Infertility comes with many complex emotions. Dealing with infertility and loneliness can be a double strike. From day to day, minute to minute, emotions can range from excitement and joy at a positive test result, a response to medication, or a particular symptom to devastation, sadness, or anger over another failed cycle, miscarriage, or dead end. Through what can only be described as a rollercoaster, one prevailing feeling often shines through.
For many of the couples that come for acupuncture at our office here in Knoxville, their support system is very small, or even non-existent. Other than their spouse, support may only come from a very small group of people; a trusted friend, mother, etc. I can’t think of many other stressful life events that aren’t shared, overshared, discussed, laughed or cried about with a larger group of support people.
And nobody brings over casseroles when you’re going through infertility.
Is social media helpful?
Even in the event one does decide to break the silence and share their situation, they’re often met with well-meaning, but not helpful comments like “just relax,” “my friend took this vitamin, you should try it,” “have you thought about adoption?” Or, worse yet, they slowly drop off their level of communication and effectively vanish from their lives.
What about the other areas of daily life?
And this isolation just doesn’t stop at social relationships. It can extend to work or other hobbies. Living through infertility often means playing a game of “what if.”
Constantly wondering if/when treatment might be successful can create situations where women might put off going for a promotion, changing jobs, etc to prepare for what might be.
Infertility itself can even be a reason to put careers on hold. Sometimes a job might be a good fit for the flexibility needed for fertility treatment, or health insurance at a job might even cover treatment.
Finding a connection.
For some, social media is a great outlet where one can even remain anonymous if they prefer. There are countless groups based on diagnosis, clinic, region, cycle, etc. But when they log off, that connection is gone.
Some couples turn to counseling or therapy to work on communication and coping skills. For others, their place of worship plays a vital role.
Be a support.
I don’t have an answer to solve this loneliness (though I wish I did…), but I want you to know that we hear you and our thoughts are with you. The one thing we all can do is learn from this and be that support to other struggling with infertility.
If we are chosen to be that, maybe they’ll have just a little bit less loneliness as they walk their own journey. Hopefully, over time, with advocacy and more openness, this will all be a thing of the past.
Here in Knoxville we are lucky to have many organizations and support groups that are also willing to help with those struggling through infertility and loneliness. Please reach out and let us know how we can support you.
There is a saying in Chinese, “zuo yue zi,” or “Sitting the Month” that refers to the idea that the month following the birth of a baby is a sacred time reserved for rest, regeneration, and bonding with your new baby. After all, birth is an incredibly transformative event, it is rather silly to expect your body, mind, and soul to bounce back to normal activity in a short period of time. In fact, this rush to get back into action quickly is not healthy and can lead to a much longer recovery period.
Unfortunately, our society idolizes women for bouncing back and rushing back into work, life, exercise, and their pre-baby bodies. Celebrities, likely with extreme diet and exercise regimens put forth by their teams of professionals, often are the examples of this unattainable image.
If this isn’t your first child, you know how tough those first few weeks can be. Your newborn is dependent on you for everything and you are working so hard to figure out what each cry means, teaching yourself how to breastfeed or quickly make bottles while your baby gets more and more upset, and, all the while, expected to feed yourself and maybe sneak in a shower. The whole thing is exhausting and can be emotionally draining.
In China, women are encouraged to “sit the month” after birth and remain in bed with baby. Family, partners, and friends take care of the house, cook nourishing meals, and ensure the mother gets the rest she desperately needs. I think we should take a lesson from China and incorporate these theories into our postpartum plans.
During pregnancy, you likely found yourself researching, downloading, and revising your birth plan until it was a perfect vision of what you wanted for your birth. The time after baby comes is often ignored. We should, in fact, be putting at least as much effort into the weeks following baby’s arrival to allow for space for healing and recovery.
Aside from a much needed list of delegated tasks, desires, meal trains etc, a plan should be worked out to allow you to get the rest and recovery you need and the time you want to bond with your new baby.
So here are our tips for navigating your postpartum time:
1. Rest: Your body just went through one of the most single transformative times of your entire life. Give it a break! You nourished and grew a new person, birthed that person, and took on a new role as a mother. This is an amazing feat and it takes time to recover from and get acquainted to your transformed life.
