Archives for Category 'Fertility'

The Thyroid Fertility Connection Part III

Saturday, August 21st, 2010

by Karen Reynolds, L.Ac., M.S., R.N.

Welcome to Part III of the Thyroid Fertility Connection.

In Parts I & II, I discussed the typical signs and symptoms of Hashimoto’s

disease, hypothyroidism, the biophysiology of these instances, and some helpful lab tests used to evaluate your thyroid function.

This section will give you some practical nutritional and supplemental tips to support your thyroid function and in turn your fertility.

As I’ve noted in Parts I and II, one of the biggest, life long practices, which benefits your fertility health, your immune system and your thyroid health, is to cut gluten out of your diet. The amazing and wonderful thing about our modern world is there are so many quality, gluten-free alternatives easily available. One of my patients recently traveled to Nigeria and she even found gluten-free bakeries and alternatives there! Next time you are in a restaurant, ask if they have a gluten-free menu. You may be surprised to find that more and more establishments are providing gluten-free options. One local pizzeria in my town even has a gluten-free pie and gluten-free beer.

I love Tinkyada brown rice pastas. These products are readily available online and in most health food stores. The consistency and flavor is practically seamless compared with traditional wheat based pasta.

Next I want to discuss some basic and inexpensive supplements that benefit everyone not just women seeking to fall pregnant. However, if pregnancy is your goal, this is important.

A majority of today’s population is Vitamin D deficient. We tend to think of Vitamin D as necessary in the body for strong bones. This is true. However Vitamin D is vital for immune health, reducing inflammation, and helping to regulate how certain genes are activated or inactivated in the body. How does this affect you and your fertility?

As I discussed in Part I, Hashimoto’s disease of thyroid is an autoimmune disease.

Autoimmune issues of all types are greatly influenced by challenges to the immune system and levels of inflammation in the body. Having adequate Vitamin D in your body will temper autoimmune flares, support your immune system and help to lower inflammation. In essence it will allow your system to go about the business of baby making as opposed to putting out fires. Acupuncture, which is my specialty, is also known to reduce inflammation and improve immune status. Combining acupuncture with diet and life style changes greatly enhances your fertility.

In my acupuncture fertility practice, I routinely check and monitor Vitamin D levels. This is easy, inexpensive and vital for your health. The Vitamin D council recommends maintaining a serum Vitamin D level of 50-80ng/L and supplementing each day with 4,000-5,000 IU/day of cholecalciferol. Avoid ergocalciferol as studies show that it is not effective in raising Vitamin D levels. For more information, see www.vitamindcouncil.org.

Listed below are some foods naturally highest in Vitamin D. You can incorporate these selections into your daily diet to improve your Vitamin D intake.

Mushrooms, potatoes, spinach

Vitamin D fortified orange juice

Soymilk

Herring catfish, mollusks oysters, salmon, halibut

Col liver oil, sardine oil.

My recommendations for my patients diagnosed with Hashimoto’s disease include

daily:

Vitamin D supplementation

Fish oils

Glutathione (topical cream)

Superoxide dismutase (topical cream)

Gluten-free diet

Note: You can also get vitamin D from sunshine. Twenty minutes in bright sunshine (without sunscreen) yields about 10,000 IU. However, if you are at high risk for skin cancer or have fair skin, this is not a good option. Check with your dermatologist for concerns about the sun’s harmful effects on the skin. I have found that most people don’t get enough sun exposure and require supplementation.

I have greatly enjoyed sharing this information and I look forward to providing you with future posts. In my acupuncture clinic, I specialize in the treatment of fertility of both men and women, women’s health, and functional endocrinology. More of my fertility patients have thyroid issues than those who do not; so this is a treatment passion of mine. Drawing from my 20 years of experience as an ICU RN, I make extensive use of lab testing. I also utilize acupuncture, antioxidants, dietary changes and nutritional supplementation to optimize health, wellness and vitality for the amazing women and men who I have the great honor to treat.

If you have questions, please feel free to contact me at:

kreynolds@balancerestored.com

Balance Restored Center for Integrative Medicine

600 Miller Avenue

Mill Valley, CA 94941

Ring: 415.381.8500 Ext. 4

See my blog for additional information:

http://karen-reynolds.com

Optimize your fertility with food-event and free book!!

Tuesday, July 13th, 2010

Aug. 12, 2010, San Francisco – Special Event at Greens Restaurant:

Talk on Eating for Fertility

At this special event being hosted by fertility specialist and patient educator,Dr. Danielle Lane of Golden Gate Fertility, and sponsored by MDR Pharmaceutical, featured speaker Cindy Bailey, co-author of the Fertile Kitchen Cookbook (www.fertilekitchen.com) will give an information-packed talk on how to change your diet to optimize fertility and share strategies and tips for successfully building healthy eating and cooking into our busy, daily lives.

