Does ICSI have all the answers?

Since the advent of ICSI (Intracytoplasmic Sperm Injection) problems with male factor in infertility can be addressed and bypassed with this procedure. The ICSI procedure allows particular sperm to be selected for use and manually injected into the egg by the embryologist using a microscopic needle.

But does ICSI always give us the best outcomes?

If the quality of sperm is sub-optimal, the question one has to ask is what impact will this have on the ongoing pregnancy and health of the child going forward?

In Traditional Chinese Medicine (TCM) our Jing is the substance we inherit from our parents at the moment of conception. Our Jing fuels our growth and development not just through conception and prenatal growth, but all through our lives from infancy to puberty, adulthood and beyond. Jing dictates our constitution and vitality as we move and age through life.

So if we completely disregard the quality of the sperm in favour of the ICSI procedure, what impact will have on the health of the life created? If a sperm is unable to penetrate an egg on its own, what does that say about the underlying Qi of that sperm?

So although ISCI is a wonderful and exceptional advancement in fertility medicine and assisted reproductive techniques, I do believe it should be firmly balanced with other perspectives of male health and vitality.

Sperm are continually created within the body, so taking a break for around 3 months before the next round of IVF is an optimal amount of time to put lifestyle changes in place. Dietary, lifestyle and nutritional changes can have a huge impact on sperm quality.[1] Taking this time and making this effort to improve the underlying Qi and Jing that is passed onto the next generation is fundamentally important. Things to consider:

  • Stop smoking/vaping;
  • Reduced consumption of refined sugars, processed foods,
  • Reduced consumption of alcohol;
  • Increased consumption of a wide variety of vegetables and fruit;
  • Take regular exercise;
  • Increased water intake;
  • Reduce the use of plastics for cooking and water/food storage (switch to glass)
  • Supplement with a good quality preconception multivitamin to include zinc, selenium, omega 3 fatty acids, antioxidants;
  • Reduce stress (look at meditation, reflexology, acupuncture, spending time in nature);
  • Keep mobile phone away from body [2];
  • Ejaculate frequently [3].

Other options to explore before diving straight into IVF/ICSI:

  • Having a full examination to rule out varicocele, hydrocele and other physical abnormalities;
  • Bloods taken for a full hormone profile;
  • Checking the microbiome to rule out any infection which might be causing levels of damage to the sperm.

“Mounting evidence suggests that the gut microbiome plays a key role in normal spermatogenesis and can be negatively impacted by diet and environmental perturbations.” [3]

Of course, every couple is individual, and factors such as age, for example, will also determine your route to IVF and ICSI.

If you are looking for fertility support in Lancashire please get in touch.

If you would like support through your fertility/IVF/ICSI journey with acupuncture please get in touch.

References

[1] https://pubmed.ncbi.nlm.nih.gov/32397485/

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848840/

[3] https://rbej.biomedcentral.com/articles/10.1186/1477-7827-10-115

[4] https://www.fertstertreviews.org/article/S2666-5719(23)00001-4/fulltext

PMS and it’s extremes

Woman experiencing severe menstrual cramping.

Approximately 90% of women suffer from Premenstrual Syndrome (PMS) at some point in their lives. During the few days leading up to menstruation can present with all sorts of symptoms such as bloating, irritability, frustration, anger, back ache, acne, abdominal cramping and pain, feeling tearful and emotional, as well as anxious and depressed.

Every cell in our body has a hormone receptor, so PMS can be attributed to over 200 symptoms as fluctuating hormone levels can have an impact everywhere in the body. These may be symptoms you only experience during the build up to your period, or perhaps these are symptoms you already experience, but are exacerbated at this time of your cycle.

In TCM terms, the luteal phase of your cycle e.g. the second half of your cycle between ovulation and your period, is when your body is at its most Yang. It is the part of the cycle where there is the most energy. Your body is gearing up for the possibility of a pregnancy with the surge of progesterone helping to really plump up the uterine lining for an embryo to implant. This surge of hormone and surge of energy can make us feel energised and productive, however as this starts to wane and drop just before our period starts, can suddenly leave us feeling depleted. The smooth flow of Qi is now not so smooth, as the progesterone starts to dip and body temperature starts to drop, our overall hormone levels can quickly leave us feeling grumpy and moody, and present us with physical symptoms too.

