Nutrients for Female fertility, Pregnancy, Breast feeding and beyond

Nutrients for Female fertility Pregnancy, Breast feeding and beyond

 

Iron

This nutrient is important for the correct formation of foetal blood, brain, eyes, bones and an overall healthy growth rate. It is also vital for a healthy immune system, mucous membranes, for general health and fertility. However many women do not realise how important iron is very important in fertility health. Women with low iron stores could suffer anovulation (no ovulation). In a Harvard University study of 18,500 women, women supplementing iron were 40% less likely to suffer from fertility problems.

During pregnancy there is an increased need for iron due to greater red blood cell mass and plasma volume. Iron should be increased in the 2nd and 3rd trimesters as the foetus will draw on the mother’s iron stores to prepare itself for the 4-6 months after birth (because breast milk is low in iron). Deficiency increases the risk of anaemia, pre-term delivery and low birth weight

Women with low iron are suggested to supplement 10-20mcg daily, however if you are prone to constipation a liquid supplement is more gentle on the stomach; we suggest capsules by bio-ceuticals or liquid spatone.

Also note iron will not be absorbed with calcium, so if taking a supplement make sure to separate these. Inorganic iron supplements can bind up in the gut and cause constipation; they also destroy Vitamin E and compete for absorption with zinc; therefore, use of organic iron supplements and chelates are preferable. Vitamin C enhances the absorption of iron.

Natural sources include green leafy vegetables, dried beans, black strap molasses, lean meat (organic/chemical free), dried apricots, almonds, egg yolk, seaweed, wheat germ, parsley, pumpkin, sesame and sunflower seeds.

 

Folic acid (B9) and B vitamins

Essential for RNA & DNA formation, it is the most important pre-conception nutrient. Supplementation at least three months prior to conception is suggested, and the need doubles in the first trimester. This is especially so for women who have been on the Pill, as it depletes Vitamin B9 in the body. Prior to conception, make sure your Vitamin B9 intake is around 10mgs per day. During early pregnancy, 25-50mgs of B9 taken 3 times per day can reduce the risk of morning sickness.

Deficiency can lead to infertility and spina bifida. When increasing B9 please note the vitamin is water soluble means that the body only has a limited capacity to store B vitamins (except B12 and folic acid). A person with a poor diet can end up with a deficiency of B vitamins. Delicate means that cooking and processing can reduce amounts in foods; highly processed foods like white flour, have far less than wholegrain counterparts.

Natural sources include dark green leafy vegetables, i.e., uncooked spinach, kale, beet greens; asparagus, broccoli, corn, lima beans, parsnip, mung beans, soy beans; wheat germ; oranges, pineapple, banana. Most of these foods need to be eaten fresh and raw if possible, as B9 is destroyed by heat.

 

Vitamin D – The sunshine vitamin

I recently saw a new client who works in child care; I asked her if she had any known deficiencies of vitamins. She was not sure so I suggested a blood test with her GP testing all major vitamins including vitamin D, she assured me that her vitamin D would be fine since she spent part of her day outside with the children. Unfortunately she was low in Vitamin D.

Vitamin D has now been strongly linked with temporary infertility. Most of us work and play indoors especially during the colder months. We always advise clients to test their vitamin D levels since 23-49% of Australian’s have a deficiency, and obesity can increase the risk. 10 minutes a day in morning and afternoon sunlight can help correct a slight deficiency however supplements are advised for levels under 50. Supplement 100mcg or 4000iu daily.

 

Omega 3 fatty acids

Omega 3 is needed for the correct hormone balance; including prostaglandins, increases cervical mucus, helps to promote ovulation and increase the blood flow to the reproductive organs. In pregnancy it aids in the development of the foetal brain and nervous systems. Omega 3 fatty acids contain 2 acids that are essential to health; EPA and DHA. Low levels of DHA, has been linked to depression and other mental health issues.

One study where couples where given 1000mg of omega 3 had a 76.5% verses without omega 50.4% fertilisation rate. Considering that only half of all follicles collected commonly fertilise this could greatly improve the number of viable embryos for transfer.

During pregnancy, a lack of DHA may be associated with premature birth, low birth weight, chromosomal defects, spontaneous abortion, hyperactivity and asthma in children. A recommended daily dose of 500-1000mg daily should be supplemented.

Natural Sources include deep sea ocean/cold water fish (ie. salmon, cod, herring, trout), mono-unsaturated cold-pressed oils (flaxseed especially, walnuts, hemp and chia seeds.