All attendees receive a handout of local organic resources and goody bags which include a copy of our book.

When: 5 – 6:30 pm, Thurs., Aug. 12

Where: Greens Restaurant, Fort Mason, Building A, San Francisco, CA 94123

RSVP: Seating is limited, so respond ASAP!

To RSVP, call 415-893-0391 and ask for JODI, or

send an email to Cindy atinfo@fertilekitchen.com with “Event at Greens” in the subject.

The Thyroid Fertility Connection & Hypothyroidism, Part II of III

Thursday, July 8th, 2010

The Thyroid Fertility Connection and Hypothyroidism, Part II of III

by Karen Reynolds, L.Ac., M.S., R.N.

Thyroid hormones literally impact every cell of your body. It is no surprise that when your thyroid gland is stymied, getting pregnant can be more difficult. Unfortunately, thyroid dysfunction is a poorly understood health issue which directly impacts both male and female fertility. This article will give you some basics on the biology of hypothyroidism–the condition in which your thyroid gland doesn’t produce enough of certain important hormones–and why it impacts your ability to fall pregnant.

Many women have an understanding that sluggish thyroid function can manifest as extreme fatigue, feeling cold all of the time, and loss of scalp or eyebrow hair. However here are some additional significant signs and symptoms, which are less commonly discussed but are vital to your reproductive health.

Do you have any of these?

· Heartburn

· Bloating

· Gas

· Fatigue combined with cravings for starchy goods

· Mood swings

· Chronic constipation

· Slow digestion

· Diminished libido

· Difficulty losing weight

· Cholesterol elevations

Male specific signs and symptoms:

· Impotence

· Sperm production issues of unknown origin

Female specific signs and symptoms:

· Headaches, migraines, and/or depression occurring at mid-cycle

· Heavy or irregular menstrual bleeding

· Hot flashes/night sweats even though your FSH and Estradiol are within normal limits

· Uterine fibroids

· Uterine cysts

Heartburn, bloating, and gas: why do you have these and why does it make a difference in your fertility? The hormone gastrin is necessary to make Hydrochloric acid (HCl) in your stomach. You need HCl in order to kill parasites, prevent food poisoning and prime your lower gastrointestinal tract to complete the digestion of foods. Sometimes women think of stomach acid as a bad thing; but in reality an acidic environment is needed in the stomach for healthy digestion.

If you have hypothyroidism, the amount of gastrin your stomach makes is decreased. This leads to less efficient digestion and can show up as bloating, heartburn and gas.

Without adequate HCl the lower organs of digestion, such as the pancreas and gall bladder, are not adequately signaled to do their jobs. Evacuation of your bowels can slow down and this can lead to overgrowth of yeast and bacteria in your intestinal tract. All of these wrenches in the gears of digestion drastically impair the amount of nutrients absorbed by your body. Mal-absorption can lead to inflammation and infection. Low-grade intestinal infections are typically and easily overlooked. If this sequence of digestive patterns occurs, your body will focus its energies upon survival as opposed to baby making.

At the risk of sounding like biophysiology class topic, let’s talk about how your thyroid and liver function impacts your fertility. The liver is the largest organ of your thorax and is the powerhouse of processing and eliminating hormones, medications, environmental chemicals and food matter. You may be familiar with some laboratory levels drawn for assessing your thyroid. These can include, but are not limited to, the following: Triiodothyronine (T3) and Thyroxine (T4).

Your thyroid makes both T3 and T4. Roughly 93% of the hormones produced by your thyroid are T4. Roughly 7% of the hormones produced by your thyroid are T3.

The clincher is that your optimal cell functioning requires the T3 form. The conversion of T4 into T3 happens primarily in your liver and some conversion occurs in your intestinal tract too.

It makes great sense that if you liver is overwhelmed with other jobs of detoxification, or if your liver is not receiving enough T4 from your thyroid, or if there is an infectious process in your gut, your cells may not be getting the basic levels of thyroid hormones they need for optimal functioning. Remember your body’s rule of thumb is that it is most fertile when all other nutrient and energy producing processes are humming along in perfect order. It’s all connected.

So now that we’ve talked about mechanisms of action in your body, let’s talk about mechanisms of action for you to take to improve your fertility.

Get evaluated.

