Fertility Naturopath

  • What to Eat for a Frozen Embryo Transfer (FET)

    What to eat for a frozen embryo transfer? So you’re planning a frozen embryo transfer and want to give yourself the best chance of getting pregnant. You might be wondering if there are any foods can best support your body? Is there a diet that could improve my uterine lining or progesterone? Well, there are a few different strategies I implement with my clients depending on their health history. 

    History of a Thin Endometrial Lining

    Having a endometrial lining close to 11mm results in the highest pregnancy rates. I’ll often recommend consuming nitric oxide promoting food as they play a vital role in improving uterine blood flow and may indirectly assist in achieving the optimal lining thickness needed for successful implantation

    From cycle day 1 until a transfer aim to include the following foods in your diet daily:

    • – Beetroot: High in nitrates, which are converted into nitric oxide.
    • Leafy Greens: Spinach, arugula, kale, and Swiss chard are excellent sources of dietary nitrates which convert to nitric oxide.
    • – Citrus Fruits: Oranges, grapefruits, lemons, limes, and mandarins are rich in vitamin C, which helps stabilise nitric oxide in the body.
    • – Garlic: Contains compounds that enhance nitric oxide production.
    • – Pomegranate: Packed with antioxidants that support nitric oxide activity.
    • – Nuts and Seeds: Particularly walnuts and flaxseeds, for their arginine content, an amino acid used to make nitric oxide.
    • – Watermelon: Contains citrulline, which converts into arginine and subsequently nitric oxide.
    What to eat for a frozen embryo transfer

    Endometriosis

    Those with endometriosis can have dysbiosis (an imbalance of beneficial and harmful bacteria) within the endometrial lining, higher levels of immune dysfunction, and oestrogen dominance. All of these factors can affect implantation of an embryo. Leading up to a frozen embryo transfer and throughout the two week wait, I’ll recommend women eat fermented foods, anti-oxidant rich foods, and prebiotics. These foods can help support the reproductive microbiome, modulate the immune system and help with oestrogen detoxification to help you get pregnant. Examples include: 

    • Fermented Foods: Yogurt, kimchi, sauerkraut, kefir, miso, kombucha
    • – Antioxidants: Berries, green tea (caffeine free), dark chocolate, nuts, spinach, turmeric
    • – Prebiotics: Garlic, onions, leeks, asparagus, bananas, whole grains

    Low progesterone

    Many carotenoids (e.g., beta-carotene) are converted into vitamin A in the body, which can play a supportive role in progesterone production and progesterone receptor function. Adequate vitamin A is essential for progesterone secretion. If there are high levels of inflammation in the body this can also impair progesterone receptor sensitivity and signalling. Carotenoids have anti-inflammatory properties. Leading up to an frozen embryo transfer I recommend client eat the following foods:  

    • – Orange and Red: Carrots, oranges, sweet potatoes, pumpkin, capsicum, tomatoes, mango, papaya, rockmelon, apricots.
    • – Green: Spinach, kale, broccoli, peas, cos lettuce, green beans, capsicum, kiwifruit.
    • – Yellow: Yellow capsicum, golden beetroots, spaghetti squash.

    Now you know what to eat for a Frozen Embryo Transfer (FET)

    Now you know what to eat for a Frozen Embryo Transfer (FET). If you know someone who would benefit from having this information then I’d greatly appreciate you share this blog with them!

    Looking for a 7-day meal plan to support you through your IVF STIM cycle? Take a look here.

    If you need help with your fertility then you can book in for my most popular service, Enhance your Fertility Package. If you have any questions please contact me here.

    Lesley O'Connor Fertility Naturopath Blog
  • 4 Causes of Infertility You Can Investigate From a Fertility Naturopath

    Common Causes of Infertility

    What are some causes of infertility that you can investigate? If you’ve experienced infertility, you know the struggle. You have probably had the thought ‘how the hell does any one get pregnant?’. You know that it seems like the hardest thing in the world. And you’re right, getting pregnant is complex. It’s a wonder that all the factors align for people to get pregnant at all.

    Today I wanted to talk about 4  causes of infertility in the hope they can help you in your journey. Here are a few 4  causes of infertility that you can investigate if you’re having trouble conceiving.

    4 Causes of Infertility

    1. Sperm and egg quality

    Biology 101 is that sperm needs to meet your egg for pregnancy to occur. Sperm concentration, motility, morphology, and DNA fragmentation can contribute to infertility. Reduced egg quality can affect embryo development, meaning it may lack the energy to divide and develop after fertilisation. Investigating both sperm and egg quality is an important first step. You can look at ordering a DNA fragmentation test for men. Currently there is no way to test egg quality per se. In clinical practice I will look at your FSH, oestrogen, and AMH to get an insightful into your egg quality. This leads us onto the next thing to investigate.

