We are so happy for the Rivera’s! Your story is inspiring and we are proud to be part of it.
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We are so happy for the Rivera’s! Your story is inspiring and we are proud to be part of it.
Read the full article and watch the video here.
The relationship between weight and fertility is a sensitive and complicated one. With so much weight bias in the medical industry, it can be tricky to figure out what to believe. While there is research that supports that weight affects fertility, all bodies are different — and an individualized approach to discovering what’s true for your body is critical. Women of all sizes have successful pregnancies and give birth to healthy children.
That said, knowledge is power. So, in an effort to navigate all of the information out there about how weight can impact fertility, we’re taking a look at what the science actually says.
Body mass index, or BMI, is a way to measure weight relative to height and is often used as a way to predict body fat.
Your BMI is calculated by taking your weight in kg divided by height in meters squared (kg/m^2). You can use an online tool like this one to calculate your BMI, or your healthcare provider can help you.
Here are the general guidelines for women:
But, BMI is an imperfect measurement, and doesn’t necessarily speak to overall health. It can’t distinguish between fat and muscle, which means that you could be toned and still register as having a high BMI, because muscle weighs more than fat.
BMI also can’t tell the difference between various kinds of fat, or how fat is distributed in the body, which is an important distinction. Visceral fat, for example, is in the abdominal cavity and wraps around organs like the liver, pancreas, and intestines. High amounts of visceral fat can lead to health problems, such as Type 2 diabetes. People of all sizes can have higher-than-expected amounts of visceral fat, but a BMI test can’t ascertain that.
“Although BMI has been the gold standard test for classifying patients as underweight, normal weight, overweight, or obese, it’s a poor test for measuring the health of the patient,” explains Marta Montenegro, a fertility lifestyles specialist at IVFMD. “I can’t say that patient ‘X’ is healthier than ‘Y’ solely based on BMI.”
It’s important to remember that many women with low and high BMI successfully get pregnant.
Conception depends on many factors, including the health and function of your reproductive system, as well as your hormone levels. An egg and sperm need to meet at just the right time — otherwise known as your fertile window — for fertilization to occur. Your hormones need to be at normal levels for all of this to take place. “Normal” depends on many factors, including your age and where you are in your menstrual cycle (i.e. follicular phase, luteal phase, etc).
Estrogens, specifically how much of the hormones you have, play a major role when it comes to weight and fertility. Estrogens are produced by the ovaries, as well as in fat cells and the adrenal gland.
If you have a high BMI, you may have more fat cells. The more fat cells you have, the more estrogens are being produced in your body. Estrogens are also responsible for the growth of the uterine lining, so more fat cells lead to a thicker uterine lining, and heavier periods. Enough estrogens can interrupt your cycle, lead to infrequent periods, and prevent you from ovulating. High levels of estrogens can also affect how your body processes insulin, therefore causing problems like diabetes and insulin resistance, as is the case with polycystic ovarian syndrome, or PCOS (more on this below). According to the American Society for Reproductive Medicine (ASRM), a higher body-fat percentage can also affect the success of fertility treatments, such as IVF.
On the flip side, when you have a low BMI, or a low body-fat percentage, your body doesn’t have enough energy to run properly. When this happens, non-essential systems, like reproductive function, slow and shut down. Your hypothalamus, where hormones such as estrogens are regulated, gets sluggish, and this leads to irregular, or entirely absent, menstrual cycles. “Irregular” could mean a shorter time between periods, a period lasting longer than eight days, or skipping cycles altogether (lack of a menstrual cycle is known as anovulation).
Despite what our mainstream culture would have us believe, being “overweight” or “underweight” isn’t just about how many calories you’re taking in. For example, research has been looking into how genetics plays a role in your body weight. There are also treatable medical conditions, like hormonal conditions or eating disorders, that play a role in BMI.
