Here’s a lovely card that popped through the door lately - it’s so appreciated when we hear from patients and would like to thank you all for the cards and flowers we receive as a team. They’re all really welcome and it makes us feel proud that we’ve managed to help couples along the way to becoming a family.
Well, I thought it had this morning, the 1st of April, but it seems to be threatening rain at the moment now we’re mid-way through the day. I guess that’s Spring for you. Very unreliable. The clocks have gone forwards and everything feels wrong - hungry at the wrong time, sleepy at the wrong time and awake at the wrong time. Still, I’m sure we’ll adjust given a few days and will be on an even keel until we have to undo it all again in October.
Time does seem to be flying and, we know from experience, that for fertility patients, Time does play awful tricks. Goes too fast when you want it to be slow and too slow when you need it to speed up. So much patience is required. We admire everyone who is trying to conceive, which ever and how ever you’re doing it because, ultimately, it is a numbers game and, even though you can and should do everything within your means to increase your chances of success - nutrition, acupuncture, IVF, Chlomid,abdominal massage and everything else that is on offer - there is still an element of chance involved and that’s just Evolution’s fault.
Nature hasn’t been that kind to us from a fertility point of view. Unlike rabbits who, apparently, have something called reflex ovulation (which means a female rabbit ovulates in response to ‘externally derived stimulus, ie a male rabbit doing his thing), humans have to wait for the twelve times per year (on average) when this happens. But that still means twelve chances for things to go right and they can, they do and they will. This is Spring remember, a time of new beginnings and growth. So let’s remember that the rain is here to nourish the ground, the sun’s here to warm us all up (at last!) and the wind …. well, not quite sure about the wind but I’m sure it’s good for something! Enjoy.
A lovely patient has got back to us after a couple of years with the testimonial she wrote and forgot to send. Always lovely to hear back from you all at any time. So here it is:
Just in time for Christmas some more good news from a patient who went through IVF:
Even though we try to follow up everyone who comes to see us, we don’t always manage it so we’re very grateful when people let us know how they’re doing. Keep those emails and cards coming!
Once again, a lovely bit of feedback from a happy patient - now 35 weeks pregnant. It’s so nice for us to hear from you and find out how you are getting on, whether pregnant or not because so much is shared between us in fertility/acupuncture sessions.
This patient also went on to say how she was very happy to share her feedback with you all.
Do let us know if you’ve been to see us but we haven’t caught up in a while. We always like to know how everyone is doing.
I know it’s not quite November but for fertility patients this time in the run up to Christmas is fraught with additional tensions. Mainly this is due to IVF clinics closing down for ‘deep cleaning’ and being on reduced staff over the Christmas break. There is a need to arrange for embryo transfers to take place before this happens or to be in the down regulation phase of the drug protocol which allows two weeks without too much intervention by the clinic.
Given that women (and humans in general) are not machines, our cycles don’t always start when they’re ‘supposed’ to or at a time that would be convenient. We know this whether or not we’re going through IVF or even trying to conceive. I’m sure we’ve all had a rogue period start on the day of a sports event or on holiday, just when it’s not wanted and not expected.
It’s difficult, as a practitioner, not to get wound up at the expectations of IVF clinics for women’s bodies to conform to their schedules but I reluctantly admit that they have to work to some sort of timetable. But it does translate as an added pressure on the woman who feels that her body is not working as it should and she’s doing something wrong. Girls, we are not robots!!!
The other problem with Christmas is the social pressure to drink alcohol. It’s amazing how difficult it is at this time of year, with the parties and social gatherings starting, to avoid sneaky appraising looks as soon as someone says they don’t want a drink. I think this is changing now with more people cutting down and choosing to go without alcohol but it’s still the norm to have at least one drink at a party and is almost impossible to say no without it drawing attention.
The dilemma then is what to say when people ask. Some women get away with clutching one glass of wine for the whole evening, putting it down when they get the chance or pouring the contents away and filling the glass with water. I think it’s valid to just say “I’m cutting down” and people should be mature enough to accept that but in reality, and this is worse with old friends where our friendships are often based on youthful wild nights out, it still raises eyebrows and knowing silences.
