Tag: ttc

When Fertility Tests Are Normal, But Pregnancy Isn’t Happening

by JMReflex, posted in Acupuncture

One of the most common conversations I have in clinic starts with someone telling me that all their tests have come back normal. Their partner’s tests are normal too, and they’ve been reassured that everything looks fine. Yet pregnancy still isn’t happening.

Sometimes there isn’t an obvious explanation. Fertility is complex, and even thorough investigations don’t always provide clear answers.

What strikes me, though, is that when we start talking in more detail, the story is often less straightforward than it first appeared.

A person may describe years of low energy, sugar cravings or afternoon energy slumps. They may have painful periods, heavy bleeding or clotting. Others mention recurrent thrush, BV or urinary tract infections, unexplained weight gain, digestive issues or thyroid symptoms despite being told their results are within the normal range.

None of these symptoms automatically explains fertility difficulties. Nor am I suggesting that every symptom points to an underlying fertility problem.

What I am interested in is whether these seemingly separate issues might be part of a wider pattern.

The more I learn about fertility, the more interested I become in the factors that influence overall health: blood sugar regulation, inflammation, nutrient status, sleep, stress, gut health, the vaginal microbiome and hormone function. These systems do not operate independently of one another, and neither does fertility.

This is one reason I believe it is important to look beyond individual test results and consider the broader context. A result that falls within a reference range can be reassuring, but it does not always mean there is nothing more worth exploring.

Need support?

Need a second pair of eyes on your fertility journey? My Fertility Journey Review is a one-to-one Zoom consultation where we’ll review your fertility history, previous investigations and current treatment plan, helping you identify potential gaps, questions to explore and practical next steps.

  • Ear Points for Fertility: The 28 Day Protocol title
Ear Points for Fertility: The 28 Day Protocol title - Image 1

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.

 

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  • Fertility Journey Review
Fertility Journey Review - Image 1

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.

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Trying to Conceive? Why Natural Skincare Matters More Than You Think

by JMReflex, posted in aromatherapy, Eco-friendly, Environment, Fertility, fertility acupuncture, Organic, Organic, Skincare, Stress, water
Hands forming a heart shape over a bare stomach.

When you are trying to conceive, it is natural to focus on diet, supplements and lifestyle. You might start tracking your cycle, supporting your hormones, or eating more nourishing, fertility-friendly foods. But one area that is often overlooked is the everyday products we apply to our skin, hair and body.

We are usually careful about what we eat, but do we pay the same attention to what we put on our skin? The skin is permeable and many ingredients in personal care products are absorbed into the bloodstream. This becomes particularly relevant in the preconception phase, when you are working to create the healthiest possible internal environment for pregnancy.

The Problem with Petrochemicals

A large number of mainstream skincare, body care and cosmetic products are based on petrochemicals. These are substances derived from petroleum and crude oil. They may be used to preserve products, make them feel silky, create foam or fragrance, or simply to bulk them out because they are cheap and widely available.

Petrochemicals can burden the liver and disrupt the endocrine system. Some are known or suspected endocrine-disrupting chemicals, which means they can interfere with your hormones. This is especially important during the delicate process of trying to conceive, when hormonal balance is essential for ovulation, implantation and embryo development.

Petrochemical-Derived Ingredients to Avoid

Here are some common ingredients that may appear in your skincare products, all of which are derived from petrochemicals and can impact fertility:

  • Paraffinum liquidum (mineral oil) Often used in moisturisers, this is a by-product of petroleum refining. It forms a film on the skin that may block pores and inhibit natural detoxification.
  • Propylene glycol Common in creams and serums to help retain moisture, but it can irritate the skin and increase the penetration of other chemicals.
  • Parabens (methylparaben, propylparaben, butylparaben) Used as preservatives, they mimic oestrogen in the body and are linked to hormonal disruption.
  • Phthalates Often hidden under the word “fragrance” or “parfum,” these are plasticisers that can disrupt reproductive hormones and have been associated with reduced fertility.
  • Sodium lauryl sulphate (SLS) and sodium laureth sulphate (SLES) These are foaming agents that can irritate the skin and are often contaminated with by-products of the petrochemical industry.
  • Synthetic fragrance or parfum A single artificial fragrance can contain dozens of undisclosed chemicals, many of which are derived from crude oil and may disrupt hormones or sensitise the skin.

The Preconception Window is Precious

In the months leading up to conception, your body is preparing in subtle but powerful ways. Detoxification, hormonal signalling, egg and sperm quality, and the uterine environment are all influenced by your internal balance. Reducing your toxic load by avoiding petrochemicals is a simple but significant step that supports these natural processes.

Nourish Yourself Naturally

Choosing natural personal care products is an act of self-love. Look for certified organic or naturally formulated options that are free from petroleum-derived ingredients, artificial fragrance and synthetic preservatives.

Brands such as Neal’s Yard Remedies focus on high-quality botanical ingredients that support rather than suppress your body’s natural rhythms. Begin with the products you use most often, such as body lotion, deodorant and facial care. These small shifts create long-term benefits, not only for fertility but for overall well-being.

Conclusion

Trying to conceive is a time to simplify, nourish and connect more deeply with yourself. By making thoughtful changes to the products you use every day, you support your body in doing what it was made to do. Natural personal care is not about being perfect. It is about creating space for your hormones to settle, your liver to work freely, and your skin to breathe.

You deserve to feel safe, supported and ready. Let nature take care of you, so you can take care of what matters most.

SHOP ORGANIC
  • Fertility Journey Review
Fertility Journey Review - Image 1

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.

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  • Ear Points for Fertility: The 28 Day Protocol title
Ear Points for Fertility: The 28 Day Protocol title - Image 1

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.

 

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Why does IVF fail the first time?

by JMReflex, posted in Acupuncture, Fertility, fertility acupuncture, ICSI, IVF, Male Factor, Nutrition, Pregnancy, Stress, Stress, TCM

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.

  • Fertility Journey Review
Fertility Journey Review - Image 1

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.

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  • Ear Points for Fertility: The 28 Day Protocol title
Ear Points for Fertility: The 28 Day Protocol title - Image 1

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.

 

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IVF Acupuncture – Does it Work?

by JMReflex, posted in Acupuncture, Fertility, fertility acupuncture, ICSI, IVF, Menstrual Cycle, Reflexology

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 getting pregnant?

by JMReflex, posted in Acupuncture, AMH, Fertility, fertility acupuncture, Health & Wellbeing, ICSI, IVF, Male Factor, Reflexology

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.

  • Ear Points for Fertility: The 28 Day Protocol title
Ear Points for Fertility: The 28 Day Protocol title - Image 1

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.

 

Category:
Tags: , , , , , ,
  • Fertility Journey Review
Fertility Journey Review - Image 1

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.

Category:
Tags: ,

Understanding AMH

by JMReflex, posted in Acupuncture, AMH, Fertility, fertility acupuncture, ICSI, IVF, Male Factor
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?

by JMReflex, posted in Acupuncture, Fertility, fertility acupuncture, Health & Wellbeing, Healthy eating, hydration, ICSI, IVF, jing, Male Factor, Nutrition, Reflexology, Sleep, Stress, Supplements, supplements, TCM, water

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

Let’s talk about periods

by JMReflex, posted in Acupuncture, Fertility, Menstrual Cycle

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.