Polycystic ovary syndrome (PCOS) is a hormonal condition that can cause irregular menstrual cycles, extra hair growth, fatigue, and weight gain. If you have PCOS, you’ll often have much higher levels of anti-mullerian hormone (AMH). You may also have higher levels of androgens (called hyperandrogenism) — but not all women with PCOS experience this. Androgens are a class of steroid hormones often thought of as “male” (including testosterone, androstenedione, and DHEAS), but are actually present in all healthy adult bodies. In women, they’re produced in the ovaries and adrenal glands.
Insulin, the hormone that allows your body to absorb blood sugar, is also part of the PCOS equation — if you have PCOS, your body may not be as responsive to insulin as it’s supposed to be (aka “insulin resistance”), so your blood sugar doesn’t get processed as easily. This may result in chronically elevated blood sugar and insulin levels. 80% of women with PCOS have a higher than normal BMI due to the fact that it’s a metabolic disorder, in which the body’s metabolism fails to regulate a specific substance the body needs (in this case insulin), and how it interacts with glucose in the body. Women who are “overweight” can have more issues with insulin resistance than those who aren’t.
Eating disorders, such as anorexia, can also lead to nutrient deficiencies that decrease levels of estrogens, negatively affecting ovulation and leading to the absence of periods altogether. When a woman is in recovery, and gaining weight, she might also experience changes in her cycle as her hormones recalibrate.
You don’t have to be at a BMI over 18 and under 25 to increase your chances of getting pregnant. But if you’re classified as “overweight” with a high BMI, losing just 5-10% of your body weight may positively impact your fertility. A 2014 study showed that people who were “overweight” and being treated for infertility lost 10% of their body weight and had higher rates of conceiving than those who didn’t. (Note: There are also meta-analyses — studies that combine estimates from a whole bunch of studies — that also suggest that weight loss has a positive effect on fertility.)
Losing weight, however, isn’t necessarily the answer. Dr. Montenegro recommends talking to a health professional who specializes in metabolic fertility issues. Without being properly evaluated, you may be doing more harm than good for your fertility by losing subcutaneous body fat — the fat you can “pinch” — and not losing visceral body fat, the latter which is the root of metabolic fertility issues, according to Montenegro.
Being “underweight” or “overweight” can have varying complications for your fertility. The good news is that there are steps you can take to improve your overall health, especially when it comes to conceiving. One of the things you can be proactive about is getting your hormone levels tested with Modern Fertility. Knowing your levels can help start a conversation with your doctor about your ability to conceive, and they can work with you to decide whether your BMI could potentially be a factor in getting pregnant.
This article was medically reviewed by Dr. Nataki Douglas, the Chair of the Modern Fertility Medical Advisory Board.
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Dr. Alford featured in this article. Proud to participate in helping couples achieve their dreams of creating family. Fertility is our focus.
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After tests, confusion, waiting and fertility treatments, a couple struggling with male infertility is now expecting. They say it is all thanks to a new technology that they had to travel to South Florida to get. NBC 6’s Stephanie Bertini reports.
View full video here.
No doubt you have made many lifestyle changes to increase your chance of pregnancy, such as dietary modifications, supplementation, or even acupuncture. But do not forget about proper exercise. Many women who have struggled with fertility issues due to polycystic ovary syndrome (PCOS), advanced reproductive age, and endometriosis, as well as those who undergo in-vitro fertilization (IVF), may find help with a regular exercise routine.
So what should you do? Daily 30-minute walks? Weight lifting? Aerobics? Yoga? Just as there is no one-size-fits-all diet, no single type of exercise is ideal for every person. It depends on your situation and what issue(s) may be hindering your fertility.
PCOS: Get sweaty
The study: PCOS is a condition characterized by irregular menses, chronic anovulation, and endocrine disorders. Women with PCOS have a higher risk of infertility, obesity, insulin resistance, high cholesterol, and hypertension. Likewise, they are usually deficient in the sex hormone binding globulin (SHBG), which impacts androgen hormones estrogen and testosterone. A 2016 study published in the journal Fertility Sterility examined the effect of moderate intensity exercise and vigorous intensity exercise on managing these metabolic features. The results found that vigorous exercise improved the most metabolic factors, such as lower waist circumference, fasting glucose and triglycerides, higher good cholesterol (HDL) and SHBG.