It is necessary to get a full metabolic blood chemistry panel work up and have it analyzed by a qualified MD, Endocrinologist or an Acupuncturist specializing in endocrine issues. I do such assessments daily in my clinical practice in Mill Valley, CA. Benefits an Acupuncturist can bring to you are multifaceted. For example, I can order lab work at significant discounts compared to unspecialized labs, community hospitals, large corporation labs, or HMO’s. Additionally, acupuncture has the ability to reduce stress hormones, detoxify, improve circulation and reduce inflammation.

Maintain stable blood sugar levels by eating breakfast, eliminating inflammatory foods, and eating every 2-3 hours. This is not just a message for diabetics. Erratic blood sugars cause a cascade of biophysiological events, which ultimately impact your fertility.

Eat breakfast. Your brain needs nutrition even if you do not feel hungry in the morning. If it’s difficult for you to eat in the mornings, begin by taking only several bites at time. It doesn’t matter if you nibble for an hour to get a breakfast portion consumed. An optimal breakfast has a high quality protein, a low-glycemic grain and a small amount of fat. Two fried eggs over quinoa with several slices of avocado is an ideal combination to stabilize blood sugar for hours. Cold, gluten-containing cereal is not your friend in fertility. Cold beverages, juices, and dairy are all items which dampen and challenge digestion.

Eliminate inflammatory food items from your diet-the main one being gluten. Even if you are not gluten sensitive, gluten is a highly inflammatory substance. It is like throwing gasoline on a fire. If you have inflammation in your system, there is already a fire burning. Help quench it by choosing gluten free selections such as rice, quinoa and potatoes.

Eat every 2-3 hours and make sure you have some protein with your snack. Always eat carbohydrates with some protein otherwise you’ll experience a spike in your blood sugar followed by a crash. If you after eating a portion of carbohydrates, you feel drowsy, fatigued, or you crave sweets immediately, you have gone over your personal carbohydrate tolerance. That is a crash. Experiment with smaller portions of carbohydrate and larger portions of protein.

Remember you have a glorious, wise human body and you have the power to educate yourself about your fertility and life choices!

Stay tuned for Part III of the Thyroid Fertility Connection!

Thank you, be well, and Namaste.

If you have questions, please feel free to contact me at:

kreynolds@balancerestored.com

Balance Restored Center for Integrative Medicine

600 Miller Avenue

Mill Valley, CA 94941

Ring: 415.381.8500 Ext. 4

See my blog for additional information: http://karen-reynolds.com

Understanding AMH as a fertility marker

Thursday, June 3rd, 2010

The following article was prepared by Randine Lewis, Ph.D., founder of The Fertile Soul and the CEFP community, for purposes of helping patients to understand how Chinese Medicine interprets AMH markers as “potential” indicators for fertility.  Susan Fox is a member of the CEFP community, an international group of practitioners dedicated to treating fertility challenge using principles of The Fertile Soul method.

AMH – What Does It Really Mean?  Markers of Ovarian Reserve Viewed Through the Lens of Chinese Medicine   By Randine Lewis, Ph.D., L.Ac.

“Ovarian reserve” testing can be intimidating and daunting. The results often feel like a fertility death sentence. When viewed through the eyes of Chinese medicine, however, these laboratory markers of ovarian potential can actually make diagnostic sense, and help determine the best natural therapeutic course for you.  It will be helpful to understand a little reproductive physiology first.

Brain Hormones:

The pituitary gland, which sits behind your eyebrows, emits FSH (follicle stimulating hormone) in response to messages translated by the hypothalamus, which secretes Gonadotropic releasing hormone (GnRH) in response to the hormone levels in your blood, and your emotional response to your environment. This hormonal command post, like all of the hormones in your body, responds to internal chemical messages conveyed through the blood, and emotional interpretations of your external environment.

These external and internal messages determine how the pituitary hormones interact with and are able to communicate with your ovaries, and how the ovarian output communicates back to the hypothalamus and pituitary gland.

Ovarian Hormones:  Activin and Inhibin B are protein complexes within the ovarian follicule. Activin enhances FSH secretion, cellular proliferation and plays a role in menstrual regulation. Inhibin B, on the other hand, down regulates and inhibits GnRH from the hypothalamus, and FSH secretion from the pituitary gland.

When the system is in sync, the hypothalamus secretes GnRH to trigger the pituitary gland to release small amounts of FSH during the last few days of the previous menstrual cycle, which rise until the beginning of the next follicular phase. FSH recruits Graafian (or antral) follicles, which have been growing within the ovary for the better part of a year. Around three months before these follicles are ovulated, they enter the tonic growth phase, where protein synthesis occurs. Follicles that have interacted optimally with the internal environment have the potential to become dominant follicles, primed by FSH. They then secrete estrogen, and express LH receptors, which allow the chosen dominant follicle to mature and become capable of ovulation.

