Ways to practice Self Care when going through IVFRead More
by Dana Price DOM, L.Ac., FABORM
At ilumina Healing Sanctuary our practitioners are educated, trained and board certified in Chinese medicine. Chinese medicine not only includes the sophisticated art and science of acupuncture; it also includes the extensively practiced Chinese herbal medicine sometimes referred as prescriptionology. This is because there is a very specific method of combining herbs to bring about the most beneficial therapeutic effect for an individual patient.
Chinese herbal prescriptionology has been practiced for thousands years and during that time physicians have empirically learned what works, at what dosage and in which type of patient. Recently, we have combined that ancient knowledge with science to further our understanding of these medicinal herbs and ensure their safety.
Our practitioners at ilumina specialize in infertility treatment, and the use of unique herbal prescriptions individualized to each patient during the process of getting pregnant and having a healthy baby is an advanced technique and rare to find. We administer herbs while women are trying to conceive on their own, using ovulation enhancement, and undergoing IVF. With our close to 20 years experience in doing this we know how to combine herbs with cycles to ensure therapeutic benefit.
Ilumina has a full traditional Chinese herbal pharmacy, semi customizable herbal tinctures and a wide variety of pre-made pills. The products we stock are top of the line and come from companies that ensure the highest safety measures.
Chinese herbal prescriptions are such a benefit to fertility as well as other health issues and take a lot of training and experience to perfect. They are an integral part of a comprehensive Chinese medicine treatment plan. Our practitioners at ilumina have the training and wisdom needed to practice as Chinese medicine was intended. If you are interested in starting an individualized herbal prescription please call the office and schedule a consultation.
By Leigh Lewis NMD, L.Ac., FABORM, RYT
The role of weight in all aspects of female reproduction has been validated by science for several decades with both underweight and overweight body habitus causing problems. Being underweight has been linked with a relative hormone deficiency what can lead to thin uterine lining and irregular ovulation and menses, therefore interfering with fertility. Adipose tissue, most notably abdominal fat, has been linked to excess production of estrogen which can also lead to issues with ovulatory and cycle irregularity and decreased fertility. Once pregnant, body weight should increase for most patients by 25-35 pounds, however, women who are underweight at the time of conception may need to gain more, with overweight women needing to gain less or sometimes, simply maintain their pre-pregnancy weight. Pregnant women who are underweight are at a higher risk for having a miscarriage, an underweight baby or a preterm birth. Being overweight confers an increased risk for miscarriage, gestational diabetes and hypertension, preeclampsia, C-section, and an overweight baby. There are also increased risks to the baby born to an overweight mother: diabetes and metabolic syndrome (high cholesterol, blood sugar imbalances, hypertension, overweight) in child- and adulthood. In a recent study, the CDC concluded that 50% of American women gain too much weight in pregnancy. Oftentimes, excessive weight gain during pregnancy is difficult to lose in the post-partum and can be further compounded by subsequent pregnancies. Finally, many women gain weight during the months or years of hormonal fertility treatments…this weight can be the most difficult to lose.
In general, recommendations are for women to maintain a “normal body weight” as indicated by a body mass index between 18.5-25, although individual variability may dictate otherwise. This would be a weight between 120-140 for a woman who is 5’6”. However, there are individual issues that might change this recommendation; for example, a female body builder will have a higher muscle to fat ration and since muscle weighs more than fat, she would likely have a higher healthy body weight. Your provider can help determine your ideal weight range.
Diet and exercise are often the first recommendations made to women and while this is typically good advice, many women are frustrated because usually they have tried it all before. An important and often neglected first step is to make sure there aren’t any underlying metabolic issues that might predispose one to having weight issues. Lab analysis of Vitamin D, thyroid function, cholesterol, glucose and insulin can provide insight to underlying factors that could make weight loss or gain more difficult. Radical diets may help one achieve initial goals, but are difficult to maintain for the long-term and may lead to nutritional deficiency. In fact, most current research suggests that a sensible, whole-food, Mediterranean-style diet is the best for promoting and maintaining both a healthy weight as well as general health, including fertility and pregnancy. Some individual variations may be necessary; women with PCOS for instance often fair better with a higher protein/lower carb diet.
In general, one does not have to even achieve a “normal” body weight to see improvement in ovulation, menses and fertility, including improving the success of in vitro fertilization treatments: improvement can be seen with as little as 5-10% weight change. This is good news, but can seem daunting to many nonetheless, and getting assistance from a team of professionals at least initially may be the best course. As many of us know, what to eat is only part of the issue for most…we all know less sugar and alcohol and more fruits and vegetables would be beneficial, portion size matters, exercise is important. You likely have heard it all before and could probably tell your best friend or daughter or mom the keys success. The issue isn’t so much how to eat better and exercise more, it is why can’t we implement what we already know we should be doing. There are several studies that illustrate the positive impact individual or group therapy can have in changing lifestyle behaviors is a way that can have long-lasting health impacts. In addition, while it may seem like a luxury to have a personal trainer, a series of 4 weekly sessions or joining small group trainings geared for women can set you up to have success with your workouts instead of just grinding out miles on the treadmill. Some trainers can also help set up individual meal plans. Finally, stress, both physical and mental can play havoc with the hormones that affect both weight and fertility, adding a mind/body practice to any regimen is a great place to start, whether it be as part of a group or as a home practice.
The bottom line is if you are concerned that your weight may be negatively impacting your reproductive health and fertility or you simply are trying to re-establish your pre-pregnancy weight for general health reasons, consider making an appointment to discuss your individual goals with one of the practitioners here at ilumina and please see resources below for other specialists offering programs to help you meet your goals.
Farrah Hauke, PsyD – offering individual therapy and a 4-week workshop series on psychological strategies to lose weight & keep it off. 480.659.5107; www.arizonapsych.com
Lindsey Cusey & McKenzie Smalley - Personal Trainers/Nutrition Consultants *offers a discount to ilumina patients; www.fithappygirl.com
Donation-based Yoga + Mindfulness classes for women @ Kinfolk Chiropractic, Tuesdays 6:30pm, to RSVP email firstname.lastname@example.org
Written by: Shira Dobratz L.Ac.