Moderate-intensity exercise does not have to be cardio-related.. A 2016 study in the journal Medicine & Science in Sports & Exercise found that PCOS women who did resistance training for four months—eight to 10 exercises, one for each muscle group, three times a week—decreased body fat and improved reproductive function. Also, 60 percent of the PCOS women who had menstrual irregularities, improved their cycle while 17 percent became pregnant after the two months on the program.
Why?: High-intensity exercise improves mitochondrial activity, which increases overall caloric expenditure stimulates visceral body fat, especially around the waist. When lifting weights, the muscle work directly affects androgen hormones. Likewise, muscles become more efficient at controlling glucose uptake, thus increasing insulin sensitivity, which lowers the risk of type 2 diabetes.
Exercise Rx: The difference between moderate and vigorous exercise is based on Metabolic Equivalent, or MET. MET is based on an intensity scale of one to 10. Your goal should be anything at 6 to 8 MET where you should be able to say a sentence or two but holding a conversation is difficult. Examples include jogging, a cardio-resistance exercise, or a spinning class. Activities like light walking, yoga and Pilates may be considered moderate intensity depending on your conditioning.
In terms of lifting weights, choose eight to 10 exercises—one for each major muscle group, like lat pull down, leg press, chest press, and leg curl. Do three sets of 10 to 15 reps each, three times a week.
ADVANCE REPRODUCTIVE AGE: Body-mind connection
The study: A woman’s fertility decreases in her mid 30s. One of the most commonly used tests of ovarian reserve is to check the basal Follicle Stimulating Hormone (FSH). An elevated FSH (higher than 14 IU/L) is the first sign of ovarian aging that can be detected in women between ages 35 to 40. In one study in which yoga was evaluated for its impact on menstrual abnormalities in women with advanced reproductive age. The group did 35 to 40 minutes yoga sessions, five times a week, for 6 months. The results found that important metabolic and reproductive hormones, such as TSH, FSH, LH and prolactin, decreased significantly in the yoga group, compared with a group who did not do any yoga.
Why? Many yoga styles have shown to stimulate pressure receptors during exercise that increases the parasympathetic system response, which is the opposite of the sympathetic “flight or fight” system. This lowers the stress hormone cortisol and raises the feel-good neurotransmitter serotonin, both of which decrease FSH and Prolactin.
Exercise Rx: The subjects of the yoga study did Nidra Yoga, a style that emphasizes deep mental and emotional relaxation. Look for a certified yoga instructor.
ENDOMETRIOSIS: A mix of intensity exercise
The Study: About 20 percent to 25 percent of infertile women have endometriosis—a growth of the endometrium tissue outside the urinary cavity. This can trigger inflammatory reactions that cause menstrual pain, painful intercourse, and infertility. Certain muscles have been identified as an endocrine tissue, which through physical activity, can boost the anti-inflammatory response and fight inflammation in the adhesions outside the cavity. In a review published in Reproductive Biology and Endocrinology, studies show regular exercise—two hours per week of moderate to high intensity exercise—improved the condition of women with endometriosis. Equally, a study found that three yoga poses—cobra, cat, and fish—helped to reduce both severity and duration of menstrual pain.
Why?: Endometriosis increases the secretion of free radicals—oxidative stress and pro inflammatory proteins that communicate between the cells and that are involved in nerve pain. Exercise improves neuromuscular conduction, pain tolerance, and estrogen regulation.
Exercise Rx: Do some kind of group aerobic class, like Zumba or cardio-hybrid class, four to five times per week and finish with several rounds of cobra, cat, and fish yoga poses.
