Tag Archives: natural fertility

What is PCOS and is there a PCOS epidemic?

PCOS is entering epidemic proportions with an estimated  6-10% of all women in North America potentially having PCOS. Not only that, but the consequences can be severe and life-threatening including infertility or sub-fertility, diabetes, heart disease, obesity and depression.  Literally millions of women are struggling and really don’t have any information from their doctors other than “you have PCOS.” Let’s go over the basics about PCOS, which stands for polycystic ovary syndrome, and see what can be done about this frankly horrifying condition.

What is PCOS?

Polycystic ovary syndrome sounds like it logically should be a situation where there are many cysts on women’s ovaries (that would make sense, right?) and in some cases that is correct, but actually a woman doesn’t have to have cysts to have PCOS. Go figure.  We’re finding out now, that it can also affect men’s health – although there is no equivalent of a PCOS diagnosis for men – but they can still carry the genes and pass it on to their sons and daughters. Essentially this is a whole body condition that is partially caused by genetics and partially caused by environment. It typically starts with an imbalance in your levels of sex hormones, but ends up changing the way your body uses insulin, which can lead to diabetes. Because of this combination there can be cysts in the ovaries, higher than normal levels of testosterone, insulin-resistance, pre-diabetes or actual diabetes, weight gain, and fertility troubles.




Symptoms of PCOS

Not every woman has the same spectrum of symptoms, but all of these can be part of PCOS.

What are the Conventional Medical Treatments?

Conventional medicine combines 4 drug therapies depending on your symptoms:

  1. Estrogen/progestin birth control pills to regulate your cycle, or progestin only if you’re at risk with estrogen use.
  2. Spironolactone (which is actually a diuretic) to decrease testosterone levels and help prevent some of the acne, hair growth and hair thinning.
  3. Metformin to help regulate blood sugars
  4. Clomid or other fertility inducers to help women get pregnant.

All of this is great – provided you’re the type of gal who responds well to medications and isn’t (like me) going to get every side effect ever heard of plus some new ones thrown in for fun.  Also, all of these medications do have risks and some of those risks are pretty serious.  This isn’t the format to talk about them but if you’re taking any of these medications do a little research on the nutrients they deplete as well as the long-term consequences please!

Natural Therapies for PCOS

This is an emerging field because so many women are unhappy with the way their situation is progressing.  In the coming weeks I’ll do another full blog post on this particular topic because there are diet and lifestyle choices that can have a huge impact. These can include:

  • Paleo diet
  • Grain-free diet (but not fully paleo)
  • Low carb diet
  • Regular exercise and an active lifestyle
  • Quitting smoking (smoking actually increases testosterone levels in women)
  • Losing weight
  • Eating small meals frequently

The biggest thing that I want you to understand is that PCOS is a serious diagnosis and if your doctor tells you that you have it and hands you birth control, please please start looking into it.  Get to the point that you understand what is going on with your body and your health because the long-term consequences are huge.



Natural Fertility: Honoring Your Cycle

Natural fertility is a growing concern – although rates of infertility fell in the last few years from 8.5% of couples in the U.S. to 6%, there are still staggering numbers of people who are struggling to get pregnant and especially to have natural fertility.  Many couples are experiencing “sub-fertility” which means that they can technically become pregnant, but are having a hard time doing so. Also many women experience irregular cycles, skipped ovulation and general hormone wackiness that makes planning for fertility more of a challenge. I genuinely feel that part of the issue with fertility is that women have come to see the rhythms of their bodies as inconvenient, painful, embarrassing or a nuisance. There is a huge disconnect between the powerful things that happen in our bodies and our perception of and regard for them.

In light of all of the emotional, lifestyle and financial burden of infertility there is a movement towards improving fertility naturally, which sounds great, but this whole issue can seem daunting and overly complicated.  Don’t worry – we’re going to make it as easy as possible. There will be many posts on the subject, but we’re going to start with the basics. The first step is to actually begin to understand what is happening in your body during the different phases of your menstrual cycle and why those things are so important. In this post we’ll talk about the whole reason for your cycle, more the spirit behind the thing.  In subsequent posts we’ll talk about the hormone changes in more detail, fertility tracking and general steps towards boosting your fertility naturally.




