What is Light Therapy?

Low Level Light Therapy (LLLT) is the application of light energy to tissue to obtain therapeutic benefits. The energy is used to improve cellular performance. LLLT is known for its healing and anti-inflammatory properties and has a variety of applications across many medical fields. Research has shown that LLLT can increase circulation, accelerate tissue repair, decrease inflammation, and assist in your fertility.

How Does Light Therapy Work for Fertility?
Specific wavelengths of light energy, when properly absorbed, up-regulates compromised cells and:

• Aids in Blood Flow – This process promotes the release of nitric oxide, which helps to increase blood flow, nutrient delivery and cellular health to the ovaries and uterus.
• Stimulates Cellular Activity – The light (photon) energy is absorbed by photo acceptors in the mitochondria that result in production of adenosine triphosphate (ATP). The ATP produced then stimulates various metabolic processes which can result in the repair and regeneration of cell and tissue components. It provides energy for the embryo to divide and implant.
• Reduces Inflammation – Inflammation is a common cause of infertility. By promoting the production of anti-inflammatory cytokines, inflammation is reduced. It also speeds up healing and reduces postoperative pain from egg retrieval.
• Balances Hormones – By stimulating the production of hormones like estrogen and progesterone, menstrual flow can be regulated & ovulation is improved resulting in the increase chance of conception.
• Increases Collagen Production – Collagen is an essential nutrient that contributes to the strength and integrity of the ligaments in support of the uterus. Softens scar tissue and adhesions and supports uterine receptivity.
  What is Celluma?
  Celluma is a low-level light therapy device available today that is FDA cleared, and based on NASA research. Celluma delivers blue, red and near-infrared light energy simultaneously to safely treat a wide variety of conditions. Each wavelength is absorbed by different molecules that act as a signaling mechanism for different cellular processes.
  When to Add Light Therapy for Fertility:
• Low AMH and High FSH
• Egg Quality issues
• Thin lining during IVF cycles
• During IVF and FET in support of implantation
•  When you have not responded to western medicine
  therapies
• Women 35 and over
• PCOS or ovulatory disorders
• Endometriosis

For more information, check out Celluma’s website, full of data

https://www.celluma.com/pages/led-light-therapy-science

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Castor oil packs are a folk remedy used for detoxification of the liver.  It encourages the movement of blood and lymph throughout the body.  Castor oil is put onto a cloth and then placed over the liver/abdomen.  (For fertility, this pack is placed over the reproductive organs—from below the belly button to the pubic bone, between the hip bones).  Next, a heat pack is placed on top while you lay with it for about 30-60 minutes.  For fertility, it is useful to get blood to move, reduce inflammation and can reduce cysts on the ovaries.  (Think painful periods and PCOS!)  In this way, they are similar to the actions of acupuncture!  I often recommend using castor oil packs in between acupuncture visits to enhance the effects of the acupuncture treatment.

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The journey to becoming parents is not always as simple and easy as it may appear on the surface. Although it is not often talked about, many couples have difficulty conceiving, for a variety of reasons.

According to the World Health Organization (WHO), approximately 17.5% of the adult population experiences infertility.  This is equivalent to 1 in 6 adults worldwide.

Infertility is rooted in many causes.  At times, infertility can be unexplained (no known cause).  Other contributing factors can include endometriosis, fibroids, PCOS, advanced maternal age (for the women) or sperm count, motility or morphology, varicocele or other structural issues (for the male).   Oftentimes, it is due to a combination of a few factors.

Male factor infertility is very common.  To determine the cause of male factor infertility – it is important to get a semen analysis. The analysis will evaluate the sperm count, motility and morphology. A meeting with a urologist will also determine if there are other contributing factors such as structural, varicocele or infection.

While there are several assisted technologies  to treat male factor infertility, Acupuncture and Traditional Chinese Medicine offers  effective and impactful tools to help produce better quality sperm in a relatively short period of time.

Acupuncture: Acupuncture influences the natural healing life force of our body called Qi. Qi helps to influence, strengthen, build and move our body forward in healing and repair.  Acupuncture increases blood flow, reduces inflammation and supports the body in regeneration and repair.  Sperm regenerates approximately every 90 days.