IN-VITRO FERTILIZATION (IVF): Yoga
The Study: Women face high levels of stress and anxiety when undergoing IVF. A study in Reproductive Biomedicine Journal shows that the best strategy to overcome such as distress is yoga. When patients went through a six-week yoga class prior to IVF treatment, they scored significantly better on fertility-related quality of life, marital harmony, and state of anxiety than women who did not do any yoga.
Why?: Yoga has been found to decrease depression, anxiety, and stress by increasing the release of feel-good neurotransmitters, such as serotonin and GABA, while lowering cortisol, epinephrine, and others neurochemicals related to the to the “flight or fight” response.
Exercise Rx: Join a basic hatha yoga class four times a week. This style combines relaxing physical postures with a focus on controlled breathing.
Marta Montenegro, MS, SFN, CSCS, NSCA-CPT, IVFMD Fertility Lifestyles Specialist
Polycystic Ovary Syndrome, PCOS, impacts 1 in 10 women of childbearing age and symptoms can include ovulatory issues and infertility. So, PCOS is common and disruptive, but the good news is that with appropriate care PCOS can be managed.
The first obstacle to managing PCOS is understanding the various symptoms and receiving a diagnosis. PCOS can come with a wide array of symptoms:
• Hair loss
• Acne, darkening of the skin, skin tags
• Pelvic pain, irregular periods
• Headaches, feelings of anxiety and depression
• Excess hair growth on the face
• Trouble sleeping
• Weight gain
For more info check out this PCOS infographic.
These symptoms can be caused by other conditions and everyone with PCOS experience the same symptoms, so it can be extremely difficult to get a diagnosis. The best thing for someone who’s exhibiting some of these symptoms is to talk to their doctor. The biggest challenge is, many people don’t ask because they don’t know what PCOS is.
This is why awareness about PCOS is so crucial. September is PCOS Awareness Month, and to help spread awareness we have created a special three-part series featuring PCOS experts, health specialists, and a fertility patient who built her family despite her diagnosis. This episode features Dr. Kimberly Thompson, from IVFMD, who breaks down everything you need to know about PCOS and Sasha Ottey, founder of PCOS Challenge, the National Polycystic Ovary Syndrome Association.
Dr. Thompson will walk us through what PCOS is, what it means for fertility, and how to help women with PCOS build the family of their dreams. Sasha will share her personal experience with PCOS, how she was diagnosed, and how she started the PCOS Challenge. We’ll learn about PCOS Challenge’s mission, gain an understanding of how to contribute to PCOS Challenge, and hear about some exciting upcoming events like the Rise to the Challenge Gala.
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By: Sunny Fitzgerald
Nauseated is not how I imagined I’d feel the first time I saw my then-fiance, Sanad, holding a baby. But there I sat — face flushed, head floating — as I watched him scoop Salma up in his arms.
The living room was abuzz, every seat and even some of the floor occupied. I had come to meet Sanad’s father, stepmother and siblings. But aunts, an uncle and several cousins had also gathered. When a Jordanian says you’re meeting the family, there’s a good chance they mean the neighborhood.
Sanad alternated effortlessly between babbling baby talk to his cousin Salma and cracking jokes with the adults. Salma gurgled and grinned, her big blue eyes fixed on him.
A rush of adoration erupted from within, and the hairs on my arms stood on end, as if to say, “Yes, this is where you are meant to be.” But my joy was interrupted by a piercing pulse in my brain — a sign of an oncoming migraine. I smiled politely, hoping my face hadn’t betrayed the pain. If I was unwell, would his family deem me unweddable?
I have hemiplegic migraine, a rare neurological condition with debilitating strokelike symptoms including temporary partial paralysis, nausea, dizziness, auras and impaired comprehension, vision and speech. I also have celiac disease, an autoimmune disorder that can cause intestinal damage, malnutrition, fatigue and infertility. Where pregnancy and parenting are concerned, Marta Montenegro, a fertility lifestyles specialist at IVFMD, explains, “Celiac disease — if it’s not treated properly — can complicate everything from getting pregnant to having a healthy pregnancy to having a healthy baby.”
