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How to Support Fertility With Sleep

According to the APA (American Psychological Association) it is best to get 7-9 hours of sleep per night. When people are not getting the appropriate amount or quality of sleep, their stress increases

A nationwide cohort study out of Taiwan found that people who suffer from insomnia were almost four times more likely to struggle with fertility compared to those who were well-rested (1).  

Sleep Hygiene

Sleep hygiene is important in order to get good quality sleep. 

Here are some tips for improving your sleep: 

  • Keep sleep patterns regular and sleep between 10 pm and 7 am:
    Try to go to bed and wake up at the same time every day. Schedule permitting, aim to be in bed by 10pm and wake no later than 7am. 
    You’ll feel better if you are awake during sunlight hours. Once you get into a routine where you’re getting enough sleep each night (even on weekends) you won’t miss the weekend sleep-ins after awhile. 
  • Light/darkness support:
    If it’s not possible for you to sleep when it’s dark and rise when it’s light, you can try using blackout curtains and a sunrise/light alarm to simulate those conditions at off-times.
  • Stop caffeine intake by a certain time:
    When trying to conceive, you should already be limiting your caffeine intake. But in terms of improving sleep habits, caffeine consumption should stop at least 4-6 hours before going to sleep.
  • Turn off technology:
    Turning off backlit electronics at least 30 minutes before bed is essential. Devices like cell phones, tablets, readers, and computers emit short-wavelength enriched light, also known as blue light.

    Blue light has been shown to reduce or delay the natural production of melatonin in the evening and decrease feelings of sleepiness. Blue light can also reduce the amount of time you spend in slow-wave and rapid-eye movement (REM) sleep, two stages of the sleep cycle that are vital for cognitive functioning.
  • Relax your mind:
    You might be used to finishing up some last-minute tasks prior to bed. However, it’s best to skip things that might stay on your mind as you go to bed. Try doing relaxation techniques like meditation or breathing exercises instead.
  • Spend time outdoors:
    Spending an hour in sunlight each day can help with quality of sleep and the ability to fall asleep. This hour does not have to occur all at once, you can break it up into increments that fit into your schedule. For example, try to have lunch outside, take walks, and play with pets outside.
  • Short term melatonin intake:
    If you suffer from Delayed Sleep-Wake Phase Disorder (DSWPD) -a circadian rhythm disorder, I typically suggest taking a small dose of melatonin for 2-4 weeks to reset your circadian rhythm.

    It is best to stick to short durations with breaks in between, because there is a possibility of long-term use of melatonin negatively affecting your own natural production of melatonin.

    Please consult with a qualified practitioner for dosing and melatonin supplementation scheduling. 

To find out more about how we can help you reduce stress and support your fertility, book a free 15-minute phone consultation with one of our fertility specialists.

References

  1. PMID: 29136234

Dr. Alda Ngo on She Found Motherhood Podcast: Mindfulness for Fertility & Pregnancy Loss

I had the honour and pleasure of chatting with Dr. Sarah from She Found Motherhood about our Mindfulness for Fertility & Pregnancy Loss programs.

Dr Sarah is an inspiring family, maternity and addiction physician based out of Victoria, BC.

We chatted about the ins and outs of becoming parents as healthcare professionals, and how this has informed our medical practices. We also chatted about the power of mindfulness, the research, how it works and how it can increase resilience through your fertility journey and through pregnancy after infertility or miscarriage.

Subscribe and listen to the She Found Motherhood Podcast here.

A little more about She Found Motherhood:

Drs. Sarah and Alicia answer common questions such as: I’m pregnant what do I do? are my symptoms in first trimester normal? What to expect for labour and delivery? How will I know about breastfeeding? How do I care for my newborn?

She Found Motherhood aims to help take the anxiety out of pregnancy and the journey through childbirth to parenthood. We discuss the fourth trimester and how to care for your newborn. We discuss mental health in pregnancy and the postpartum period and how to navigate changing relationships. We discuss newborn sleep, starting solids and even our tips and tricks for all topics given we have had 5 kiddos between the two of us.

Are you looking for evidence based, high quality information to help you make decisions through your pregnancy, labour & delivery and postpartum journey? If so you have come to the right spot! Make sure to subscribe to make sure you don’t miss out on any episodes!

Canadian Infertility Awareness: Infertility During A Pandemic

April 18 – 24 is Canadian Infertility Awareness Week.

Roughly 1 in 6 who are trying to conceive in Canada experience infertility & this number has doubled since the 1980’s.

Research shows that the psychological symptoms associated with infertility are similar to those associated with other serious medical conditions like heart disease, cancer and HIV.

Infertility is already unpredictable, but with the added stresses of the pandemic, fertility patients are having to not only grapple with economic and societal uncertainty, but also disruption to fertility treatments related to fertility clinic closures and limited elective in-office services.

Many patients who are already on tight biological timelines are finding themselves under even more pressure.

Surveys conducted since the onset of the pandemic have revealed that infertility remains a top stressor, despite the unprecedented COVID-19 pandemic.

The stress of infertility remains significant & is comparable to the pandemic itself.

For fertility patients, when, why, how & where become whether, if, what if or even oh no.

There are already so many loaded decisions to be made in the face of uncertainty when dealing with infertility, and all of these are made extra difficult with hormonally influenced emotions. The pandemic only complicates the process.