For the month after birth, rest as much as possible. Lay in bed with your baby, sit on the couch with your baby, sit outside with your baby. Spend time staring at your baby and, of course, catching up on your favorite Netflix shows. If you feel like getting up and walking a little, by all means get off the couch, but listen intently to yourself. If you feel any soreness, increased perineal pressure, notice an increase in your lochia (the bleeding you will have postpartum), or have any discomfort back off and get back on the couch.
Spend time skin-to-skin with baby. Skin-to-skin was likely something you remember from your birth plan, but the benefits of this go well beyond the hour after birth. Skin-to-skin can help support good breastmilk supply, help baby regulate body temperature, and facilitate bonding. So, put on a robe or button up shirt, cuddle up, and enjoy!
Limit guests: I know everyone will want to come see the baby, but give yourself a few weeks without a stream of well-intending friends and family. Allow those who will take on a task, laundry, dishes, etc, and tell everyone else to come back later. Entertaining, or feeling like you have to entertain, cleaning your house, and preparing snacks is a lot of unnecessary pressure while you’re becoming familiar with your new role. Additionally, your new baby does not need the exposure to the coughs and sneezes your guests might bring.
2. Eat warm nourishing foods: One very big part of Sitting the Month is proper nutrition to replenish your body and support your recovery. The Chinese recommend a diet of warming foods and herbs. Some examples of things to add to your diet are:
Ginger: Use in soups or teas. Caution: Occasionally ginger can increase bleeding, so if this is the case for you, stop using it.
Wam spices: Use cinnamon, cardamom, chile, etc for cooking.
Bone broth (or vegetarian/vegan bone broth): with added warming spices or herbs.
Mushrooms: you can add these to your soups and broths for benefit to your immune system.
Eggs: These are a great source of protein and are great for pregnancy and postpartum support.
Red raspberry leaf tea: to help regulate hormones and reduce your uterine size back to normal.
Water, water, water! When your milk comes in you will find your thirst increases quite a bit. Combat that by increasing water consumption. This will also help reduce water retention and prevent headaches and muscle cramps.
Avoid cold foods: ice water, smoothies, ice cream, salads, raw veggies/fruits, etc.
3. Perineal Support: Whether you gave birth vaginally or not, you will notice some perineal soreness.. If you’ve had stitches or minor tearing you will definitely have some discomfort or even pain as your body heals.
Say No to Padsicles: We recommend against the ‘padsicles’ you might find on Pinterest. That much cold placed right on tender, healing skin can reduce blood flow, increasing overall healing time. Instead, if you’d like to use something cold to reduce swelling, wrap an ice pack in a towel, so the cold you feel is more cool. Combine with an herbal perineal bath and/or spray to speed healing.
Perineal sitz baths: A sitz bath made from healing herbs can increase healing time and soothe your sore perineum. You can also use these herbs in a bath with epsom salts for extra relaxation.
Perineal Spray: Earth Mama Angel Baby makes a fantastic herbal perineal spray that will quickly become your best friend. The combination of herbs in this spray is soothing, cooling, and can help promote healing. Use every time you use the bathroom or as needed. If you have any leftover after healing, it makes a great after-sun face toner!
Prevent Constipation: Your first bowel movements after baby can be really tough, especially if you’ve had any pain medication or dehydration causing constipation. Taking magnesium or a stool softener in the first week or so can really help make going to the bathroom much more comfortable. Also, make sure you are drinking enough water, as this, of course, will help.
4. Lactation Support: So many women wanting to breastfeed go into it assuming it is a natural and easy process. And, for some, this is absolutely true. For others, it couldn’t be farther from the truth. It is so important to have an ally for your breastfeeding journey. They can make sure you are getting accurate, up to date information. We recommend a prenatal breastfeeding class and a visit from an independent IBCLC in the days after birth to check for tongue/lip ties and check baby’s latch to help support breastfeeding. Check out our resources page for our favorite lactation consultants. Many will do home visits, so you don’t even have to leave your house.
