If you don’t do these things, you should! Basal body temperature charting is a wonderful way to learn more about your body’s reproductive rhythm. And using the OvaCue is simply the best way to ensure you identify your entire peak fertile period – that time of month when you’re most likely to conceive.

Good news! We’ve developed a site for women who’d like to have ALL of their fertility indicators charted and graphed in one convenient location – OvaGraph.com. At OvaGraph, you can enter your daily basal temperatures, OvaCue readings, cervical mucus status, intercourse days, ovulation test results, and much (much!) more. Want to share all of your fertility status with your ObGyn? No problem! You have your own unique link that displays your entire reproductive profile for that cycle, and previous ones as well. Not interested in sharing your fertile status with the world? No worries! Just configure your privacy settings to conform to your own comfort level. Click here to see the chart of Fairhaven Health’s own fertility specialist, Sarah.

Perhaps equally beneficial to trying-to-conceive women, OvaGraph also features a wonderful community of trying-to-conceive women who interact daily in the forum. Get your questions answered by other women in the same position (or by our product experts who log in daily to assist with interpretation) – or just get a bit of support from ladies who really know what you’re going through.

We invite you to come over to OvaGraph and establish your free account today!

While there is still much to learn about PCOS, it is now believed that the symptoms listed above, including the development of multiple cysts in the ovaries, appear when the ovaries are stimulated to produce excessive amounts of male hormones, particularly testosterone.  And, what stimulates the ovaries to produce abnormally large amounts of male hormones? The answer: Insulin.

What exactly does it mean to be insulin resistant?

Insulin is a hormone that is produced by the pancreas and participates in the metabolism of carbohydrates, lipids, and proteins. On the surface of each cell of the body there are insulin receptors, little doors that open and close to regulate the flow of glucose (the sugar that is used by your body’s cells for energy) into the cell.  These receptors, or doors, are activated by insulin.  Women who have PCOS often have insulin receptors that do not function efficiently. This causes a condition known as insulin resistance, which forces the pancreas to produce more and more insulin to push glucose into the cells. These elevated insulin levels have the detrimental effects described above. It estimated that anywhere from 30-50% of women with PCOS experience insulin resistance.

How is insulin resistance controlled?

Recently, I’ve seen quite a bit of discussion surrounding the benefits (or lack thereof) of taking the prescription medication known as Metformin for PCOS and insulin resistance. Metformin is a drug used to help control blood glucose in three ways; it decreases the absorption of dietary carbohydrates through the intestines, it reduces the production of glucose by the liver and it increases the sensitivity of muscle cells to insulin. Simply stated, it lowers insulin, glucose, and testosterone levels, which results in a decrease in the symptoms associated with PCOS. Therefore, addressing insulin resistance helps many women with PCOS restore cycle regularity and increase their chances of conception.

There is also a large amount of information available about lifestyle changes that could help control insulin resistance. Weight loss has shown to be helpful for women that may be overweight – yet, weight loss can be more difficult for those with PCOS. The combination of dietary changes and more aerobic exercise has been shown to help even if weight loss is not achieved. What dietary changes are most helpful? Eliminating high glycemic carbohydrates such as refined sugars, white bread, and refined corn and potato products and incorporating high-fiber foods (whole grain bread and brown rice) and non-starchy vegetables (broccoli, asparagus, green beans, etc) is recommended.

For women with PCOS that are trying-to-conceive, herbal supplements (such as, FertilAid for Women) can help to restore hormonal balance and encourage cycle regulation.

What is a hysterosalpingogram?

Try saying that five times fast! Recently, I’ve had quite a few women call, explaining that they recently had an HSG (hysterosalpingogram) test. While familiar with the term HSG, I’ll admit to not having a detailed understanding of what takes place procedurally in an HSG test. This became very clear when women began calling to discuss changes they were seeing in their OvaCue readings…and I then began digging a bit deeper into this procedure. Little did I know, that a saline solution is used often during the procedure, which can alter your electrolyte levels and, thereby, impact OvaCue readings.

An HSG, simply stated, is an X-ray examination of a woman’s uterus and Fallopian tubes. Women that have been trying-to-conceive for some time often undergo this test to determine if a Fallopian tube is blocked, or to find problems in the uterus (such as, abnormal shape or structure, fibroids, polyps, etc). This information can help to eliminate or diagnose an issue that may be impacting a woman’s ability to conceive.

The procedure is often performed just after menstruation, but before ovulation – to ensure that you are not pregnant at the time of the exam. A thin tube is inserted through the vagina and cervix, and finally into the uterus. A contrast dye (which is visible in an X-ray) is then added into the tube and projects into the Fallopian tubes and uterus. As the dye flows through the female reproductive tract, X-ray pictures reveal any blockages or abnormalities. The dye is then absorbed naturally into the body. If a blockage is discovered, certain dyes may be used to remove the blockage.

Many benefits can come from this procedure. It is a short, minimally invasive procedure that can provide valuable information about structural problems that can impact fertility. Another added benefit may be that if a blockage is found during the exam, the dye can potentially unblock and open the Fallopian tube. Risks include exposure to radiation, though minimal. If there is a chance you are pregnant or have an untreated sexually transmitted disease, it is important to discuss these issues with your physician prior to the procedure.