Chinese Herbal Medicine.  No two individuals are alike, and this understanding applies to Chinese Herbal Medicine. Chinese herbs are prescribed in a combination – a formula which can include 2 to 20 different herbs.  Certain formulas are created for specific categories and conditions. These conditions can address issues of reproductive health while, at the same time, can address additional/underlying issues contributing to fertility such as stress/depression/anxiety, muscle tension and fatigue and digestion.  One formula for the whole body

Chinese Medicine Diet/Nutrition It is well known that diet and nutrition can significantly influence the body’s ability to return to wellness.  Toxins in our diet and in processed foods, alcohol, and marijuana all negatively influence sperm outcomes.  This is a fact.  Chinese Medicine dietary guidelines direct the patient on how to eat, what to eat and, more importantly what not to eat.  Meeting with an acupuncturist can be very helpful in making these  positive choices.

Supplements:  There are several supplements that can have a very positive impact on sperm and reproductive health for men.

CoQ10,  also known as ubiquinone,  is an antioxidant. It is present in cell membrane and lipoproteins. CoQ10 can help with sperm motility and morphology.

L-Carnitine is a natural antioxidant that has been shown to have positive effects on improving sperm quality, motility, count, and morphology, It enhances the antioxidant defense system.

Vitamin D is important for many body functions including fertility.  Studies link low levels of this vitamin with poor sperm quality, especially motility, and show that supplementation can improve the health of your sperm.

Lycopine is another antioxidant that has been shown to reduce oxidative damage in sperm. Lycopine rich foods include tomatoes, watermelon, and red/pink fruits and berries.

As I have always stated – healing is never a straight line. An interdisciplinary approach to health offers the most comprehensive approach to fertility wellness for both men and women!

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In 18 years of practice, I’ve had my fair share of conversations supporting a patient in figuring out what to do next.  When it comes to health, the journey forward is not black and white.  There are many things to consider when you’re thinking about possible treatments whether they be medication, surgery, or alternative routes.  What I’ve found over the years is that folks aren’t always thinking as clearly as they may like to in these situations.

Oftenttimes, beneath the surface of rational thought lies a complex web of cognitive processes that can subtly influence our choices. These processes, often referred to as cognitive distortions, can significantly impact the quality and effectiveness of medical decisions.

What are Cognitive Distortions?

Cognitive distortions are patterns of thinking that are irrational, biased, or inaccurate. They can shape how we perceive information, interpret situations, and make judgments. These distortions are not deliberate; rather, they are automatic and often rooted in deep-seated beliefs or past experiences.

Examples of Cognitive Distortions in Medical Contexts

1. Catastrophizing: This involves magnifying the importance or implications of a health issue or medical procedure. For instance, someone might overly focus on the potential risks of a treatment without adequately considering its benefits.  This is very common as no one wants to be in these positions in the first place.  We have a lot of fear and resistance that comes up with health challenges.  
2. Overgeneralization: Drawing broad conclusions based on limited evidence. For instance, assuming that because one treatment did not work well for a friend, it will also fail for oneself.  I often hear this when people do an excessive amount of internet polling.  Of course it’s good to do research but you can’t take other people’s journeys on as your own.  
3. Confirmation Bias: Seeking out information that confirms preexisting beliefs while ignoring contradictory evidence. This can lead individuals to favor sources that support their views rather than considering a balanced perspective.  This is very important in the day and age we are in where often times our medical information comes from patients rather than experts.  
4. Emotional Reasoning: Making decisions based on emotions rather than objective facts. For example, someone might refuse a necessary surgery out of fear, despite medical evidence indicating its benefits & safety.  I see this in practice mostly when people want to leave surgery as a “last result” when there are some occasions where the surgery is the only true way to fix the situation and waiting longer will only make the surgery more difficult to perform and recover from.  
5. Labeling: Applying overly simplistic labels to oneself or others based on health conditions. This can lead to stigma or self-fulfilling prophecies regarding health outcomes.  This is a quite common reaction to going on medication.  I’ve seen “health influencers” making statements such as “all medication is poison” while this is simply not true.  There are plenty of folks taking medication for whom it is wholly life affirming – meaning they are able to be the best versions of who they are – and have little to no negative side effects.  It is just a very nuanced conversation and to say all medication is poison is a part of why people feel the stigma and don’t take medications that they very may well need.  