5. Mother Warming Ritual: Moxa, made from the leaves of the mugwort plant, is used to gently warm points along the lower abdomen in mom’s who’ve given birth vagainally or through a Cesarean birth. This is typically done about 3-4 days after birth and promotes healing, milk production, and alleviates discomfort. It is used on an as-needed basis after the initial warming.
This is a great way for partners to help out with postpartum healing.
6. Acupuncture: There are so many benefits to a course of postpartum acupuncture. We can begin work on restoring your body, support healing, and help treat any issues you might be having with breastfeeding, digestion, sleep, anxiety/depression, etc.
Our recommended postpartum protocol is just 3 weekly visits starting at 2-3 weeks postpartum and as needed after that.
We look forward to working with you during your pregnancy and into your postpartum time! Please give us a call at 865-31503845 or contact us via email with any questions!
Short answer, yes. It is safe and effective to combine acupuncture with any type of fertility treatment including medicated cycles, IUI, IVF, FET, donor IVF, etc. We have worked closely with all of the Knoxville fertility doctors and clinics and even clinics from out of state and have the experience needed to support you throughout whatever cycle your doctor is recommending.
Long answer, there are quite a few reasons why you might consider combining acupuncture with any type of fertility treatment cycle.
1. Increase your chances of success: Acupuncture has been shown in many research studies to increase chances of ovulation, conception, clinical pregnancy, and live birth when combined with fertility treatment.
In IUI cycles, a study showed pregnancy rates for those using acupuncture with their treatment was 65.5% vs 39.9% for those doing just an IUI cycle.
Doing acupuncture only before and after embryo transfer leads to a 42.5% pregnancy rate vs 26.3% in women who did not use acupuncture.
In women doing clomid, femara, injectable or other medicated cycles, one study showed rates of ovulation of 67.8% vs 51.9% and a conception rate of 51.9% for the acupuncture and treatment group, vs 30.4% for the treatment only group.
2. Reduce overall cost of fertility treatment: While there is a cost to receiving acupuncture treatments, adding acupuncture to your fertility treatment plan can reduce the number of cycles needed to achieve pregnancy, thereby significantly reducing costs.
3. Decrease side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
4. Support throughout the cycle: We’ve been working with patients going through fertility treatments for a long time and know the how tough the emotional rollercoaster can be. We also know that it isn’t often a topic discussed with friends and family. So we strive to support you and help answer any questions along the way.
5. Acupuncture can be used to support your doctor’s treatment for conditions such as:
6. Decrease Side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
When should I begin treatment? In an ideal world, we would see our patients 3 months before the begin any fertility treatment. We refer to this treatment phase as “Preconception.” During these three months, we work to regulate the menstrual cycle, correct any hormone imbalances, and increase blood flow to help your body give the best chance for a good response to treatment.
However, we don’t always live in an ideal world. Often we see our patients at the beginning of their cycle. Of course, we can start treatment at any time throughout your cycle, so it is never too late to receive benefit from acupuncture.
We are always available for questions via phone or email and encourage you to reach out and discuss your situation so we can find an acupuncture treatment plan that is right for you!
As our patients struggling with infertility finally get pregnant, aside from the joy of finally seeing those two lines, there are many decisions that need to be made. What provider is right for my pregnancy? What type of birth do I want?
Many of our patients have never allowed themselves to consider any of these things for fear of ‘putting the cart before the horse,’ so to speak. So this process, while exciting and wonderful, can be overwhelming and stressful.
One thing we often discuss with our patients, as they get closer to delivery, is their birth plan. It is our desire for our patients to be informed about their choices and have a provider they trust and feel totally comfortable with. One thing that can really help during your pregnancy and birth is having a doula. As highly trained, non-medical birth experts, they can walk through your needs, fears, desires, etc and help you come up with a birth plan and guide you and your partner through labor.
I asked a trusted doula friend of mine to do a post for our blog about what role a doula can play and why you would consider working with one. So, without further adieu, here is Hillary Ebling with East Tennessee Doulas.
I am Hillary Ebling, and I am a birth doula and postpartum doula in Knoxville, TN . I work with fellow doula, Danielle Anthony, at East TN Doulas. Working as a doula, we work with expectant families so they may have the best chance of achieving their ideal birth. Our goal is that you feel confident, cared for, and respected during your childbearing year.