One thing I’ve discovered from discussions with ladies that have undergone this exam is that they experienced some cycle irregularity that first cycle or two after the exam. Some women skipped a period entirely. Interestingly, I wasn’t able to find this “risk” anywhere online. So, please take it with a grain of salt, but it may be something to consider.

Well, there you have it! Now, if you ever hear the term HSG mentioned or if your doctor discusses this as an option for you – at least you have some understanding of what goes into an HSG examination.

- Delays in menstruation

- Amenorrhea

- Miscarriage

- Gynecological and obstetric complications

- Low birth weight

Gluten sensitivity can affect if and how your body absorbs vitamins and nutrients – crucial components to a woman’s reproductive health. Without proper food absorption, a woman’s hormones may not function as they should, which could cause irregular menstruation and/or ovulation. Suboptimal nutrient absorption may impact the ability of a woman to conceive, and might also impact the health of a fetus (e.g. low birth weight) due to insufficient availability of nutrients.

Polycystic Ovary Syndrome and the gluten connection

Polycystic Ovary Syndrome, also known as PCOS, is a hormonal imbalance that can adversely affect fertility due to an inconsistent menstruation cycle. Most women with PCOS have many small cysts on their ovaries, but also experience a cluster of symptoms ranging from excessive hair growth to insulin resistance.

One nutritionist that works closely with women dealing with PCOS noted that at least 85% of her PCOS patients tested positive for some form of gluten sensitivity. That is HUGE! Those that went gluten-free saw a reduction in their PCOS symptoms (and even lost weight which can be tough with PCOS).

Fertility issues caused by gluten sensitivity are not just for women . . …gluten sensitivity may also be linked to low sperm count, motility and morphology.

All in all, gluten sensitivity is becoming more common in our society. If you’re experiencing issues conceiving, it may be worth getting tested for a gluten allergy.

In recent years, fertility experts have discovered that oxidative stress causes sperm damage, leading to low sperm count, low sperm motility, and abnormal sperm morphology. Oxidative stress occurs when the amount of free radicals circulating in the body exceeds the amount of antioxidants that are present. Free radicals are unstable oxygen molecules produced when your body breaks down dangerous chemicals. Antioxidants neutralize free radicals, thereby reducing the damaging effects of these compounds. Like all other cells in the body, sperm cells are constantly bombarded by free radicals. But, as it turns out, sperm cells have less effective antioxidant mechanisms to keep free radicals at bay, and are especially vulnerable to damage from free radicals due to the high amounts of fats contained in their cell membrane. Fertility experts now believe that up to 80% of all cases of male infertility are attributable to oxidative stress.

Fortunately, an ever-expanding body of scientific research suggests that supplementing your diet with key antioxidant nutrients can help prevent free radical damage to sperm cells. In fact, scientists recently reviewed the results of more than 30 clinical trials in which the male partners of couples seeking fertility assistance were given an antioxidant supplement or a placebo or no treatment at all. The results of this statistical review study, which appear in an article titled Antioxidants for Male Subfertility, (http://www.ncbi.nlm.nih.gov/pubmed/21249690) indicate that supplementing the diet of TTC men with antioxidants is associated with an increased pregnancy rate and an increased live birth rate among couples seeking fertility assistance.

This is wonderful news for those of you suffering from less than optimal sperm health! Supplementing your diet with key antioxidant nutrients, such as Vitamin C, Vitamin E, CoQ10, and quercetin, can improve your sperm count, sperm motility and sperm morphology. If you are looking for a way to ensure you get the antioxidant support you need to maximize your sperm health, check out the following Fairhaven Health products: FertilAid for Men, CountBoost for Men and Motility Boost for Men.

A luteal phase lasting less than 10 days can be classified as a luteal phase defect. It is necessary for you to have 10 days or longer in your luteal phase in order for implantation to occur and sustain. With less than 10 days, the uterine lining begins breaking down too early – it is not prepared for implantation which causes an early miscarriage. As stated above, many women don’t discover this defect until they are trying to conceive, but there are a few symptoms to look for. Some women may experience frequent but light periods. Women who chart/track their ovulation, may notice that after ovulation their basal body temperature does not remain elevated during the luteal phase as it should due to the rise in progesterone after ovulation.

There are some known causes of luteal phase defect:

Poor Follicle Production: FSH levels are directly correlated to follicle production. It can be caused by two different issues – either your body is not producing enough FSH or your ovaries are not responding the FSH that it is producing. The corpus luteum produces progesterone, which is necessary to prepare your uterine lining for implantation. Inadequate follicle production in the first half of your cycle leads to poor corpus luteum quality. With inadequate progesterone levels, your uterine lining begins to breakdown, resulting in early menses and possible miscarriage.

Failure of the Uterine Lining to Respond: In this case, FSH levels may be adequate, along with healthy follicle development and corpus luteum, however, the uterine lining just isn’t responding to the normal levels of progesterone. The uterine lining will most likely not be prepared for implantation.

