How does Acupuncture work?

I am often asked how my therapies actually work. Like, really, how to they work? What are the fundamental principles by which Acupuncture effects the client?

Woman receiving abdominal acupuncture.

Acupuncture is the insertion of very fine needles into the skin. At this very basic level, we are creating an immune response in the body, by piercing the skin. The skin is there to protect us, to act as the boundary between the interior and the exterior. The body reacts to the needles by stimulating the immune system to create more white blood cells ready to defend against a pathogen.

We can also say that the needles have a neurological effect on the body because beneath the surface of the skin we have the superficial fascia, which is our neuro-connective tissue. Think of it like cling film wrapping all the body parts together. This connective tissue runs throughout the entire body in varying different layers, separating, supporting and enclosing different body parts, but connecting them all together. By piercing this with a very fine needle at particular points stimulates the nervous system and can affect the whole body.

Fascinating!

If you would like to book in please get in touch.

Thoughts on Sleep

Woman sleeping peacefully.

Aside from nutrition, getting good quality sleep is probably the most important aspect for health and longevity. It is the cornerstone to good health,vitality, living longer and feeling well.

As basic as it sounds, we are designed to live with the diurnal rhythm; we wake with the light, and we sleep in the dark.

From around 5-6pm in the evening, our cortisol levels naturally start to drop, and the natural light starts to dim, and melatonin levels begin to rise. Melatonin is the hormone that makes us feel drowsy and gets us ready for a good night’s sleep.

I love to look at the Yin/Yang aspect of everything, and we can see here we have the dark night time which is Yin, and the light daytime which is Yang. We can also see that cortisol is the Yang to it’s counterpart melatonin, which is Yin. Our Yin and Yang aspects are always ebbing and flowing gently, gradually and naturally. Therefore its a really good idea to get into a winding down routine in the evening to allow our Yin to naturally deepen and do its work for a good night’s rest.

Its a great idea to adjust your daily activities (as much as is possible) to support this natural daily rhythm. Eating breakfast and your main meal, taking physical exercise and doing the main bulk of your work during the morning and earlier part of the day is best as this is when cortisol is at its highest.

As cortisol starts to drop early evening, its better to eat a smaller evening meal at least 3-4 hours before bedtime. The ‘321’ idea is an easy concept to follow:

  • Eat no later than 3 hours before bed
  • Drink no later than 2 hours before bed (any fluids)
  • No screens no later than 1 hour before bed.

If you can’t switch off your mind, meditation is helpful, as is Valerian, chamomile and magnesium. A bath with Epsom salts will give you a great boost of magnesium, and as your body temperature starts to drop afterwards, it will naturally help to make you feel sleepy. A cup of night time tea might also be useful. Try different things and see what helps you – we are all different!

We should be getting around 90 minutes of deep sleep every night and this usually happens earlier into the night. Its during the deep sleep where our body replenishes, heals and rejuvenates.

We should be getting around 2-3 hours of REM sleep a bit later on in the night, after deep sleep, and this is the type of sleep where our mind sifts, sorts through and processes everything that’s happened during the day. I believe this is why meditation can be so useful because sitting quietly and observing our thoughts for a few minutes before bed will get ahead of the sifting and sorting process that happens during REM.

We can disrupt our deep sleep by exercising too much. It’s a bit like taking a car on a very long drive; the engine will have been revved up and used a lot of oil. It will take longer to cool down and get back to normal. It’s the same with our body and mind. It can leave you wired even if you have done a lot and think you should be tired.

If you are a snorer then this will disrupt your sleep patterns, particularly if it causes apnea and wakes you everytime you’re snoring too loudly or gasping for air. It also means that you are not breathing through your nose as much. Nasal breathing increases the gas nitric oxide which is a molecule produced naturally in the body and is important for relaxing blood vessels and allowing them to widen and increase circulation (and so increasing oxygen and nutrient circulation around the body). It also helps us to feel relaxed and switch from ‘fight or flight’ to ‘rest and digest’ i.e. switching off the sympathetic nervous system and switching on the parasympathetic nervous system. Again these are the Yin and Yang aspects of health. Nasal breathing helps us to move out of Yang and into Yin.

Humming on the outbreath creates vibration which will open up the airways and increase nitric oxide, again making us feel relaxed and able to sleep better. So do some “Oms” with your evening meditation and see if you notice the difference!

Going back to snoring; snoring is usually down to raised inflammation making the airways swollen and restricted. Reducing inflammation is something to really work on if you are a snorer; losing weight, eating the rainbow, cutting down on refined carbs and sugars, processed foods, alcohol, smoking, caffeine, upping your omega 3s by eating oily fish, nuts and seeds, olive oil etc.