Higher levels of Inhibin B indicate that the ovarian follicle is doing its job of putting out adequate estradiol. Inhibin B provides negative feedback to the hypothalamus and pituitary gland to let them know to turn down the GnRH and FSH, as output is sufficient.

The High FSH Craze  Within the last ten to 15 years, reproductive medicine has been making quite a fuss over high FSH levels. Chinese medicine doesn’t focus so much on the unqualified meaning of laboratory values like Western medicine does; we view lab results energetically according to what is behind them, rather than providing meaning to the absolute numerical value.

The body energetically views the ovaries as “essence”, an elemental potential, like the primordial follicles within them. Follicles are only potential until they begin to interact with their internal environment, which is responding to cues coming from our interpretation of our external environment. All of this is subject to change, when we change our internal environment, and our response to our external environment. FSH, on the other hand, is viewed as “heat”, which activates the potential of the ovaries’ essence in the form of eggs, and resulting blood levels of estradiol (or yin). When the essence is adequate, it doesn’t require much heat to ignite the ovaries. When the essence is weak (due to stress, lack of restoration, follicular malnourishment, and the demands of life), it takes more heat to induce the necessary ovarian response, indicative of present ovarian health.

To put it simply and in energetic terms, those who have high FSH and low estradiol levels generally have too much heat, in relation to the underlying essence capable of responding to FSH stimulation. Although optimal FSH values are seen as <10, The Fertile Soul Method ® has helped women whose FSH values are well over 100 conceive naturally. First, however, we have had to energetically reduce their heat, and maximize their essence, which allows the FSH to activate healthy follicles.

Although Western medicine views the reproductive system as an ever-deteriorating disease process waiting for intervention, Chinese medicine employs a different lens. We view the body/mind/spirit as an ever adaptive system, which, when given appropriate environmental cues, has a miraculous ability to manifest its highest potential.

The Low AMH Frenzy  As if high FSH values, and low estradiol/inhibin-b levels weren’t enough to convince you of your need for drastic intervention and donor eggs, the newest craze in ovarian reserve testing is a hormone known as Anti-Mullerian Hormone or AMH.

Again, some reproductive physiology will be helpful to make sense of this hormone.  During embryonic development, male testes produce AMH, to inhibit the expression of Mullerian ducts, which become female sexual organs. In the presence of AMH, the primordial urogenital ridge bears Wolfian expressions of prostate, testes and vas deferens, rather than the female Mullerian expressions of fallopian tubes, uterus and vagina. We could look at Anti-Mullerian Hormone as a “holding back” hormone. After birth, AMH becomes expressed by females, within the granulosa cells of the ovary, where it inhibits the responsiveness of growing follicles to FSH. Since human beings aren’t made to raise litters, the body’s internal wisdom does not allow the recruitment of all of the primordial follicles, as only one dominant follicle is chosen for ovulation during each menstrual cycle. If FSH is viewed has heat, and estradiol is viewed as yin, AMH is viewed as the “essence potential”, or the ability to hold back the ovarian essence from interacting with the pituitary gland’s igniting fire. The greater the body’s ability to hold back ovarian essence, the easier it is for the FSH igniting potential to activate a response in the form of a healthy egg and its resulting estradiol levels. Therefore, higher AMH values are indicative of a greater abundance of interactive follicles. The range of AMH values run between 0-6 ug/L. The closer you are to 6, the greater the force behind the dam. Once again, The Fertile Soul Method ® has helped women whose AMH values were zero conceive naturally. How does this work?

Putting It All Together  We are endowed with a primordial pool of follicles during fetal development. At birth they measure near one million; by the time we enter menarche, they number about 500,000, and by the time we approach the perimenopausal years we have around ten thousand. These primordial follicles do not undergo any change or deterioration until they begin to circulate within the ovaries’ response to its internal environment, which is an inner result of how we relate to our external environment.

The hypothalamus interprets our emotional response to our environment (via neurochemicals), and translates it into hormonal messages in the form of GnRH or Gonadotropin Inhibitory Hormone. These chemicals then trigger the appropriate response from the pituitary gland, whose hormones signal the gonads to release their germ cells and hormones. The resulting blood laboratory values are a manifestation, not a cause. These circulating hormone levels feed back to the hypothalamus, along with our emotional response, to regulate its ongoing release of brain hormones. Because of this adaptive feedback system, supplying external hormones will not improve the function of the ovaries; only suppress their release. In order to improve the functioning of any part of this system, the entire system must be addressed.