 

Vitamin E

Assists with conception, a healthy pregnancy and regulates oestrogen levels, improves circulation and protects against varicose veins and haemorrhoids. Vitamin E also helps in the absorption of essential fatty acids and has antioxidant actions as well. Deficiency can lead to spontaneous abortion or cystic fibrosis (with selenium). In later pregnancy Vitamin E will help facilitate an easy delivery.

Sources include sunflower seeds, almonds, organic cold-pressed wheat germ oil, cold-pressed vegetable, seed and nut oils. Best not heated or cooked, i.e., use in salad dressing.

 

Protein/Amino Acids

Vital for the number and quality of the ovum (eggs) produced the fertilisation process, and the early development of the embryo.

Natural sources include deep sea fish, tofu, legumes ie. lentils, soy beans, kidney beans, eggs (free range), lean organic chemical-free meat and poultry, nuts and seeds, sprouted grains.

 

Calcium

Essential for the development of the baby’s bones, formulation of nerve tissue and muscles; necessary for controlling blood clotting; makes your fertility mucus ‘stretchy’ and therefore aids ability of sperm to swim through it; aids uterine muscle tone. The foetus requires roughly 30g of elemental calcium to be deposited in the skeleton by the time of delivery (200mg during the 3rd trimester).

If inadequate in the mother’s diet, the supply to the foetus will occur at the expense of the maternal skeleton. Therefore, insufficient calcium supplies during pregnancy and lactation may result in maternal bone loss, reduced breast milk calcium secretion, or impaired infant bone development. If the mother’s diet includes a high proportion of processed foods, soft drinks, high red meat intake, sugar, salt, and alcohol; if she smokes, does not exercise, and consumes caffeine and tea, this will reduce the absorption of calcium. Deficiency can lead to nervous tension, fluid retention, and hypertensive disorders and toxaemia in pregnancy.

Sources include broccoli, cauliflower, soy beans, almonds, sesame seeds, tofu, leafy greens, Brazil nuts, sunflower seeds, unhulled tahini, black strap molasses and kelp (other seaweeds). Dairy foods are another source of calcium; however, since they are not as easily absorbed, it is best to vary your sources of calcium as widely as possible. If you are prone to any sort of mucus congestion such as hayfever, sinus, asthma, recurrent colds/flu or other chest infections, it is best to avoid dairy foods as a source of calcium.

Royal jelly

Royal jelly is a natural bee product; it is rich in amino acids, contains high levels of vitamin D and E, calcium and iron. It is a super food for fertility and been used in Chinese culture for many years. Consider this; the queen bee is only feed royal jelly throughout her lifetime which she will need to lay millions of eggs up to 2000 per day.

Royal jelly has been shown to help balance hormones and increase propensity to mimic human oestrogen, which may help those that suffer from low oestrogen levels. Some evidence exists that royal jelly might also;

  • Improve egg and sperm health
  • Increase libido
  • Reduce inflammation
  • Support the immune system
  • Decrease signs of aging
  • Helps women with irregular cycles

PLEASE DO NOT TAKE IF ASTHMATIC OR ALLERGIES TO BEE’S

 

Co Q10

CoQ10 is a mitochondrial enzyme. It does multiple jobs in our cells; 1) anti-oxidant, 2) energy production and 3) gene regulation. CoQ10 is the most basic energy currency of our body. Our body makes a huge amount of its own CoQ10, but this ability decreases as we age beyond 35 years.

CoQ10 can be absorbed through supplements and evidence is slowly being accumulated that it could possibly boost a women’s egg health and IVF success rates. It is strongly suggested women older than 35 years wishing to conceive either through IVF or naturally supplement 100-200mg daily preferably in a gel capsule.

 

PCOS

Clients who have been diagnosed with PCOS can supplement with Chromium and magnesium to help maintain glycaemic control in addition to a low GI diet. Suggested chromium supplementation is between 200-800mcg daily and magnesium between 400-800 mcg daily.