Impact on Medical Decision-Making

• Treatment Compliance: Patients may fail to adhere to prescribed treatments or therapies due to exaggerated fears or misconceptions.
• Decision Paralysis: Overwhelmed by negative thinking or catastrophic predictions, individuals may struggle to make decisions, delaying necessary medical interventions.  Having a helpful medical team is the best way to navigate this situation.  Friends and family are generally not educated enough on these topics to be weighing in.  
• Misinterpretation of Information: Patients may misunderstand medical information or selectively focus on details that confirm their biases, leading to misguided choices.  
• Stress and Anxiety: Persistent cognitive distortions can exacerbate stress and anxiety related to health conditions, further impairing judgment and quality of life. This is quite common for people who experience looping thoughts.  They often are so anxious that they can’t get the proper treatment that they need, which keeps them stuck in their health challenges rather than moving through them.  

Addressing Cognitive Distortions

Recognizing and addressing cognitive distortions is crucial for improving medical decision-making:

• Education and Awareness: The first step begins with having the capacity to realize your anxiety, biases, and lack of education could be playing a role.  When we’re the patient, it’s impossible to be objective.  This will help you to see where you’re making choices from.  
• Cognitive Behavioral Therapy (CBT): CBT techniques can help individuals identify and challenge cognitive distortions, promoting more balanced and rational thinking.
• Shared Decision-Making: Collaborative approaches between patients and healthcare providers can help ensure that decisions are based on comprehensive information and aligned with the patient’s values and preferences.
• Support Networks: Engaging with support groups or counseling services can provide emotional support and alternative perspectives, reducing the impact of cognitive distortions.

I’m grateful to be a part of the process of fostering awareness and reducing biases.  It’s hard to be in the patient seat which is why it takes a village of practicioners to support us when we’re going through something.

By fostering awareness, promoting education, and integrating supportive interventions, we can empower individuals to make more informed, rational, and ultimately beneficial medical decisions. Addressing cognitive distortions is not merely about correcting faulty thinking patterns but about enhancing the overall quality of care and outcomes for patients.  

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One of our patients wrote a blog about their own infertility journey. She poignantly shared her experience and hope to be of help and service to others and to educate those who may not have had experience with infertility. 

It is March 13, 2023, about 10 days from when our due date was scheduled. I am sitting in my call room at the hospital, taking care of the children that are not my blood, but instead the ones I’ve dedicated my professional life to. As I sit here, I am reflecting on what the last nine months would have been.

My husband and I started trying to have a baby in January of 2022. Because I’ve known so many others that required some fertility help, I was not oblivious to the idea that this may not be a smooth road. My IUD was removed, and we blissfully went on our way to try for our own perfect baby. We decided to “not try” and leave all the LH tests in the cupboard, because ‘I wanted this process to be fun and stress free’.

After graduating residency, my husband took a sabbatical from work, and we spent the summer in Spain and Portugal and it was there that we got our positive pregnancy test. It was June 17, 2022. We were happy, on an island in the middle of the ocean, planning what the next 9 months and beyond would look like. I felt so lucky. We came home and I was around 6 weeks pregnant but couldn’t wait to tell our families. We thought up cute ways to let everyone know that their first grandchild/niece/nephew would be joining us in March. Everyone was so excited. At nine weeks, we went for our first ultrasound and when the US probe went in, all I saw was an empty sac of what should have been filled with life. My husband and I walked to an exam room with tears streaming down my face waiting for my OBGYN to tell me what I already knew. A miscarriage.

I went home, got in the shower and felt my body, only then did I realize that I didn’t feel pregnant anymore. I felt tricked by my own body and mind. Now, I must remind myself that the sadness that I felt, and still feel is because we lost a pregnancy. There was no heartbeat that we got to hear, but this was still a pregnancy– a being that we were excited to meet, to take care of, to be ours. So, if this ever gets shared publicly and anyone is struggling with a similar type of miscarriage, don’t let anyone tell you that ‘but it wasn’t even a baby’, because it was, and you deserve to mourn what could have been.