Switching between the Yang half of our cycle to the Yin half i.e. our menses, can create Qi stagnation. Getting to know your cycles by charting on a calendar, or Basal Body Temperature (BBT) charting can really help you to understand what is going on inside your body, help you identify symptoms and mood changes, and shed light onto areas that perhaps might need further attention.

For example, some people do not just suffer with “regular” PMS, but can experience more extreme versions such as Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME). These extreme versions of PMS can be very difficult to deal with and manage on a monthly basis. “Experiencing PMDD can make it difficult to work, socialise and have healthy relationships. In some cases, it can also lead to suicidal thoughts.”1

Understanding your own personal cycle, the length of your follicular and luteal phases, and looking at your BBT throughout your cycle can open up possibilities to improve symptoms you’re experiencing. You might discover that phases of your cycle are too long/short or your temperature is not high enough or too high for example.

Supporting progesterone can help with PMS. To support progesterone production and your luteal phase, add more nutrient dense calories into your diet at this phase of your cycle. After all, your body is gearing up for a potential pregnancy, and some women find that they are hungrier at this time. Adding more protein, and looking at using adaptogens such as Ashwaganda to help manage stress and change. “Adaptogens are the umbrella term for fungi and plant-derived compounds that help the body adapt to stress.”[2] Magnesium is also said to help, as many of us are depleted in magnesium and it is involved in a myriad of daily bodily functions. Using a topical spray or adding in Epsom Salts to your evening bath are easy ways to get magnesium into your body. Magnesium often becomes low as a result of stress. [3]

Managing stress is also key to supporting your luteal phase. Booking in for regular reflexology or acupuncture can offer you the opportunity to feel relaxed and receive some downtime already scheduled into your diary. With acupuncture in particular, treating throughout the cycle can help you regulate and improve your quality of life. Vitamin B complex supports the body’s ability to handle stress. [3]

Understanding your cycle can help you to prepare and plan for what might be up ahead. Scheduling your diary around your cycle can help you to be more productive when you are feeling at your most energised, and avoid difficult social situations when you’re likely to be feeling fragile. You can also use your cycle to help with meal planning and snacking, and scheduling in more gentle exercise within the luteal phase.

If you would like fertility support in Lancashire and to book in with me please get in touch.

  1. https://www.mind.org.uk/information-support/types-of-mental-health-problems/premenstrual-dysphoric-disorder-pmdd/about-pmdd/
  2. https://www.parsleyhealth.com/blog/what-are-adaptogens/
  3. https://webfmd.com/hpa-axis-dysfunction-treatment/

Fertility and Constipation

Woman experiencing constipation whilst trying to conceive.

If you suffer with regular constipation, and are trying to conceive, then improving your bowel movements can make a huge difference to how you feel and improve your chances of conception.

When we don’t release our waste at least daily, we are storing lots of debris and toxins within the body. We are also compromising our main detox pathway, and this means that new waste cannot be released by the body, leaving us feeling bloated and sluggish, and disrupting chances of conception.

If you are on a lot of medication, for pain for example, then this can also contribute to constipation.

If you find that your faeces is sticky and you are having to wipe a lot to get clean after using the toilet, then you could be at risk of trans-locating bacteria from the bowel into the vagina, causing vaginal dysbiosis: upset with the vaginal biome. If this happens then the vagina is not an environment that is friendly to sperm, and won’t be conducive to conception, as well as potential additional symptoms such as vaginal pain and itching, creating distress and anxiety.

The bowel is the body’s main detox pathway for oestrogen. Excess oestrogen is bound up in the liver and then released into the bowel for excretion. If it is not excreted regularly then this means that excess oestrogen is remaining inside the body, causing imbalance and disharmony. Furthermore, if you have gut dysbiosis, this can signal to the bowel to reabsorb the oestrogen coming from the liver, and send it back into circulation again. This then creates an oestrogen dominant state within the body.

General lifestyle tips for relieving constipation and improving the consistency of the stool is to increase your consumption of vegetables and fruit, and to increase your water intake. Please also see my other blog post on constipation in general, and for self-help tips.

If you are looking for fertility support in Lancashire please get in touch.

If you are experiencing issues like this, or other issues relating to fertility support, please get in touch with me for an appointment.