    2. Hormone balance and metabolic health

    There are several hormones that influence a person’s ability to get pregnant. This includes oestrogen and progesterone, follicle stimulating hormone (FSH), luteinizing hormone (LH), androgens, insulin, cortisol, and thyroid hormones. When there is miscommunication between a few of these hormones it can impact your fertility. You can learn more about female hormones here. Investigating the communication between these hormones is so important to rule this out as a contributing factor. If you need help with your hormone test results book in for my pathology analysis service.

    Hormone balance as a cause of infertility

    Causes of Infertility

    3. Vaginal microbiome

    Hello endometriosis 👋🏼 This is a big topic and an emerging area of research. Endometriosis is a cause of infertility, or rather sub-fertility. If you have endometriosis, which is driven from an imbalance in the gut microbiota (also called dysbiosis). Then it’s likely you’ll also have dysbiosis in the vagina, uterine lining, and even in the fluid that surrounds your eggs. This can disrupt how your eggs develop, ovulation, and implantation. All of which are all foundational for getting pregnant. I will often order a vaginal microbiome swap for my fertility clients from nutripath which gives us great insight into healthy vaginal bacteria and others that can be impacting your fertility.

    4. Genetic abnormalities such as hemochromatosis

    The 4th cause of infertility are genetic abnormalities such as hemochromatosis, which  can impact both male and female fertility. There is a lot of literature on the effects hemochromatosis has on male fertility, but not so much on female. The fact is that it affects females just as much as males and is often overlooked as a contributing factor to female infertility.

    I’ll take a look at your iron studies and can pick up on hemochromatosis by looking at the transferrin saturation. Unfortunately this is often over looked in women who have a regular menstrual bleed because your iron stores of ferritin don’t indicate abnormally high iron stores. Which is a key identifying factor for hemochromatosis. 

    Hemochromatsis is more common than you think and can cause iron overload in the pelvis, which is not great for egg quality or your hormones. Luckily there are a number of things we can do to help reduce the impact of hemochromatosis on your fertility.

    Whether you’re trying to conceive naturally or through IVF these factors are still relevant and can impact your success. Your best option is to work with someone who will take time to investigate these contributing factors.

    If you’re ready to investigate your infertility then book in for my enhance your fertility package today.

    Lesley O'Connor Fertility Naturopath Blog

    References:

    Dcunha, R., Hussein, R. S., Ananda, H., Kumari, S., Adiga, S. K., Kannan, N., Zhao, Y., & Kalthur, G. (2022). Current Insights and Latest Updates in Sperm Motility and Associated Applications in Assisted Reproduction. Reproductive sciences (Thousand Oaks, Calif.), 29(1), 7–25. https://doi.org/10.1007/s43032-020-00408-y

    Wang, C., Wen, Y. X., & Mai, Q. Y. (2022). Impact of metabolic disorders on endometrial receptivity in patients with polycystic ovary syndrome. Experimental and therapeutic medicine, 23(3), 221. https://doi.org/10.3892/etm.2022.11145

    Marquardt, R. M., Kim, T. H., Shin, J. H., & Jeong, J. W. (2019). Progesterone and Estrogen Signaling in the Endometrium: What Goes Wrong in Endometriosis?. International journal of molecular sciences, 20(15), 3822. https://doi.org/10.3390/ijms20153822

    Mazzilli, R., Medenica, S., Di Tommaso, A. M., Fabozzi, G., Zamponi, V., Cimadomo, D., Rienzi, L., Ubaldi, F. M., Watanabe, M., Faggiano, A., La Vignera, S., & Defeudis, G. (2023). The role of thyroid function in female and male infertility: a narrative review. Journal of endocrinological investigation, 46(1), 15–26. https://doi.org/10.1007/s40618-022-01883-7

    Salliss, M. E., Farland, L. V., Mahnert, N. D., & Herbst-Kralovetz, M. M. (2021). The role of gut and genital microbiota and the estrobolome in endometriosis, infertility and chronic pelvic pain. Human reproduction update, 28(1), 92–131. https://doi.org/10.1093/humupd/dmab035

    Tweed, M. J., & Roland, J. M. (1998). Haemochromatosis as an endocrine cause of subfertility. BMJ (Clinical research ed.), 316(7135), 915–916. https://doi.org/10.1136/bmj.316.7135.915