Step One to Natural Fertility: Honoring Your Menstrual Cycle

Anyone who has ever known a woman can tell you that a woman’s cycle is a powerful driving force in their lives. This is a huge part of what makes the experience of being a woman entirely different from the experience of being a man. We have a rhythm and that rhythm dictates when we are the most sexual, the most vulnerable and for some women the most emotionally labile. To begin with, let’s take a look at a picture of all the things that are happening in your cycle. Remember “day 1” is counted from the first day you bleed each month:

Natural fertility and your monthly cycle - Look how much your body does every month!

Natural fertility and your monthly cycle – Look how much your body does every month!

First off – I just want to stop for a moment and appreciate just how much is happening here. Your body is doing all of this without any particular input from you – it is following it’s own rhythm. To me, that seems like an awesome kind of miracle and a tremendously beautiful part of being human. Strong natural fertility is in our blood, or psyche and our DNA. Your body does this – on it’s own – with no conscious direction.  That is completely mind blowing. To me, this is a natural cycle that must be honored in our daily lives. Your natural fertility and the tides of your body can be made into an almost spiritual awareness of the way life itself moves within you.

Understanding the Phases of Your Menstrual Cycle

Natural Fertility Week 1: Eliminating the not-needed and selecting the best hopes for the future. (Follicular phase)

This first week of your cycle is the section that most women stay connected to, simply because it’s the most obvious. This is the week you bleed, the week you shed the uterine lining that you built up last month because there was no fertilized egg to nourish with those tissues.  In this season, the spring of your four-phase cycle, you are doing two things. One is the literal spring cleaning that you might think of – the sloughing off of the cushy landing spot that your body made for last month’s egg.  Clearly the egg didn’t need it so you are free to release that tissue so that you can start the process over again and build a fresh place for the next egg to land.  Simultaneously you are selecting the healthiest follicle from those which are starting to mature this month – you’re selecting your best egg, so to speak.  This is a literal process of letting go of what is no longer needed and selecting the best starting place for your path forward – this is the death and rebirth phase of your rhythm.  Emotionally too this is a wonderful time for self-reflection.  Using the week of your menses to actually look at your last month, to see what has been serving you in your life and what might be eliminated. Typically this is a more inward time for women with less desire to be out in the world and more time for quiet and inner peace.

Natural Fertility Week 2: The ripening (Follicular phase)

This week of the cycle is the one I hear most women report as their most peaceful, when energy is building and it is easiest to turn out towards the world – culminating with our social peak at ovulation.  Your body is ripening the chosen follicle to become a healthy viable egg.  You can see on the menstrual graph that all of our hormones take a sharp rise right before ovulation, when you are at your peak of fertility as well as your peak sexuality. This is the ripening phase of your cycle when your body is literally preparing to bear fruit – this is your summer. Your physical, sexual and creative energies are all increasing and most women are more likely to focus more on their outward appearance during this time because our hormone drives are pushing us to be more desirable to a mate.

Culmination: Ovulation

Right around Day 14 of your cycle (which often corresponds with the full moon – we’ll get to that in another post) your body’s energy builds, your hormones peak, your sexual drive reaches it’s highest point – according to market research this is the time when women are most likely to dress provocatively, to be more socially active and to buy sexy lingerie. The end result is that your body releases a fertile egg, and gives you the drives to do something about it.  Some women feel the ovulatory release with a sharp pinching or stabbing pain on the ovary that is releasing an egg (called middleschmertz – great word!!), some women have a dull ache over that ovary and some women don’t feel ovulation at all.




Week 3: Letting Down (Luteal Phase)

During this week the frantic energy that happens around ovulation begins to dissipate, and the ruptured follicle where your egg was released turns into the corpus luteum, which secretes progesterone. If fertilization occurs, then in this week the fertile egg journeys through the fallopian tube to implant in the uterus around day 21. In this week the uterine lining fully matures so that it is at it’s peak for implantation. This is the fall of the cycle, the journey to find a place to settle down. This is a more calm time in your cycle and many women feel a continuing stability from week 2 (with that brief, frantic ovulation instability in the middle).

Natural fertility implantation diagram. Week 3 of the cycle

Natural fertility implantation diagram. Week 3 of the cycle. Thanks to wikimedia commons for the great pictures!

