PCOS causes in the body

PCOS Symptons

Best Supplements for PCOS

The use of certain vitamins and minerals can be extremely useful in helping to correct Polycystic Ovary Syndrome, along with a good diet.

Chromium

Chromium helps to encourage the formation of glucose tolerance factor (GTF), which is required to make insulin more efficient. A deficiency of chromium can lead to insulin resistance.  It also helps to control cravings and reduces hunger. Can help to reduce insulin resistance associated with PCOS

B vitamins

The B vitamins are very important in helping to control the symptoms of PCOS. Vitamin B2 helps to burn fat, sugar and protein into energy. B3 is a component of GTF which is released every time blood sugar rises, and vitamin B3 helps to keep the levels in balance. Vitamin B5 has been shown to help with weight loss and B6 is also important for maintaining hormone balance and, together with B2 and B3, is necessary for normal thyroid function.

Zinc

Zinc helps with PCOS as it plays a crucial role in the production of your reproductive hormones and also regulates your blood sugar.

Magnesium

Magnesium is an important mineral for dealing with PCOS because there is a strong link between magnesium levels and insulin resistance – the higher your magnesium levels the more sensitive you are likely to be to insulin.

Co-Enzyme Q10

Co-Q10 is a substance that your body produces in nearly every cell.  It helps to balance your blood sugar and lowering both glucose and insulin.

Alpha lipoic acid

This powerful antioxidant helps to regulate your blood sugar levels because it releases energy by burning glucose and it also helps to make you more insulin sensitive. It also has an effect on weight loss because if the glucose is being used for energy, your body releases less insulin and you then store less fat.   

Omega 3 fatty acids

Omega 3 fatty acids taken in supplement form have been found to reduce testosterone levels in women with Polycystic Ovary Syndrome.

Amino Acids

Certain amino acids can be very helpful for PCOS as they can improve your insulin sensitivity and also can have an effect on weight loss.

N-Acetyl cysteine

In women with PCOS this amino acid helps reduce insulin levels and makes your body more sensitive to insulin. Study using NAC in women who were clomiphene resistant and had ovarian drilling.  After ovarian drilling, the women given NAC compared to a placebo showed a significantly higher increase in both ovulation and pregnancy rates and lower incidence of miscarriage.

Arginine

Arginine can be helpful in reversing insulin resistance. In one study, a combination of both arginine and N-acetyl cysteine were given to women with Polycystic Ovary Syndrome.  The two amino acids help to improve blood sugar and insulin control and also increased the number of menstrual cycles and ovulation with one women becoming pregnant on the second month.

Carnitine

Carnitine helps your body break down fat to release energy and can help improve insulin sensitivity.

Tyrosine

Tyrosine is helpful for women with PCOS who are overweight as it helps to suppress the appetite and burn off fat.

Glutamine

This amino acid is useful for helping with sugar cravings as it can be converted to sugar for energy and so takes away the need to eat something sweet.  It also helps to build and maintain muscle which is important for fat burning.

Branched Chain Amino Acids (BCAAs)

BCAAs include three amino acids leucine, isoleucine and valine. They are important in PCOS because they help to balance blood sugar and having good levels of these BCAAs can have a beneficial effect on your body weight

Inositol

A study used inositol (2,000mg) in combination with NAC (600mg), a significant increase in ovulation rates.

Having a good diet, regular exercise, controlling stress and taking key nutrients will help in getting your hormones back in balance and reducing the negative symptoms associated with PCOS.

More information can be found on www.naturalhealthpractice.com

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