Working with a practitioner like myself with regular reflexology and/or acupuncture can be so useful in taking care of your overall health and wellbeing, and we can usually pinpoint areas that might be disturbing your ability to get a good night’s sleep.

Overall, getting into good habits by creating a bedtime routine or ritual that you follow each night, tailored particularly to those things that work for you, is the best way to set the stage for a good night’s sleep.

If you are interested in working with me please get in touch.

Links to carefully selected affiliates.

IVF Acupuncture – Does it Work?

IVF acupuncture is acupuncture to support you through the IVF process.

Artistic interpretation of ovaries, uterus, cervix and vagina.

Ideally you will work with me for 3 months before your IVF treatment begins so that you are fully prepared for success.

Many clients come to me after they have had an unsuccessful first round. We look at the unsuccessful cycle and review what happened, and reflect upon what can be done differently next time.

It is such an emotionally challenging and stressful time for couples; having independent support is invaluable. It’s not simply needles; it is having someone to talk to and knowing someone has your back throughout the journey.

Acupuncture points are often chosen on the lower leg, ankles and feet, wrists and abdomen. But everyone is individual and points are chosen based on your particular pattern.

Acupuncture is powerful after egg collection to help your body heal from this procedure quickly so that you are ready and energised for the embryo transfer around 5 days later.

Getting 1-2 acupuncture treatments in after egg collection, and then one before embryo transfer can be really helpful.

A “baby bank” with details of couples who have trusted in me to support them through their fertility journeys is forthcoming. I am also preparing an e-book to help you set good foundations for your fertility journey.

How can I increase my chances of IVF success?

IVF is a process which shouldn’t be taken lightly. It is hard on couples from all angles; emotionally, mentally and physically.

IVF eggs under microscope.

The drugs used are heavy duty; creating all sorts of side effects and mood swings. The process involves physical incisions through the vaginal wall and on the ovaries – multiple cuts in fact – depending on how many follicles you have. A lot of energy is required for your body to heal. You will also be sedated and this can take time to recover from.

Then there is the agonizing wait to see if any eggs fertilized, and how well they develop to day 5 where you will then have another procedure to transfer the embryo into your womb. And the 2 week wait begins, alongside more drugs.

It is an emotional roller coaster and exhausting; taxing mentally and physically with trips in and out of the clinic for tests and scans.

For such a consuming process, wouldn’t you want to prepare the best that you can to maximise your chances of success? Its not something you should walk into without first fully investigating what the problems are with your inability to conceive naturally, and to really prepare your body and the environment within which your eggs are recruited and collected, and then transferred back for implantation and ongoing pregnancy.

Preparation is key when it comes to IVF success. Don’t allow a fertility clinic to use your first round as a diagnostic; that’s way too expensive both financially and for your health and overall wellbeing.

Find someone to help you through the process and work with a specialist who can take a deep dive into your lifestyle and nutrition, and offer you acupuncture as part of your preparation program.

Contact me for an initial chat and start your preconception journey with me today.

How can I increase my chances of getting pregnant?

If you are reading this then chances are you are trying to conceive, and perhaps you have been trying for a while now and each month is a roller coasting of emotions ranging from the highs of hopeful to the lows of that one line showing on the stick.

Woman crying, holding a negative pregnancy test.

One of the best things you can do is to take yourself off this roller coaster for at least 3-6 months. Stop “trying” and start focusing on collecting data, improving your lifestyle and nutritional choices.

Start tracking your cycle using a very basic thermometer to take your basal body temperature, and a paper chart. Mark down where your temperature is each morning before you get out of bed, and on which day of your cycle. Take note of your menstrual blood, spotting, discharge. Collecting this data for around 3 cycles can start to present patterns and markers that might indicate what is happening within your body and your cycle. Bring this with you if you decide to book in for acupuncture.

Get your bloods checked including a full hormone and thyroid panel. Get copies of these results and again bring them with you if you decide to come into clinic for acupuncture.

Really take a deep dive into your lifestyle; write down when you go to sleep, when you wake up, what you eat for each meal, whether you often get aches and pains. What exercise do you take, and what about your partner/husband? How much water do you both drink? Are you both eating a lot of processed foods? Do you use a lot of plastic?

Don’t go on this journey alone. Find a qualified practitioner to help you along the way. My fertility clients come in for weekly acupuncture where we look at everything in your life in detail and work out a plan of action to prepare you as a couple for conception, whether that is natural or IVF.

My clinic is based on the Fylde PR4. Contact me for a chat.

Is Acupuncture Worth it for IVF?

Acupuncture is very much worth it as part of your overall plan in preparing for conception.

