More on Endometriosis

Endometriosis is thought to come from retrograde menstrual blood flow. This means that when we menstruate, some of the uterine shedding doesn’t flow downwards and out through the vagina; some of it will move up through the Fallopian tubes and into the ovary, and sometimes beyond and into the pelvic cavity.

Woman experiencing period pain.

These pieces of the endometrium are then implanted outside of the uterus, and will bleed during subsequent menses. This means that there is menstrual blood outside of the uterus which the body sees as a foreign invader; the body doesn’t recognise it outside of the uterine cavity. This creates inflammation and pain, and triggers an auto-immune response.

This also can create an oestrogen-dominant state within the body, because of the excess oestrogenic tissue outside the uterine cavity.

Endometriosis doesn’t just create “period pains” and heavy bleeding. It also can have a huge impact on reproductive health, digestive health and bowel movements, urinary and bladder health, mental/emotional health. It can also cause fatigue, shortness of breath, nausea, vomiting, and pain.

In Traditional Chinese Medicine principles, we need to move Liver Qi Stagnation and clear Blood Stasis. This means that the Qi (energy) of the body is not free-flowing, which causes pain. It also means that if these continue to stagnate then the Blood cannot flow as it should and it gets locked down.

Depending on your particular symptoms and observations an acupuncture prescription will be created to help encourage the restoration of balance within the body.

If you prefer a Reflexology approach, then Reflexology Lymph Drainage could be the sequence of choice. This sequence specifically targets the lymphatic reflexes on the feet, with the intention of modulating the immune system (the white blood cells of the immune system live in the lymphatic fluid) and reducing the inflammatory effect on the body.

Some lifestyle interventions you can do to help yourself:

  • Do not wear tampons. These block the natural downward movement of menstrual blood.
  • Do not have intercourse during your period and the post-partum period.
  • Do less exercise during your bleed.
  • Avoid pelvic examinations and abdominal massage/pressure during your bleed.
  • Avoid exposure to cold water during your bleed.
  • Eat an anti-inflammatory diet such as the Mediterranean Diet, increases your intake of phytonutrients, fruit and vegetables, nuts and seeds, and reducing refined sugars, alcohol, caffeine.
  • Improving your diet can create an improved impact on bowel movements. Excess oestrogen is excreted through the stool so ideally twice daily bowel movements are optimal.
  • Remove all oestrogen-mimicking plastics and personal care products from your home. Anything from synthetic fragrances, plug-ins, candles, food stored/cooked in plastics, washing plastic Tupperware/bowls/cups in really hot water and with a harsh detergent. Switch to more environmentally friendly cleaning products and glass Tupperware. See my other post on detoxing holistically.

For more information please see my other blog post.

Fertility Journey Review

£150.00

A 90-minute one-to-one Zoom consultation designed to review your fertility history, previous investigations and possible next steps.

Ear Points for Fertility: The 28 Day Protocol title

£17.00

A practical self-guided fertility ear acupressure programme featuring pattern identification, point-finding photographs, a four-week routine and tracking tools to help you use ear acupressure consistently and confidently.

 

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.

Feel at the endo’ your rope with Endometriosis?

Woman lying on sofa with abdominal pain

Endometriosis is a condition where the cells of the endometrium (the uterine lining) are laid down outside of the uterus, usually within the pelvic cavity but sometimes also further afield, like in the nostril for example.

Often endometriosis is found on the ovaries, fallopian tubes, or even the bladder and bowel.

When menstruation occurs, the endometriosis tissue bleeds too. This means that menstrual blood is flowing into areas where it shouldn’t. The body’s immune system will kick in, and attack the endometriosis tissue, creating high levels of inflammation and pain.

Other symptoms might include pain while emptying bladder, during bowel movements, and during or after intimacy. IBS symptoms may also be present; diarrhoea or constipation.

Often endometriosis takes a long time to diagnose, because it really can only be seen via laparoscopy or MRI, although sometimes it can be detected via ultrasound. Initially pain and IBS symptoms will be dealt with via pain killers, and heavy periods are often managed via the oral contraceptive pill. Although these firefighting methods might help, they don’t get to the root of the issue.

High levels of inflammation can cause all sorts of havoc within the body. A disordered immune system will have an impact on thyroid, joints, musculoskeletal health, intestinal and bowel health, sexual health and mental wellbeing. Higher levels of the wrong type of bacteria can be prolific within the microbiome; these can cause reoccurring infections such as thrush and UTIs. Oestrogen dominance can also prevail.

