A holistic approach to infertility

May 04, 2007

Pregnancy occurs when the right conditions are met with the right timing. Attaining these conditions for some couples is difficult and in these instances it is important to consider a holistic approach.



Most people tend to think of infertility as something that needs to be treated, not considering infertility as the result of other underlying problems. For example, a woman could fail to conceive because of poor microcirculation in the uterus, which can be often related to general cardiovascular issues. High-tech reproductive techniques such as In Vitro Fertilization (IVF) may help temporarily overcome these circulatory problems by improving uterine blood flow and ultimately pregnancy rates.

However, these underlying circulatory problems require continual treatment since they don’t usually correct themselves spontaneously after IVF. Uterine blood flow can diminish after IVF leading to an increased risk of miscarriage and/or negative fetal development. Further down the line if these problems persist, pregnancy complications such as preeclampsia can develop which can be dangerous to both the mother and fetus.



There are also many factors that are not part of a conventional fertility workup that can block a pregnancy or predispose a pregnancy to complications. Some of these include: environmental, metabolic, energetic, dietary and emotional. These can all be primary endocrine disruptors leading to DNA damage and a uterine environment that is not conducive to healthy fetal development.



Because of this, many reproductive physicians are recommending acupuncture, herbal medicine and nutrition as an adjunct to standard fertility protocols. In fact, acupuncture is being used so much that numerous studies have appeared to examine the effects of acupuncture and how it might work. These studies have consistently shown that incorporating acupuncture into infertility regimens such as IVF results in greatly increased pregnancy rates (in some studies even doubling the number of IVF pregnancies). Acupuncture was also shown to improve ovarian response, increase uterine lining thickness and reduce the number of miscarriages and ectopic pregnancies.



However, despite everything acupuncture can do directly to help one get pregnant, oriental medicine puts just as much emphasis on identifying and correcting underlying imbalances before pregnancy. This strategy results in much healthier pregnancies and much healthier babies. Therefore, it is a good idea to get a comprehensive physical examination from an oriental medicine practitioner if you are contemplating having children and having a nutritionist review your nutrient status. By combining this holistic strategy with Western Medicine, you improve your chances of having a baby while improving your overall health.

February 22, 2008

Dr. Horn, this is excellent work!

Dr. Berkley

February 22, 2008

By "holistic" approach does that only mean the accupuncture? My hubby and i have decided that this month that we are taking a break from all the meds and IVF that we will start eating organic. I went thru the accup. with the last IVF without success (i dont blame the accup for the failure) but thinking maybe i need a detox of crap that i put in my body, i try to eat well but when i looked at what i eat, its covered in preservatives, even if i try to do low fat, low sugar its still full of fake stuff.

What kind of herbs do you reccomend to clients or do you ever reccomend going organic or vegatarian?

February 23, 2008

I think you are on the right track. Holistic means looking at everything. Acupuncture is simply a tool and is not necessary for pregnancy. However, if it is done correctly, acupuncture can substantially increase your chances of getting and staying pregnant. In the near future you can find a list of fertility specialists at www.aborm.org that have demonstrated competence in the field of infertility.

The types of herbs will depend on why you aren't getting pregnant. That is the first question. People always think there is some magic herb, pill or procedure that will get them pregnant. While that works sometimes, most of the time, people run around trying everything and many times they actually do more harm than good. I have many cases of people taking a variety of supplements that were damaging their bodies rather than helping them.

Treatments become magic once you identify the underlying causes by looking at your situation holistically: taking into account your particular constitution, current diseases and environment. Then the herbs, supplements, acupuncture or whatever become magical because they correct the underlying problem. When you do this, not only do you usually end up with a healthy pregnancy, but you end up increasing your overall health and wellbeing.

This approach can help both with natural pregnancies and help make ART much more effective.

I would recommend you listen to an interview which should give you more ideas:

http://herbalroom.com/dfh_lecture.html

If you find it difficult to navigate on your own, that is what doctors are for... to help you figure things out. If you find a good holistic doctor who specializes in fertility, they should be able to help you figure that out. If you need a referral near you I could probably help find one for you.

Best of Luck!

February 23, 2008

Thanks Dr. I loved your post. My hubby and I actually tried some holistic approaches before we went the western medicine route.. however... we ran into the problem of insurance not covering anything when seeing doctors/specialists who take a holistic approach.... and had to stop before we really got anywhere.

February 24, 2008

My wife and I are writing a book currently that should help you do a lot of it on your own. Unfortunately it won't hit the shelves until the beginning of next year (publishing is a process).

I would recommend you see an herbalist if your finances are limited. They can customize an herbal formula for you and you could just go to them once a month or so generally for a new prescription.

Dr. Horn

www.herbalroom.com

May 13, 2008

We have tried holistic approaches and herbal formula also but it seems its not working.

May 16, 2008

Rohini:

I am sorry that you are not yet pregnant. That your treatments are not working is unfortunate.

Please realize that the best of the best in cutting-edge reproductive medicine also doesn't work for every patient.

My concern is: are you being treated by the best-of-the-best in Complementary medicine?

The specialization of infertility is complex and requires a high level of knowledge. Does your practitioner meet this criterion?

Please visit www.aborm.com to find the best-of-the-best in complementary medicine.

Best wishes.

Dr. Berkley

www.berkleycenter.com

acupunctuer

May 26, 2008

Thans for your mail Dr.Mik have conceived once about 19 months back after 3 months I had spontenious abortion.Than I had operation for gallstones also all my reports are normal but not yet pregnent and nothing works.

May 26, 2008

Dr Horn,

Would Angina affect fertility? I have been TTC for a few years & have unexplained infertility. The only health conditions that I have that I know of are Angina (and a slight murmur) & Sinus Allergies to pollen & dust. Where would you begin treatment with someone like me?

May 30, 2008

Dear Sunny,

These things can affect fertility. You should definitely treat the angina before conceiving anyway. You don't want to be pregnant with an avoidable cardiovascular condition. As for starting, you can always get back to the basics of mild cardiovascular exercise and high quality food intake, however, I'm not a fan of slowly treating angina. I like to be more aggressive with those types of symptoms so I would definitely recommend Acupuncture and herbs. They tend to be extremely effective for getting rid of that.

As for the sinus allergies, that is usually not a fertility problem in and of itself, but can indicate other things going on that could be a problem with fertility. That would require a physical exam to figure that out (pulses, tongue and other Chinese Medicine diagnostic methods). If you need a referral in your area, I can see if I know anyone where you live.

Best of Luck!

Dr. Horn

www.herbalroom.com

May 30, 2008

hey sunny - i have heard that some of the allergy meds can dry up the CM so to make sure that you are using one that doesnt or use a sperm friendly lube :)

May 30, 2008

We need more focus and help on the male side also. Dislike when there is a male factor and all you here from most dr's IVF + ICIS is your only hope. That is not hope we need solutions, help, ways to solve the problem. Not everyone has the insurance and the money for IVF +ICIS. Now am I against IVF and fertitly meds NO but there has to be other things out there to help the male side. They have to deal with the pain and feelings that come with ttc process also.