Spring. Warm breezes. Birds chirping. Flowers and sunshine. Nature reminding us of hope and new beginnings.
In Chinese Medicine spring is tied to the element of Wood. Twigs and plants that grow up through the cracks of measured cement pavements, and the way plants and trees respond to wind both give insight into the Wood element. Lush green life on a mission for sunlight can not be stopped! No matter the wind, trees hold their ground, firmly rooted into the earth, yet with free and easy response to the strength and direction of the wind. This is the wood element doing what it's designed to do and being what its designed to be, centered, goal oriented, flexible, courageous and resilient.
We have similarities to the journey of greenery. We too are on a mission to grow, we too have a propelling need to be nurtured and sustained, we too face many obstacles in our desire to thrive, we too feel tested by the pressure and intensity of many winds upon us. Strong emotions like stress and frustration can surface for many of us in that process. Seeking balance in this season includes turning from harsh and relentless self-direction and instead towards peace, harmony, and supple reactions. Slowing down in the spring can give us time to harness the creative vision, strategic brilliance, courage and confidence that are gifts of a healthy Wood element. In balance we are not caught up in a frenetic and exhausted knot from all the movements and changes, excitements and pressures, but instead can move through the diverse winds with grace, ease, and kindness to others and ourselves.
Acupuncture and Chinese herbs can help balance these energies within us, as well as Pranayama, Yin styles of yoga, fresh fruits and green leafy vegetables, whole grains like brown rice with ghee or sesame oil, a decrease in alcohol and caffeine consumption, drinking plenty of water, getting a little extra rest, soaking in salt baths, and beginning collaborative endeavors with friends or family.
Written by Dr. Dana Price DOM, Dipl. O.M., L.Ac.
For part three of our Libido Recharge blog series I would like to explore a far too common reason for low libido- “I’m too tired for sex”, which in Chinese medicine translates as Yang deficiency. This is the common pattern of living a lifestyle on the go, working too much and not getting enough rest and downtime, and then when sex does cross your mind, you just don’t have it in you.
With Yang deficiency, women can feel like their metabolism has slowed, they are gaining weight easier, they tend to be tired and low energy, and often feel cold easily. Yang is the warmth, active, moving, extroverted energy that we all have. So when we deplete our Yang through taking on too much, overwork, lack of exercise, stress and excessive adrenaline, or chronic illness we don’t have much energy left for sex.
So what can you do to rebuild your Yang deficient low libido?:
Diet: Non-wheat complex carbs with a small amount of high-quality protein (vegetable) is best as well as cutting out dairy, fruit juices, and fried or fatty foods.
Foods that rebuild the Yang are: Carrots, mushrooms, onions, leeks, sweet potatoes, ginger, cherries, apples, bananas, quinoa, lentils, black beans, cauliflower, kale, brussels sprouts, walnuts, and cabbage.
Exercise: Don’t exercise when you are tired and get at least 30 minutes of moderate exercise 5 times a week.
Avoid Caffeine: Caffeine gives a “false” energy and can make you feel more run down when it wears off.
Cut Down on Alcohol: No more than one drink per night and 3 drinks in a week.
Avoid Excess Salt: Salt in a small amount boosts the Yang but in large amounts depletes it. Check your labels and avoid processed foods which are high in sodium.
Acupuncture and Chinese herbs also work great to boost the Yang
Written by: Charlene Hagner M.Ac., Dipl. O.M., L.Ac.
It is important to move and get your blood circulating. In Chinese Medicine, movement facilitates the qi, and removes stagnation; it’s essential to keep the blood and qi moving for a healthy endometrial lining and pregnancy. It can be as simple as taking a daily walk for 20-30 minutes.
If you are regularly active, and have been staying on an exercise routine, it is safe to continue, but stay away from abdominal strengthening activities after ovulation (around cycle day fourteen) and with a positive pregnancy test. When trying to conceive and during pregnancy, yoga can be relaxing and helpful, but hot yoga can be counterproductive.
After an Embryo Transfer (FET), the reproductive endocrinologist asks the patient to rest the three days following, and keep their heartbeat under 100 beats per minute in the first 10 weeks after transfer. After the first trimester, the woman can return to her normal exercise routine, with the consent of her doctor.
Here are some of the benefits from exercise during pregnancy you may experience according to the American Pregnancy Association:
- Helps reduce backaches, constipation, bloating, and swelling May help prevent, or treat, gestational diabetes.
- Increases your energy
- Improves your mood
- Improves your posture
- Promotes muscle tone, strength, and endurance Helps you sleep better
- Regular activity also helps keep you fit during pregnancy and may improve your ability to cope with labor. This will make it easier for you to get back in shape after your baby is born.
You will probably want to avoid the following type of exercises during pregnancy:
- Activities where falling is more likely
- Exercise that may cause any abdominal trauma, including activities with jarring motions, contact sports or rapid changes in direction.
- Activities that require extensive jumping, hopping, skipping, or bouncing
- Bouncing while stretching
- Waist twisting movements while standing
- Intense bursts of exercise followed by long periods of no activity
- Exercise in hot, humid weather
- Do not hold your breath for an extended period of time
- Do not exercise to the point of exhaustion
You may want to include these basic guidelines in planning exercise during pregnancy:
- Be sure to wear loose fitting, comfortable clothes, as well as a good supportive bra.
- Choose well-fitting shoes that are designed for the type of exercise you are doing.
- Exercise on a flat, level surface to prevent injury.
- Eat enough healthy calories to meet the needs of your pregnancy, as well as your exercise program.
- Finish eating at least one hour before exercising
- Drink plenty of water before, during and after your workout.
- After doing floor exercises, get up slowly and gradually to prevent dizziness.
Here are a few resources of trainers that work with women trying to conceive and during pregnancy.