Natural Fertility Week 4: A Look at What Needs to be Let Go (Luteal Phase and Possibly PMS)

This final phase of your cycle is when your body either transitions into viable pregnancy, or switches gears accepting that a pregnancy hasn’t happened and so prepares to shed the uterine lining for another cycle.  The Uterine lining is now fully mature, and if implantation doesn’t occur then we see an over-ripening in preparation for break down. Clearly the winter of your own personal cycle, this is when a lot of women begin to look back at what might not have worked this past month or dealing with any sadness, losses and irritations. It is the time when emotions can run closest to the surface and the premenstrual hormone shifts only amplify what is already there. Just like actual winter, this is a great time to notice the issues that are coming to the surface – contemplate and reexamine in preparation for the next cycle (or the next spring fresh start).

This is perhaps a little bit different way of looking at your menstrual cycle, which we often dismiss as annoying or irritating or inconvenient.  If you are working to normalize your hormone balance or to boost your fertility naturally then it’s time to start maintaining a daily awareness of the vast changes that are going on in your body every day and the staggering number of things your body is doing to help you prepare for the possibility of a baby. By bringing some awareness to this process every day you are making a conscious shift towards valuing this part of you as a woman, to actually honoring your menstrual cycle for the miracle of natural fertility that it is. Today, say thanks for your natural fertility. It doesn’t matter if you’re a woman of reproductive years, if you’ve already had your babies, or even if you’re a man and this is the first thought you’ve given to a women’s menstrual cycle – you are still connected intimately to this cycle that occurs in the human world.  Today is the day to give it some thought, to pay a little bit of attention to a truly awe-inspiring human phenomenon.



Thyroid and Fertility

Thyroid and fertility are intimately linked. Anyone who is having infertility issues or actively trying to conceive can pretty much tell you that everything and fertility seem linked – it’s just the way it goes.  It takes a healthy momma to make a healthy baby and if your body isn’t keeping up with its own needs it’s certainly not going to take on the burden of an entirely new, vulnerable human that is 100% dependent. That is just good sound decision making.  What that means is that in order to get pregnant you have to get healthy in lots of ways, and one of those ways is balancing your other hormones – thyroid included.

Thyroid and Fertility Infographic from Dr. Fiona – a ND in Toronto.

Thyroid and fertility are highly linked.

The link between thyroid and fertility is important.

Thyroid and pregnancy Infographic, brought to you by White Lotus Naturopathic Clinic




 Thyroid and Fertility and Food Sensitivities

Thyroid health in women is not as easy as it sounds like it should be.  There are so many factors and thyroid is often just the canary in the coal mine that lets you know there is something bigger going on.  For both thyroid and fertility it is incredibly important to find and eliminate hidden food sensitivities.  Food sensitivities can cause general inflammation, which can make implantation more difficult and affect sex hormone levels. Food sensitivities can also set up an unhealthy immune cascade which actually triggers your body to start attacking itself like in Hashimoto’s thyroiditis. If your body is attacking your thyroid then it’s absolutely vital to do whatever you can to protect yourself.  Essentially if you’re worried about your thyroid or trying to get pregnant you have a good reason to get rid of food sensitivities. If you’re doing both or those things then there’s no excuse not to do this for yourself.

Thyroid and Fertility – Working With a Good Practitioner

It’s also important to know exactly what is going on – most primary care physicians will just test your TSH levels on a screening without looking into things on any deeper level.  It can really help to see a good endocrinologist who will actually look at your hormone levels and thyroid antibodies (just in case it is Hashimoto’s) or to talk with a naturopathic doctor who can balance you on a whole body level. If you’re trying to get pregnant this becomes especially important because we can’t address the link between thyroid and fertility unless we are clear about exactly what is going on. Thyroids can be under-functioning because of poor nutrition, because of a goiter, because of altered sex or adrenal hormones or because of hashimoto’s.  TSH levels just aren’t going to tell you any of those things. The best fertility team should have a reproductive endocrinologist, a naturopathic doctor and a good acupuncturist – especially if you’re considering IVF (In vitro fertilization)  because acupuncture has been shown in research to increase the success rate of IVF so many IVF centers have licensed acupuncturists on staff. Keep in mind fertility is a group effort – mom, dad and all of the health care practitioners have to be working towards the same goal.

Thyroid and fertility are intimately linked because in order to have a healthy pregnancy, you really have to have a healthy body starting out.  You just can’t skip this step.