Woman receiving acupuncture for fertility issues in her abdomen.

It is well documented that it takes around 100 days/3 months, or 3 cycles, for an egg to be recruited and matured ready for ovulation, and similarly for a full sperm regeneration cycle to complete.

It is hugely important to give yourself time to prepare and improve your overall health and wellness, lifestyle, diet and nutritional aspects before conceiving, whether you plan to do this naturally or via IVF. If the raw materials are not in the best condition possible, then you will not be maximizing your chances for a viable conception, implantation, and ongoing pregnancy and the health of the child.

As an acupuncturist I work closely with couples to look at where problems might be hiding. Sometimes a small imbalance can lead to issues when it comes to fertility. Working holistically, I take a full medical and lifestyle history from couples trying to conceive, then work out a specific and individualized acu-point prescription to help re-balance what I see happening in the body. I look at tongues, ears, feet and feel your abdomen. I ask a lot of questions about your menstrual cycle, menstrual blood and digestive health, as this can tell us as lot about what might be happening within the body.

Acupuncture is hugely effective when it comes to IVF. Particular points can help with innervation to the ovaries and uterus, boosting Blood and Qi, giving a good bump up to the follicles, helping with uterine lining, managing oestrogen levels and holding off OHSS, as well as calming the mind and supporting the couple. It is also excellent for expediting the recovery after egg collection, and preparing the uterus for transfer. Which points are used will be individual to your own picture.

In my own clinical experience, couples who have taken the appropriate time and care to prepare for their next IVF cycle get the best results; either falling pregnant naturally or having a successful IVF cycle.

If you would like to book a full consultation to discuss your own situation please contact me. Prices can be found here.

Understanding AMH

AMH blood test.

If you are trying to conceive and gone down the “infertility road” a little way, then you may well have had your AMH levels checked. Many will call this your “ovarian reserve”, but as we explore further, it really isn’t that simple.

AMH stands for Anti-Mullerian Hormone. This hormone is produced by the granulosa cells, which are specific cells within a developing follicle.

Follicles take around 100 days to develop, and this must happen at a nice slow pace in order to reach ovulation. AMH is produced to prevent these delicate “pre-antral” follicles from being stimulated by Follicle Stimulating Hormone (FSH) too early. [Pre-antral means they they have left the “storage cupboard” but are now at the stage before they reach the final menstrual month where they will be competing for ovulation.]

The larger the follicles get, the more AMH they produce, until they are ready to be stimulated by FSH within the menstrual month.

Therefore, AMH levels can be used as an indicator of the number of antral or developing follicles you might have. However, this is not as simple as it sounds. It is not an indicator of dormant eggs you still have in “storage” i.e. total ovarian reserve.

In theory, if your AMH is low, this could mean that you don’t have many antral follicles coming up along the “production line”, and thus not producing as much AMH, but those that you do have could be a good size and of good quality. In contrast, you might have lots of antral follicles but not of a good size and not developing particularly well, and thus not producing much AMH.

So really, AMH is not a good indicator for determining your complete ovarian reserve. What it is useful for is for IVF clinics to gauge an idea of how many follicles they might be able to work with during an IVF cycle. But without considering other factors, a fully rounded picture cannot be seen.

Other factors to consider

Age is the main factor when looking at fertility. There will be a slow and natural decrease in AMH as we get older.

If you are a younger woman with low AMH for your age group, there are other factors to consider including vitamin and mineral deficiencies, blood flow to the pelvis, inflammation and autoimmune responses, contraceptive drugs, smoking/vaping, sleep quality, stress, infections. All of these factors can have a significant impact on the ovarian environment, and with improvements in place, AMH can rise.

My advice would be not to get fixated on AMH levels, and certainly do not look at them in isolation. Take a good look at both your own and your partner’s overall health and lifestyle, get support from an holistic practitioner. Take time to make improvements to your diet and lifestyle (remember the 100 days) to do everything in your power to improve that internal environment within which eggs are recruited and developed, within which sperm are created, and the uterine terrain in which they come together to create new life.

Other useful information

Listen to this episode of Hannah Pearn’s podcast, talking about Low AMH and what it really means for your fertility

This is a great E-book if you want to know the answers to all the burning questions you have about low AMH: https://www.explaininginfertility.com/courses/LowAMH-ebook

This was a large study which measured AMH levels in a group of 1015 women who had no known fertility issues and who all had a proven level of fertility (conceived a child within 12 months of trying and carried to full term). Almost without exception, this presented those with low AMH were more likely to conceive. Thus, this research shows that it is possible to be naturally fertile with low AMH. https://pubmed.ncbi.nlm.nih.gov/24716733/

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.