The fact is that, unless someone has experienced their own difficulties conceiving, they will probably not be able to understand where you’re coming from. Most couple trying to conceive don’t want to share what they’re going through with even the closest friends so sometimes we just have to lie or deceive in order to get through this intensely social time over Christmas.
Don’t despair though. It will pass. And there’s nothing wrong with turning down invitations and staying at home and relaxing anyway. We all deserve time off from the hustle and bustle and the pressures of appearing to be overtaken with Christmas spirit. Give yourself permission to chill out at home instead with bed socks, hot water bottle and a mug of hot chocolate!
We are so happy when our patients take the time to say thank you. We know how busy life is - especially with fertility/ivf appointments on top of everything else. We are very grateful when people find the space to get in touch so thank you to everyone who does. It really makes our day!
This comes from a recent lovely email:
There have been a couple of articles recently about the HFEA's decision to curtail 'expensive add-ons'.
We do admire what the HFEA are trying to do. They are safeguarding the patient from being exploited which is vital, but we are very much on the side of the patient having a choice. Not all procedures have strong evidence, yet, for altering success rates but that doesn't mean they don't or won't work and (as long as they do no harm) the more we learn the better for everyone. Our patients are generally very well informed and not easily led. They've done their research and they know what they want. We don't see that taking choice away from them will make their paths any easier.
Not only that, but the Press paints an incorrect picture of innocent and ignorant couples being led down dark alleys by unscrupulous Mr Burns-type private consultants who are only after money. This is not at all accurate on two fronts.
First it assumes that couples can't make their own wise decisions. That's not what we see in real life.
Secondly it makes out all private fertility consultants to be profit orientated manipulators which is also incorrect. The consultants we work with in Edinburgh and Glasgow will only offer patients what they really think might help them and are careful with procedures that have limited testing or marginal effects on success rates.
Often consultants have to work hard to guide couples away from unnecessary testing or procedures which have no proven impact. They have to carefully tread a path between the often desperate needs of patients vs the limited scientific evidence for various procedures. They have to decide whether or not to support a patient who wants to try something new and is well-informed about the potential outcomes, in the knowledge that a determined patient will often seek these procedures or tests somewhere else.
After all, we certainly don't know everything about fertility and we probably never will. Drugs that are 'guaranteed' to stimulate follicles sometimes aren't effective; endometrial lining doesn't always respond to hormonal input - we are not robots after all - so if something has no or minimal side-effects and may have a positive impact then why not try it?
Our bone of contention with private or self-funded IVF clinics is how quickly couples are referred for IVF. We often see patients who have irregular cycles and are missing their fertile window, with low semen analysis results or with undiagnosed hypothyroid, endometriosis or PCOS. All of these have a negative impact on fertility and should be rectified before going down the route of IVF.
We applaud patients who take their fertility health into their own hands. Couples should be encouraged to investigate options and make solid, results-based decisions on where to go for treatment and what treatments to ask for and the consultants as well as experienced and well-informed health practitioners like ourselves should be on hand to guide and support them in these choices.
We've just been informed we're one of the top ten fertility blogs in the UK and here's our badge to prove it!
I realise I am writing this the day after International Women's Day which, to me, adds poignancy to the subject in hand because what I want to write about is a wider women's issue. This has been a long-brewing blog, brought to a head when reading 'No, Millenial Women are Not Failing at Fertility' in the Huffington Post this morning. It's not supposed to be a rant (although it may come across like one!) but a contemplation on the situation of hundreds of women who come through our clinic.
When I attend fertility conferences or read fertility-related articles it strikes me, over and over, how often women are blamed for the status of sub-fertility or infertility in couples. When the (usually, but not exclusively male) consultant stands up and says "Women are choosing to leave it later to start trying to conceive", I really want to shout out and question their use of the word 'choice'. Because, having worked with couples over the last 18 years for fertility-related issues, I know that most women in their late 30's and early 40's would have far rather have chosen to try to conceive earlier if a) they'd had a willing partner and 2) they had financial and employer support to do so.