Lindsey B. Cusey, Lindsey@fithappygirl.com - owner/online coach, certified personal trainer, and paleo nutrition specialist. Website- WWW.FITHAPPYGIRL.COM
Mckenzie Smalley, Mckenzie@fithappygirl.com - Personal Trainer, online and At home Training, and paleo nutrition specialist.
Steel Fit, Joe Steel, CPT email@example.com
Written by: Audrey Blanchard LMT
Endometriosis is the abnormal growth of cells (endometrial cells) similar to those that form the inside or lining of the uterus, but in a location outside of the uterus. Endometrial cells are cells that are shed each month during menses. Endometrial cells attach themselves to tissue outside of the uterus and are referred to as “endometriosis implants”.
Endometriosis is estimated to affect over one million women (estimates range from 3% to 18% of women) in the United States. It is one of the leading causes of pelvic pain and reasons for laparoscopic surgery and hysterectomy in this country. Estimates suggest that between 20% to 50% of women being treated for infertility have endometriosis, and up to 80% of women with chronic pelvic pain may be affected.
Here at ilumina, one of the ways we treat Endometriosis is with the Arvigo Techniques of Mayan Abdominal Therapy®. This type of massage can help loosen adhesions or scar tissue in the abdominal cavity. Gentle massage strokes are used to help align the uterus to a center position and increase blood flow to the uterus and ovaries. If the uterus is out of place, it can cause additional pain or cramping around menses. Additional blood flow brings oxygen and nutrients to support healthy tissues. Along with the in office massages, clients are given special self care instructions that can be done at home, castor oil packs, vaginal steams as well as nutrition and lifestyle modifications that can help to decrease symptoms of Endometriosis.
Check out our case study on Endometriosis here. One client came in for treatment of painful menses, endometriosis and low ovarian function. After a couple of Arvigo Mayan Abdominal massages her pain level went from a 10/10 to a 5/10 with reduced need pain medication at the onset of menses. Also her uterus showing at midline per ultrasound.
Written by: Dr. Dana Price DOM, Dipl O.M, L.Ac.
In the first of this three part series, I brought to attention the #metoo movement and asked the reader to visualize what a completely unhindered expression of female sexuality would look like. I hope you had the opportunity to explore this. If not please spend some time with this. It is my belief that if we have the vision, we can direct our actions to support and become it.
I also brought up the three most common types of Yin/Yang imbalance and patterns that arise with low libido. I presented the “stressed” type. In this blog we will explore the “not feeling sexy enough for sex”, or as we translate it in Chinese medicine,Yin deficiency.
This pattern of Yin deficiency can manifest as low libido with difficulty becoming aroused, painful intercourse and lack of lubrication. In general Yin deficiency can include a general dryness of skin and hair, the lack of self nurturing, and potential negative self image. This pattern can also manifest as rushing through sex, and restlessness during sex, stubbornness and inflexibility in relationships, easy to get anxious, irritable and being scattered, vivid dreams, constipation, feeling warm, and light and short menstrual cycles. Here are some things you can do to rebuild your Yin:
Exercise: yoga (not hot), tai chi, qi gong, swimming or hiking. Limit aerobic workouts to 30 minutes three times a week.
Nutrition: Whole foods diet that emphasizes vegetables, fruits, whole grains, with small amounts of protein and healthy fats. Avoid red meat and eat more vegetarian sources of protein than meat. Food that increase the Yin energy are: seaweed, beets, flaxseeds, spinach, chard, string beans, grapes, blackberries lettuce, nuts, millet and whole wheat to name a few.
Hydration: Here in Arizona it is already hot, sunny and dry which by nature depletes our Yin. It is very important to drink between 100-120oz of fluids per day. Alcohol and caffeine are dehydrating so it should be avoided. With that said avoid becoming overheated saunas, steam rooms, hot baths and hot yoga are not good choices.
Sleep: Getting at least 8 hours of sleep per night is imperative to rebuild Yin. If you remember from the first in the series, rest and night time is Yin. So you need more.
Meditation: Begin a daily meditation routine and do what you can to reduce stress levels.
Vitamins: Potassium (bananas are good), Calcium, Magnesium and Vitamin E are helpful.
Chinese Medicine: Acupuncture and Chinese herbal formulas are very potent to increase Yin and rebalance your Qi
By Leigh Lewis, ND, L.Ac.
Many women experience changes to their libido and sexual function due to changes in hormones that occur throughout life. Post-partum and perimenopause are frequent times when hormones plummet and this can causes lower desire and changes to the vaginal tissue that can cause discomfort with intercourse. Other hormonal, like thyroid, or nutritional, like iron, deficiencies can contribute to this issue as well and should be screened for.
Medications can be a cause of sexual function issues, notably birth control and antidepressants, and there may be alternatives that have less impact. Alcohol and marijuana use can have negative impacts as well. Finally, it is important to consider relationship factors that may be playing a role; a couple of sessions with a qualified therapist can greatly help investigate & address this area. If discomfort is deep in the pelvic area, a specialized physical therapist may be able to assist you.
There are several ways you can address these issues on your own before consulting a physician:
For vaginal dryness or pain with intercourse: RepHresh or Replens, both available OTC at many pharmacies. These products are not lubricants, but actually restore vaginal tissue health without hormones. Try for twice a week for one month and see if the improvements decrease your symptoms.
For low libido: Maca (Femenessence) is a Peruvian herb that has been used traditionally to improve libido. Try 1000mg per day for a month to see if you notice an effect.
If these do not help, consider making an appointment here at ilumina to discuss pharmaceutical options. After ruling out any contributing factors, we can discuss possible hormonal therapies like bio-identical estrogen, testosterone or DHEA. These hormones have all been shown to be helpful for improving libido, orgasm and/or decreasing vaginal discomfort by improving tissue integrity. There are topical and oral forms available and some options are covered by insurance. If vaginal tissue atrophy is the main concern, I have been very successful using both hormonal & non-hormonal compounded combinations. Finally, a brief word about safety: most low dose topical hormone formulations used to treat local vaginal issues are not absorbed systemically and therefore are not considered to carry the same risks as menopausal hormone replacement therapy, even for breast cancer survivors.
