Why does IVF fail the first time?

Often the first round of IVF is used as a diagnostic. This means that the clinic will use a first round to assess where particular issues might be.

Human sperm being injected into an egg via ICSI.

For example, if the embryos are failing at day 3 then this can tell us that there is a problem with the health of the sperm.

Another example would be if the embryos are graded well but there is still no pregnancy then this could potentially mean there is an issue with the uterus, lining or progesterone receptivity.

Depending on where the procedure failed can give clues as to what is creating the unexplained infertility picture.

Unfortunately this first round is not something that should be taken lightly. Often it is a huge financial investment, not to mention the physical demands on the body, as well as the mental and emotional strain the process has on a couple.

When I work with clients I try to allow us at least 12 weeks to prepare for the next round of IVF. I take a very well-rounded consultation and full health intake to make sure we can drill down to where potential problems are sitting, and then increase the chances of a successful outcome.

Unfortunately I have seen scenarios where, had the couple not come for acupuncture, could have been a very different outcome. For example a couple who had all embryos fail at day 3 were told they needed donor eggs. No mention of improving the health of the sperm, which can be so easy to do with lifestyle and nutritional changes. Luckily this couple worked with me for 3 months and had a successful second cycle with their own eggs, and are now proud parents of a baby boy.

I’ve also seen clinics attempt a second cycle without really looking at the first one in detail. For example one client approached me after a failed fresh cycle. It was clear that there were microbiome issues and also a potential progesterone receptivity issue that we pushed to be checked during the second cycle, and the transfer was consequently halted due to low progesterone. Once we had this confirmed, a third cycle was successful after careful adjustment and monitoring of progesterone medication.

My training and continued learning and development gives me the tools to ask the right questions and see the infertility picture through a different lens. With access to the understanding of Chinese Medicine we can often see where problems lie early on.

If you are trying to conceive and need help, support or advice please get in touch.

Understanding Morning Sickness and Chinese Medicine in Pregnancy

Pregnant woman experiencing morning sickness and nausea.

Morning sickness is a general term we use to describe the feeling of nausea associated with pregnancy.

Although many women who experience morning sickness only feel ill in the mornings, many women actually feel ill all through the day and night. So it isn’t always about feeling sick just in the mornings.

When we sleep, we lay down for a long period during the night, and this can cause fluids to “sit around” and start to stagnate. Gentle movement such as walking out in the fresh air can help to get that fluid moving and circulating again. Ginger tea can also help with this.

Pregnancy uses up a lot of Qi, and many women feel worse when they don’t allow themselves enough rest. Perhaps still working 9-5, perhaps still pushing forward with other commitments and goals. If we use up a lot of Qi doing these things on top of pregnancy then there is little Qi left to move fluids around the body efficiently, creating the feeling of nausea. Adequate rest is really important.

Let’s talk a little bit about Chinese Medicine. The Chong Mai is the Sea of Blood and this will be sending Blood to the Uterus to nourish the foetus. This can overflow and start backing up, particularly in early pregnancy, creating the sense of nausea. This is why morning sickness often improves as the pregnancy progresses, as the foetus grows and the body adapts to the new life growing inside. The Chong Mai is closely linked with the Stomach channel. As the natural movement of Qi within the Stomach is downwards, “Rebellious Qi” describes it rebelling upwards, creating the feeling of nausea. Acupuncture can help to strengthen the descending action of the Qi to alleviate symptoms.

Sea bands are based on Pericardium 6 acupuncture point on the wrist which harmonises the Stomach and alleviates nausea and vomiting. My clients are often sent home with stick-on magnets to use on this point and perhaps others depending on the individual pattern. Using these in between acupuncture sessions can be really beneficial.

Contact me to support you through your fertility journey, early pregnancy and beyond.

Why is Acupuncture popular during IVF?

Acupuncture needles.

Acupuncture is becoming increasingly popular within the IVF world and many clinics recommend acupuncture to patients to help support them through the journey. But what is it about acupuncture that makes it so popular for the IVF process?

There is a huge wealth of scientific study and evidence to show that acupuncture has a positive effect on IVF outcomes. It is easy to do a quick internet search to find lots of research articles and scientific studies on this topic. It is a widely researched area and there is a lot of interest. For further information about studies and outcomes, please see this fact sheet from the British Acupuncture Council.

Let’s now focus on the physical aspects of acupuncture and the IVF process. The reproductive system is a particularly vascular system, and therefore inserting needles into that area of the body will create a micro-trauma. This sends extra blood, oxygen and nutrients into the area, helping to regulate uterine and ovarian blood flow and encourage follicular development (eggs) and endometrial development (the lining of the uterus).

Acupuncture has an impact on hormones and the communication within the endocrine system, thus having a positive effect on menstrual cycles. Specifically points on the head can have a direct effect on the pituitary gland. Likewise, serotonin and dopamine are our neurotransmitters, and acupuncture can offer regulation of these, so patients start to feel better and in balance. Acupuncture therefore can help navigate the side effects often felt from IVF drugs, such as headaches, nausea, hot flushes, low mood.

For men, needles in the lower abdomen and legs is going to increase blood flow to the testes and will positively effect the semen. Semen are constantly being manufactured within the body so changes can happen quickly and swiftly.

Alongside the physical aspect of acupuncture there is also the emotional support an acupuncturist will offer as you go through the IVF process. Being able to talk to someone knowledgeable, caring and in confidence during a very stressful time, when you might be wanting to keep your journey private from friends and family, can be really helpful and a lifeline for support during the process.

Common obstacles to wellness

Woman receiving a facial massage.

Many people find it difficult to find the time for wellbeing. Juggling work and family commitments can be a challenge, and before we know it another week has passed and another opportunity to book in for that reflexology or acupuncture session has gone.

As women I think we often find that, in altruistic fashion, put our own needs at the bottom of the priority list. Our children/partners/work all often take priority over ourselves and what we need to keep well and feel good.

Sometimes we might even feel that having that massage or facial is actually a luxury, and not an essential, and then we simply don’t prioritise it at all, and may even cross it off the to-do list completely!

But it is so important to take care of our health while we still have it. If we become unwell and ill-health prevails, that is when we will be unable to cope with family commitments and go to work.

Preventative healthcare is so important particularly for women as we spin so many plates in our various roles as mother, sister, daughter, wife/partner, carer, money-earner, housekeeper, cook, cleaner… the list goes on! If we don’t take care of ourselves while we have so many responsibilities, the stress of it all will start to take its toll.

So put yourself first, at least once a month, for just an hour. Book in for that treatment and make sure your cup is replenished so that you’re fully topped up and resourced for the month ahead.

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.

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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.