 

FERTILITY FOODS AND OTHER IMPORTANT INFORMATION

Consume fresh foods that are in season. It is also important that most of your food is organic. If you find that getting organic food is difficult for you, wash all of your vegetables and fruit with a solution of 1/3 cup vinegar + 3/4 cup of water, to ensure that all pesticides and chemicals used in the soil are washed off. Limit the amount of dairy and wheat in your diet. A great company to get organic or fresh vegetables delivered to home is farmer’s direct; www.aussiefarmers.com.au

Protein – eat 60g (grams) daily equivalent to 2x100g portion of meat per day

Proteins Amount of protein per amount of food

  • Egg 6g per egg
  • Lean meat, fish, poultry 25-30g per 100g portion
  • Milk 8-9g per 250ml
  • Yoghurt 8-10g per 250ml
  • Cheddar cheese 7g per 25g
  • Nuts and seeds 2-3g per Tablespoon
  • Most fruits 1g per fruit
  • Kidney beans 15g per 200g
  • Tofu 10g per 100grams
  • Lentils 9g per 120g
  • Cooked soy beans 28.62g per cup
  • LSA mix, flaxseed oil, tablespoon pumpkin seeds, evening primrose oil, oily fish, salmon, herring, avocado, etc.
  • eat 4-5 servings daily

 

Fats – eat 40g daily

Vegetables and fruit

Dairy

Reduce dairy intake to 1 serving per day, yogurt is the best source of calcium from cow’s milk. Try coconut yogurt available from health foods stores; great for people sensitive to lactose. Consider using almond milk to replace regular milk. Other calcium sources include broccoli, cauliflower, soy beans, almonds, sesame seeds, tofu, leafy greens, Brazil nuts, sunflower seeds, unhulled tahini, black strap molasses and kelp (other seaweeds).

 

Herbal tea

Many women ask which herbal tea is ok during conception, pregnancy and breastfeeding. During conception women can use raspberry leaf tea and chaste berry to aid in conception. However during early pregnancy (1st trimester) it is recommended that women pick the following teas; Dandelion, ginger, peppermint, fruit teas (orange or lemon peel), Jasmine, lemon balm, rose hips, citrus, spearmint, or fennel.

During the last trimester after 35 weeks women should start raspberry leaf tea in preparation for labour. Raspberry leaf tea can also be drunk after birth to help restore uterine shape and encourage discharge of clots. Remember we can make you are personalised Chinese tea for helping with increasing breast milk and mastitis. Other options include dandelion tea.

 

Caffeine and alcohol

It is best to minimise both caffeine and alcohol consumption but not to cut out all together until pregnant. However caffeine has various different sources; black tea and green tea are much healthier sources than coffee. Minimise alcohol intake to 1-2 glasses per week.

Water

8 glasses of filtered water every day

Sleep

We recommend women achieve 8-9 hours of sleep per night. Ideally between the hours of 10pm and 7am for at least 3-4 days per week. Shift workers need to discuss extra nutritionals such as melatonin that will assist with your acupuncturist.

Suggested supplements for all women;

  • Multivitamin; In Natal by Bio Ceuticals
  • Fish oils; Ultraclean EPA/DHA by Bio Ceuticals

If deficiencies exist;

  • Vitamin D; D3 capsules or D3 forte drops by Bio Ceuticals
  • Iron; liquid iron
  • CoQ10 100mg by Bio Ceuticals
  • Royal jelly 1000mg daily preferably from an Australian source. Fresh royal jelly is available but must be refrigerated.
  • Chromium starting at 200mg daily
  • Magnesium starting at 400mg daily

For women on IVF or older age group;

PCOS;

Women’s 7-Years Life Cycle

“Women seven and men eight” is the Chinese statement on the growth cycle of human being from the “Yellow Emperor’s Canon of Internal Medicine“- The “Bible” of Traditional Chinese Medicine (TCM).

That is, the number of women’s life cycle is seven and the number of men’s life cycle is eight. Every seven or eight years, women or men’s life change.The 7 years life cycle is so obvious for woman, and her fertility status changes every seven years too.

The physical change of women occurs obviously every seven years; and men’s change occurs every eight years. – “Yellow Emperor’s Canon of Internal Medicine”

 

7 year old:

A moman’s kidney energy growing strong, teeth change and hair grows longer and stronger. (the 1st 7 years).

Kidney is a special term in Traditional Chinese Medicine. It not only has the function of controlling the urinary system, but also has a very important role – control the developing, growing, and reproduction. In terms of reproduction, you can think Kidney as a “Small Kidney”- the ovaries or testis.

At the age of 7, a woman’s reproductive system start to develop.