Another pharmaceutical option is Addyi (flibanserin), a daily medication that has been shown to improve sexual desire. The side effects are generally minimal and it should not be taken with alcohol, but it may be good options for those women for whom none of the above has been helpful.
Most importantly, seek help:
though this is a sensitive topic, we are here to help you with all facets of your health and that includes sexual health & wellbeing.
By Dr. Dana Price DOM, Dipl.O.M., L.Ac.
The #metoo movement has really opened my eyes to how prevalent sexual trauma is for girls and women in our society with incidents ranging to very forceful and overt, to the subtle sprinklings on day to day life. I have my #metoo experiences and have been investigating how these experiences have encouraged me to suppress and shut down my fierce, blossoming and powerful sexual force. I wonder what the fully unhindered and empowered sexual me would look like. I do not have the answers and know that this process will unfold and recreate itself with time- as the feminine does. I encourage you, during this month of the expression of love and coupledom, to look within and investigate your sexual energy and what you would look like to be fully unencumbered and empowered.
I am engrained in Chinese medicine and have spent my adult life viewing the world through the interplay of Yin and Yang. A dark and cold wintry day is an opportunity to go within and nourish the Yin, a day that I want to be outside riding my bike in the wind of a sunny spring day gets my Yang recharged. Mental, physical and emotional health arises out of this interplay and when something is off- your Yin/Yang balance is disrupted.
So what happens when there is the lack of desire to have a fulfilling sexual experience or your body just does not respond? There are reasons related to unresolved trauma that are beyond the scope of this blog, so I am going to address the Yin/Yang imbalance that can arise and manifest as three main patterns. The first and most common is being too stressed and therefore your Qi (part of the Yang system) gets stuck. The second is not feeling from Yin deficiency and a woman can not feel sexy and confident enough for sex, and thirdly being Yang deficient and too tired for sex. In this first part of a series of three we will take a look at the libido being suppressed because of stress.
If you are feeling too stressed for sex you need to get your stuck Qi moving. In particular we call it your Liver Qi. Something I hear from my patients is that the desire for sex is low until they get warmed up and once they get going everything is fine. This is Qi stagnation. The Qi gets moving and you feel better.
Exercise is great for this. Get your blood pumping and do higher intensity endurance exercises like power yoga, running, spin class and the like. Be sure to exercise for at least 30 minutes a day and get your 10,000 steps in per day.
A plant based diet is best; focusing on 70-80% of each meal as vegetable based, while avoiding dairy and refined foods. Good foods to move Qi include: broccoli, cauliflower peppermint, radish, tomato, celery, asparagus, lemon, brown rice and chia seeds. Avoid caffeine, that morning coffee stagnates Qi and is infamous for exacerbating PMS symptoms and fibrocystic breasts. If you need the ritual of coffee I recommend organic cold-brew.
Avoid toxins: skip the plastic bottles, check and see what you are putting on your body- go organic as much as possible on all of your beauty products. To find what is best check out the Skin Dee section of www.ewg.org. Also, change your pads and tampons to organic, if you do nothing else do this.
Meditate and have some downtime. Where is your happy place? A nice bath, reading a book, having sex? Spend some time each day nourishing yourself.
Supplement with some vitamins: calcium and B vitamins get depleted with stress so make sure that in addition to taking your multivitamin you take extra calcium and a B complex.
Acupuncture & Massage: here at ilumina we work with stress and anxiety on a daily basis and we know that our acupuncture and massage really help break the stress cycle and sustain relaxation. Even better is to supplement these therapies with Chinese herbs.
If you find that you fit into this imbalance of Qi stagnation give yourself 3 months to journal on your vision of your full sexual expression, exercise, eat clean, meditate, and follow the other steps and see the change.
In my next two blogs I will write on the other two patterns that are frequently encountered at ilumina.
By Charlene Hagner M.Ac., Dipl. O.M., LaAc.
Transfer Day can be full of many different emotions. Women can have a range of emotions from excitement, anxiousness, and even a range of both. Having a moment to breathe and experience some relaxation before and after the transfer is wonderful, and a small benefit compared to the biological benefits of acupuncture on the day of transfer. Acupuncture increases the blood flow to the uterus. Research has been done, by using a Doppler to detect blood flow before and after treatment, showing an improvement of blood flow to the uterus and ovaries after a treatment. Treatments given before and after transfer help to improve patients' response to IVF medications, and the chances of pregnancy.
A two year case study, involving our clinic and a top rated Fertility Clinic in the valley, showed a 10% increase of pregnancy rates when using Acupuncture day of transfer. ilumina Healing Sanctuary has continued a valued reputation with fertility doctors in the valley for two decades, and we support in making the process as easy and comfortable as possible. All of our practitioners have extensive experience in IVF transfers and supporting with acupuncture in a clinical setting.
It is important to contact us when you know the date of transfer to reserve the time for transfer day services. We meet with patients 45 minutes ahead of the frozen embryo transfer, so the Acupuncturist has plenty of time for the treatment and the patient stays an extra 30 minutes after the transfer to receive the second acupuncture session.
Let us know how we can support you through your fertility journey. Call or email us with any questions.
By Leigh Lewis ND L.Ac. Naturopathic Doctor
Most patients have had thyroid function testing prior to seeking assistance at ilumina, whether it is for fertility issues, difficulty losing weight, mood and energy issues or simply as part of a general check up. However, there is much confusion amongst health care providers and patients regarding what constitutes normal function tests. In fact, recent research suggests that patients can be experiencing significant symptoms such as those mentioned above even when the results are normal and may be able to safely take and benefit from thyroid replacement. This is why we often request patients bring in their results or get new testing even if they have been told that all their thyroid testing is within normal range.