IVF: Why days 3-5 are key

Embryo forming.

When going through IVF, and in particular ICSI (Intracytoplasmic Sperm Injection), its super important to pay as much attention to male factor as it is female.

Usually when using ICSI there is an issue with sperm, and its ability to penetrate the egg for fertilisation. This might be due to poor morphology or low sperm count for example. Or perhaps you have tried IVF before and the eggs failed to fertilise naturally. ICSI allows the sperm to be injected directly into the egg by an embryologist.

Some might say that the ability of the sperm to penetrate the egg is no longer important as this penetration is bypassed by the injection technique.

However, just because the sperm is manually injected into the egg, doesn’t mean that its role is then finished!

As the embryo starts to develop, the egg’s energy is solely used to power cellular division, up to around day 3. From day 3-5, the male chromosomes start to contribute to the development of the embryo.

If you have experienced embryos that have arrested in development at this stage, it is a clear message that what’s actually underneath isn’t healthy enough, the genetic material isn’t viable enough, what’s happening with the male Qi is not good enough for the sperm to power through an embryo development.

Taking time for the man to work on and improve his health and lifestyle for the next 3 cycles before going for another round of IVF is super important and really effective.

Allowing a couple 3 months to prepare for conception, whether that be naturally or through IVF is really good advice. It takes around 100 days for an egg to mature, and the same amount of time for health improvements and lifestyle changes to be reflected in sperm.

Taking the time to really focus on your health and prepare properly really is key when you are trying to conceive.

Book in for acupuncture with me today and start your journey feeling fully supported and empowered through your fertility journey.

If you are looking for fertility support in Lancashire please get in touch.

Let’s talk about periods

Did you know that a true menstrual period only comes if ovulation occurred. This means that if you are on the oral contraceptive pill (OCP) and have “periods”, these are really withdrawal bleeds and not true menstrual periods. This is because the OCP prevents you from ovulating.

If you are trying to conceive then it is wise to give your body time to readjust from stopping OCP and get back to a normal cycle.

Period Flow

The flow of your period should be tracked on the day that menstrual blood starts flowing properly (this would be marked as day 1). Often light spotting can occur beforehand so only class day 1 of your period when it gets going properly.

A normal, healthy period would be 3-5 days of bleeding and have a clear end. A regular flow is normal.

Heavy flow and flooding are something to be flagged. This would be more than 5-7 days of bleeding, or if you are having to change sanitary products more than every 2-3 hours. These issues might indicate issues such as thyroid imbalances, fibroid, low iron.

Likewise, very light pink blood for less than 3 days is also something to be flagged. This might be a sign of low oestrogen levels.

Period Pain

Woman feeling emotional and in pain during menstruation.

Rate your pain levels on a scale of 0-10. Mild cramping when your period starts is normal. Anything more should be flagged. Does it stop you from going to work? Do you need to take pain killers? Do you need to use a hot water bottle? Anything more than a 1 on the scale indicates a red flag. Where is the pain in your body? e.g. headaches, abdominal pain, breast pain, lower-back pain? These can all be clues and could indicate imbalances that can be addressed.

Period Frequency

Cycle length (day 1 to the next day 1) should be 24-35 days in length. There should be a clear start and end to the period.

If you have spotting before or afterwards this is something to be noted. Similarly, the colour of the blood should be a healthy red colour with no clots. If it is pink, dark red, purple, or black, then these are all flags to be noted.

Acupuncture

After discussing all of the above in a consultation, acupuncture can help rebalance the body with certain point prescriptions based on your symptoms. Alongside regular acupuncture, lifestyle changes and wellbeing techniques can also be adopted to optimise health and chances of conception.

There are lots of things to think about and consider with fertility awareness. Education is key and having knowledgeable support from an acupuncturist or reflexologist can be invaluable.

If you are looking for fertility support in Lancashire please get in touch.

Discussing Fluoridated Water

Map showing fluoride in UK.
Image credit: bfsweb.org

Did you know that if you live in the Midlands or the North East (UK) you might already be drinking artificially fluoridated water via your household drinking water?

It is believed that the UK government want to extend the fluoridation scheme to cover the whole country, so if you do not want to drink artificially fluoridated water on a daily basis then you will need to put a filtration and purification system in place.

What is Fluoride?