Blaming women for making the 'wrong' choice is neither useful nor beneficial. First of all, women shouldn't have to make a choice at all, between fulfilling employment and child-care. The excellent author, Caitlin Moran, has a simple measuring tool for assessing life/style choices (wearing make-up, high shoes, worrying about our weight, being 'nice' etc etc) and that is, ask yourself, "are men doing it?". The answer is usually "no". Certainly no one is standing up at fertility conferences and saying "men are leaving it too late to settle down and have children". The onus, as always, falls on the women's shoulders.
But this isn't an 'anti-man' article and it's not just consultants and statisticians who are doing the blaming. I am very aware, because I see it all the time, that women find it easier to take responsibility for low fertility or infertility on themselves, even when the cause is decisively Male Factor. Fertility is a male and female issue equally but women assume the burden of blame readily and often without questioning.
Currently I have a female patient whose male partner is opting not to complete a semen analysis. This is not uncommon. He is not being 'blamed' for his choice. Instead, she is finding all sorts of ways to make it easier for him: choosing with great care the time to bring up the subject. She is taking on the responsibility for their fertility problems. Would a frank calling out of the subject with her partner help more? I don't know. She has endometriosis so is seeing it as 'her' problem and yet a semen analysis is still vital to the cause and if he wants children, which he says he does, then surely one small pain-free test (though admittedly one fraught with potential for embarrassment) isn't too big an ordeal?
There is so much that could be done to change this culture of blame, starting with improved fertility education. It is incredible how little people know about falling fertility rates associated with age and believe that IVF will solve all issues. We regularly see couples in their 40's expecting conception to occur easily and quickly, disappointed when nothing has happened after 3 months. Maybe if both and men and women had a more realistic idea about the fragility of human fertility we would be in a better position to make earlier decisions and encounter fewer problems.
Instead of blaming women for 'choosing' their jobs over childbearing, governments could be supporting women to have children earlier. Because, let's face it, it is an either or. The difficulties of trying to work and look after more than one child quickly becomes obvious and it's usually (but not always, I know) the woman who jacks in her job.
Instead of making women & couples more dependent on medical intervention later in life, let's put funds into affordable child-care and legislate so that women aren't penalised economically for being the ones who do the child-bearing and most of the subsequent child care (most men in the UK still don't use their allotted paternity leave allowance).
But most of all, let's stop the use of blame as a shaming tool. Women are up against it where fertility is concerned. Our bodies are built to conceive and carry a pregnancy much earlier than society allows. 'Early' pregnancies are frowned upon and life is hard enough as a working mother, let alone as an older working mother. Whether it's your GP, your partner, your consultant or friends who imply that it's a woman's fault when things don't go to plan, fertility is a human issue, not just a woman's issue and we need to start calling this out.
So next time I'm at a conference and a fertility consultant glibly apportions blame to women and, specifically, older women, I am going to speak up instead of sitting in the audience fuming to myself but staying silent. Women have incredible bodies and strong minds, we are resilient and resourceful, let's not let that be taken away from us.
Always wonderful to get a thank you and to know what we do really does help so many people. As my dad would always say: "Thank you for saying thank you."
People's focus inevitably turns to making improvements when a new year starts. In an ideal world we wouldn't go through such cycles of good intentions leading to slippery slopes leading to Christmas binges and then starting again. In an ideal world we'd eat well 80% of the time and leave the other 20% to occasional bits of cake, good quality wine or beer and the odd life-saving pie and chips. Not only that but we'd get enjoyment from eating well and not see it as a punishment.
We don't need to be fanatical about diet/nutrition. A balanced base point which doesn't vary throughout the year will give your body and mind so much strength and stamina and help you feel confident and energetic.
This means having a plan and trying to stick to it most of the time. We've all been caught short running for a train, out and about with no healthy options or nothing in the fridge and that's fine if you give your body goodness the rest of the time. Eating well should be in place most of the time and should be easy - it shouldn't feel imposed or like a punishment because then it's bound to fail.
Supplements can really help as they ensure (if they're the right quality) that your body gets, at least, a good amount of minerals and vitamins if you're not managing to get them from food and, let's face it, most of us don't.
Eating well is the most basic and important factor for improving fertility as long as there is nothing physically wrong like blocked tubes (in either partner). Hormonal disturbances can be evened out, stress and anxiety decreased, sleep improved as well as circulation and, vitally, nutritient levels in the blood which feeds all body cells (including sperm, eggs and womb lining).