The guilt and jealousy I felt was tremendous. Just last month, my best friend and cousin went into labor with the baby who would have been born a month before ours and I found myself sobbing in my car out of sadness of the time that had passed, when all I wanted to feel was excitement, but I didn’t feel capable of this. Again, the guilt is real. Every single pregnancy announcement on social media was like a knife to the heart, having to remind myself that our baby just isn’t ready to come to us yet, for whatever reason the universe has for that.

If all this has taught me anything– it’s that crying is therapeutic in its nature. It fosters a chance to let go of that emotion instead of carrying it deep in my heart. It has allowed me to be sad for what we lost but be present for the successes of people that I love. Whilst this has been the hardest part of all of this,  I am grateful for the journey.

So where am I now? I am about 10 days before what would have been my due date and still not pregnant despite months of testing, perfect mid-cycle ultrasounds and strongly positive ovulation strips. However, I’ve learned a lot about myself. I feel thankful for this body, even in moments where I feel like I might hate it. This body is one that didn’t let a life grow that wasn’t going to thrive. Most miscarriages in the first trimester are due to genetic abnormalities and I am grateful to my body for recognizing that it wasn’t a healthy pregnancy and doing what it needed to do because of that.

1 in 4 pregnancies end in miscarriage, and I am thankful for all those that have shared with me their own story, all or most with healthy children/pregnancies after a tumultuous road. Knowing how much this has helped me, I will always be a listening ear for anyone that needs it. I am thankful to have my uterus, my ovaries, patent fallopian tubes, a normal fertility workup (for us both), a supportive family and a wonderful husband to go through this with because I know that many people are not so lucky. While I sometimes wish I could be blissfully oblivious, I am fortunate for my medical background that taught me to advocate for myself and get established with a fertility specialist when I felt I needed to, not when someone else determined it was or wasn’t time to.

While I am in the “two week wait” for the last cycle we will try without intervention by a reproductive endocrinologist, I am grateful that these last 6 months have brought me back to yoga and introduced me to acupuncture and therapy– I tell all my patients that being mindful of your mental health is what the “cool kids” are doing these days so it was about time I practiced what I preached.

I have stopped saying the phrase ‘conceiving naturally’ because what’s natural for one person may not work for another. Science is incredible and we are so fortunate to have alternative measures to become parents. Whether you ever step foot into a fertility clinic or not, a pregnancy should never be considered unnatural no matter the means in which it came to be.

I am choosing to look at this as a closing chapter– one that will shape me forever and that I will never forget. As I pass this due date, I am manifesting and daydreaming of the next time I see two lines on a stick. I am visualizing getting to tell my husband and begin to plan for a new baby again. I am looking forward to the excitement of our families when we get to share this news with them (and this time around I think I’ll be waiting a a lot longer to tell anyone– that’s what weekly ultrasounds and therapy is for).

I am even looking forward to all the nausea and vomiting (I only experienced it for two weeks last time). Most of all, I am dreaming that those two lines turn into the sounds of a beating heart and ultimately the long awaited healthy newborn cry on delivery day– tears of life for the baby and tears of happiness for me and for my husband.

**Update:  This lovely couple recently gave birth to a healthy baby boy.

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Acupunture Grant – 2024

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This exercise increases blood flow to the pelvic organs, including the uterus and ovaries.  This exercise can be done alone or with a partner.

1. Locate the femoral artery – which is located just beneath the crease in the groin area, between the thigh and the lower abdomen.  It is where the outer area of the pubic bone meets the crease in the upper thigh.  This artery has branches to the uterus, fallopian tubes and ovaries.
2. When you find the femoral artery, you will feel a strong pulsing sensation beneath your fingertips.
3. Apply pressure to the artery.
4. Count to 30 seconds when you do this and release your hold on the artery.
5. Repeat this three times on each side of your leg.
6. This is performed only after the completion of the menstrual cycle until ovulation (or transfer), not in the 2nd half of your cycle.

This exercise should not be performed if you are or might be pregnant.  In addition, if you are at risk for heart disease, high blood pressure, circulatory problems or have a history of stroke or detached retina, do not perform this exercise.