Fluoride comes from Fluorine, which is a naturally occurring mineral that is found in rocks and soil. As water passed through it will naturally pick up trace minerals and this includes fluoride. Fluoride is artificially added to toothpaste and water, and is found in some foods, and in tea.

Pros

The argument to add fluoride to the water supply is due to studies showing that adding it in areas where fluoride levels in the water are low can reduce the prevalence of tooth decay in the local population.

Cons

According to Medical News Today, some of the potential health risks of long-term over-consumption of fluoridated water are:

  • Dental fluorosis, an aesthetic issue causing white specks or streaks on the tooth enamel. Especially common in young children under the age of six.
  • Skeletal fluorosis, causing bones to harden and lose their elasticity, becoming more prone to breaking, pain, and impaired joint mobility.
  • Neurological problems, including impaired development in children.
  • Thyroid problems, as a result of damage to the parathyroid gland, resulting in excess calcium levels in the blood.
  • An increased risk of bone cancer and osteoarthritis.
  • Acne and other skin issues.
  • Reproductive and fertility issues.

My opinion

I personally don’t want to drink fluoride on a daily basis. If I want to use it to prevent tooth decay then I would prefer to use a fluoride toothpaste (which I also don’t), rather than consuming the fluoride through my entire body via drinking water.

Although fluoride is a naturally occurring mineral found in water, we don’t all live with access to fresh water springs where we can consume it direct from mother nature! The water we receive via our household taps and faucets has undergone chemical treatment and therefore I would prefer to filter at home.

In addition to fluoride in water, it is also found in our tea. Truth About Fluoride states “some tea has two, three or even six times the amount of fluoride when compared to tap water! Easily putting millions of people around the world over the safe amount of daily fluoride intake.” If we are already consuming fluoride via other sources then why do we need it in our regular tap water also?

What can you do?

As always, we have a choice. It might not seem that way if the government decide to fluoridate the entire water supply. But it is up to us to take personal responsibility, and put measures in place to protect our own health and wellbeing, and that of our family.

This is why I installed an undersink water filtration system back in 2021, and am now promoting this system to help others do the same.

The Energy Plus Undersink Filter System I use gives extremely efficient removal of fluoride, as well as heavy metals, chlorine, pesticides, hormones and pharmaceutical residues. It also filters out debris, bacteria and microplastics, down to 0.1 micron.

It then goes on to restructure the water to make is highly bio-available to the cells, (see the work of Dr. Catherine Clinton and Gerard Pollack for more on structured water), and releases Molecular Hydrogen to give it exceptional antioxidant properties (something that a water ioniser would do). This system is very reasonably priced.

Alternatively there is also a biocera water jug which carries out a similar process but just on a smaller scale.

If you would like to know more click my links or reach out to me directly via my contact details or on social media.

How to Manage a Stye

We have had quite a few styes in our household this year. Bathe with a warm chamomile compress for rapid healing. We put 1-2 drops of chamomile essential oil in a small bowl of warm water and then soaked cotton wool in the water to make the compress. Then relax back and place over the eye for a few minutes. We repeated this daily for a few days and the stye disappeared.

Don’t forget the mental/emotional aspect of styes which might suggest looking at the world through angry eyes. From a Traditional Chinese Medicine (TCM) view, anger manifests in the Liver which opens out into the eyes, so this all ties in.

Spend time checking into yourself.

Chamomile is gentle and calming. This same eye compress can be used for itchy eyes, red and sore eyes, hay fever.

It’s always handy to have Roman Chamomile and Lavender essential oils in your cabinet for first aid/little emergencies.

Chamomile essential oil from Neal’s Yard Remedies, next to bowl of warm water and cotton wool pads.

Molecular Hydrogen

Hydrogen is the smallest molecule in the universe. It has only 2 atoms, and binds with oxygen to give us water – H2+0.

Molecular hydrogen is the name given to hydrogen that is released into water to give it highly antioxidant properties. There are over 1000 published studies now providing evidence that hydrogen-rich water has many health-giving and therapeutic effects.

Why is water good for you?

If we consider that, as humans, we are made up of approximately 70% water, we should really make clean, living, health-giving water and hydration our number one priority when it comes to health and nutrition.