Tiny follicles leave their primordial pool (again, not changed since before birth), and enter into the growing pool of follicles, where the dominant follicles are activated by FSH fire from the pituitary gland. The number of circulating follicles depends upon many factors – blood flow to the ovaries (which can be enhanced), nutritional and hormonal fuel to the ovaries (which can be enhanced), our emotional response to our environment (which can be enhanced), our ability to restore and access the follicles to allow them to enter into a healthy internal environment (which can be enhanced.) The number of follicles in the growing pool determines the levels of AMH. Only the chosen dominant follicle will mature in response to the pituitary gland’s release of luteinizing hormone during ovulation. LH can be viewed as the energetic trigger, causing the entire cascade to produce the potential for release, fertilization, implantation and continued growth.

An early antral follicle releases estradiol in the form of yin. If the endocrine system provides messages that this system is conducive to new life, the ovaries perceive a great internal potential to produce more follicles. They will respond with more yin, access more essence, and the entire cascade will dance into full expression. AMH values will rise. FSH values will tend to lower, as very little flame is necessary to keep the fire going. More follicles will produce greater levels of inhibin B. The body will select a dominant follicle; LH will mature its residing egg, and allow the release of a healthy potential.

Keeping The Fire Burning  A simple analogy – FSH is the flame. The uterus is the oven. LH is the opening of the flue. The ovaries are the wood; Estradiol measures the available wood for burning, inhibin B could be seen as the damper that keeps the fire from burning out of control, and AMH could be seen as the lighter fluid. If we are trying to ignite the spark of life and keep it going, we need to ensure all of our provisions are adequate. Assisted reproductive technology gives you one tool – more fire. However, if we need a drier oven, if we need to gather more wood, soak it in more fluid, or reduce the wind that is keeping the spark from igniting, more fire is not the only answer. In fact, sometimes more fire actually keeps the materials from being able to burn on their own. A flame-thrower is not the best way to tender the gently burning fire of life. Some ways you can improve your capacity on your own:

Reduce stress Perform reproductive and femoral massage

Take anti-oxidants Eat organic, natural fruits and vegetables

Get adequate rest Practice internal deep breathing techniques

Acupuncture Keep yourself in supportive environments

Chinese Herbal therapy

The Fertile Soul Method ® is proven to maximize your reproductive potential. Most of our patients are 40 or over; most have high FSH, low AMH, other hormonal abnormalities, or have been diagnosed with poor ovarian reserve, poor egg quality, endometriosis, or recurrent miscarriages. Most have not found their answers solely within Western reproductive medicine. Most have been able to rectify their internal energetic imbalances through our program, and produce new life.

Dr. Randine Lewis is the founder of The Fertile Soul, the president of the Continuing Excellence in Fertility Professionals, the author of The Infertility Cure, and The Way of the Fertile Soul. Find out more about Dr. Lewis’ work at www.thefertilesoul.com, and about The Fertile Soul’s network of professional fertility acupuncturists at www.thefertilesoulcefp.org.

Copyright 2010 The Fertile Soul

What you need to know about the infamous Semen Analysis

Thursday, May 20th, 2010

A semen analysis, often colloquially called a “sperm count”, is not used only to count sperm.It also evaluates sperm production (quantity) by the testis, assesses how the sperm are moving (quality), and examines secretions of the genital tract. A semen analysis does not singularly determine a man’s fertility. Many additional factors must be reviewed and considered. From the standpoint of processing of semen samples: not all labs are the same. In my fertility acupuncture practice, I have stopped sending my patients to larger, unspecialized laboratories, such as those in community hospitals or large corporate labs. This article reviews pros and cons about the types of options available and important considerations for collection for the most accurate results. At the end of this post, I have additionally listed some definitions and terminology.

Semen samples are best processed in an “andrology” lab. Such labs are generally associated with Urology or Reproductive Endocrinology offices. This is important as a semen analysis is a time-sensitive procedure that requires a certain level of technical expertise to perform accurately. Processing by an andrologist is inherently superior for multiple reasons. Firstly, an andrologist has advanced training and skills in assessing semen samples and extensive experience in proper handling. Secondly, dedicated andrology labs typically have state of the art equipment with more accurate counting chambers and more formal analytical methodologies. In unspecialized lab settings, semen specimens frequently are relegated to the least senior technician on site, or to the technician available at that moment. For that reason the specimen may be handled and processed by less experienced individuals.

A study published in The Journal of Human Reproduction in 2000 showed marked variability in the same semen samples analyzed at different facilities. Results for the same semen specimen ranged from a count of 3 million sperm/ml to 492 million sperm/ml. Erroneous results can be emotionally devastating, can cause unnecessary stress, can change the course of medical care, and are wasteful.