As you begin researching how to have a happy, healthy childbirth, you may run across the words “birth doula” and see that this is a person who supports a family during pregnancy and birth. That sounds awesome… but you already spent money on a medical provider, birth location, and higher price tag baby items like a car seat and a crib. You may think a doula is a luxury you should go without. Before your accept this, however, check out these compelling reasons to spend the money on a birth doula.
First, what is the role of a doula?
“Doula” is a Greek word meaning a woman who serves. I’m using a more formal definition of birth doula to refer to a specially trained birth companion (not a friend or loved one) who provides labor support. This labor support includes comfort measures and emotional support. “Comfort measures” means using massage, position changes, water, hot/cold packs, mindfulness, and breathing to help deal with the intensity of labor. “Emotional support” means using reflective listening, positive presence, and reassurance to help increase your confidence and satisfaction of your birth experience.
It is important to notice that doulas play a completely “non-medical” role. Doulas do not diagnose or treat in any modality, nor do we take blood pressure or temperature, fetal heart tone checks, vaginal examinations or postpartum clinical care. What this means as a client, is that you also need a medical provider, whether that is a midwife or a doctor, to attend your birth. In short, your medical providers keep you and your baby safe, provide all medications, deliver the baby, and take care of the mother postpartum, whereas the doula keeps the mother encouraged, comfortable, and confident.
Now that we have clarified the role, what are the benefits of having a doula for my clients?
First, a doula is the only team member entirely focused on the laboring parent’s physical comfort and emotional well-being.
Your medical providers attention is inherently split between two different people – exactly as it should be! We all want a happy, healthy mother and baby at the end of a birth. Their training is scientific and this is where their focus should be. Medical providers are often expected to care for multiple patients at a time and usually work shifts of time in the hospital or on-call period.
A doula’s training, on the other hand, focuses on the “art of labor support,” that is, the emotional needs of people in labor, and non-medical physical and emotional comfort measures (as mentioned in the examples above). Our sole focus is on the needs of the mother, not the baby. Unlike medical providers, doulas work with one client at a time. We will join you when asked, either in early labor or later in active labor. We will stay with you throughout, often with only very brief breaks.
Second, having a doula can help you have shorter, more satisfying birth with less interventions.
Although the exact reasons for this are unclear, there have been numerous studies showing that doulas help families. The largest systematic review of continuous labor support, reported the combined findings from 20+ randomized controlled trials, including over 15,000 women. These trials focused on the benefits of continuous support (having a support person constantly present throughout labor, not coming and going as family and medical providers often must). Women with continuous labor support are
28% less likely to have a cesarean section
31% less likely to use synthetic oxytocin to speed up labor
9% less likely to use any pain medication
34% less likely to rate their childbirth experience negatively
Why can’t a family member or partner fill the same role for free?
Outcomes were most improved and intervention rates were most dramatically lowered in the group with doulas as their support person, not a nurse, friend, or family member.
But do you need one if your partner is really supportive?
In a perfect world, your doula and your partner work together to give you the best birth possible. We cannot possibly replace the loving, intimate relationship of your partner. We don’t stand in the way of your partner being great labor support – we help him or her achieve it!
Our birth culture puts a lot of pressure on partners. A pregnant parent often expects her partner to be knowledgeable – and good – at a host of new things. You may expect your partner to help you emotionally (by providing reassurance, encouragement, and confidence in you) or physically (by encouraging coping mechanisms like breathing and relaxation and providing comfort measures like massage). Lastly, you might expect your partner to fulfill other roles, like updating family and friends of your labor progress. That’s a lot of expectations for one person to handle! For many partners, this may be the first time he or she has ever set foot in a delivery room or seen labor! Add the love your partner feels for you and your discomfort to the equation, and it can be completely overwhelming!
With a birth team of both a partner and a doula, though, we share the weight of these expectations. You will have twice the emotional support and reassurance. We can alternate providing physical support so your partner is less fatigued by the labor. We stay with you if your partner needs a break for food or to update your family. This way, you are never unsupported and your partner can have peace of mind while handling these tasks. We have seen many labors and can use our experience to provide helpful suggestions for new things to try for both you and your partner.