The other massive positive to eating well is that it makes you feel great. It doesn't have to be extreme or painful. Just adding in nutrients in the form of seeds, for example chucking a handful of pumpkin seeds in your porridge or on your cereal, can transform a nutrient 'empty' breakfast into something your body can really use to give it strength and vitality.
Give it a try - come and see us if you need help and individual advice - and don't let it get over complicated or stressful. Make healthy eating your default position and look forward to 'treating' yourself occasionally. You might find that you're less likely to want to those treats over time as well as your body gets used to a healthier way of being.
We really appreciate it when people take the time to let us know how they've got on. Here's our latest testimonial from some very happy parents:
A recent article in The Daily Mail has highlighted how effective acupuncture can be for period pain (or 'primary dysmenorrhea', to give it it's proper medical name). We see this all the time in clinic but it's nice to have it highlighted and verified in the press.
Being a fertility clinic involves not only supporting IVF but working with couples on all the things that could be causing delayed conception including: period pains, irregular cycles, sub-fertile sperm, stress, a nutrient-poor diet and many, many other issues that, separately or together, can cause problems. We prefer the term 'delayed conception' to 'infertility' because it's more accurate and less negative. Not many of the couples we see are actually 'infertile'. True infertility only occurs when a woman is not ovulating or has blocked tubes or the man has no sperm or a count/motility/morphology so low that it is impossible to fertilise an egg.
In terms of Chinese Medical theory, period pains are caused by 'Blood Stagnation' which leads to symptoms of pain and clotting. Self-help ways to reduce this are to make sure you are exercising throughout the month but gently just before and during your period to keep circulation flowing; use gentle heat on the lower abdomen to improve blood flow and there are a great set of pelvic flow exercises that we can show you in clinic. One very easy exercise is to lie on your back (put your knees up if you have back problems) with your hands on your lower abdomen (ie below your belly button) and breathe into your hands. This encourages you to take deeper breaths and increases blood flow to the diaphragm & pelvis and into the bottom of your lungs which helps relaxation.
Other easy habits you can get into are adding in some gently warming spices to your food and drinks - cinnamon, ginger, garlic, turmeric and paprika are all good. Some people swear by rubbing chilli or paprika on the soles of their feet before their periods - sounds weird and I've yet to try it myself but makes sense as the spices are absorbed through the skin and improves circulation by dilating the blood vessels in the feet, legs up to the abdomen.
Acupuncture is of course brilliant for period pains and I say that with honesty because we've been treating women with period pain for 18 years now and I have seen the difference it can make to their lives. Gone are the days off work or in pain, the fun nights-out called off and the hours curled up in bed with a hot water bottle. It isn't a miracle-cure, although sometimes it seems that way, and it depends on the diagnosis (ie severe endometriosis is not always going to just disappear) but for most women there is a huge relief and a reduction in severity of symptoms or complete cessation of pain. In stubborn cases we recommend Chinese Herbal Medicine as well and Abdominal Massage, both of which are very effective and a good addition to acupuncture.
Give these tips a try and let us know how you get on! Or come into the clinic and get some on to one advice on dealing with persistent period pains - whether you are trying to conceive or not.
Your adrenal glands are important because they help you respond to stress. But if you have chronic, long-term stress, your adrenals (and the stress hormone cortisol) get over used and are no longer able to respond. This means your energy plummets and you feel simultaneously feel tired and wired. Some people get palpitations, feel anxious or have trouble sleeping and others might crave salt or get dizzy when they stand up from low blood pressure. Many people have sugar cravings because their bodies can no longer regulate blood sugar properly and are desperate for some energy. We start to crave coffee and other stimulants to feel better but these only work in the short term, if at all and are detrimental in the long term.
We get adrenal burnout from the chronic, unremitting and ongoing stresses of everyday life: stresses of our families, stresses of relationships, stresses of work, the stresses of constant interaction with Facebook and Twitter and the online world. There is not enough emphasis on putting aside time to rest and relax. You don't have to 'do' anything else - just resting is enough. Naps are a great way to reset and are you key tool to reversing adrenal burnout.
