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Fertility&ChineseMedicalConcepts
Yin
Feminine Masculine Day (Movement/Activity/Exertion) Progesterone Thyroid Prolactin Testosterone Luteal SolidMaterial(Sperm/EggOvulation) Heat/Warmth(Elevated BBT)

Yang

EnhancingFertilityNaturally

Night (Sleep/Rest) Estrogen

Follicular Fluid (Semen/Fertile CervicalMucus) Coldness/Cooling(Lower BBT)

MaleFactors:somenumbers
SpermCount SpermMotility SpermMorphology Semen Quantity SemenQuality Semen Quality 20150million/ml >60% >15%, ideally>30% 1.55ml Liquefaction Viscocity pH 26ml <20million/ml <50% <14% <1ml

MaleFactors
Anumbersgame

TotalVolume

Averagespermcountoverthegenerations: 1940s113million/ml 1990s66million/ml 200532million/ml

MaleFactors:findingthecause
Age? Infection Varicocele Cigarette/Alcohol Autoimmunity (trauma/surgery) Undescended testes Retrograd ejaculation Caffeine Stress Inutero damage Chemical exposure Radiation

AgeofMalePartner
Studiesofcouplestryingto conceiveshows:
Ifthemalepartneris25yoa or younger,only8%ofthecouple failstoconceiveafter12months f il t i ft 12 th Ifthemalepartneris35yoa or older,15%ofthecouplefailsto conceiveafter12months

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Smoking&SpermProduction
Cigarettesmokershave onaverage20%lower spermcountthannon smokers Afterquittingsmoking, spermcountimproves byatleast50%.In somecases800%

ChemicalExposure&MaleFertility
Womenwhospartnerworkwith solvents/paint/petrochemicalsare23Xmorelikelyto experiencemiscarriage Wildlifeexposedtoelevatedpetrochemicalshave abnormalgenitaldevelopment(Floridaalligators, GreatLakefishandamphibian) Great Lake fish and amphibian) Inutero exposuretoxenoestrogensofhumanmale fetusesleadsto
decreasedspermproduction miscarriageofmalefetuses(Sarnia,ON) increasedriskofundescended testesand othermalegenitaldefects

RadiationExposure
Womenwhospartnerreceivedabdominal,lower back,orpelvicXrays are4Xmorelikelytoexperience miscarriage Importanttodistinguishthedifference betweennotfertilizingandmiscarrying

Hormone/EndocrineDisruptors
Endocrinedisruptorsarechemicalsthatinterferewith endocrine(orhormonesystem)inanimals,including humans.Thesedisruptionscancausecanceroustumors, birthdefects,andotherdevelopmentaldisorders. Specifically,theyareknowntocauselearningdisabilities, severeattentiondeficitdisorder,cognitiveandbrain , g developmentproblems,deformationsofthebody (includinglimbs);sexualdevelopmentproblems,feminizing ofmalesormasculineeffectsonfemales,etc. e.g.phthalate,bisphenol A,polybrominated, polychlorinated,perfluorooctanoic acid WatchTheDisappearingMaleonCBCDocZoneonehour documentary

MaleFactors:improvingtheodds
Production&Transit:9weekstochangesperm andsemen BestSpermMotility:2472hours BestSpermCount:Minimum48hours S i i 8h

FemaleFactors
Asymphonyofhormones

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TheIdealMenstrualCycle
Length:2630days Flow:56days
Nospotting Littleornoclots Littleornocramping Freshredblood h d bl d EbbandFlow Growthofendometrium Ripeningof1healthyegg 1216days(includingflowdays) Averagetemp36.236.5Cor9798Fb

IdealMenstrualCycle
Ovulation
24dayspriortoovulation,fertilemucusstarts Substitutetonaturalmucus Thermalshift0.30.5Cor0.50.9F Egghaspotentially612hourssurvival,spermhas potentailly 35dayssurvival Immediatelyafterovulation,mucusdriesup

Follicular

Luteal
1216days Nospotting,littleornopms

YangDominant/YinDeficient/Heat
PhysicalPresentation:
Restlessorampleofenergy Thinorlosesweighteasily Heatintolerant TendencytoHA,earringing Goodlibido Heaviermenstrualflowonday1withbrightredblood Shorterfollicularphase Normalorlongluteal phase

CommonPatternsofImbalances
SimplifiedChineseMedicalConcepts

Typicalcondition:
Poorsemenquality/quantity,poorspermmorphology,premature ejaculation ElevatedFSH,moreadversereactiontoARTmeds,thinner endometriallining,poorereggquality

YangDominant/YinDeficient/Heat

BloodDeficiency
PhysicalPresentation:
Insomnia,anxiety Littlemenstrualfloworlateflow Dryhair,skin,nail Lightheadedandeasilyfatigued Feelcoldallthetime

UpperLeft:NotenoughYin (estrogen/blood),longtimetodevelop eggandendometrium UpperRight:NotenoughYin,toomuch YangHeatraisesbothfollicularandluteal temperature LowerRight:Toomuchheatburnsoff Yin,causingeggfollicletomaturetoo quickly

TypicalCondition:
Longfollicularphase Anemicorborderlineorhistoryofbloodloss Mayhavehadmiscarriages