Additional common questions that fertility patients are having to deal with are:

“ Is it safe for me to get bloodwork & ultrasound while exposing myself to potential COVID-19 in the office?”

“ I don’t want to wait any longer, but what are the implications of starting a potentially high risk pregnancy during a pandemic?”

“How will I grieve failed treatments or delays if I can’t even get together with my community.”

“ Will my partner be able to join me for this appointment or will I have to face it alone?”

“ What if I start a treatment cycle & we have to cancel midway through because there’s a lock down again? “

Infertility is Isolating

Infertility is already an isolating experience, which is also exacerbated by the isolation of the pandemic. As fertility specialists, and in honour of CIAW, we’d like to recognize those who are currently struggling to grow your families and the hardships that you endure, often alone and in silence.

That’s why we are teaming up with Pacific Centre for Reproductive Medicine (PCRM) & 3 courageous women who have struggled with infertility, to offer a free virtual event on Sunday, April 25th from 2 – 3:30pm.

Together, we are taking the opportunity to educate, openly share stories, empower and change the conversation around infertility. We want you to know that you are not alone and offer you some hope and inspiration.

Join us online:

Infertility During a Pandemic

Sunday, April 25th from 2 – 3:30pm MDT

Three courageous women will share their personal fertility journeys & what has helped them most along the way.

Dr. Caitlin Dunne, Co-director of PCRM will speak to infertility & treatment options, as well as the impacts of COVID-19 on fertility & treatments.

With the increased stressors of dealing with infertility during the pandemic, WFH’s Dr. Alda Ngo will be offering some free evidence-based mindfulness tools to help you deal with fertility stress.

WFH natural fertility specialist, Christina Pistotnik will share some accessible lifestyle advice to empower you to support and optimize your fertility during this time.

Click here for more information

Or

Register:

Info@wholefamilyhealth.ca

780.756.7736

Stay tuned for more blogs throughout the month for more tips on how to support yourself on your fertility journey!

To find out more about how we can support you with your fertility, book a free 15-minute phone consultation with one our fertility specialists.

Erectile Dysfunction: A Functional Approach

Erectile Dysfunction (ED) affects a startling amount of people, and has been for hundreds of years.

10% of people under the age of 40 experience ED, and by the time they are 70 years old, 60% will experience ED. This is incredibly common, and not an easy situation to deal with.

Yet there are so many aspects of health that can be impacting this vital function. It is possible to view the body as a whole and get to the root of the issue before resorting to the little blue pill to achieve the end result. 

ED Can Be A Precursor to Cardiovascular Issues

It is  important to get to the root of the imbalance, as the disharmony that causes ED is not always isolated to sexual function.

One of the main pathomechanisms is vascular endothelial dysfunction – meaning that the lining of the arteries are hardening, making dilation difficult. This reduces blood flow.

The kicker is that if it is affecting sexual function, it could in the future, affect the rest of the body’s arterial health. Over the long term, vascular endothelial dysfunction can become much more rampant than ED, causing cardiovascular issues such as heart illness, neurological issues and dementia. 

There Are Multiple Reasons Why

Both functional and Chinese medicine view the body as a whole, meaning that there could be seemingly unrelated issues that lead to ED. It might be surprising to know that what we eat and how we process our food could be affecting sexual function like this.

Insulin resistance, pre-diabetes, obesity and hypertension are all connected to vascular endothelial dysfunction – which can cause ED. Again, this could be impacting the blood flow to all of the organs, not just the reproductive organs.

What You Can Do:

Reduce Inflammation

Inflammation and toxins can also damage the blood vessels and lead to ED. For example, chronic alcohol use can impact the health of the blood vessels.

Here’s how:

  • Limit processed foods
  • Limit sugar and simple carbohydrates
  • Choose an anti-inflammatory diet plan

Reduce Alcohol Consumption

Chronic alcohol use can cause short term endothelial dysfunction, which can also lead to a psychological cascade of performance anxiety.

Here’s how:

  • Reduce alcohol consumption or choose to stay sober

Reduce Stress

Stress is another huge factor when it comes to arterial health. Stress causes systemic inflammation as well as issues with blood vessel dilation due to excess cortisol levels. 

Here’s how:

  • Engage in mindfulness practice
  • Try Acupuncture and counselling to help process stress

Balance Testosterone Levels

Another aspect of the picture is the complex hormonal orchestra that is involved with sexual function – particularly testosterone. Testosterone can have an impact on ED as it impacts the enzyme PDE5 and Nitric Oxide, which are both responsible for allowing the blood vessels to dilate.

As people age, there is a natural decline in testosterone. However, some people can have low testosterone earlier, also known as andropause.

Some things which impact the body’s ability to produce testosterone include sleep apnea, alcohol, diabetes, stress and obesity.

Here’s how:

  • Mindfulness practice and stress reduction
  • Exercise – particularly aerobic activity, HIIT and weight lifting
  • Eat healthy fats, they are the precursor molecules that help the body to maintain testosterone levels

As you can see, all of the pillars of health can be a part of the picture when healing ED. This common issue is a complex imbalance with an avenue of healing that will radiate to all aspects of health.

If you would like to find out how we can help you, please feel free to schedule a free 15-minute phone consultation.

Image IG @krisarchielee

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