The thyroid can be through of as the gas pedal to many bodily functions. It’s hormones increase heart rate, bone turn-over, basal metabolic rate, cognition, digestion, reproductive function, etc. When there are not enough thyroid hormones, these processes slow down and when there is too much, they speed up. The tricky thing is, two individuals can have the same thyroid hormone levels and one feels great and the other feels terrible. Individual biochemistry dictates these differences and our current lab testing is based on pooled population data, therefore, often missing individual nuances.
A quick explanation on thyroid function testing:
Typically we here at ilumina recommend the following tests:
- TSH – thyroid stimulating hormone:
- This is a hormone produced by the brain to stimulate the thyroid to produce its own hormones such that when thyroid hormones levels are low, TSH levels rise and when thyroid hormones levels are high, TSH levels drop.
- Free T3 and T4 – triiodothyronine and thyroxine
- These hormones are produced by the thyroid, T4 is viewed as a precursor to T3, which is more biologically active and potent, T4 is converted to T3 via an enzymatic reaction…some people have difficulty making this conversion, necessitating a combination of T3 + T4 for replacement.
- Thyroid antibodies:
- These immune cells represent a common cause of thyroid disease; produced by the body, they attack specific mechanisms in the production and function of the thyroid hormones such that activity is either increased (autoimmune hyperthyroidism) or decreased (autoimmune hypothyroidism). Research suggests that the presence of these antibodies may explain symptoms of thyroid disease despite normal thyroid function tests.
There are several other thyroid tests that may be done other practitioners, but in practice it is our experience these do not lend much more information.
Confused? You should be.
Basically, it is important to remember that, while your thyroid function testing may be within the normal range, it doesn’t mean you would not benefit from a trial of thyroid replacement. Some patients, like those with mood, weight and energy issues, will be monitoring symptoms to see if the replacement has a positive impact, others, like those with fertility issues, may not notice a day to day improvement in any symptoms, but the hope is that time to conception & risk of miscarriage will decrease. Replacement can be done safely in those with initially normal labs because repeat labs will detect over medication or if the dose needs to be increased. If thyroid antibodies are positive, anti-inflammatory supplement and diet measures may be helpful.
Thyroid function affects nearly all of our physical, psychological, and mental processes either directly or indirectly; talk to us today to review yours for a healthier tomorrow.
By Leigh Lewis ND, L.Ac, Naturopathic Doctor
Are you hoping for pregnancy in 2018? If so, keep reading for information that may help you reach you goals. You may be surprised to learn that the conception rate for any one act of intercourse at the right time of the month, when the stars are aligned and without any fertility issues, is only about 25%. Yet, even knowing this, many couples expect to be able to conceive easily without much forethought or planning. This may be in part because we, especially as women, have spent most of our lives trying NOT to get pregnant. As such, it is not surprising that many couples are blindsided if they are not pregnant within the first several months of trying. However, there are a few simple things you can do to increases your chance for a timely & healthy pregnancy.
Preparation is Key: General Recommendations for All
Prenatal lifestyle & supplements: As with many goals in life, the path to a successful conception and a healthy pregnancy is planning. Lifestyle factors, including cigarette, alcohol & caffeine consumption, and marijuana and other recreational or prescription drug use in either partner can increase time to conception and increase risk of miscarriage & chronic health issues in children. Current research suggests that even if you have very regular and normal cycles starting a prenatal vitamin with adequate methylfolate several months prior to intended conception has numerous benefits in decreasing the risk of nutritional deficiencies, decreasing time to conception, preventing birth defects and decreasing risk of miscarriage as well as decreasing the risk of future autism spectrum disorders and other learning disabilities. While a prenatal helps correct nutritional deficiencies, some women may need additional vitamin D, B12 and iron depending on lab levels. These nutrients, if low, can interfere with one’s ability to get and maintain a healthy pregnancy. The omega 3 fatty acid derived from fish oil, DHA, has been found to benefit brain development and should also be part of the pre-conception plan. Finally, finding prenatal supplements that are well-tolerated prior to pregnancy can help avoid problems with consistency if nausea and vomiting are an issue early in pregnancy. A well-rounded multivitamin and mineral can also improve many aspects of sperm health when taken for at least 3 months prior to planned conception. First pregnancy and want to improve chances? Be sure to seek help on tracking ovulation and cycle via basal body temps or apps combined with timing intercourse (see resources below).
Pre-conception weight: Another recommendation that can decrease time to conception and increase probability of a healthy pregnancy is a normal weight. Being overweight or underweight can interfere with fertility by decreasing ovulatory cycles. Being overweight can also predispose to gestational diabetes and hypertension that can increase the risk of both conditions for mother and baby later in life. Normal weight has also been found to improve the success of fertility treatments like IVF. In short, it stands to reason that taking 3-6 months to address any weight issues can go a long way to improving health parameters for both mother and baby. Special diets or intense exercise can also cause some deficiencies that can be ruled-out with simple blood tests.
Contraception: It should be noted that it may take up to 12 months to re-establish normal ovulation and cycles after discontinuing hormonal contraception. That said, some women may be able to conceive the month after stopping contraception. The best course of action is to stop any hormonal contraception a year prior to intended conception, using non-hormonal forms (i.e. condoms) until conception is desired, to allow the body to re-set. This would also be a good time for both partners to start their respective supplements mentioned above. For those that are trying to avoid or delay pregnancy, remember prevention is the best medicine…there are several safe and effective forms of contraception to choose from. Finally, a word about lactation: While breastfeeding can help to space babies, it is not fool-proof and many women will return to fertility while breastfeeding, some even before regular menstruation resumes. For some women however, even breastfeeding infrequently can delay another conception. Please keep this in mind whether hoping for a pregnancy or to prevent one.
For those with fertility problems:
According to the CDC, American infertility statistics between 2011-2015 were as follows:
- 12.1% women aged 15-44 with impaired fertility
- 7.3 million women aged 15-44 who have ever used infertility services
While as many as 30% of couples never find the cause of their infertility, we do know several possible contributing factors that may play a role:
- Age: fertility rates within one year decrease & time to conception increases after 30 years of age
30s: 75% chance
At 40: 40% chance
By age 43: 1-2%
- Underweight, overweight and nutritional deficiencies (see above).