In other words: your semen analysis results from an unspecialized lab might tell you that Elvis is in the building but it won’t go into detail about how many cheeseburgers he’s eaten or how well his hips are swiveling. Yes, this is a campy analogy, but I’m sure you understand my point. If you are going to the trouble of spending time and money to produce a sample, you want it to accurately reflect what is going on with your sperm production.

Additionally I strongly encourage men to schedule the semen analysis in conjunction with a complete medical history and examination by an experienced Urologist. Beyond the natural drive to father a child, each man needs to be evaluated for a disease processes that may cause an abnormal semen analysis, or for mechanical issues or genetic pre-disposition which might affect not only semen quality but his health in the future. Currently it is accepted that infertile men can have higher rates of testis and prostate cancer after the diagnosis of infertility is made.  Unfortunately, the male infertility evaluation is sadly lacking in current conventional practice as the focus has tended toward the women and Assisted Reproductive Technologies (ART). Please remember: a semen analysis alone is insufficient to inform a couple whether male infertility is a) curable, b) caused by an important health condition, or c) a risk factor for later disease development. .

Another vital consideration is your comfort level and how you are treated.At a Urology office such as The Turek Clinic in San Francisco, CA (www.theturekclinic.com) you will find professional staff, a quiet, private setting and a seamless process for appointments. You can literally show up at 8AM and be completely done well before noon. In those few short hours the semen analysis is collected and processed. The results are interpreted for you the same day by Dr. Paul Turek, and a comprehensive history and physical exam is completed during a consultation hour. It is commonplace to need to meet on-site with Dr. Turek only once and follow ups can be scheduled per telephone, in the comfort of your home or office. Your time will not be wasted and you’ll come away having had a hassle-free, thorough, reliable exam and testing process.

The Turek Clinic

www.TheTurekClinic.com

Blog: www.TurekonMensHealth.com

55 Francisco Street #300

San Francisco, CA 94133

(415) 392-3200

I hope this article is helpful for your journey to fatherhood and having a family. In my acupuncture clinic, I specialize in male and female fertility, women’s health, and functional endocrinology. Drawing from my 20 years of experience as an ICU nurse, I make extensive use of lab testing. I also utilize acupuncture, dietary changes and nutritional supplementation to optimize health, wellness and vitality for the amazing men and women who I have the great honor treat.

Below are important considerations for obtaining your semen sample as well as some additional information regarding terms you may see on your results.

If you have questions, please feel free to contact me at:

kreynolds@balancerestored.com

Balance Restored Center for Integrative Medicine

600 Miller Avenue

Mill Valley, CA 94941

Ring: 415.381.8500 Ext. 4

See my blog for additional information:

http://karen-reynolds.com

Semen samples require specific steps in collection and transport. Here are some important directions to assure accurate results.

•Due to religious or personal beliefs, masturbation for sample collection may not be an option for all men. In this case, inquire with your MD regarding use of a Milex sheath or a Silastic Sperm Collection device. These specialized condoms are non-toxic to sperm, yet allow for effective collection.

•Abstain from ejaculation for 2-4 days prior to semen collection. Longer or shorter periods of abstinence will impact your results.

•Consult with your MD regarding appropriate lubricants for use during collection.

Most lubricants are toxic to sperm or otherwise impact the specimen.

•Collect in a sterile container-obtain this from your MD.

•Make sure the entire ejaculate volume is collected. All is necessary for an accurate test.

•Samples must be kept at body temperature. Place the sample in a shirt pocket to maintain the temperature.

•Deliver the sample within 1 hour to your testing lab.

•Always check with your lab facility to be certain other requirements are not necessary.

World Health Organization Limits of Adequacy for Semen Samples (1999)

Volume  >1.5 ml

Concentration  >20 million/ml

Motility  >50%

Morphology  >30%

Forward progression  2 on a scale of 0-4

Semen Analysis Terms and Definitions

Density= how many million sperm per milliliter of semen fluid.

Motility= the percentage of sperm with any movement

Morphology= pertains to sperm shape and physical characteristics

Forward progression= quality of sperm movement rated on a 0-4 scale

The Thyroid Fertility Connection and Hashimoto’s Disease, Part I of III by Karen Reynolds, L.Ac., M.S., R.N.

Monday, May 17th, 2010

The Thyroid Fertility Connection and Hashimoto’s Disease, Part I of III

by Karen Reynolds, L.Ac., M.S., R.N.

Elizabeth is a hardy, healthy small business owner known for her creativity, drive and sense of humor. In the last 2 years she has fallen pregnant easily; but has had 3 miscarriages, each early within the first trimester. Her medical doctor had attributed her pregnancy losses to advance maternal age. Following the last miscarriage, she began noticing that her energy level seemed inordinately high, even after 12 hours of hard work. She also began spontaneously losing weight. This pleased her; but it was peculiar that neither her diet nor activity level had changed.

