Categories: Infertility Nutrition Help

Hormones: keeping the balance

Hormones are chemical messengers, made in special glands or in the brain, that are carried around in the bloodstream to various parts of the body, where they have an effect on the functioning of organs and body processes.

As far as reproduction goes, the ovaries, uterus, breasts, and testes, are the important organs that are regulated by our hormones. Too little estrogen, too little estrogen, too little progesterone, too many male hormones, and cortisol deficiencies, are all common problems with reproductive hormones. More information on the specific hormones and their functions within the reproductive cycle can be found in our Reproductive Anatomy & Physiology section.

Our endocrine system, which regulates our hormones, is therefore of vital importance to the reproductive health of both men and women. Proper eating habits, avoiding certain things , and weight control, are some areas which should be given attention when conception, or health in general is your goal.

Many medical conditions can also adversely affect the hormonal balance, i.e. thyroid conditions, diabetes, and endometriosis, just to name a couple common contributors to infertility.

If you think you are experiencing signs and symptoms of hormonal deficiencies or imbalances, become informed, research your situation, and consult your doctor.

Diet and Hormones for Fertility & IVF

Eating a healthy diet and maintaining a healthy body weight will optimize your chances of conception by supporting your body and its hormonal functioning.

Your nutrient levels and how well your digestion is functioning is a huge determinant of hormonal balancing in your body. Essential Fatty Acids and nutrients such as vitamin A, B6, zinc, magnesium, and antioxidants are key factors to hormonal balance and therefore fertility.

The body has to expend valuable energy (that could be used within reproductive processes) when it is saturated with junk food and all the liver stressing elements that come with it. The body then works to detoxify, not reproduce.

Enough fiber and optimal liver function are important because once hormones have completed their function, they are processed by the liver and put back into the digestive tract to be eliminated. A Liver Detox before beginning any fertility programs is usually a good idea.

Food sensitivities are also important to be determined, they effect digestion and will ultimately decrease your absorption of vital nutrients, and therefore compromise your hormone balance. Most people already know if they are allergic to things such as peanuts and shellfish, but other commonly eaten foods such as dairy and wheat products cause problems without people knowing. Eliminate or at least limit greatly your comsumption of milk, cheese, cream, sour cream, bread, pastas, and flour. After a couple of weeks, once the cravings for these items is waning, reassess how you are feeling, your energy levels, headaches, libido, bowel habits, etc.. If you feel a lot better than usual, it is almost certain that you are sensitive to these foods.

It is also recommended strongly, if you are a meat eater, to make the switch to organic. The growth hormones (i.e. testosterone) in commercial meats wreak havoc on your hormonal balance.

Weight and Hormonal Balance

You probably know if you have issues with being overweight. If you think you may have an eating disorder, consult a counsellor that specializes in this area. Being underweight is also a problem for women trying to concieve.

Fat cells continually release estrogen, which suppresses the pituitary gland and therefore the release of follicle stimulating hormone, in turn making it difficult for the body to reach a state where ovulation can occur. Being overweight obviously can effect fertility.

Too little fat cells in the body (being more than 15% underweight) causes estrogen levels to drop and cause intermittent menstruation, or an altogether stopping of the menses. This may also effect the quality of cervical mucus.

Find your ideal weight. Do not go on any intense diets to gain or lose weight, this will throw the body further out of balance. Consult your healthcare professional to discuss your options.

Too Little Estrogen

The years leading up to menopause show a decrease in estrogen levels. Estrogen deficiencies also arise when estrogen is leached from the body via a diet too rich in wheat fober, or if not enough estrogen is recycled by the bowels or liver. It may also be caused by low body weight, vitamin A deficiency, too much exercise, smoking, taking antibiotics, or being on the contraceptive pill for too long.

Symptoms: (Yin vacuity), irregular menses, vaginal dryness, painful intercourse, hot flashes, night sweats, bladder infections, dry skin, lethargy and depression, and signs of premature aging such as memory loss.