- Hormonal imbalances: thyroid disorders, endometriosis, polycystic ovarian syndrome, low estrogen and/or progesterone.
- Stress, anxiety, & depression: evolution may have set us up to delay conception at times of emotional stress
- Structural issues: blocked tubes from prior infections, uterine fibroids/polyps, adhesions or scarring from endometriosis or previous pelvic surgery
- Chronic illness such as autoimmune conditions
Infertility is diagnosed as no conception within 12 months of trying if under 35 years and 6 months if over 35 years. It helps to recognize the importance of these definitions as further lab testing, semen analysis, pelvic imaging and consultation may be recommended at this time.
Couples with any of the above issues should consider when they ideally would like to conceive and give themselves at least 6-12 months to get healthy by following the above general recommendations and seek guidance from a practitioner who specializes in women’s health and fertility to address specific issues in particular. The same could be said for women in between pregnancies in order to prep selves for a future conception as pregnancy, breastfeeding and caring for a growing family can take a toll on the body and mind.
If ovulatory, menstrual, or hormonal irregularities are suspected, addressing them by ruling out underlying factors is key. Research shows that acupuncture and specific herbal formulas and supplements may help normalize hormones and cycles, facilitate conception and improve the health and wellbeing during pregnancy and increase the success of conventional fertility treatments.
Fertility issues can be stressful, especially when combined with pre-existing insomnia, depression, or anxiety, and this can interfere with fertility and exacerbate emotional issues; truly a vicious cycle. However, there are safe ways to address these issues through meditation, yoga, acupuncture, herbs and supplements. In some cases medications may be the safest option with several studies showing that medications are preferable to “white-knuckling it” through depression and anxiety.
We here at ilumina are here to help you at any stage: from pre-conception and prenatal to postpartum and beyond, we offer diet & lifestyle counseling, mental health support, acupuncture, western & oriental herbs and supplements, massage and medications to address these issues. Please feel free to contact us today to get started on your pre-conception health & wellness plan.
1. Taking Control of Your Fertility
2. RESOLVE: The National Infertility Association
3. American Society for Reproductive Medicine (ASRM)
4. American Board of Oriental Reproductive Medicine (ABORM)
5. Clue: Menstrual/Fertility Tracker App
This little butterfly shaped gland in your neck has many functions, so when it is malfunctioning the body feels the consequences, as many as 12.5% of Americans suffer with a thyroid disorder, and many people are undiagnosed. Some causes of thyroid disorder include: Autoimmune disease, gluten intolerance, stress, toxins, adrenal fatigue, and iodine deficiency.
The thyroid gland drives the metabolic rate of every single cell in your body, which is 37 trillion cells, so you can imagine symptoms like weight gain, male and women’s infertility, hair loss, depression, and chronic fatigue are some symptoms of a low and hyper functioning thyroid.
At ilumina Healing Sanctuary, we bridge Eastern and Western medicine making it easy to check your thyroid, and get help with any imbalances of your hormones. It’s important to get your thyroid checked regularly. The thyroid plays an important role in getting pregnant and maintaining pregnancy. New research suggests that a slightly underactive thyroid may affect a woman’s ability to become pregnant even when the gland is functioning at the low end of the normal range, according to a study published in the Endocrine Society’s Journal of Clinical Endocrinology and Metabolism.
Chinese Medicine has come to the rescue, considering a study published in the Journal of Traditional Chinese Medicine, which stated, “Cases of Hashimoto’s thyroiditis and their immune function and thyroid function were observed. It was found that Chinese Medicine was able to reduce the thyroid antibodies in the peripheral blood of the patients with hypothyroidism and to recover their thyroid function”. Treating patients with Chinese Medicine can help lower anti-thyroid antibodies and regulate thyroid function
Check your thyroid frequently, maintain a healthy balanced gluten free diet, manage stress, and regular acupuncture treatments are important to keep the thyroid happy.
It is essential to keep the body balanced. Discussing these concerns with your Chinese Medicine practitioner may help you take control of your thyroid health.
Written by Charlene Hagner L.Ac., Dipl.OM
Oftentimes schedules are so busy it is difficult to get in the recommended daily exercise requirements for general health and weight management. One way to combat this issue is to bike commute to work, gym, happy hour, acupuncture, or other errands. It is definitely easier than most people think initially and, given that we are blessed with pretty nice commuting weather for about 8 months per year, what’s your excuse for not giving it a try?
First things first: The bike. Finding a bike that fits and is in good working condition is key. Definitely check out Craigslist for good deals, but be sure to stop by a bike shop to be sure that it fits or can be altered to fit before you buy. Despite the great weather, commuting in AZ can cause difficulties in the form of thorns, rocks, broken glass, construction nails, etc commonly found in the bike lane. Luckily, there are several ways you can set yourself up for success in your commute. Choose a mountain bike or a hybrid bike that allows for wider, thicker tires. Any bike shop or REI can help you pick tubes that are thorn-resistant. Keeping an eye on your tires and/or taking your bike in for annual maintenance/tune-ups are keys to preventive care.
Currently, my commute is 5.5 miles and takes about 25 minutes each way. I am riding a 1986 Bianchi hybrid bike that was a hand-me-down from my husband. If you start snooping in the garages of friends and family, I bet you too could come across a hand-me-down bike.
Next step: The route. In addition to maps at local bike shops, ADOT has a great website with access to several bike lane maps: http://www.azbikeped.org/maps.asp
Also, Google maps has a “bicycle” icon and it will suggest a route to your destination that is safer for commuting by bike vs. car. I have found the latter suggestions to be fairly accurate.