Next she started experiencing heart palpitations and feeling as though her insides were quaking. Friends and family dismissed it as anxiety, overwork and stress, though Elizabeth is not an anxiety prone woman. These symptoms culminated in awakening one morning with double and blurred vision and a headache so severe that she could not drive or function.

It turns out that Elizabeth has Hashimoto’s disease-an autoimmune disease of the thyroid. Autoimmune means that the body attacks itself or identifies its own tissue as foreign. It is important to realize that with Hashimoto’s disease, women can have fluctuating bouts of BOTH Hyperthyroid (fast/overdrive) and Hypothyroid (slow/sluggish) symptoms.

For some women, the symptoms change rapidly from week to week.

Hashimoto’s disease is complex with regard to how it disrupts fertility and can contribute to recurrent miscarriage. During hypothyroid bouts, the disease impacts progesterone production. During hyperthyroid bouts, the disease imparts extreme inflammatory stress and temperature dysregulation. The matter is further complicated by the fact that some women have the commonly checked TSH blood level (Thyroid Stimulating Hormone) registering within “normal” ranges; yet they do have Hashimoto’s disease. For your review below are listed typical Hyperthyroid and Hypothyroid symptoms.

Hyperthyroid Symptoms

Heart palpitations, heart racing

Agitation

Anxiety

Nervousness

Feeling like your interior of your body is trembling

Insomnia

Loss of weight without diet or activity change

Hypothyroid Symptoms

Marked fatigue, despite getting enough sleep

Unable to lose weight, even with a strict nutritional intake

Gaining weight, even with a strict nutritional intake

Poor concentration

Memory loss

Hair loss/thinning: on scalp, body, and genitals

Loss of outer edge of eyebrows

Extremely dry skin

Dandruff

Constipation despite fiber, fluids, and over the counter medications

By the time Elizabeth saw me for acupuncture, she was physically and emotionally drained.

I was stunned to find that nowhere along her course of evaluation were blood levels for antibodies drawn. This is a must. Labs called Thyroid Stimulating Hormone Antibodies (abbreviated TSH Ab), had been drawn to rule out Graves Disease. These were indeed negative for Elizabeth; but she still had Hashimoto’s.

There are two basic and inexpensive antibodies blood tests, which should always be checked when there is a question of thyroid disease or Hashimoto’s. In my practice, I routinely order these markers. My patients pay $29 for each test plus a $7 lab draw fee.

Thyroid Peroxidase Antibodies abbreviated TPO Ab.

Thyroglobulin Antibodies abbreviated TGB.

Elizabeth had extremely elevated numbers of both Thyroid Peroxidase Antibodies and Thyroglobulin Antibodies.

Conventional medicine does not typically recognize steps, which autoimmune patients can actively take to attempt to quench the inflammation that occurs within their bodies due to autoimmune thyroid issues. This may be one reason why antibody draws are often not completed. The conventional medicine tack that is frequently taken is that the thyroid will eventually be burned out, so to speak, by the body’s repeated autoimmune attacks. Then the woman will simply be on thyroid hormone supplementation for the rest of her life.

What about the woman’s body, mind and spirit weathering the extremes of these overdrive states? What about the physiological impacts to a woman’s overall health during these flares? Any woman who has ever experienced this phenomena will tell you she wants options.

In addition to seeking medical care and acupuncture, here are some things you can do to take care of your own thyroid if you have or suspect you have Hashimoto’s disease.

By following these self-care measures, you can assist your body in more optimal hormone regulation and reduction of inflammation, so as to improve your chances to fall pregnant.

First of all: see your MD and Acupuncturist. Have the appropriate labs assessed and interpreted to determine the function of your thyroid.

Cut out gluten from your diet-FOREVER.

This is a strong statement, I realize. There are voluminous amounts of evidence that gluten is akin to gasoline on the fire of autoimmune issues. Sometimes my patients will say to me “Can’t I just have a slice of birthday cake once a year?” Please note: one exposure to gluten revs up your immune system for up to 8 months. One slice of birthday cake could have long standing impacts to your thyroid, causing a flare.

An autoimmune thyroid flare can in turn cause your body to attack your thyroid.

You have power within your habits to attempt to preserve your thyroid’s function. Avoiding gluten is one power you can exercise.

I will have more information on gluten and how it affects the thyroid in Part III of this series. Complex carbohydrates that are OK to include in your diet are

potatoes, rice, quinoa, and wheat-free oats.

Avoid iodine supplementation and avoid iodated salt.