These two chronic conditions aren’t exactly a dream team. Managing a neurological condition and an autoimmune disorder in addition to being the primary breadwinner while we navigate the U.S. immigration process is exhausting. So it feels almost impossible for me to imagine motherhood.
But when I saw Sanad with Salma that day, I saw flashes of our future: the next adventure we might embark on, the shared joy of merging our love to create our own family. Sanad is a natural with children — loving and gentle, confident and playful. He has a strong sense of family and a tender yet fierce heart. He’d be a fantastic father. But I’m not sure he’ll have the chance.
As we approached our first wedding anniversary earlier this summer, all things pregnancy took over my social media feeds. I wasn’t pregnant, but it seemed everyone else was: pregnant celebrities recording comedy specials and strutting in couture on the red carpet, media outlets obsessively tracking the pregnancy progress of the British royal family, and my own friends posting frequent baby bump photos and tell-all birthing and parenting stories.
I am genuinely thrilled for them. But I’m also conflicted and fearful for me.
I tap the red heart “love” reaction on my friends’ online pregnancy announcements, imagining the elation in those early moments but unsure if I can even conceive and safely carry a baby to term. Kimberly Langdon, a medical adviser and fertility expert at Medzino Health Inc., confirms that studies have shown reproductive challenges — such as miscarriage and premature deliveries — are more common in women with celiac disease.
I see adorable protruding bellies on rightfully radiant mothers-to-be. And I can’t help but contemplate what will happen if my already fragile body is pushed and stretched, my organs rearranged to accommodate a growing baby.
I post “Congratulations!” on birth stories and photos of minutes-old babies resting on their mother’s chest, all the while wondering if the dramatic fluctuation of hormones, the inevitable exhaustion and the physical trauma of childbirth might increase the frequency of debilitating migraines and put me at an even greater risk of stroke. There is so little research on the risks related
to pregnancy and childbirth for women with hemiplegic migraines, even health care experts with whom I’ve spoken express uncertain opinions.
“Most women will have fewer migraines during pregnancy,” says William Chow, a neurologist and attending physician at Cedars-Sinai Medical Center. “However, some pregnant women will have more frequent and severe migraines. And some women with a history of hemiplegic migraine may have an increase in the risk of stroke during pregnancy.”
Of course, surviving pregnancy and childbirth is only the beginning of the parenthood journey. My offspring might inherit one or both of my incurable conditions. Is it right to take that risk?
On some mornings, simply opening the shutters and letting the sunlight in sparks a migraine, and a whole day or longer is lost while my body recovers from the “migraine hangover” and nausea, fatigue and brain fog that follow. On those days I can’t even get myself out of the house or accomplish simple tasks. How will I wake with a hungry baby at all hours of the day and night, and provide nourishment from my own nutrition-deficient body?
Could a mom like me ever be enough?
My fears about pregnancy and parenting as a person living with incurable, chronic conditions are bona fide. But focusing on the endless unknowns while scrolling through the mind wreck of other people’s filtered images and frightening stories has left me feeling defeated. So how can I take control when so many things are out of my control?
Rather than running from my fears as I near the end of my reproductive years, I’ve opted to step away from social media, and instead dive into medical research to explore my options. It’s helped me feel more empowered. Although there’s no cure for my conditions, there are things I can do now to better prepare my body for pregnancy.
Several health-care providers with whom I’ve spoken, including Montenegro and Kecia Gaither, an OB/GYN and maternal fetal medicine specialist and the director of perinatal services at NYC Health + Hospitals/Lincoln, recommend working with a nutritionist to ensure nutrient levels remain adequate — a concern for celiac sufferers and their developing babies, in particular.
There is also the possibility of removing my body from the equation entirely and considering adoption. This would eliminate the risks associated with pregnancy, but the physical and emotional demands of parenting — not to mention the environmental and financial costs — would remain.