Last but certainly not least, doulas provide informational support to the family.
By “informational support”, I mean explanation and discussion of practices and procedures, and assistance in acquiring any knowledge necessary to make informed decisions about your care. We help you find reputable, evidence-based information that will help you make informed decisions about your birth and your new baby’s care.
In essence, a doula doesn’t tell you how you should give birth. Instead, we share information with you so you can make informed decisions and then support you, whatever your choices.
Ok, so you definitely want a doula, but aren’t doulas expensive?
Often, yes – we are trying both to answer a calling and make a living. Although not usually covered by your insurance, some insurance companies will pay a portion or allow you to pay for your doula out of a health or flexible savings account. Contact your health insurance provider for more information about your specific situation.
DONA International’s Vision is “A doula for every woman who wants one”. With this in mind, many doulas offer some way to cut costs. I offer gift certificates so friends and family can donate to help financially (consider asking for this for baby shower presents!!). We do offer some packages of our services to save a little bit of money when bundling services. I am of course happy to answer any questions you have about my current options email us or give us a call at (865)315-8548.
Bottom Line: With all this information in mind, I urge you to consider carefully the benefits and options to offset the cost before you write off having a doula off as a luxury you can’t afford!
Heather Huddleston is a young woman who has struggled with severe endometriosis since puberty. At the age of 19, she had her first of many surgeries. It was so extreme that the surgeon told her she would never have children—he had removed 2/3 of one ovary and 7/8 of the other. Drugs and surgery were the solution offered her by traditional western medicine, and she took the solution seeing no other option. She managed to get through both undergraduate and her graduate studies by allowing the doctors to put her body into medically induced menopause to cope with the 10 level pain. She thought this was her only option—even doing as told, her quality of life was greatly diminished.
While finishing her graduate studies she got married. She maintained her treatments. Two years later, she and her husband were eager to begin a family. She ceased all hormonal therapy although she was terrified to come off of the drugs remembering the severity of the constant crippling pain. Yet she knew she had to begin somewhere, in her quest for sustainable good health.
The pain was as bad as ever. She trudged through and she and her husband sought the help of fertility specialists. After being unsuccessfully treated by 2 fertility specialists and undergoing 2 more extensive surgeries she was no closer to achieving her goals. The last surgery was performed by a surgeon specializing in excision and was very thorough even removing tissue from her diaphragm. After she recovered, she went back to the fertility doctor—unsuccessfully. Feeling frustrated and hopeless, she decided to go back on the hormones and regroup.
A year later, she began to have new symptoms—this time in the colon and bowel. This was quite concerning. After consulting a specialist, she was told that the surgery required was extremely dangerous. He recommended pursuing pregnancy before taking that step. She found a new fertility doctor. She achieved a pregnancy through IVF only to be disappointed with a miscarriage 6 weeks in. As bad as this was, the doctor was encouraged because she had achieved a successful pregnancy. He advised them to try again immediately, this time recommending that she do so with the addition of acupuncture.
She took the doctor’s suggestion and made an appointment with a Practitioner specializing in infertility, Sarah Prater. The hormones that were a part of the treatment protocol caused the endometriosis to flare up resulting in crippling pain. This time both she and Sarah hoped to not only achieve a healthy pregnancy but a measure of relief from the crippling pain—.
Heather went into her first treatment with level 10 pain. After the treatment, she walked away pain free! She was amazed—wondering how long the relief from the pain would last. It not only lasted through the night but continued until her next session and beyond. She never experienced that crippling pain again through the treatment, even though she followed the protocol for the hormones which previously made life almost unbearable.
She continued with acupuncture following Sarah’s treatment plan for her all the way up to the transfer, after the transfer and subsequent treatment. Her transfer was successful—she achieved a healthy pregnancy!
Heather is now 12 weeks pregnant and being released by the fertility doctor to an obstetrician. She is headed to Japan for the next year with her husband where she will continue acupuncture and by God’s grace deliver a healthy baby!
