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

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 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 fertility support in Lancashire please get in touch.

Jackie Marsden is a Reflexologist, Acupuncturist and Foot Reading Practitioner, based at Elder Cottage Clinic, Warton, Preston, PR4. She is a full member of the Association of Reflexologists.