You can help to heal your adrenals by adopting a whole food, anti-inflammatory diet. Focus on anti-inflammatory foods including wild fish and other sources of omega-3 fats, red and purple berries, dark green leafy vegetables' orange sweet potatoes and nuts.
Add anti-inflammatory herbs to your food, such as turmeric , ginger and rosemary. Eliminate inflammatory foods such as refined oils, like corn, soy and safflower oils. And don’t skip meals. It can be hard for your body to recover from skipping meals if you have adrenal dysfunction.
Find ways to actively relax. Relaxation is an active choice. It is not being lazy. You could also do gentle (eg yin not ashtanga) yoga or take a warm bath at night. If you put two cups of Epsom salts, half a cup of baking soda and 10 drops of lavender oil in the bath then soak for 20 minutes it really relaxes your body and lifts your spirits. Lavender oil lowers cortisol and helps to balance the whole hormonal system. After this bath, you will end up with a really decreased stress response.
Very simple things have profound effects. Exercise is important for our minds and bodies — gentle, regular exercise like a morning walk, a light jog, a little bike ride. Do something out in the fresh air to get natural light that affects your pineal gland and helps reset your brain and the stress response.
Try to establish a regular rhythm to your days (I know this is more difficult if you're working shifts). Rhythm is the key because your hormones are balanced in rhythms. Waking at the same time every day, going to bed at the same time every day, eating at the same time every day — these are the rhythms in life that help to reset your natural balance. Following your natural rhythms of work and rest during the day is also essential. Take natural breaks when you are tired. Our bodies function best on rhythm cycles of 90 minutes of activity punctuated by a few minutes of resting or zoning out!
"You are what you eat" is a saying often bandied around but it wasn't until I reached my 40's that I realised how true it is (I know, I'm a bit slow).
Your body is, literally, produced from what we put into it. In the womb, we are made from the nutrients that our mothers take in but once we're in the outside world all cell renewal and growth can only happen if the body gets food and fluids.
Bodies can survive for a long time on not much - water and bread or rice if necessary but we can't thrive on that. You only need to look at pictures of people in war torn countries where there is no regular supply of food to see the results of malnutrition.
But you don't have to wait for The News to see the result of a nutrient-poor diet. Many people who come in to the clinic, although living perfectly safe lives, are undernourished and therefore not in the best health. It is obvious to those of us working in this field because we're on the look out for symptoms and we understand the link between a body strong in nutrients and fertility. However, we have grown up in a society where there is a disconnect between what we put into our bodies and what we expect to get out. Our food comes off white shelves, in plastic boxes covered in clingfilm with no traces of the soil it grew in or evidence of the it's origins. Food is marketed and chosen on how the packaging appeals to us, not on how it will nourish our bodies and minds. And yet we still expect it to get us through our busy days at work, long commutes, Body Pump or Spin classes and busy social lives and still have enough left over to help us conceive, or produce good enough sperm to conceive.
The latest evidence for a nutritious and healthy diet is to cut down on carbohydrates and increase healthy fats and proteins. Healthy fats come from nuts, seeds, olives, coconuts, oily fish, organic meat and full-fat organic dairy. Fats allow absorption of nutrients and feed the brain (1/6 of our brains are made up of Omega 3 Fatty Acids) and offer an effective slow-release energy source which in turn regulates insulin and our hormones. Most of these foods also offer some level of protein which are vital for cell building. Last on the list should be carbohydrates which only function as a quick-release energy source. If you stick to complex carbohydrates like brown rice, brown bread and wholewheat pasta then you're already doing your body a favour but it's vital to cut out white and processed foods because they offer nothing in the way of nutrients and only cause hormonal imbalances.
For those who want to know more - come and see our nutritionist Dr Jane Jamieson or look up Ketogenic diets online for some information on low carb eating. But most importantly, try to start looking at food in a new light - as a source of nutrients for your bodies, which should result in improved egg and sperm quality and great health of your future baby. Food can still be enjoyable and tasty, just make sure it's doing you some good at the same time.
It makes us so happy to receive your good news, it doesn't matter how long after we last saw you. We once received a thank you card 2 years after seeing a patient and were so pleased and relieved to find out what had happened and how things had turned out.
Here is our latest Thank You email - we know it helps patients to read others' stories, to feel there is hope and know that things do work out for many, many people.