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Acupuncture and Chinese medicine, no matter what is being treated, always treats the symptoms.  As an acupuncturist, the diagnosis is of little importance when compared to a woman’s menstrual cycle, PMS and other hormonal symptoms.  In this manner, PCOS is NOT treated the same amongst each woman.  This allows the acupuncturist to formulate a specific treatment plan for each woman—including diet, supplements, acupuncture treatment and Chinese herbs.  Treating PCOS with Chinese medicine is like orchestrating a symphony—making sure the hormones work in concert and with the proper timing!  To this end, it must be understood that the treatment of PCOS is not a quick and easy road.  It takes time to regulate hormones, make dietary changes and re-adjust lifestyle practices.  The truth is that investing the time to regulate PCOS symptoms not only benefits fertility, it supports the health of the women for the rest of her life!

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The heart as emperor lives well protected at the center of the nation. No injury must come to the heart and as long as the heart’s function is intact, there is always hope of healing. Nei Jing Su Wen

In Traditional Chinese medicine, the Heart organ system is likened to a benevolent, enlightened monarch of a kingdom and is responsible for the circulation of qi among the 12 meridians, as well as all spiritual and mental activities. Although there are similarities with the Heart organ functions, there are clear differences between how Western and Eastern medicine view them.

The physiological functions according to TCM include controlling blood vessels, circulation, sweating and mental activities. Functions according to Western medicine include removing metabolic waste, pumping blood through the body and facilitating the movement of oxygen, nutrients and hormones.

“The heart rules the blood and the constancy of its beat reflects its commitment to fulfilling its role as sovereign ruler.” Lonny Jarrett

The Heart is in charge of continuously pumping blood throughout the body as well as regulating blood flow. The strength of one’s Heart qi determines if its’ beating is strong and healthy, which is reflected in the rhythm and rate of the pulse. The constant cycle of blood circulation provides nutrition for the body, including our organs and limbs, ensuring normal functioning of the various structures and organs. A healthy individual will appear as energetic, having a rosy complexion and a rhythmic, forceful pulse. If there are any imbalances in the Heart qi, yin, yang or blood an individual can manifest symptoms such as a pale complexion, thin and weak pulse, darkened, purplish complexion and a choppy pulse.

Heart Shen

In TCM, the heart is the location where the “spirit” (shen) resides. In general, Heart shen is equal to the overall vitality of an individual, which is often observed through the complexion, eyes and responses. This indicates the quality of a healthy Heart spirit. The presence or absence of “shen” is important in the prognosis of physical and emotional conditions. All of the five organs in Chinese medicine contain qi, yin, yang and blood. For the heart, the heart blood and yin have roles when it comes to nourishing the “shen”. If there is adequate presence of heart blood and yin, an individual will display clarity and sound mind and if there is a deficiency in either blood or yin, individuals will show signs such as heart palpitations, insomnia and psychological disorders.

Did you know your tongue reflects your Heart?

According to TCM theory, it is believed that the essence of the Heart organ system is accessible through the tongue. By observing changes in the tongue, we are able to understand the health status of the heart.

Language, communication, expression and taste are dependent on the normal functioning of the heart. Imbalances in the Heart can reflect on the appearance of our tongue. Unlike blood pressure and heart rate which can fluctuate, changes to the color and texture of the tongue are indicative of health issues occurring within the body. If the Heart qi, blood, yin and yang levels are all balanced, the tongue appears to be a healthy, pinkish-red color with a soft, flexible body. Insufficient Heart blood will reflect as a pale, white tongue. Blood stagnation manifests as a dusky red/purple with distended sublingual veins. Cracks or lines down the center of the tongue also indicate a potential Heart function issue.

Fluid of the Heart:

Perspiration comes from body fluid, and the Heart controls bodily fluids. If you find you are perspiring excessively, it can signal a Qi or energy deficiency of the Heart. On the other hand, if you engage in activities that make you sweat too much, this can cause a Qi deficiency of the Heart.

Tissue of the Heart:

Because the face has many blood vessels, our complexion reveals the state of the Heart. Like the tongue, a pale complexion can indicate insufficient blood, and an overly red face can signal excessive heat. Radiance and vitality which are reflected on the face can be used to determine the health status of the Heart qi, blood, yin and yang levels. If there is adequate Heart blood circulating, the face appears radiant and rosy.