This may seem counter intuitive. From a biophysiology standpoint, iodine stimulates increased production of Thyroid Peroxidase (TPO). For a woman who has antibodies (Thyroid Peroxidase Antibodies TPO Ab) to her own TPO, this surge of TPO can cause flares. Sea salt is fine. Cook your own food as much as you can.

The other iodine warning is to avoid, if possible, scans requiring use of intravenous iodine based dye. Patients generally must sign consent for the iodine contrast dye to be used. Chemically flooding your system with an iodated dye can do exactly the same thing as iodated salt. However a contrast dye injection is in far greater quantities and infused directly into your blood stream. With any testing procedure, you all must weigh the pros and cons. Actively consider these with your MD, should it be necessary for you.

Increase antioxidants in your diet and with supplementation.

We often hear about antioxidants associated with warding off cancer or used in

anti-aging protocols. If you have Hashiomotos disease or suspect it, your body will use antioxidants to quench that flaming fire of inflammation caused by the autoimmune response. The great thing is that antioxidants are abundant in green leafy vegetables, they are widely available as supplements, and there is plentiful information about them on-line. Cindy Bailey’s fabulous book The Fertile Kitchen Cookbook models a diet naturally high in antioxidant rich foods to nourish your body. Additional information on antioxidants will be provided in Part III of this series

In my acupuncture clinic, I specialize in the treatment of fertility of both men and women, women’s health, and functional endocrinology. More of my fertility patients have thyroid issues than those who do not; so this is a treatment passion of mine. Drawing from my 20 years of experience as an ICU RN, I make extensive use of lab testing. I also utilize acupuncture, antioxidants, dietary changes and nutritional supplementation to optimize health, wellness and vitality for the amazing women and men who I have the great honor treat.

Stay tuned for Parts II and III of the Thyroid Fertility Connection!

Be well and Namaste.

If you have questions, please feel free to contact me at:

kreynolds@balancerestored.com

Balance Restored Center for Integrative Medicine

600 Miller Avenue

Mill Valley, CA 94941

Ring: 415.381.8500 Ext. 4

See my blog for additional information:

http://karen-reynolds.com

Free Fertility Seminar 6/16 at Balance Restored

Wednesday, June 10th, 2009

Free Fertility Seminar 6/16 at Balance Restored

Tuesday, June 16, 2009  6:00-7:00pm 

RSVP 415-673-9199

Balance Restored 600 Miller Avenue Mill Valley, CA 94941

ENHANCE YOUR FERTILITY WITH COVENTIONAL AND TRADITIONAL MEDICINE

For thousands of years, acupuncture has helped women and men with issues of reproductive health, including infertility.  Modern stressors such as improper diet and busy lifestyle contribute to the increasing number of couples having difficulty conceiving.  Acupuncture has demonstrated effect in lowering stress hormones, increasing circulation to reproductive organs, supporting detoxification pathways, and providing an overall feeling of wellness.  

Modern science offers a wide array of options to achieve a successful pregnancy, both from a diagnostic and treatment perspective.  Reproductive Endocrinology can identify causes of infertility, such as egg or sperm quality, implantation issues, etc., and can offer solutions to such problems.

The doctors at Laurel Fertility Care and the acupuncturists at Balance Restored-Center for Integrative Medicine will discuss their individual and combined approach to your treatment and success.

Board Certified & Credentials Satisfied!

Thursday, May 28th, 2009

I am delighted to announce that I and my brilliant business partner, Anne Cabrinha, have passed the Board Certification exam and are now Fellows of the American Board of Oriental Reproductive Medicine (FABORM)!   ABORM certification demonstrates that we have proven competency of the complex nature of treating all areas of reproductive medicine, including infertility, menstrual issues, menopause, male factor, etc.  Patients and medical professionals can be assured that FABORM practitioners can assess medical conditions, interpret them through the perspective of the principles of Traditional Chinese Medicine, and prescribe acupuncture and herbal medicines accordingly.

To quote Anne during our hours of study and to second her opinion, “Preparing for this exam has caused me to fall in love with our medicine all over again!”  In deepening my knowledge of TCM’s approach to infertility, I have come to see the advantages of our body of medicine, insofar as it supports not only the physical, but also the emotional and spiritual journey that our patients are undertaking.

We look forward to helping you achieve optimum health and get your Balance Restored!

AAAOM International Conference and Exposition, Workshop O

Tuesday, April 28th, 2009

Notes from Workshop O.:Hormone Regulation and Reproductive Health:

AAAOM 2009 Conference: Workshop O Hormone Reg. Notes (Post 2)Understanding the Biochemistry of How to Manage the Fertility Patient (Fertility Tract II of IV)