Here's our latest case study from a patient, in all her own words:
I am age 38 and had four years trying and then four rounds of IVF in 2016. Unexplained infertility on my part, my husband tested fine. I had 12 eggs of which 7 fertilised, all 5 day blastocysts. My fourth frozen transfer worked and I am nearly 18 weeks pregnant J
I had been having acupuncture for around 18 months with another lady (not at the clinic) but I had a great initial appointment with Dee who gave me lots of great advice and then with Fiona who I think was for Acupuncture and Chinese Herbs. Then I had two abdominal massages with Jill just before my fourth IVF transfer.
The clinic was a real breath of fresh air, as where the practitioners. It had a spa feel about it which was so relaxing. I really only attended a few times before my fourth round of IVF worked but I think the abdominal massage and the instruction on using the castor oil packs really helped me. I really focused on keeping my uterus calm, warm and in good health which I really believe the massage and castor oil packs helped with.
The massage was just amazing, so much time spent on the treatment and really good value.
Having unexplained fertility left me with nowhere to go really as I had nothing that my doctors could actually treat so looking at natural alternatives really helped me to feel that I was still being proactive – and without spending a fortune!
The advice on things that I could do myself like the castor oil packs and going gluten free was just invaluable. Every day that I practiced this I felt that I was making a difference and that was a great feeling.
Well, all I can say is that my fourth round worked just after my visits and abdominal massage so I am sure that they definitely contributed!
I was so close to starting IVF for the fourth time that I only used the Chinese herbs very briefly so I don’t think they even had a chance to take effect. But I still think they are worth doing and would consider again.
I would highly recommend a visit to the clinic. So much good advice and you can actually have a really open and honest conversation. We talked about different case studies too so my faith was definitely restored after four long years of trying. I was also really impressed with the up to date knowledge that the practitioners had – more than my own doctors ever had or ever wanted to share anyway. And the treatments are really good value for money which helps when you may have already spent a fortune trying to conceive. My only regret is that I didn’t find the clinic sooner!
This article in the Mirror online reports that couples who's BMI is too high or too low will no longer be offered a round of IVF on the NHS (in England). We already know that women with a BMI over 35 have to cut this to 30 before being offered a round of IVF in Scotland. In England they also need to have been trying to conceive for 3 years rather than 2.
Having worked with couples who are trying to conceive for the last 12 + years, we understand how frustrating new stipulations can be. It just seems like another hoop to have to jump through. But on the other hand, we also know that many couples will go on to conceive once they have either lost or gained enough body fat to allow their hormones to balance out. So it makes sense to get this sorted before embarking on IVF.
People usually only think of body fat as a way to tell how much people eat and/or exercise - too much or too little. What is not as commonly understood is that reproductive hormones are stored in your body fat. This is why women with too little fat (like long distance runners) often stop having periods. Their bodies cannot store enough oestrogen to generate ovulation and therefore to have regular period. With men it's the same. Men with high levels of body fat will have too much oestrogen which effects their testosterone levels and sperm production.
At the weekend, some of the Natural Fertility Team were at the Fertility Fair in Manchester where we met and chatted with many couples struggling to conceive and also consultants and researchers from the IVF world. It was an interesting weekend and we did notice a number of people (hetero-sexual & same-sex couples and single women) who were overweight and a few who were obviously underweight. If these imbalances could be put right before turning to IVF then maybe fewer couples would reach the point where they felt they needed it. Obviously, some couples DO need IVF - those with blocked tubes, no sperm or other medical conditions that make natural conception impossible - and that was what IVF was invented for but many consultants and IVF nurses say readily that couples could improve their chances by addressing their general health.
To this end we will be putting up more general nutritional and life style information on our site over the next while so everyone can access the basics. In theory it's not that difficult to achieve a good level of body fat once you are motivated enough and if you can follow and stick to the advice. It can and should be a slow and steady process but it's amazing how much simple changes or additions to diet can help bring levels of body fat to their optimum place and restore hormonal balance, allowing a greater chance of natural conception as well as IVF success. We know it's not always easy in practice - and sometimes it's actually more difficult to gain body fat than lose it - but it is possible with the right support and perseverance.