Digestion and Heart Health:

As mentioned above, the Heart is the monarch of the kingdom of all organs. All the other organs will sacrifice for the Heart by giving their energy to help the Heart maintain balance.

According to Five Element theory, The Stomach organ system is the “child” of the Heart. If the Stomach is functioning well then the mother is content. In this simple analogy we understand that Stomach energy must be in balance for Heart energy to be balanced.

In addition, the Liver is the “mother” of the Heart. When an individual is under continual stress, Liver energy becomes compromised because one of its energetic functions is to smooth and regulate emotions. When chronic stress or excessive emotion is experienced, the Liver cannot offer proper support to the Heart.In order to take care of our cardiovascular health, it’s imperative to take care of our digestive organs, the Liver and the Stomach!

Physical and Emotional Symptoms related to the Heart:

Angina, atherosclerosis, heart attacks
High/low blood pressure
Poor circulation
Varicose veins
Frozen shoulder
Hot, painful joints
Stiff neck/shoulders
Hot flashes
Insomnia
Digestive issues
Palpitations
Anxiety
Cynicism
Lack of joy or humor
Mania
Confusion
Restlessness

Tips for a healthy Heart

Mindset Matters: Because the mind is linked directly to the Heart, what goes on in your mind can play a part in the health of your Heart. Maintaining a positive mindset can greatly impact the health of the heart system. Common suggestions for mental wellness to ease the pressure on the Heart include regular meditation, repeating positive affirmations, and taking a step away to reset during stressful situations. It’s also important to hold yourself with compassion and gratitude, actively seeking to fill your life with positive influences.

Certain foods have very specific effects in the body and an affinity for the Heart! Dark, leafy greens, asparagus, broccoli rabe, black beans, brussel sprouts, celery, cinnamon and cucumbers all support heart health. The color red correlates to the Heart organ system. Foods that are red or dark in color are beneficial as well. Think persimmons, pomegranates, berries, tomatoes, red beets, red/leafy greens, salmon, red lentils and lean red meat are known to protect cell membranes, maintain vessel elasticity, healthy blood flow and are chock-full of antioxidants.

Herbal supplements that support Heart health include San Qi known as Panax Notoginseng that improves circulation and regenerates red blood cells. Red Sage, also called Dan Shen is also an effective herb for cardiovascular health. It is beneficial for myocardial ischemia as it can widen coronary arteries to increase coronary blood flow. It’s also known to improve the body’s micro-circulation and reduce viscosity of blood to strengthen the body’s overall blood circulation.CoQ10 is a powerful antioxidant that helps reduce the risk of heart attack, stroke, cardiovascular disease and can manage blood pressure.

Last but certainly not least, if you have experienced any of the aforementioned physical or emotional symptoms related to the Heart organ system, give us a call to schedule an assessment, treatment plan/protocol and Acupuncture session. Treatments help decrease stress, systemic inflammation, improve circulation throughout the body, stimulate oxygen and lymph flow, calm the nervous system and balance digestion, sleep, hormones and cortisol levels….everything your Heart desires!

The post What Does Your Heart Desire? TCM and the Heart Organ System appeared first on Michigan Associates of Acupuncture and Integrative Medicine.

Guide to reducing exposure to toxic products:

(from the book “It Starts with the Egg” by Rebecca Fett)

• Replace any plastic kitchenware that comes into contact with hot food/drink
• Use a stainless steel water bottle
• Minimize canned and highly processed foods
• Prepare more meals at home, using whole, natural ingredients
• Take care when using plastic by choosing polypropylene or HDPE plastic and washing by hand
• Wash your hands when you return home after handling paper receipts
• Avoid conventional perfume, hair spray, nail polish, and fabric softener
• Once you use your current products, replace them with fragrance free and phthalate free haircare &  skincare.
• When buying cleaning & laundry products, look for brands that are plant based, fragrance free, or phthalate free.

For up to date recommendations on phthalate-free skin care, hair care, cleaning, and laundry products, visit www.itstartswiththeegg.com/product/guide

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