Other things that make commuting easier are listed below. I link to REI because they will install racks, tires, etc on to your bike if you by the items there and they are very helpful and have great sales on gear as well as informative classes on bike maintenance:
A comfy seat
A water bottle holder + water bottle
A commuter rack + panniers: allows you to carry things to/from errands, office, yoga without having to get a sweaty back or tight shoulders. https://www.rei.com/learn/expert-advice/bike-bags-racks.html
A portable pump + possibly tubes
A light to see and be seen
Pedal cages, not a must but they do increase the efficiency of each pedal stroke
Now that you have outfitted the bike, let’s get to you, the rider. There are several companies that make clothes that are perfect for commuting. There’s no reason to wear spandex unless you want to.
Women’s specific bike commuting clothes
ElevenPine shorts: https://www.elevenpine.com/collections/womens/products/women-s-uprising-11p-short
Terry for dresses, jeans and other bike-to-event commuting wear: http://www.terrybicycles.com/Apparel?gclid=Cj0KCQiA0vnQBRDmARIsAEL0M1m9NIrlmOTXOvclWLyoHL602F8FfqBq_uBYaDvwJ6EWBU6UvxcvVIkaAq4QEALw_wcB
Clean up at your destination
Burt’s Bees face/body wipes
Travel sized deodorant
Essential oil face/body spray
Bike Mechanic classes @ REI & local Bike shops
AAA roadside bike assistance
UBER/LYFT rides, just let the rider know you have a bike to be sure they can/will accommodate, though most that state 6 passengers will be able to get you where you need to go
If you are going to ride more than say 8-10 miles or an hour each way, you may want to invest in a professional bike fit and maybe a class on basic care skills, like changing a tire: Jeff Lockwood at Lifesport@cox.net
If you have any questions about getting started of cycling groups in the area, just ask…most of us at ilumina are cyclists and love to talk bikes!
By Dr. Leigh Lewis
This is a question I have been personally struggling with for years, nay, decades. I have long been aware of the research supporting the practice as pertains to health benefits, both mental & physical, and yet there was this wall blocking me from doing it. As a former endurance athlete, I’d spend hours each week running, biking, swimming and lifting, sometimes in the pouring rain and freezing temperatures, but never had the time to meditate for 15 minutes.
Then, when I relocated from Oregon to Arizona, by design, I found myself with more time. Coincidentally, I also found myself struggling with some health issues that required me to slow down. A quick web search and chat with my colleague, Dana Price, who is a strong advocate of meditation, I was able to connect with a local resource, the Phoenix branch of the international Tergar organization, which has a number of on-line and in-person meditation training opportunities and resources, offering both secular and Buddhist-based tracks.
It has been one year since I have embarked on my quest for a daily meditation practice. I haven’t been perfect, but have meditated formally more days than not and have been able to integrate mindfulness into my daily activities. What I have found is not earth-shattering, but, like many others will attest, this practice has helped me feel more calm, increase my tolerance to inevitable stressors, approach my dealings with others in a more compassionate way. Again, I am not perfect, I may still curse others in traffic and get irritated when placed on hold for more than 10 minutes, but I am more likely to see how these reactions are not beneficial and may, in some cases, be harmful. Many sources will describe how our thoughts can re-wire our brain and affect the levels of hormones and neurotransmitters produced thereby having specific physical actions. Physically, I have slept better, experienced less migraines, and have less distress from hormonal fluctuations.
In my clinical practice, I am frequently working with patients who are reporting physical symptoms that are at least partially due to or exacerbated by stress. Many have been told they need to decrease stress to see improvement in these symptoms. However, there is no anti-stress pill or quick fix to achieve this and stress is, unfortunately, a very prevalent fact of our modern lives. Unlike many other medical treatments, meditation is not only effective, but is free, has no side effects, is easily accessible, and can be done by anyone. Research supports the application of meditation for a wide variety of health issues such as anxiety, depression, high blood pressure, perinatal mood issues, chronic pain, insomnia, infertility, disordered eating, and decreased immune function.
So knowing that stress is a fact of life and has negative impacts on our health and well-being, where does one start? First, it is important to realize there is no “right way” to meditate. Like with exercise, it is important to find a technique that resonates with you for long-term success. Listed below are a variety of apps, books, websites and local resources that can help you find a path that will work best for you. I suggest starting with one of the books that do a great job providing the foundation of why meditation can be so helpful and how to go about starting a practice. If you are more technologically-minded, the apps may provide a great resource for guided meditations and ways to track your time. As always, contact me if you have any questions or would like to discuss this topic further
Joy of Living: Unlocking the Secret & Science of Happiness; Yongey Mingyur Rinpoche
Why Meditate: Working With Thoughts and Emotions; Matthieu Ricard
Peace is Every Step: The Path of Mindfulness in Everyday Life; Tich Nacht Hahn
Insight Timer www.insighttimer.com (free)
https://learning.tergar.org Joy of Living and Path of Liberation training resources.
https://palousemindfulness.com/MBSR/gettingstarted.html 8- week free MBSR training
http://www.iluminahealing.com/meditation/ Led by Dana Price
http://www.solutionmindfulness.com/about MBSR group training & resources
Its that time of year again where summer turns to fall and many patients come in with seasonal colds, increased stress levels and abnormal digestive symptoms. Boosting your immune system during these times are important for helping you stay healthy. Chinese Medicine has been treating the common cold for over 5,000 years, and helps prevent sickness by boosting your immune system and restoring balance.
Five tools for a pathway to prevention and remedy during the cold season:
1. Traditional Chinese Medicine uses diagnostic tools such as your tongue and pulse. The tongue is an expression of your digestion and body system. This can be a tool for prevention and diagnosing imbalances. The pulse is a way to understand the rhythm of the body. The pulse represents different organs in respect to Chinese Medicine practices. Using these tools help us better understand how to treat and prescribe the best herbs and treatment plan for your optimal health. Regular acupuncture treatments are beneficial for prevention and remedy for this year’s cold and flu season.
2.This time of the year the body craves more rest, and in preparation for the cold season getting seven to nine hours of sleep per night is highly recommended.
3.Eating a balanced meal can be challenging during the holidays, but staying close to a healthy, clean diet can prevent inflammation and digestion upset.