Solutions: eating phytoestrogen rich foods and herbs (legumes, alfalfa sprouts, flax seeds, oats, hops, fennel, parsley, cabbage, brussels sprouts, broccoli, cherries, and soy), and B vitamins which contain PABA that stimulates the pituitary to produce estrogen.

Too Much Estrogen

Environmental estrogens are found in pesticides, plastics, and PCB’s (chemical pollutants in the water, air, and soil).

These forms of estrogen are thought to have a major influence on the excessive amounts of estrogen that are being found in both men and women.

Poor diet, with too much refined carbohydrate and saturated animal fat and too little fiber is also responsible.

Eat more high fiber foods (except wheat bran) to prevent excess reuptake of estrogen by the bowel. Organic food reduces your exposure to pesticides, antibiotics, and growth hormones.

Too much fat tissue increases your body’s ability to convert male hormones into estrogen. Stress also plays a major role in your liver and digestive system removing excess estrogen.

Symptoms: (Yin excess), puffiness and bloating, water retention, rapid weight gain, breast tenderness, heavy bleeding, mood swings (anxiety, depression, weepiness), sleep problems, migraines, flushed face, low libido, foggy thinking, and high levels of copper in the system. Later, endometriosis, fibroids, gall bladder problems, poor blood sugar control, and hypothyroid conditions may arise.

Symptoms in Men: hair loss, headaches, bloating, weight gain, prostate enlargement, irritability, and breat enlargement.

Solutions: low fat high fiber diet, live yogurt (encourage excretion of estrogen), eating cabbage family veggies increases the rate at which the liver converts estrogen into a water-soluble form that can be excreted, increase protein intake to improve estrogen metabolism in the liver, vitamin B6 reduces the effects of excess estrogen, more exercise, less stress, and lose weight.

Too Little Progesterone

Progesterone is used to produce three different types of estrogen, testosterone, cortisol, and aldosterone.

It helps control water balance, the use of fat for energy, proper thyroid function, and is a natural antidepressant.

This is the most common hormone to be deficient in all women. When ovulation fails (due to perimenopause or other reasons) progesterone is not produced in the luteal phase (second half of cycle), or it is not produced long enough to sustain implantation. This can happen after using the pill too long, having a miscarriage, or breastfeeding. This is called a luteal phase defect. The luteal phase should be at least 10 days for pregnancy to occur. Progesterone maintains a pregnancy in the beginning, so a deficiency may cause miscarrige.

Women with PCOS (polycystic ovarian syndrome), faulty secretion of other hormones such as FSH, LH, or prolactin, endometriosis, and menstrual irregularities, may have a progesterone deficiency.

Symptoms: painful or lumpy breasts, headaches at a certain time of the cycle, anxiety, irritability, sleeping problems, unexplained weight gain, PMS, bleeding between periods, and reduced libido.

Solutions: the controversial progesterone therapy, natural progesterone cream, vitamin B6, E, magnesium, and evening primrose oil, vitex agnuscastus (man jing zi, chasteberry), reducing stress, less exercise, and increasing low body weight.

Too Many Male Hormones

Excess androgens can affect both men and women. In women this is usually a result of PCOS, a poor diet that includes a lot of sugar, refined foods, and simple carbohydrates. Adrenal disorders, anabolic steroid use, corticosteroids, and obesity can also cause this.

Symptoms: acne, ovarian cysts, excess body hair, unstable blood sugar levels, thinning hair on the head, mid-cycle pain, and erratic menses.

Must Read: The functions of the TCM San Jiao (triple burner)

Solutions: high fiber vegetarian diet that is low in saturated fats and high in phytoestrogens.

Cortisol Deficiency

Long term low level stress and/or poor nutrition fatigue the adrenals which causes a cortisol deficiency. This stress hormone competes with progesterone for receptor sites, leading to a condition of estrogen dominance and less active progesterone.

Symptoms: (Kidney vacuity), unstable blood sugar levels, extreme tiredness, allergies, candida, fatigue, insomnia, PMS, loss of libido, weak immune system (frequent colds), low blood pressure, alcohol intolerance, chronic fatigue, weak muscles, depression, and headaches.