The Power of Hope
Sarah Prater has had the honor of helping many women give birth to happy, healthy babies and has a diverse background that enables her to fully support her patients. Her passion for helping women struggling with infertility led her to found the Tennessee Center for Reproductive Acupuncture. Acupuncture has been shown to increase success rates for women struggling with a variety of issues and conditions associated with reproduction.
Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research.
According to A recent study from Tel Aviv University, when used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26%. It found that when combining IUI with Traditional Chinese Medicine treatments, 65.5 percent of the test group was able to conceive, compared with 39.4 percent of the control group, who received no herbal or acupuncture therapy.
A well-known German study done in 2002 followed 160 women who underwent IVF. Eighty of them received acupuncture as well and 34 of those women got pregnant: a success rate of 42.5%. Of the other 80 women, those who received IVF without any acupuncture treatments, only 21 women (26.3%) became pregnant.
An American study, of 114 women showed that 51% of the women who had acupuncture and IVF treatments became pregnant compared to 36% of women who had IVF alone. Further analysis of the data revealed a much lower rate of miscarriage for the women who had acupuncture as well as IVF.
Sarah strives to stay up to date with current research in her field and is constantly updating her protocols to offer the maximum benefit. Her wide breadth of experience allows her to work cooperatively with reproductive endocrinologists and OB/GYN’s to provide the best care for her patients.
On March 1, 2016 the Tennessee Center for Reproductive Acupuncture finally opened it’s doors to Knoxville and the surrounding areas. We are Knoxville’s first and only acupuncture practice specializing in fertility and prenatal wellness. It was my goal to provide East Tennessee with an integrative option for the treatment of infertility and help each of our patients navigate this complex journey. We have officially been open for our patients for one year (and counting) and I wanted to touch on my thoughts for this first year in practice here.
It was my intention to post this retrospective on the 1 year anniversary of my practice, but I spent the morning driving my husband to and from his wisdom teeth removal appointment. Luckily, all went well, and I was able to fill my afternoon seeing the patents that are truly the heart and soul of TNCRA. Minus the wisdom teeth extraction (who wants to do that!?), I wouldn’t have wanted to spend the one year anniversary of my practice in any other way.
When I think back over the past year, I am completely overwhelmed with a feeling of gratitude. I have been humbled by the reception that Knoxville has given to TNCRA. Over the past year I have met many families struggling with infertility and had a chance to help many of them achieve their dream of pregnancy. I have also met many expectant mothers and had the honor of working with them as they prepare to become mothers for the first, second, third, fourth, or fifth (and more) time. I have also met so many others whose passion for working with families during infertility and pregnancy just bleeds through their work: doctors, doulas, midwives, nurses, massage therapists, craniosacral therapists, nutritionists, chiropractors, photographers, lab technicians, yoga teachers, other acupuncturists, counselors, reproductive endocrinologists, ultrasound technicians, OB/GYN’s, and I’m sure there are few I am forgetting.
One thing I kept hearing in my first year of practice here is that it can be hard for people coming from outside of Tennessee to get a successful business going. I have found this completely and happily untrue. Knoxville has an incredibly welcoming atmosphere and a truly wonderful community to support families of all backgrounds on their journey from trying to conceive to becoming parents. I am honored to be a part of this community and look forward to many years of practice here.
So, thank you Knoxville for welcoming me with open arms. Thank you to the other practitioners who have taken time to learn about TNCRA and how we may be able to work together to help support our patients. But mostly, thank you to my patients. You have put your trust in my experience and training during the most sensitive of times and I am forever grateful to walk alongside you on this journey.
I am very excited for the years to come and hope to build upon the foundation that has been laid. I look forward to learning more each year and working with more families. Mostly, I look forward to pregnancy announcements, birth announcements, and holding space (or a hand) for those experiencing a loss or a failed cycle. These moments are truly what drives me to come to work each day. I love my job.
Are you currently trying to get pregnant or planning to try in the next few months? Have you considered adding fertility acupuncture to your IVF, IUI, or medicated cycle?
You’ve probably read or heard a little about acupuncture for fertility, but maybe don’t know much about how it can help you. Here are our top five reasons why you should book an acupuncture treatment with your next cycle!