Tap water is not the same as filtered water

Tap water is drinkable but it is full of various extras such as the growing concern around micro-plastics, chlorine, fluoride, pharmaceutical residues and hormones. Because of these, as well as poor water structure, the tap water consumed does not effectively hydrate the body and penetrate deep into the cells where it is needed. It is a bit like watering a dried up pot plant: most of the water runs straight through into the saucer.

By releasing molecular hydrogen into clean, filtered and restructured water, we are left with water that is highly bioavailable and hydrates the body much quicker and effectively that regular tap water.

How do I get molecular hydrogen into my water?

There are various ways you can get molecular hydrogen into your water. The system I use at home (and have done so since 2021 – I never promote anything I do not use myself) is the Energy Plus Undersink Filter System from Water for Health.

This is a 4 stage filtration process which sits neatly under the sink. The first two filters remove debris and particulate, and other contaminants such as chlorine and fluoride. The third filter uses bioceramics to mineralise the water to give it good structure. It then finally passes through the fourth filter which uses a magnesium substrate to release molecular hydrogen into the water.

Which water filter is best?

A water filter of this nature is my preferred way to filter water, over reverse osmosis (ro) and distilling. This is mainly down to the fact that both of these methods remove absolutely everything from the water, including the good stuff – the minerals – which not only provide all the trace elements your body needs, but also provide a basic structure to the water. So if you do choose “ro” or distilling then make sure you re-mineralise the water before drinking.

For further information please see my affiliate link here. There are currently over 1000 published studies available on the benefits of molecular hydrogen.

Water droplets suspended in mid air.

Salts explained

Salt with a wooden spoon.

Sea salt is really good for soaking in a bath. It is believed to stimulate circulation, help ease muscle cramps, help relieve stiff joints, and soothe the skin.

Sea salt isn’t generally processed that much, it is simply evaporated off the water. So its very rich in trace minerals such as calcium, potassium, magnesium, zinc and iron.

Himalayan salts are very similar to sea salt in composition and trace minerals. However, because Himalayan salt is mined near the foothills of the Himalayan mountains, from some really ancient sea beds which were covered over with ice, lava and snow for millions of years, its thought that Himalayan salts are much purer than our regular sea salt because they are not full of our modern day pollutants.

Epsom salts aren’t actually a salt. They are magnesium, sulphur and oxygen. So when you use Epsom salts you are really using them for their magnesium content. Magnesium is needed in the body for all sorts of daily functions at a cellular level, and it is thought that in this day and age we are all lacking in magnesium due to the erosion of soil quality. Magnesium is very easily absorbed through the skin so soaking in a bath of Epsom salts is a great way to boost your magnesium levels.

Although we do need magnesium to support a whole host of bodily functions, one of the main things we all need it for is stress-management and improved sleep.

So these are the different types of salt explained, so you can now make an informed choice as to which type you would like to bathe in. Happy soaking!

View the bath salts from Neal’s Yard Remedies Organic.

Stress is a thief

Woman feeling stressed.

Stress is bandied about a lot across the internet and social media. But lets cut to the chase.

When you are chronically stressed (and this can be any type of stress, worry or fear because the body treats it all the same; as a threat) then your adrenal glands will secrete more of the hormone cortisol in order to keep you safe.

However, cortisol is made up of various ingredients, one of which is pregnenolone. This is where the steal happens. Pregnenolone is a key building block for the sex hormones: oestrogen, progesterone and testosterone. When the body is stressed, it believes it is under threat, and the priority is survival. So of course, the body will prioritise using the ingredients to create cortisol, the stress hormone, over using it to create our sex hormones. Because if your cycle is irregular, or you have unusual mid-cycle bleeding for example, these are not life-threatening. But the body will interpret any stress as life threatening, so other processes of less importance will be “put on the back-burner”.

So if you are having fertility issues of any kind, identifying areas of stress in your life can be a pivotal starting point. Really take some time reviewing your daily activities and routines and see where things could be improved. Spend some time sitting quietly and try not to think about anything. If this is difficult, write down the thoughts or worries that keep reappearing. Other things to consider:

  • Meditation or some sort of spiritual connection
  • Reflexology and/or acupuncture, massage
  • Gentle exercise allowing time for recovery afterwards
  • Setting time aside to do the things you love to do

If you are looking for fertility support in Lancashire please call/email me directly to have a chat and book in.