Solutions: reduce intake of stimulants such as sugar, caffeine, tobacco, and alcohol, healthy diet, relaxation, meditation, yoga, and Chinese herbal medicine.

Dr Spence Pentland

Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Dr. Pentland is founder of The IVF Acupuncture Group of Greater Vancouver, available 7 days a week for on site embryo transfer and acupuncture treatments at the Pacific Centre for Reproductive Medicine (PCRM) and Genesis Fertility Centre. “The integrated relationship I have established with these clinics is something that I value very much as it expands my knowledge, gives me the opportunity to reach more people, and helps me better understand how to support women on their journey toward family.” says Dr. Pentland. Dr. Pentland, along with Dr. Jeffrey Roberts of The Pacific Centre for Reproductive Medicine (PCRM), and Dr. Christine Sutton of the University of British Columbia, authored research published in Fertility & Sterility on the stress reducing effects of acupuncture when administered in the weeks leading up to an IVF embryo transfer. In 2015 Spence published BEING FERTILE - 10 Steps to Help You Overcome the Struggles of Infertility, Get Pregnant, and Create a Happy, Healthy Family. A book written to provide hope, tools and resources for women and couples experiencing difficulty starting or expanding their families. Further demonstrating his commitment to reproductive health, he is a devoted member of IAAC (Infertility Awareness Association), CFAS (Canadian Fertility and Andrology Society), and ASRM (American Society for Reproductive Medicine). As the former president of the Traditional Chinese Medicine Association of British Columbia and the provincial BC TCM quality assurance committee, Dr. Pentland is well respected by peers and patients alike. He remains actively involved in educating healthcare colleagues and the public on the powerful benefits of Chinese medicine & acupuncture, working steadily on the integration of ancient Daoist wisdom into modern western life as a way to build awareness about reproductive health. This compassionate expertise is reflected in patient testimonials. When not helping others start their families, Spence can be found spending time with his own--his adoring wife Chantal and their two beautiful sons. “I am very proud to be part of the team of professionals at Yinstill. We are all dedicated to raising the bar in the field of complimentary and alternative reproductive medicine. Nothing is more important than family,” he says. Professional Development Certifications Combining TCM and IVF to Improve Clinical Outcomes - Jane Lyttleton Treating Complex Gynecological Conditions with Evidence-based Acupuncture - Elisabet Stener-Victorin High-Performance Summit - Darren Hardy Acupuncture during Pregnancy: safe and ethical practice - Claudia Citkovitz Treating Irregular Menstrual Bleeding - Sharon Weizenbaum Management of High Risk Pregnancy Conditions - David Bray Physiology & Pathology of Gynecology - Giovanni Maciocia Treatment protocols for Menopause and Endometriosis - Kiiko Matsumoto Chinese medicine approach to the treatment of Poor Ovarian Reserve - Brandon Horn Clinical problems and solutions in Oriental Reproductive medicine - Dr. Daoshing Ni Treatment strategies for PCOS, Weight Loss, & type 2 Diabetes - Sharon Weizenbaum Allergic and Autoimmune diseases - Mazin Al-Khafaji Acupuncture in Pregnancy & Childbirth - Debra Betts Treating Infertility with Chinese medicine - Bob Flaws Masters class in Diagnosis - Bob Flaws East meets West in Reproductive medicine - Mike Berkley The Infertility Cure - Chinese wellness program - Randine Lewis Men’s Health and Fertility - Peter Deadman Integrating acupuncture and IVF - Diane Cridennda and Dr. Paul Magarelli Treatment of Infertility with Chinese medicine - Jane Lyttleton Yang School lecture series Part 1 - Dr. Liu Fang Advanced acupuncture in pregnancy - Jean Levesque Certified Western herbalist - Packard School of Nutrition Courageous conversations - Justice Institute Biology of Empowerment - Dr. Lee Pulos Secrets of Chinese Pulse Diagnosis - Bob Flaws and Honora Lee Wolfe View Articles and Blog Posts by Dr. Pentland Read Dr. Pentland's Success Stories Become Spence's friend on facebook

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