Increases Chances of a Take Home Baby: Research shows that acupuncture not only improves pregnancy rates (up to 60%!), but can reduce miscarriages leading to an overall increase in the chances of a take home baby! After all, this is what everyone facing infertility really wants! This research is typically done on IVF cycles, but the same mechanisms of action can help improve an IUI, medicated, or natural cycle in much the same way.
Improves Blood Flow: Acupuncture has been shown to increase blood flow to the uterus. This improved blood flow is associated with a better chance of embryo implantation in IVF cycles. It can also facilitate better nutrient delivery and waste product removal to potentially increase the the quality of your follicles and endometrial lining.
Hormone Regulation: Over the course of 1-3 months, acupuncture can help to regulate your reproductive hormones. For example, women with PCOS often begin ovulating after treatment with acupuncture. Subtle cycle changes also occur as hormones become more balanced. Changes often noticed during the course of treatment include: increased fertile cervical mucous, a longer luteal phase, reduced PMS symptoms, and even changes in your basal body temperature chart.
Reduced Stress: We all know struggling with infertility is stressful. Acupuncture can help you cope with this stress so you can relax and feel normal while going through treatment cycles. It causes a release of ‘feel-good’ chemical called endorphins in your brain that will…. well, help you feel good! You may also notice that you sleep better or have better digestion after treatment as well.
Treatment of Side effects: Often when we are treating patients during their cycles, we use points to reduce headaches, nausea, bloating, irritability, insomnia, hot flashes, night sweats, constipation, anxiety…. you name it! Making you feel comfortable during treatment is a huge part of what we do. The way we see it is that, for many couples, success can be a matter of time. Time finding the right medication combination that works with your body and time waiting for the right follicle to develop. If we can make that wait easier, you’re more likely to try an additional cycle or two and increase your chances of success! Additionally, we all know you can’t push the pause button on life while you undergo fertility treatment, so we work to help keep you at your best so you can continue to be a wife, co-worker, student, mother, sister, friend, and/or superwoman!
As you can see, combining acupuncture to your fertility treatment plan is a great way to, not only, increase your chances of pregnancy, but to feel more comfortable, relaxed and get a more regulated cycle!
We work with both men and women to find a treatment protocol that works with the timing of their cycles to give you the maximum benefit of acupuncture. Please give us a call or contact us online and we’ll walk you through what is best for your situation. Or, if you’re ready, you can schedule an appointment online now!
If you’ve been told by your midwife or OB/GYN that your baby isn’t in the best position for a vaginal birth, you know what kind of stress this can bring on! Most women facing a possible Cesarean section for breech presentation will search far and wide for things they can do to help their baby get into a better position for delivery.
If you end up consulting Dr. Google, you have probably come across others talking about using acupuncture and moxibustion (moxa) for turning breech babies, and you probably have some questions. It is true that we safely use these techniques to turn many breech babies and it can be successful much of time!
Acupuncture: We generally recommend acupuncture 1-2 times per week to help encourage baby to turn, reduce stress, and to relax any tight muscles that might be preventing an ideal presentation.
Moxa: You will be given moxa sticks and instruction for their use at home. Our protocol involves moxa treatment 2 times a day for 15 minutes for a course of 7 days (or until the baby turns).
After treatment, you will generally feel an increase in fetal movement, and an overall sense of relaxation and well-being. New to acupuncture? Here is what you can expect.
When to receive treatment: The ideal time to use acupuncture and moxibustion is between week 33 and 35 of your pregnancy.
Beyond week 35, the chances of success decreases as baby is starting to get larger, but many breech babies have turned in the last weeks of pregnancy or even as labor starts.
It’s best to call as soon as you find out you are breech and discuss your personal case with our acupuncturist. We can walk you through your options and what the best course of action is for your situation.
What else can I do?
Swimming: any type of swimming with your stomach down in the water can take the pressures of gravity off your uterus and allow baby to move into a good position
Dance: put your favorite music on and make sure to let your hips rock!
Talk to your baby: Baby can hear your voice and some women have reported success with asking baby to adjust his or her position.