What are the answers?

If you suspect you have endometriosis its imperative that your symptoms are investigated further.

Anything you can do to modulate your immune system will help. Eating an anti-inflammatory diet and removing known stimulants and food triggers is important. Regular bowel movements are also hugely important. Seek help from an acupuncturist specialising in fertility or women’s health, or a reflexologist specialising in Reflexology Lymph Drainage.

If you are experiencing problems and would like to book in with me please get in touch.

Fertility Journey Review

£150.00

A 90-minute one-to-one Zoom consultation designed to review your fertility history, previous investigations and possible next steps.

Ear Points for Fertility: The 28 Day Protocol title

£17.00

A practical self-guided fertility ear acupressure programme featuring pattern identification, point-finding photographs, a four-week routine and tracking tools to help you use ear acupressure consistently and confidently.

 

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/

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.

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.

The Internal Seasons

I’ve had this blog idea on my “to-do” list for ages, but I’ve not been inspired to write it until today. Do you ever have that? Where something is there to be done but you’re just not inspired to do it until one day, ping! the inspiration comes.

This blog is about outlining the menstrual cycle from a TCM (Traditional Chinese Medicine) point of view, and how are cycles are similar to the seasons. By becoming more aware of our internal cycles we can really look after ourselves in understanding when times of rest, nourishment and calm are needed (Winter) and when times of high energy can bring us productivity and rejuvenation (Spring and Summer). And those times of preparation (Autumn). A bringing together of the physical and the mental/emotional.

However I feel that there is more to this blog than I originally thought. This is because it is becoming more and more apparent to me that we are not just similar to the seasons, we ARE the seasons. We don’t just live here on this planet, we ARE part of the fabric of creation itself. There is no coincidence that our cycles move in time with the moon; that the tides are pushed and pulled by the forces of the lunar cycle, that so many animals, sea creatures and insects follow the phases of the moon for their own reproduction. Everything in nature includes us. There is no separation. When we talk about “connecting with nature” I think what we are actually doing is “reconnecting with who we are”. We are nature. We don’t walk in nature, or spend time in nature; we ARE nature. This is why these times make us feel so good, because there is a sense of coming home, of becoming one, of belonging, of lessening the grips of the idea that we are seperate from the world and from each other. I find I have more and more of these moments of inner knowing, connectedness and understanding of life, and this is the first time I have been able to grab it and get it down into words.

When we discuss the theory of TCM we often mention the seasons and the weather when we talk about particular energies and meridians. TCM philosophy really harnesses the idea of connectedness with our environment and with nature. I really appreciate this concept in my own understandings of life and of health and wellbeing. I also like the idea of likening the menstrual cycle to the ebb and flow of the tides; the tides of Yin and Yang. Understanding these tides and the transitional points between the two can offer huge benefits of understanding to support one’s own monthly cycles:

Phase 1 (days 1-5) is about Blood as we menstruate, it is a restful Yin phase focusing on nourishing ourselves and taking care of ourselves. Honour this time and avoid sexual intercourse and strenuous exercise. The external pathogenic factor of Cold can penetrate particularly at this time so take note of this in the activities you pursue. Remember that Blood is flowing downwards so sanitary items such as tampons obstruct this downward movement. Better to use pads or a menstrual cup.

Phase 2 (days 6-13) is focusing on Yin as increased amounts of oestrogen cause the lining of the uterus to thicken. Eating protein and mineral-rich foods in this phase will help to replenish Blood and Yin. This phase is building towards Yang.

Day 14 is when ovulation happens, and some cramping or spotting can occur as the body prepares to move from Yin to Yang. Get to know your cycles and allow your body and mind space to transition.

Phase 3 (days 15-21) is very Yang focussed; the body is building and nourishing the uterus ready for implantation if fertilization occurs, or shedding the lining if it doesn’t. This segment of the cycle is very energetic. Remember to support yourself during this energetic time with nutrient dense foods and adequate hydration.