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YinDominant/YangDeficiency
PhysicalPresentation
Chilledeasily,coldextremities Lethargic Lowerback&kneepain Overweightorgainweighteasily Nighttimeurination,frequenturination Lowerlibido Premenstruallowerbackpain,loosebowelmovement Dullmenstrualblood Erectiledifficulty Lowspermcount&motility Hypothyroid Hypoadrenal

YinDominant/YangDeficiency

TypicalCondition

UpperLeft:GeneralizedYang deficiency UpperRight:SlowriseofYangand earlylossofYang.Weakcorpus luteum LowerRight:Significantdropin temperatureduringluteal phase showsweaklevelofprogesterone

Qi Deficiency
PhysicalPresentations
Looserbowelmovement Tendencytoallergies Lackinginexercise Bruise/bleedeasily Fatigueeasily Spotting Dull,heavy,bearingdownmenstrualcram

Phlegm/Dampness
PhysicalPresentations
Sluggishaftermeals Gainsweighteasily/obese Sensitive to damp weather Sensitivetodampweather

TypicalConditions
Fibrocysticbreasts,PCOS,cysticacne Yeastinfection

TypicalConditions
Allergies Irritablebowel Celiacdisease

BloodStasis
PhysicalPresentations
Darkbrown/blackmenstrualblood,largeclots BBTfailstodropimmediatelyafterstartofmense

LiverStagnation
PhysicalPresentations:
Irritability,depression overuseofandadditiontostimulants Early morning waking bloating before ovulation Earlymorningwaking,bloatingbeforeovulation andmense,breasttenderness,craving

T i l C diti TypicalConditions
Endometriosis Fibroids Hemorrhoids Varicosevein

TypicalConditions
PMS Prolactinemia inseverecases

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LiverStagnation

IVF/IUI&ChineseMedicine
Chinesemedicinehasbeentreatinginfertilityfor thousandsofyears.Combinationofherb, acupuncture,tuina,hydrotherapy,&heatare used In case of ART outside of China only acupuncture IncaseofARToutsideofChina,onlyacupuncture isusedtofacilitatethesuccessoftreatments Benefits:
Minimizemedicationsideeffects Improvephysicalresponsetomedication Calmthemindandreturntoparasympatheticstate SupporttheYinandencouragebetterliverfunction

Liverstagnationleadsto Li t ti l d t difficultyeliminatinghormones fromthebody.Hormonefrom differentpartofthecycleover lapping.Patternlessdistinct.

IVF/IUI&ChineseMedicine
Usedforpre andpost IVFtransfers,and occasionallyforIUIs Postpostive hCG tosupporttheprocessof implantationandearlyembryodevelopment implantation and early embryo development Improvespermandsemenqualityand quantity

FertilityFriendlyLiving
Stressreduction Sleephygiene(YinDepletion,LiverStress) Foodhygiene
Latenightsnack,overeating g , g foodallergens coffee,cigarette,alcohol,sugar,processedfood eatingaccordingtobodytype

Castoroilpackorjustheat Properadequateexercise

FertilityFriendlyLiving
Lowchemicalexposure
Polychlorinated bisphenol Dioxin DDTandotherpersistent organicpesticides Industrial solvents/adhesives Printingand photocopyingink/toner

EatingforyourbodytypeYang Dominant/YinDeficient/Heat
Millet,barley,shortgrainrice,wheat,spelt,black beans Cucumber,potato,beets,tomato,whitecabbage, yamroot,sprouts(beans/seeds),avocado,salad yam root, sprouts (beans/seeds), avocado, salad Summerfruits,juicyfruits,berries Seaweed,spirulina,aloevera,coconutproducts Shellfishandfish Soups,stews,andcongees

Pharmaceuticals
Bloodpressuremeds Ulcermedication Anabolicsteroid Chemotherapy Epilepsymeds Antibiotics Antifungal Antiinflammatory

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EatingforYourBodyType Blood Deficiency

Allwholegrains Alfalfa,beet,alldarkleafygreens,spirulina Darkcoloredfruits,figs,cherry,apple,berries Allredmeatscookedinslowcooker,organ meats,eggs,allbroth Molasses,blacksesame,hazelnut,sunflower seed

EatingforYourBodyType Yin Dominant/YangDeficiency/Cold

Toastedshortgrainrice/millet,allwholegrains,quinoa, amaranth Allpungentvegetables,herbs,andspices(ginger, radish,leek,onion,pepper,fennel,oregano,thyme, etc) Chicken,lamb,goat,venison,wildsalmon,carp,trout, mussel Sweetpotato,squash,chestnuts,walnuts Cherry,peach,raspberry,plumsandothercoldclimate fruits Warmorhotmeals,allfoodsevenfruitsandvegetable shouldbelightlycooked

Damp/Phlegm
Followrecommendationonpreviouspage Avoid:dairy,chocolate,fattymeats,peanut, fruitjuices,(especiallytomato&oranges), excessivewheat,banana,sweets/carbs,raw excessive wheat banana sweets/carbs raw coldfood Avoidovereatingandlatenighteating

EatingforYourBodyTypeLiver
Dandelion,broccoli,brussel sprouts, cauliflower,kale,collargreen,cabbage,turnip, radish,beets Herbs and spices Herbsandspices Citrus Avoidcoffee,alcohol,cigarettesmoking, chocolate,excessivefattyfoods