4. Zinc- is an essential trace mineral necessary for all forms of life and growth. It is part of DNA development, immune system response, and may reduce suffering from symptoms of the common cold.
5. Elderberry- has been frequently linked with increased immune coordination. This berry has been shown to boost the production of immune cytokines. The cytokines are key messengers in the immune system to help regulate immune response. This allows the body to defend against disease.
In Chinese Medicine theory breast milk is an expression of Blood energy and Qi (vital energy). It is understood that once a baby is born the Blood that was once nourishing the placenta is now transformed into breast milk. Breastfeeding has many benefits to the baby and mother, and is recommended by WHO (World Health Organization) to breastfeed the first six-months of your babies life for some of the reasons listed below.
Better healing post labor: Oxytocin is released when your baby is nursing. Oxytocin helps your uterus to contract and return to its normal size more quickly.
Baby Health: The incidence of pneumonia, colds, and viruses are reduced among breastfeed babies. Also, breastfeed babies are less likely to develop type1 diabetes, Crohn’s Disease, and Celiac Disease.
Getting to Know Your Baby: You have to read your baby's 'satiety cues' a little better, because unlike with a bottle, you can't see how much he's eaten," Kelly says. "You have to rely on your own instincts and your baby's behavior to know when your baby is full."
Lower SID’s Risk: Breastfeeding lowers your baby’s risk of sudden infant death syndrome by half.
Stronger Bones: Women who breastfeed have a lower risk of postmenopausal osteoporosis. When a woman is pregnant and lactating, her body absorbs calcium much more efficiently
Custom-Made Supply: Formula isn't able to change its constitution, but your breast milk changes to meet your baby's needs. Colostrum that comes in after you deliver is full of antibodies to protect your newborn baby. It's also higher in protein and lower in sugar than full milk, so even a small amount can hold off your baby's hunger
Calorie Incinerator: If you feed your baby 20 ounces a day, that's 400 calories, you've swept out of your body. Women lose their mommy tummy more quickly with breastfeeding.
Below is a great source for all breastfeeding questions:
The "Fourth Trimester” discussed here includes the weeks, months, and years after pregnancy, between pregnancies or following a woman's last pregnancy. Referred to elsewhere as “postnatal depletion”, this is not an illness or disease that requires treatment in most cases. Instead, it falls into a nebulous category with other periods of normal hormonal flux women experience throughout their lives, including PMS, pregnancy, & menopause. And, like these issues, a given woman may experience a range of symptoms on a continuum, similar to a bell-shaped curve, with some women experiencing little to no distress, most women experiencing moderate distress, and some women significant amounts of distress. Similar to the aforementioned hormonal issues, the severity of symptoms may meet clinical diagnostic criteria and even still women may feel like they have to "white-knuckle it" through this stage, not wanting to ask for help for fear of being discounted.
"Is ours not a strange culture that focuses so much attention on childbirth--
virtually all of it based on anxiety and fear--
and so little on the crucial time after birth, when patterns are established that will
affect the individual and the family for decades?"
It is important to acknowledge that in the US we often put more kind focus on pregnant women and then switch this focus to the baby immediately after delivery when mother-focused support is virtually non-existent. We as a culture ignore the needs of new mothers and make many demands on them that are prevented in other cultures out of respect for the postpartum period, a time recognized & honored as distinct from other times in a woman's life. Curiously, these other cultures, which also incorporate social supports for menstruating and menopausal women, have virtually no post-partum disorders compared to 50-85% of new mothers in industrialized nations like the US. During this time, protective measures, so-called "mothering the mother", help support and care for new mothers. Specifically, the practice of "lying in" relieves women of their normal workload and the implied duty to entertain visitors, allowing time for recuperation, rest, and family bonding. Not only does our culture minimize the significance of this change & the support necessary to healthfully assimilate this change into the family's life, but there is often an unspoken belief that any woman who needs post-partum support has somehow failed when in reality we as a culture have failed her.
Of course, having a child & parenting is physically, emotionally, and mentally demanding and these effects are compounded with subsequent pregnancies & deliveries. Most women survive the transition relatively unscathed, but at what cost? Few can honestly say they did not experience any of the symptoms listed below and, sadly, most did not seek any assistance either because they did not want to "bother" others or because they were simply too exhausted to focus on anything but mothering. However, by drawing attention to these issues, we can address these concerns sooner, rather than later, thereby avoiding a crisis. By caring for and prioritizing oneself, you can be healthier as an individual, mother, partner, colleague, & friend.
Symptoms may include, but are not limited to:
- Sleep dysfunction
- Poor motivation, concentration, memory
- Mood swings
- Menstrual irregularities
- Inability to lose weight
- Urinary & vaginal issues
- Low libido & sexual dysfunction
- Hot flashes/night sweats
By assessing a woman's medical & reproductive history, diet, lifestyle and relevant test results, we can often identify the underlying contributing factors to the symptoms she is experiencing. Special attention should focus on follow-up on any issues encountered in previous pregnancies, such as prenatal/post-partum mood issues, blood sugar & blood pressure abnormalities, and nutritional & thyroid deficiencies. These problems can negatively impact a woman's health and well-being long after the pregnancy & post-partum stages and make these already challenging stages more so.
A holistic approach focusing on the mind & body by integrating Eastern & Western medical therapies can be selected based on the severity of symptoms, individual risk-factors, and patient preference and may include recommendations for the following:
- Social engagement & support
- Meditation & quiet time
- Aerobic exercise & yoga
- Hormone replacement
- Pharmacological & non-pharmacological treatment options
Unfortunately, one of the hardest things for any mom to do is find time for herself for self-care, but you may be surprised by the number of resources available to you: friends, family, neighbors, and daycares at gyms/studios are resources that are available to most. Having in-home help for a couple hours per week may seem like a luxury, but if it provides you with the support needed to get out for a massage, a run, therapy, acupuncture, lunch with a friend or a yoga class, it is money well-spent.
For more information, if you have any questions, or to schedule an appointment, please feel free to contact us today.