Like anyone contemplating parenthood, we have a lot to think about. We can find wisdom in other parents’ experiences, but, ultimately, we need to decide what’s best and most feasible for us — whether that’s building a team of knowledgeable doctors to guide us and friends and family to support us, pursuing adoption or forgoing parenting.
I was worried the latter might be a dealbreaker for Sanad and me. We both come from large families, the majority of our adult relatives have children, and Jordanian couples from traditional families tend to try for a baby within the first year of marriage (or so women whispered to me on more than one occasion). Before we got married last year, I needed to tell him I was ready to commit to building a life with him, but I couldn’t promise children. I braced myself, knowing if Sanad were to say he couldn’t envision his life without children, I’d have to reimagine mine without him.
“Aadi,” he replied, Arabic for “It’s fine.” He was steady and unfazed. “I’m not marrying you because I need children; I’m marrying you to be with you.”
I don’t have all the answers. No one does. But after silently carrying the weight of my fears for years, finally putting them into words — and being seen and loved all the same — has certainly lightened the load.
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By Emily Monaco
No one wants to talk about it, but sex is an issue for many. Erectile dysfunction affects at least 3 million men in the U.S. alone, and one study shows that over one-third of women experience hypoactive sexual desire disorder, or a diminished libido.
Of course, both low libido and erectile dysfunction can stem from a variety of factors, including hormone imbalance, depression, or side effects of certain medications. It’s important to work with a doctor to rule out underlying issues first, but for certain people, it’s enough to supplement with all-natural vitamins, minerals, adaptogens, and foods to realign hormones and get that loving feeling back.
“Our libido is governed mostly by hormones – so when our hormones are out of whack we often first notice it in our sex drive,” explains Dr. NavNirat Nibber, ND. “The delicate balance between testosterone, estrogen, progesterone, cortisol and melatonin needs to be maintained.”
She notes that reducing stress – and the effects of stress on our body – is key to help improve sexual function, a task that can be accomplished not just with meditation and mindfulness but also with certain supplements like adaptogens.
“It’s our physiology and brain chemistry – neurochemicals such as serotonin, dopamine and GABA – that ultimately drive and determine our emotions, moods, and our ability to be both relaxed and alert so we can get the most out of intimacy,” explains Marta Montenegro MS, MF, CSCS, SFN, NSCA-CPT, a Miami, Fla.-based fertility lifestyles specialist at IVFMD. She notes that these neurotransmitters can increase alertness and decrease anxiety, improving sexual function and overall sex life.
With this in mind, here are seven all-natural supplements that can help you heat things up in the bedroom again.
While some sexual problems are linked to specific deficiencies or other issues, for many, the problem is much simpler, according to Arielle Levitan, M.D., cofounder of Vous Vitamin, LLC and author of “The Vitamin Solution.”
“While everyone is looking for a magical pill to boost sex drive and satisfaction, there is no one magic pill,” she explains. “It turns out that taking the optimal combination of daily vitamins for your personal profile is the best way to address this.”
She recommends a daily vitamin containing B vitamins, magnesium, iron, and vitamin D to help improve general energy and, by extension, libido.
Vitamin D3, specifically, can improve the production of sex hormones in both men and women, according to Calloway Cook, founder of herbal supplement company Illuminate Labs.
“This vitamin, which our skin produces when in contact with the sun, regulates sex hormone production to a large degree in both men and women,” explains Cook. “Supplementing Vitamin D in those already replete in the vitamin won’t have an effect, but fixing a deficiency can improve libido. This is because Vitamin D deficiency can cause artificially lowered testosterone.”