Phase 4 (days 22-28) focusses on Qi. As oestrogen levels drop, serotonin levels can also drop and this can affect our mood and emotions. PMS can occur, tears, frustration, anger, as well as physical symptoms such as bloating or breast tenderness. All of these symptoms are based on the lack of free flowing Qi and result in Qi stagnation. So this segment of the cycle it is important to eat clean, take gentle exercise and avoid stimulants in order to support the Liver energy to keep Qi gently flowing freely. It might be a time where you might want to reach for those sugary snacks, so try to substitute those with better choices. We can also choose to eat warming foods because Qi needs heat to keep the fluids moving. Avoiding cold foods and drinks, and exposure to cold weather, swimming and sitting on cold surfaces can all help to support this phase of the cycle.

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

A healthy mid-life means an easier menopause

The most important thing to know about the menopause is prevention, so if you are a woman in your midlife, getting the support and balance you need will help you in your menopausal years. This blog aims to explains the menopause in Traditional Chinese Medicine (TCM) terms, and gives indicators on how you can support yourself as well as receiving treatments in-clinic.

As a therapist with a predominantly female clientele, and a 40-something woman myself, I have a particular interest in this subject. Many women suffer with the two main symptoms of menopause: hot flushes and dryness (an excess of heat and a lack of moisture). In addition to these symptoms, women can also feel emotionally unstable, have difficultly sleeping and concentrating, experience frequent headaches, feel lethargic and tired, irritable, anxious, depressed and nervous.

Although the menopause usually comes at around the age of 50, the decline in the ovarian follicles and in oestrogen occurs throughout our lives. The number of follicles at birth has already halved by puberty, and continues to decline up to the menopause. Thus the menopausal symptoms can start to appear at an earlier stage in life, so we are never too young to take notice.

In TCM, from our conception, our Kidneys store our vital life essence (Jing). Jing circulates over long periods, dominating our developmental stages (usually 7 year cycles in women and 8 year cycles in men). Our Kidneys dominate growth and reproduction. They also dominate water metabolism and bone, and produce marrow (brain). So you can see that our Kidney energy is very important in not only giving us our life force and will-power, it also governs our reproductive systems, and works closely with the lungs to moisten the body, as well as strengthens our skeletal system. These are all closely linked to common health problems in women (osteoporosis, dryness, infertility, irregular menstrual cycles and fatigue to name a few).

Thinking about menopause, anything that will weaken our Kidney energy is going to have an impact on our menopause. Our busy modern day lives seem to dictate a very stressful way of living. For example, parents going out to work as well as looking after children will often feel overwhelmed and unrested, causing tiredness, fatigue and irritability. Smoking will “burn fluids” and dry out moisture. Irregular diets high in beige carbs, processed foods and sugars will create “phlegm” (this is a TCM term for thick, sticky stagnation). Too much tea, coffee and alcohol is very “yang” in nature and therefore will add heat to the body and thus aggravate symptoms such as hot flushes. Not enough fluid/water intake will have an effect on moisture levels. Emotional stress will also deplete Kidney energy.

As women, we need to create space in our lives to allow balance. We need to replenish our Kidney energy with enough rest between busy times, we need to eat and drink in moderation and eat well; foods that are nutrient dense and foods that add moisture. Drink enough fluids. Only do what we can comfortably do and don’t over stretch ourselves. If we do all of this then we will naturally regulate our day-to-day emotional stresses, but anything lying deeper should be dealt with and not “carried” as this will also deplete the Kidneys, as well as create excess Heart energy adding fire/heat, exacerbating hot flushes, irritability and dryness.

If you are interested in receiving some acupuncture or reflexology sessions please contact me directly for an initial chat.

If you are looking for holistic support for your health in Lancashire please get in touch.

Acupuncture for Infertility

Acupuncture is a tried and tested system of traditional medicine, which has been used in China and other eastern cultures for thousands of years to restore, promote and maintain good health.

Research has found that acupuncture treatments can have a positive effect on those trying for a baby and can actually aid the conception process.

Fertility focused acupuncture treatments can help to increase blood flow to the reproductive organs, balance hormonal levels, regulate the menstrual cycle and help improve the lining of the uterus and quality of eggs released. Additionally, conditions such as polycystic ovaries and endometriosis have also been shown to improve with acupuncture.

Benefits to male fertility have also been helped by acupuncture with positive effects on sperm count, sperm morphology and mobility.

