7/2/18 Naturopaths and Fertility Have you been wondering if there is something else you can do to help your fertility? Have you been searching online and buying lots of books looking for answers? Are you looking for a different perspective on your fertility situation? Today ' s presentation Dr. Andrea Hilborn, ND Naturopathic doctor with a special interest in fertility A roadmap to improve your Undergrad degree from Trent University chances of having a baby Four year Naturopathic Doctor program at the Canadian College of Naturopathic Medicine PLUS one other bonus PLU cheatsheet to get you on your Registered with the College of Naturopaths of Ontario way Large scope of practice Pic of the team Pic of my office 1
7/2/18 What I want for you ...is your hands back on the steering wheel! Ask questions! The Emotional Rollercoaster Questions are welcome throughout the In infertility and recurrent pregnancy loss, presentation Hope = Pain Please keep your questions general rather than specific to your situation I am talking about new reasons to be hopeful, so if you feel a negative reaction to this If you would like to ask questions about your presentation, know that that is ok individual case, I invite you to book a free 15 On this journey, ALL EMOTIONS ARE OKAY minute appointment with me Your Outlook Normal Sperm? Half of couples who do not conceive after Normal sperm count is defined as 15 million one year will conceive in the next year, sperm per ml without treatment Yet, the highest rate of conception in IUI cycles True sterility – the inability to have a baby – occurred at 48 million sperm per ml affects only 3-5% of couples --> there is likely room for improvement With regular intercourse, 94% of women aged 35 and 77& of those aged 38 will conceive within 3 years 2
7/2/18 Fertility is a Spectrum One Small Change Going from 6 cans of pop per day to less than 2 cans changes the chance of conceiving in the next 12 months from LOW HIGH FERTILITY FERTILITY 48% to 89% Both partners contribute Step 2 Overall, cases of infertility can be equally attributed to Recognize that infertility is men and women, in hetero relationships NOT ONE THING Baby threshold Her His fertility fertility A constellation of causes Conventional Causes Recently moved and Anatomical – eg blocked fallopian it was For example: stressful tubes Polycystic Changes associated with age ovarian syndrome Polycystic ovarian syndrome Low body Low sex mass index Scarring in one drive leading fallopian tube to infrequent intercourse 3
7/2/18 Other Stuff I Consider Ho How are your pe periods ds? Regularity IN INFLAMMATIO ION Length Premenstrual spotting Severity of cramps Presence/absence of fertile cervical fluid The Inflammosome? This is the real title of an actual article in a reputable journal: Inflammosome in the human endometrium: further step in the evaluation of the "maternal side". Fertil Steril. 2016 Jan;105(1):111-8.e1-4. ESTROGEN ESTROGEN PROGESTERONE PROGESTERONE INSULIN TESTOSTERONE TESTOSTERONE 4
7/2/18 Timing is Everything Step 3 The fertile window of each cycle lasts Stack your strategies 24 hrs (48 if two eggs are released at just the right time) Vitamin D Higher Vitamin D levels are associated with lower FSH levels (FSH rises as we age, and shoots up when we begin the process of menopause) Exercise Avoid Caffeine? THE SWEET SPOT: 3 large studies say don't 30-60 minutes per day of bother avoiding caffeine vigorous exercise 5
7/2/18 Assisted Reproduction Lots of different blocks: Pic of rejoicing woman • Medication • IUI • IVF • IVF with ICSI Bonus Tip #1 Write out your intentions, in as much detail as possible Bonus Tip #2 Start an accountability trio 6
7/2/18 Mental Health Relaxing = Yin A 15-minute visit from a medical clown 40% of women on their first after embryo transfer increases visit to a fertility clinic have pregnancy chances 2.67 times, as compared to women who didn’t have a anxiety or depression clown visit after transfer WWED? Yin Boosters Time alone Listening to music "God gave you stewardship over Walking in the park one dear and vulnerable animal: Yoga yourself." Time with friends Elizabeth Gilbert Deep breathing Jigsaw puzzles? Recap So far . . . Has are time together today been Step St ep 1: 1: See fertility as a spectrum enjoyable? 2: Look for your constellation St Step ep 2: Have you also found it valuable? Do you now feel more empowered to take St Step ep 3: 3: Stack your strategies an active role in your fertility journey? 4: Add a dose of Yin Step St ep 4: Have you come up with an idea you already feel excited about trying? 7
7/2/18 Where I come in Unique Approach Technical knowledge You can absolutely take what you learned today and move forward with it Philosophy Time for you Or if you want a guide, you can come see Large scope of practice me! Not Offered There Services Coming up with a diagnosis Don't expect your fertility clinic Physical exams doctor to give you advice on diet, Lab tests Acupuncture interpret your basal body Bio-identical estrogen and/or temperature charts or recommend progesterone prescription herbs to you . . .that's what I do! B12 injections But more importantly. . . Prices Free 15 minute meet-and-greet An inner drive to help people Initial Consultation $170 Someone invested in your outcome Follow-ups $80-150, depending on time A listening ear to talk through your Herbs/supplements $100+/month experiences with Labs: typically a large investment after the Initial Pep talks appointment $400-1000, then may need to repeat Lots of laughter and usually a few tears certain tests after 6-12 months Nope, it ain't cheap and I'm forbidden from offering discounts 8
7/2/18 Ma May the li lines be ever r in in your favour! r! 9
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