Try: New Chapter’s Every Woman Multi Vitamin ($343.93/120 tablets) or Men’s Life Multivitamin ($26.95/60 capsules)
This powerful adaptogen is a root native to Peru, used, among other things, for its libido-enhancing effects, which have been proven by double-blind, randomized human studies. Ryan Bradford of Wonder Labs notes that maca can be beneficial for sexual health in both men with erectile dysfunction and post-menopausal women. Studies have shown that maca can even help those whose lost libido stems from use of anti-depressant medications.
Try: Navitas’ Organic Maca ($18.79/16 ounces powder)
Don’t be scared off by this amino acid’s fancy name. Naturally produced in the body and present in food sources like watermelon, L-Citrulline has been found to increase the production of nitric oxide in the body which, explains Cook, dilates blood vessels and reduces blood pressure, helping to increase erection quality, especially in men with high blood pressure. Since, as Pam Machemehl Helmly, CN, founder and chief science officer of Wellnicity, explains, most standard American diets do not have enough of the nitrate-rich vegetables to help with ED and libido, supplementing can be helpful.
“Nitric oxide is a vascular dilator for our arteries and it’s what helps drive blood flow, essential to arousal for our sexual organs,” she says, noting that other amino acids, like L-arginine, and vitamins like vitamin C and folate, can also increase nitric oxide in the body.
“Ingesting foods with these nutrients can also help reduce levels of your stress hormone, cortisol, and therefore help you feel more relaxed,” she continues, suggesting shrimp, peanuts, strawberries, and kiwi.
Try: Source Naturals’ L-Citrulline ($19.99/120 capsules), in addition to consuming foods that promote production of nitric oxide.
Amino acid L-Tyrosine can help increase libido by increasing dopamine levels, according to Montenegro.
“When we consider foods that can help you increase your alertness, that get you energized and that promote what we like to call your mojo, then we need to be thinking about foods that help increase our dopamine levels,” she explains.
Foods rich in L-Tyrosine include sesame seeds and pumpkin seeds.
Try: Now’s L-Tyrosine ($9.99/120 capsules)
Sex drive is also reliant on our sense of wellbeing and calm, according to Montenegro. To improve this, ingesting foods that encourage the production of serotonin and GABA is essential – and both tryptophan and choline can do that.
Montenegro notes that these amino acids are present in salmon, almonds, walnuts, spinach, and eggs.
Try: Amazing Nutrition’s L-Tryptophan ($11.86/60 capsules) and Country Life’s Phosphatidyl Choline Complex ($23.39/200 softgels)
This traditional Chinese remedy has been used for thousands of years to increase energy and physical endurance. The clinically tested aphrodisiac increases stamina and endurance in both men and women.
Try: Herbal Terra’s Ginseng Tincture ($17.95/2 fl. oz.)
CBD oil is the natural health world’s most recent darling, and in addition to its purported powers as an anti-anxiety, anti-epileptic, and anti-cancer supplement, CBD may help boost tired libidos.
“When it comes to erectile dysfunction, there are three issues that occur,” explains Richie Jaynes, founder of HempLyfe. “One is physical; two is emotional; three is health. And so our products address every single one of those departments.”
CBD, he notes, may help reduce anxiety, depression, and stress, all of which are emotional triggers for erectile dysfunction and for loss of libido in men or women. But according to Jaynes, CBD is even more powerful when used in synergy with the other ingredients in his company’s Thrill, like Rehmannia root, a traditional Chinese remedy used as an adrenal tonic to improve sexual function, or goji berries, a purported aphrodisiac that may reduce the chances of metabolic syndrome, a precursor to erectile dysfunction.
“Everything is kind of a domino effect,” he says, noting that these ingredients “work synergistically with one another” – and with the full-spectrum CBD oil at the base of the formula.
“We chose as a company to use full-spectrum products, and this goes back to the synergy,” he says. “Why mess with the synergy of the plant?”
Try: Thrill ($69.95/10 servings) or any of the products from our CBD oil buying guide, vetted by our team here at Organic Authority
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By: Michelle Galván
Tatiana Recondo es una empresaria exitosa y, además, la hermana del cantante Luis Fonsi. A través de sus redes sociales, compartió su camino contra la infertilidad. Esto es lo que recomiendan los doctores para las mujeres que no pueden quedar embarazadas de manera natural.