Some of the positive effects of acupuncture in fertility treatments are thought to include:

  • regulates the menstrual cycle and promotes regular ovulation
  • regulates the hormones to produce larger numbers of follicles
  • improves the functions of ovaries to produce better quality eggs
  • enhances the vitality of sperm
  • relieves the side effects of drugs used in IVF
  • increases the thickness of the uterine lining so to encourage successful implantation
  • reduces the chance of miscarriage

It is known that stress has an adverse effect on the fertility hormones. Acupuncture can be used to support the process, thus enabling couples to cope with any stress and anxieties they may experience during this time. The acupuncture treatment can help promote a calm, positive and relaxed frame of mind which can bring a more successful outcome for conception.

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

Information for this blog has been taken from British Acupuncture Council

Jackie Marsden MAR is a qualified reflexologist and clinical acupuncturist, working from Elder Cottage Clinic, Warton, nr. Preston.

The Dirty Truth about Tampons (and pads)

Did you know that sanitary products are categorised as “medical devices”. “So what?” you might say. This categorisation means that manufacturers are exempt from listing the ingredients used in producing tampons and sanitary pads.

Are they really safe?

The exemption from listing the ingredients is worrying for a number of reasons. The skin around our vagina, and the vaginal tissue itself is highly vascular, leaving it permeable to a wide range of compounds. In other words,  any chemical or toxin is absorbed at a higher rate and will quite possibly enter the blood stream. Chemicals or toxins entering the body via the skin by-pass the filters of the digestive system, and thus are potentially a greater danger to our health. (1)

Other personal care products such as wipes, shampoos, washes etc. are regulated as cosmetics and thus must list all ingredients used. But shouldn’t the ingredients of tampons and sanitary pads be disclosed too? I believe that they should so that women can make informed choices on what they put on their skin and what they place inside their bodies.

Undisclosed substances contained in tampons, sanitary towels and wipes, such as preservatives, pesticides, fragrances and dyes could have possible and serious health effects emerging in the form of an allergic rash, genital irritation, the onset of asthma and an increased risk of cancer.(2) There is also a question mark over their impact on fertility.

The cost to our planet

Tampons and sanitary pads create huge waste, which is an ever increasing problem for our planet.

On average a woman will use 11,000 tampons or pads in their lifetime (3). Each one takes years to degrade. This figure is quite staggering – but then – think about how many women are on the planet and how many women to come? We are needlessly creating mountains of waste. We need to do something different.

The personal cost – what is it really?

On average a woman uses around 22 sanitary items per cycle, and spends around £90 per year. (4) Multiply this by 40 years of menstruation, each woman can spend on average £3600 on tampons and pads. Compare this to a Mooncup which cost £23.50 and will last years and years. (3)

Mooncup – what’s that?

The Mooncup is a reusable menstrual cup, around two inches long and made from soft medical grade silicone. It is worn internally a lot lower than a tampon but, while tampons and pads absorb menstrual fluid, the Mooncup collects it. This means it doesn’t cause dryness or irritation, and also that it collects far more (three times as much as a tampon!). Because the Mooncup is reusable, you only need one so it saves you money and helps the environment, too. (3)

MC-A-BG

The Mooncup is designed to be folded and inserted into the vagina, then removed, rinsed and reinserted up to every 8 hours. A light seal is formed with your vaginal walls, allowing menstrual fluid to pass into the Mooncup without leakage or odour. This seal is released for removal, allowing you to empty the contents, rinse or wipe and reinsert. Comfortable, convenient and safe: the Mooncup can be used overnight and when travelling, swimming or exercising. (3)

What next?

Buy a Mooncup, start using it, and never have to buy, use or dispose of tampons and pads ever again!

Note the links to Mooncup are my affiliate links. I am only affiliated to brands/products that I use myself, and wholeheartedly believe in.

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

References

(1) http://articles.mercola.com/sites/articles/archive/2013/05/22/feminine-hygiene-products.aspx

(2) http://www.dailymail.co.uk/femail/article-2528510/Are-tampons-toxic-How-feminine-care-products-contain-undisclosed-ingredients-linked-allergic-rashes-asthma-cancer.html

(3) http://www.mooncup.co.uk/wc.php?u=3243

(4) http://www.theguardian.com/environment/ethicallivingblog/2009/aug/17/eco-friendly-periods-mooncup

Jackie Marsden MAR is a qualified reflexologist and independent consultant (Team Leader) for Neal’s Yard Remedies Organic. Jackie leads and mentors a growing team of consultants (many of whom are therapists integrating organic products into their existing businesses) via the NYRO social selling channel, holding regular team meetings, one-to-one coaching via phone and facetime, and a closed facebook group. All views are my own.

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