 

14 year old:

Her menstruation appears as the Ren meridian (the sea of Yin/Essence) flows and the Qi and blood in the Chong meridian (the sea of blood) becomes prosperous, she can have a child. (2nd 7 years)

At the age of 14, her menstruation appears and she is able to have a child. In Traditional Chinese Medicine, the age of menarche is one important factor to help make diagnosis. If menarche is later than 14 year old, often indicate lower fertility energy.

 

21 year old:

Her kidney energy is balanced, her adult teeth completely developed and her body grows to full height. (3rd 7 years)

A woman’s energy especially fertility energy is full at the age of 21.

 

28 years old:

Her bones and muscles are strong, her hair grow to full length, her body is at optimal condition. (4th 7 years)

From the age 21 to 28, a women’s fertility energy reach the peak. This is the best time in her life to have children.

 

35 year old:

Her peak condition declines gradually. Her energy in Yangming meridian declines. Her face starts wither and her hair starts to fall. (5th 7 years)

From 35 year old, she start to have wrinkles on the face, and her general energy and fertility start to decline. She still able to have children.

 

42 year old:

Sanyang energy declines. Her face wanes and she starts to have white hair. (6th 7 years)

From the age of 42, her physical energy and fertility energy declines and difficult to conceive.

 

49 year old:

The Ren meridian (Conception Vessel) and Chong meridian vital energy declines, her menstruation dried up, her physique turns old and feeble; She is no longer to conceive. (7th 7 years)

From the 7-year-life cycle, we can see that the good age for a woman to have children is from 21 to 35. And the best age is around 28 year old.

Acupuncture Chinese herbal medicine for endometriosis pain – latest research

List are a few researches of acupuncture Chinese herbal medicine for endometriosis. Note: AHPRA does not accept those evidence.

. 2017; 12(10): e0186616.

Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis – 2017

Author’s conclusions

Acupuncture can alleviate the pain of dysmenorrhoea and reduce peripheral blood CA-125. As a result, the therapy could be applied as a complementary treatment for endometriosis-related pain.

However, few randomised, blinded clinical trials have addressed the efficacy of acupuncture in treating endometriosis-related pain. Nonetheless, the current literature consistently finds that acupuncture yields better reductions in pain and serum CA-125 levels than do control treatments, regardless of the control intervention used.

To confirm this finding, additional studies with proper controls, blinding methods, and adequate sample sizes are needed.

Cochrane

Chinese herbal medicine for endometriosis (Review 2012)

Main results

Two Chinese RCTs involving 158 women were included in this review. Although both these trials described adequate methodology they were of limited quality. Neither trial compared CHM with placebo treatment. There was no evidence of a significant difference in rates of symptomatic relief between CHM and gestrinone administered subsequent to laparoscopic surgery (RR 1.04, 95% CI 0.91 to 1.18). There was no significant difference between the CHM and gestrinone groups with regard to the total pregnancy rate (69.6% versus 59.1%; RR 1.18, 95% CI 0.87 to 1.59, one RCT).
CHM administered orally and then in conjunction with a herbal enema resulted in a greater proportion of women obtaining symptomatic relief than with danazol (RR 5.06, 95% CI 1.28 to 20.05; RR 5.63, 95% CI 1.47 to 21.54, respectively). Oral plus enema administration of CHM resulted in a greater reduction in average dysmenorrhoea pain scores than did danazol (mean difference (MD) -2.90, 95%
CI -4.55 to -1.25). For lumbosacral pain, rectal discomfort, or vaginal nodules tenderness, there was no significant difference between CHM and danazol.
Overall, 100% of women in both studies showed some improvement in their symptoms. Women taking CHM had fewer side effects than those taking either gestrinone or danazol.

Authors’ conclusions

Post-surgical administration of CHM may have comparable benefits to gestrinone. Oral CHM may have a better overall treatment effect than danazol and it may be more effective in relieving dysmenorrhoea when used in conjunction with a CHM enema. CHM appears to have fewer side effects than either gestrinone or danazol. However, more rigorous research is required to accurately assess the potential role of CHM in treating endometriosis.

Plain language summary

Chinese herbs for endometriosis
Endometriosis is a common gynaecological condition causing menstrual and pelvic pain. Treatment involves surgery and hormonal drugs, with potentially unpleasant side effects and high rates of reoccurrence of endometriosis. The two small studies in this review suggest that Chinese herbal medicine (CHM) may be as effective as gestrinone and may be more effective than danazol in relieving
endometriosis-related pain, with fewer side effects than experienced with conventional treatment. However, the two trials included in this review were small and of limited quality so these findings must be interpreted cautiously. Better quality randomised controlled trials are needed to investigate apossible role for CHM in the treatment of endometriosis.