Webster Technique: This is a chiropractic technique that is helpful in turning breech babies. Be sure to seek out someone trained in this technique.
Spinning Babies: The positions on this website can help your baby settle into position and are highly recommended. We also recommend using this site throughout your pregnancy to help prevent breech presentation.
Talk to your doctor about performing an external cephalic version or other medical interventions.
What are the chances that it will work?
In one study, where moxa and acupuncture was compared with a watch and wait approach, 75.4% of women treated with acupuncture and moxa had a cephalic presentation vs 47.7% of the control group. Both groups were offered external cephalic versions and results included the successful versions.
In addition to the recommendations here, we encourage all pregnant women to take advantage of Pre-Birth Acupuncture starting at week 36 to help get your body ready for labor and help support a vaginal birth. Prenatal acupuncture done in the last weeks of pregnancy can reduce the need for interventions like epidurals and emergency C-Sections.
Please give us a call at 865-315-3845 or contact us online for more information or to set up an appointment. We look forward to working with you!
A 33 year old woman came to our office after experiencing infertility for 7 years. She had a history of endometriosis and low progesterone. Her husband had a history of low motility. She had never been pregnant and was feeling very frustrated.
Her previous fertility treatment included multiple medicated cycles using both clomid and letrozole and two previous IUI cycles. She had undergone two laparoscopies to treat endometriosis. She began fertility treatment in another state before moving to Tennessee, where she began seeing Dr. Doody in Knoxville.
We saw her a total of three times during her IUI cycle.
The first treatment was done on cycle day 6 to support follicle growth and reduce the side effects from the clomid. Supporting the first phase of the cycle and making it as healthy as possible sets up the rest of the cycle for optimal fertility and can help treat luteal phase defect.
The second treatment of the cycle was done the morning of the IUI itself. This treatment helped to facilitate ovulation. Acupuncture has been shown to be an effective means of ovulation induction and we like to use it along with the trigger shot.
The points used for the first and second treatments followed a modified Stener-Victorin protocol. This protocol has been specifically shown to increase blood flow to the uterus and is used successfully to improve IVF cycle success and regulate hormones.
The third treatment of the cycle was done 6 days following the IUI to support implantation, reduce uterine contractions, ease stress and support healthy progesterone levels. The points used for this treatment followed a modified Paulus protocol. The Paulus protocol is commonly used before and after embryo transfer during an IVF cycle and has been shown to improve pregnancy rates.
She received a positive pregnancy test about a week later. Her HCG levels rose an appropriate amount between her tests. The pregnancy was confirmed by ultrasound, and has been going well for mom and baby.
We are very excited for her success and hope the rest of her pregnancy goes well!
If you’d like to add acupuncture to your upcoming IUI cycle, call or contact us and we will find a protocol that is best for your cycle! 865-315-3845
Last week, I had the opportunity to share how fertility acupuncture can benefit those undergoing IUI and IVF with Dr. Donesky and the staff at the Fertility Center. The Fertility Center has offices in Knoxville and Chattanooga.
First off, Knoxville is so lucky to have Dr. Donesky and crew. They truly love their work, and it shows. Although, I have to say that all of the clinics, doctors, and staff in Knoxville that I have met with are really wonderful. We are a very fortunate community!
At my presentation, I explained how acupuncture can be utilized as a complement to any fertility cycle. We went over our IUI and IVF protocols and I presented some of the research that our protocols are based off of.
My main job as an acupuncturist to someone going through fertility treatment is to support the doctors’ efforts. When done in combination with IVF/IUI, acupuncture can improve pregnancy (and live birth rates), reduce miscarriages, reduce side effects of medications, and lessen the feelings of stress. The protocols are all based on each patient’s cycle timing and unique situation.
We talked about acupuncture’s safety during pregnancy and it’s usefulness during the first trimester for morning sickness and even, possibly, miscarriage prevention.
It was a really fun meeting and I am looking forward to working more closely with them and the other clinics here in town. I am grateful to them for having me!
It is my hope that more cycles will be done using acupuncture as a complementary therapy!
If you are struggling with infertility, please consider getting a work up from a reproductive endocrinologist. Having answers will help you make an educated decision on your best path towards parenthood.