Preparing to conceive – a healthy diet

There is much information and misinformation about what constitutes a good preconception diet. From a Chinese medicine point of view the middle road is usually the healthiest where moderation of some foods is recommended and a good balance of healthy and fresh fruits and vegetables with adequate protein is encouraged. A TCM practitioner takes into account the different constitution and situation of each individual before dietary advice is given.

A properly functioning digestive system is an important focus of treatment, so that nutrients are absorbed and utilised well. In the clinic we will ask you about digestive issues such as bloating, bowel disorders, reflux, cravings or low appetite.

 

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Preparing to conceive – weight loss

If you are overweight a little bit of weight loss goes a long way to improving fertility. Losing 5 kg is a manageable target for most and you can start now. Just moving your metabolism a little bit in the direction of burning off fat stores, can stimulate ovarian activity, improve egg and sperm quality and increase fertility.

In the acupuncture clinic, an analysis of your constitution and the possible reasons for your weight gain (the TCM diagnosis) by an experienced practitioner will lead to an comprehensive individualised treatment plan designed to support you in a weight loss programme in a safe and stable manner.

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Preparing to conceive – the eggs

The environment that eggs occupy during their lengthy maturation process in the ovary has an impact on what shape they are in before meeting a sperm (with or without an IVF embryologist in attendance).  They need a good blood supply, the right nutrients, the right hormone signals and the capacity to supply enough energy to the embryo.

This has important implications, particularly for eggs that are coming from slightly older ovaries (and possibly for eggs coming from women with PCOS or endometriosis). While no treatment can turn back the clock, or change the DNA, the follicular and whole body environment within which the eggs develop is worth looking after.

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Preparing to conceive – a regular menstrual cycle

One of the things you see mentioned often in a traditional Chinese medicine gynaecology textbook, is the term “Regulating the Cycle”. This refers to the ideal of a 28 day menstrual cycle (give or take a few days), and a regular ovulation occurring around the middle of that cycle. Achieving this ideal is one of the first aims of much TCM treatment carried out in gynaecology departments in hospitals in China. A regular menstrual cycle can be an indicator of good ovary function and good hormone balance.

 

 

Preparing to conceive – immune factors

Implantation of the embryo in the uterus is a vital and pivotal event which determines the success of an ongoing pregnancy after conception, or after transfer of an embryo in an IVF cycle.
The crucial role that the immune system plays in the process of implantation and the development of the placenta is gradually being elucidated though there is much we still don’t know. A positive finding of immune factors like anti-cardiolipin antibodies, anti- thyroid antibodies, anti-nuclear antibodies or an excess of some types of NK cells can indicate that there may be subtle imbalances in the immune environment of the uterus which are not conducive to implantation and establishing a healthy pregnancy.

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Preparing to conceive – PCOS

Women with PCOS, particularly those with irregular or infrequent periods, have their own particular challenges when it comes to conceiving.  Other than a pharmaceutical approach to elevated insulin levels there are not a lot of treatment options for these women.  Hence many choose to try acupuncture. We don’t yet fully understand the causes of PCOS however research being carried out around the world is exploring the impact that acupuncture has on reducing some of the factors that operate to prevent polycystic ovaries working properly.

 

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Preparing to conceive – endometriosis

Endometriosis can damage ovary function (AMH is reduced in endometriosis patients) and can negatively impact the immune milieu (inflammatory cytokines are raised) and affects the lining of the uterus and its implantation sites. Clinical trials have shown that acupuncture is helpful in managing the symptoms of endometriosis like pain and menstrual disturbance.

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Preparing to conceive – stress management

Stress, for most of us living and working in modern cities, is part of life. However it can get a lot worse when you are not conceiving as easily as you thought you would. And in a cruel vicious cycle, stress can have a negative impact on fertility. Women who are more stressed appear to have reduced fertility, and urologists believe that stress affects semen quality.

Acupuncture is well known for its ability to relax the patient and this has been demonstrated in an IVF setting.  No matter what brings a patient to our clinic they almost always comment on how relaxed they feel after their treatments.

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Preparing to conceive – sleep quality

The connection between sleep and fertility is not always self evident, although getting to bed early with your partner may for some couples have obvious benefits.
You may not realise that the quality and quantity of your sleep influences sex hormones, sperm production, ovulation, immune factors, weight gain, mood, stress levels and longevity as well as the more obvious stamina.

In the acupuncture clinic, the practitioner will make a TCM diagnosis based on your sleep symptoms and the tongue and the pulse.

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Preparing to conceive together

It takes two and this stressful journey is traveled more easily when the two of you do it together, supporting each other. Whether it is unexplained infertility, male factor or ovarian issues, focusing on improving general and reproductive health on both sides often helps. Many of the couples we have seen have voiced an appreciation of the emotional and psychological benefits they experience when they come to the clinic together.