Premature Failure of the Corpus Luteum: The corpus luteum can fail when the initial quality of it is inadequate. The progesterone levels may begin low and drop even further after five to seven days after ovulation. Once these levels drop, menses onset early.

If you discover that you have a luteal phase defect, there are some over the counter remedies. Vitamin B6 is one over the counter option; taking B6 every day of the month can lengthen your luteal phase. B6 can be found in fertility supplements, such as FertilAid for Women. If those remedies don’t help – there are also medications that your doctor can prescribe. Luteal phase defect may sound a bit scary but luckily it is a fairly easy to diagnose and correct.

The Fertility Awareness Method is an easy but scientific means of charting the woman’s menstrual cycle on a daily basis. It involves observing the two primary fertility signs: waking temperature and cervical fluid, and the optional third sign: cervical changes.

It is the most practical way that a woman can tell on a day to day basis what is going on in her body. Not only can she use it for pregnancy achievement or natural birth control, but it can alert her to numerous potential gynecological issues.

The hallmark of a healthy cycle is ovulation, and more specifically, when it occurs in the cycle. Charting easily allows women to know if and when they are ovulating. If a woman isn’t ovulating, it can be indicative of many possible causes which would need to be rectified if a woman wants to become pregnant.

But a doctor is only as good as the data he/she has to work with. So if a patient comes in with nothing to provide her physician, her doctor will have to start at Square One and conduct all sorts of potentially invasive and expensive diagnostic tests, many of which would be totally unnecessary if the woman were charting her cycles.

FAM allows women and their health practitioners to determine many potential problems relating to their cycle, including:
• not ovulating
• delayed ovulation
• luteal phase defects
• unsuitable cervical fluid production
• hormonal imbalances
• insufficient progesterone levels
• miscarriages

The Fertility Awareness Method is incredibly simple. When the alarm rings, you simply slip the digital thermometer in your mouth until it beeps, about a minute. Then whenever you use the bathroom, observe what it feels like when you wipe herself (always from front to back!) Does it feel dry? Creamy? Slippery? Then in the evening, record it. That’s it!

Yet it’s amazing how many women are initially put off by the thought of “so much work.” But do you begrudge brushing your teeth every day? FAM doesn’t take anymore time to chart your two fertility signs each day! And scores of women have the same reaction to learning how to chart: initially, they are incredibly excited about the sense of control they finally feel over their bodies.

But that excitement often evolves into anger when they realize all of the years that they thought they were infertile, only to discover that they simply needed to understand their particular cycles. Or when they realize all the side effects and physical ramifications they endured over the years with most methods of birth control. Or they feel humiliated when they remember all the times they ran off to the gynecologist, seemingly every month, for what turned out to be absolutely normal and healthy cyclical cervical fluid.

So what is the most practical take-home message I could give you when trying to get pregnant? Learn the empowering benefits of charting your cycle! Then have sex on those few days each cycle when you have slippery cervical fluid at your vaginal opening. And keep in mind that it won’t necessarily be Day 14, since women may ovulate earlier or later in the cycle than that day.

Good luck!

By Toni Weschler, Fairhaven Health guest contributor

Toni Weschler is the author of “Taking Charge of Your Fertility”, a national bestseller widely regarded as the preeminent guide to helping women conceive naturally. For over 20 years she has been a committed educator having started “Fertility Awareness Counseling and Training Seminars (FACTS) back in 1986. She recently completed another book, “Cycle Savvy: The Smart Teen’s Guide to the Mysteries of Her Body” which helps teenage girls to better understand their bodies on a day-to-day basis.

If you are having a hard time predicting your ovulation due to an irregular cycle, natural fertility enhancing supplements can help to regulate your cycle and boost your fertility. FertilAid for Women, promotes hormonal balance, which helps to regulate ovulation and improve overall reproductive wellness. FertilAid for Men is designed to increase sperm count and motility by supporting the healthy formation of sperm. When you are trying-to-conceive, make sure you are taking your prenatal vitamins – including folic acid,  as it can help to reduce the chances of neural tube defects.

Now for a couple things to steer away from…no smoking or drinking when trying-to-conceive. It is a good idea to decrease your caffeine intake as well. Also, something you may not have thought of – if you are taking any prescription medications, talk with your doctor to make sure you are not negatively impacting your chances of conceiving.

Recently, Vitex has been shown in several clinical studies to help stimulate and stabilize the reproductive hormones involved in ovulation, cycle balance, and menstrual regularity. These studies also document a statistically-significant increase in fertility among women using vitex, with more pregnancies than in control groups using a placebo. Vitex is an important ingredient in both FertilAid and FertiliTea which contain a number of other fertility enhancing and nutritive herbs such as Red Raspberry Leaf, Green Tea, Ladies Mantle and Nettle Leaf.

Couples who are trying to conceive are now, more than ever, turning to more natural ways of addressing infertility. Scientifically validated ingredients found in fertility supplements may lead to increased conception rates and provide a healthful alternative to conventional treatments such as prescription drugs or other invasive treatment options.