Acupuncture for pain in endometriosis (Review 2011)

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007864.pub2/epdf/standard

Main results

Twenty-four studies were identified that involved acupuncture for endometriosis; however only one trial, enrolling 67 participants, met all the inclusion criteria. The single included trial defined pain scores and cure rates according to the Guideline for Clinical Research on New Chinese Medicine. Dysmenorrhoea scores were lower in the acupuncture group (mean difference -4.81 points, 95% confidence interval -6.25 to -3.37, P < 0.00001) using the 15-point Guideline for Clinical Research on New Chinese Medicine for Treatment of Pelvic Endometriosis scale. The total effective rate (’cured’, ’significantly effective’ or ’effective’) for auricular acupuncture and Chinese herbal medicine was 91.9% and 60%, respectively (risk ratio 3.04, 95% confidence interval 1.65 to 5.62, P = 0.0004).
The improvement rate did not differ significantly between auricular acupuncture and Chinese herbal medicine for cases of mild to moderate dysmenorrhoea, whereas auricular acupuncture did significantly reduce pain in cases of severe dysmenorrhoea. Data were not available for secondary outcomes measures.

Authors’ conclusions

The evidence to support the effectiveness of acupuncture for pain in endometriosis is limited, based on the results of only a single study that was included in this review. This review highlights the necessity for developing future studies that are well-designed, double-blinded, randomised controlled trials that assess various types of acupuncture in comparison to conventional therapies.
P L A I N L A N G U A G E S U M M A R Y
Acupuncture for pain in endometriosis
Endometriosis is a gynaecological disease that causes chronic pelvic pain, most notably painful menstruation, as the most common complaint. Acupuncture is frequently used to treat both pain and various gynaecological conditions. This review examined the effectiveness of acupuncture for reducing pain in endometriosis; however only one study met our inclusion criteria.
The data from the included study, involving 67 women, indicated that ear acupuncture is more effective compared to Chinese herbal medicine for reducing menstrual pain. The study did not report whether participants suffered any side effects from their treatments. Lager, well-designed studies comparing acupuncture with conventional therapies are necessary to confirm these results.

The efficacy and safety of acupuncture in women with primary dysmenorrhea

A systematic review and meta-analysis

Hye Lin Woo, KMD,a Hae Ri Ji, KMD,e Yeon Kyoung Pak, KMD,e Hojung Lee,c Su Jeong Heo, KMD, PhD,dJin Moo Lee, KMD, PhD,b and Kyoung Sun Park, KMD, PhDb,
Medicine (Baltimore). 2018 Jun; 97(23): e11007.

Abstract

Background:

This systematic review aimed to evaluate the current evidence regarding the efficacy and safety of acupuncture on primary dysmenorrhea.

Methods:

Ten electronic databases were searched for relevant articles published before December 2017. This study included randomized controlled trials (RCTs) of women with primary dysmenorrhea; these RCTs compared acupuncture to no treatment, placebo, or medications, and measured menstrual pain intensity and its associated symptoms. Three independent reviewers participated in data extraction and assessment. The risk of bias in each article was assessed, and a meta-analysis was conducted according to the types of acupuncture. The results were expressed as mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CIs).

Results:

This review included 60 RCTs; the meta-analysis included 49 RCTs. Most studies showed a low or unclear risk of bias. We found that compared to no treatment, manual acupuncture (MA) (SMD = −1.59, 95% CI [−2.12, −1.06]) and electro-acupuncture (EA) was more effective at reducing menstrual pain, and compared to nonsteroidal anti-inflammatory drugs (NSAIDs), MA (SMD = −0.63, 95% CI [−0.88, −0.37]) and warm acupuncture (WA) (SMD = −1.12, 95% CI [−1.81, −0.43]) were more effective at reducing menstrual pain. Some studies showed that the efficacy of acupuncture was maintained after a short-term follow-up.

Conclusion:

The results of this study suggest that acupuncture might reduce menstrual pain and associated symptoms more effectively compared to no treatment or NSAIDs, and the efficacy could be maintained during a short-term follow-up period. Despite limitations due to the low quality and methodological restrictions of the included studies, acupuncture might be used as an effective and safe treatment for females with primary dysmenorrhea.

Keywords: acupuncture, dysmenorrhea, meta-analysis, primary dysmenorrhea, systematic review