View full video here.
CHICAGO, June 6, 2019 /PRNewswire/ — Americans appear overly optimistic about their fertility based on results of a survey conducted by The Harris Poll on behalf of the American Osteopathic Association. Findings reveal 39% of women age 35 and older who didn’t get pregnant at a young age would have attempted pregnancy sooner if they had known more about age-related decline in fertility.
“Conversations about family planning should shift from birth control to pregnancy planning around age 32,” says Ellen Wood, DO, a Florida-based fertility specialist. “Thirty-five is not the new 25 when it comes to fertility.”
Egg quality starts to decline at age 32 and decreases rapidly after 37.i Advanced maternal age also heightens the risk of birth defects.ii Only 28 percent of women, and 35 percent of men, believe age is the number one contributor to female infertility, the AOA survey found.
With women in their early 30s now having more babies than younger moms, osteopathic OB/GYNs hope to promote better education before patients reach their mid-30s.iii Postponing pregnancy attempts until after 35 will, for many women, limit the ability to birth a healthy child.iv
“Men are not immune,” says Dr. Wood. Western nations are witnessing an unprecedented fall in sperm count that is not disputed, but has not been explained.v
As a physician whose education extended into her 30s, Dr. Wood was forced to change her own plans to accommodate fertility challenges and now counsels patients to consider the same. “Juggling two babies while starting a medical practice was challenging, but I would never advise against prioritizing your family if you’re concerned about conception. It won’t get easier as you age,” she says.
In vitro fertilization or IVF, typically the final treatment for infertility, is considered the most effective method of assisted fertility. For women age 38-40 using their own egg, IVF results in approximately a 40 percent chance of eventually birthing a healthy baby, according to the Society for Assisted Reproductive Technology. The success rate drops to approximately 23 percent after age 41.
Freezing eggs and potentially sperm at a young age greatly improves the chance of a healthy pregnancy later in life, but can be prohibitively expensive.vi The time, cost—typically between $5,000 and $50,000 depending on insurance and number of attempts—and emotional toll can be extensive.
“While IVF can create miracles, for many it’s also an emotional roller coaster and brings significant debt,” says Dr. Wood. “It’s why so many of my patients who require IVF because of maternal age wish they had better understood the risks.
Polycystic ovary syndrome (PCOS), a health problem caused by an imbalance of reproductive hormones, is one of the most common and treatable sources of anovulatory (inability to ovulate) infertility.vii
Infertility issues stemming from diminishing ovarian reserve, prior ovarian surgery, chemotherapy, radiation therapy, endometriosis, damage from tobacco, pelvic infection or a family history of early menopause are typically more difficult to resolve.
While it’s difficult to accurately determine the cause, about one-third of fertility issues are attributed to the man, one-third to the woman and the remainder jointly to the couple, Dr. Wood says. In many cases the cause remains unexplained, even when a patient is successful.
“The advances in fertility techniques and technology are incredible,” says Dr. Wood, “But the most simple and effective tool we have as OB/GYNs is to communicate with our patients about the testing and preservation options available, which can have has the greatest impact on family planning success.”
The American Osteopathic Association (AOA) represents more than 145,000 osteopathic physicians (DOs) and osteopathic medical students; promotes public health; encourages scientific research; serves as the primary certifying body for DOs; and is the accrediting agency for osteopathic medical schools.
To learn more about DOs and the osteopathic philosophy of medicine, visit www.DoctorsThatDO.org.
This survey was conducted online within the United States by The Harris Poll on behalf of AOA from May 22-24, 2019among 2,018 U.S. adults age 18+, among whom 494 are women age 35+ who did not get pregnant at a young age. This online survey is not based on a probability sample and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables and subgroup sample sizes, please contact Jessica Bardoulas.
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