Ovulation Predictor Kits, Which one should you use?

by InfertilityLifestyleMenstrual CycleReproductive HealthRitual Medicine

Which ovulation predictor kit should I use?

Many of my patients who come in seeking treatment for fertility, ask my opinion on which ovulation predictor kits (OPK’s) to use, what cycle tracking app is best, what prenatal I recommend, and so on.

I have put together a comparison of three OPK’s in order to provide some insight into which product may be the best one for you. You will also see my clear favourite as well.

The biggest complaint I hear from patients is the cost of these strips. When purchased in a pharmacy, they can range anywhere from $3-8 per strip. With repeated use over time, this cost definitely adds up!

Firstly, what is an ovulation test kit?

Ovulation test kits, or ovulation predictor kits, determine when you are ovulating by measuring the hormone levels in your urine. 

Ovulation is controlled by luteinizing hormone (LH). LH levels surge dramatically 24 to 36 hours before ovulation. After ovulation, they return to normal.

You can predict (with fairly good accuracy) when you are about to ovulate by pinpointing your LH surge. This is how OPKs work. They measure LH levels in your urine and compare them with a threshold to tell you if you are likely to ovulate soon.

OPKs work similarly to pregnancy tests in that they have two lines that form after immersing the test stick in urine.

When to test?

If you are unsure when you ovulate, it can be tricky to know when to start using the OPK’s so you’re not testing everyday and using more tests than necessary.

Check out this little info graph from Ovry:

Now, a product comparison:

Ovry

In terms of company and product values, Ovry was my preference. Female founded in Canada, with their products manufactured in North America, those were all ‘checks’ in the positive column for Ovry.

  • Strips are purchased through the Ovary website but delivered through Amazon.
  • A medium sized box comes with 24 ovulation strips and 4 pregnancy tests.
  • Purchase cost $47, which is is approximately $1.68 per strip.
  • Test strips are recommended to sit for 10 minutes.
  • Does not come with its own app connection, so if your memory is good then you can easily keep track of the progression of the line getting darker. Alternatively you would need to take pictures of the test results and store them on your phone.
  • Comes with small cup to collect urine sample, too small if you ask me!

Pearl Fertility

Pearl fertility is the first company I have seen to offer two different test strips to measure both Follicle Stimulating Hormone (FHS) AND Luteinizing Hormone (LH). While this offers more information, it is also more days of testing and more strips to use. This product is also sold in US dollars which is more costly for Canadian consumers (which all of my patients are)

  • Strips are purchased through the Pearl Fertility website.
  • Medium kit comes with 15 FSH strips,15 LH strips and 2 pregnancy strip tests.
  • Cost $40 US, which is approximately $1.60CDN per strip.
  • Comes with reusable strip holder, which can make collecting sample easier for some. (You pee directly on the stick instead of collecting into a cup)
  • Pearl Fertility has its own app to track your menstrual cycle and take in-app pictures of your test strip results. It uses the visuals of a flower opening to show when and where you are in your fertile window. This app does not store the images, so you cannot see the progression of the strip line darkening as you get closer to ovulation, I find this less ideal.
  • This is also the only app that suggested collecting first morning urine samples.
  • Test strips are recommended to sit for 10-15 minutes.

Easy@Home Premom

Easy@Home is my recommendation for ease of use and cost value. Considering the product and connected app function well, it is impossible to beat the price on this product.

  • Only available to purchase from Amazon
  • Best value – kit with 100 OPK’S and 20 pregnancy test strips.
  • Purchase price $40CDN – approximately $0.33 cents per strip *cheapest
  • Premom has its own app to track your menstrual cycle and take in-app pictures of your test strip results. This app stores all the pictures you upload, so you can see the progression of the test line getting darker, which I find helpful.
  • Test strips are recommended to sit for 5 minutes.

 

If you decide to give any of these products a try, I would love to hear how they work for you. I hope you find this product review and comparison helpful!

 

 

 

 

 

 

herbal medicine postpartum

Herbal Medicine for Postpartum

by Postpartum CarePregnancy SupportReproductive Health

Herbal medicine for postpartum

One of my favourite ways to support mums postpartum is through diet and herbal medicine. It is an accessible and super safe way to gentle nourish the body after pregnancy and labor.

This is also one of the best ways to plan ahead for postpartum nourishment during the later stages of pregnancies. Most of my patients in their third trimester have begun food prep and meal planning. With some strategic planning, we can enhance the meal prep to make sure the body is recovering and regaining strength.

Dietary recommendations postpartum

  • Goji berries – great for recovery and blood building.
  • Warming spices like ginger, cinnamon, nutmeg, clove, nutmeg, black or white pepper, cardamom, orange peel, and fennel. *Ginger is great for postpartum because of its warming properties and ability to help shrink the uterus.*
  • All kinds of broth!  chicken, beef, fish, mushroom and seaweed. Drink it like a cup of coffee, cook grains with it or make soup or stew with it *the tip I always recommend, is making a big batch of broth, and freezing it into ice cube trays so for daily consumption, pour boiling water over 1-2 broth cubes and consume in a coffee or travel mug*
  • Seaweed is mineral rich, high in protein and iron. Great option for miso soup!
  • Mushrooms (shitake, chaga, reishi) are great immune boosters.
  • Eggs to nourish the body and the rebuild after blood loss.
  • Teas: Nettle is high in iron and can help with immunity. Red raspberry leaf supports uterine health and mothers milk tea by traditional medicine is a great!

Herbal medicine post partum

For some, dietary recommendations alone are not enough to help with the symptoms presenting. In cases, herbal formulas can provide a bit stronger benefit (while still being safe for breastfeeding).

I will prescribe herbs such as:

  • Astragalus: immune boosting, helpful for energy levels and fatigue, for prolapse
  • Ginseng: warming and nourishing, immune boosting, for some can help with anxiety due to deficiency after labor
  • White peony: nourished the blood, reproductive blood flow
  • Dong Quai/ Angelica: blood building

*these are an example of herbs used and is not to be used in lieu of a personalized prescription*

For a customized diet or herbal plan for your postpartum recovery, please call 1 778 400 6360.

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herbal medicine postpartum

stress and hormones

Managing stress to balance hormones

by Emotional Health and WellbeingLifestyleMenstrual CycleReproductive HealthRitual Medicine

The bodies response to stress

Human bodies were designed to very effectively address stressful situations. The fight or flight response was a lifesaving mechanism back in the day.

Nowadays the body can feel the stress of a busy work week, a challenging coworker, traffic when you are late, but it cannot differentiate that your life is not on the line. So, not recognizing the distinction, pumps out all the same chemicals and hormones that it would if you were in fact, in a life or death situation.

The hormone cascade during a stress response

The hypothalamus and pituitary gland (both in the brain) are talking to each other and telling each other what to be doing when stress happens. They send signals down to the adrenal glands (sitting on top of the kidneys) to release a specific cascade of stress hormones.

Think adrenaline and cortisol.

Adrenaline boosts blood pressure and heart rate.

Cortisol sends glucose to your muscles so you can outrun danger.

When the body is in a constant state of stress, with elevated or unregulated adrenaline and cortisol levels, the perpetual state of ‘on alert’ can wreak havoc on your hormones.

If you read the previous blog post on blood sugar levels, you will know that mismanaged blood sugar is a stressor that can cause this effect in the body (see how its all related).

Over prolonged periods of time, this may lead to something that is called adrenal fatigue. This I often see in overworked people, CEO’s, single parents, or anyone in a longterm state of stress.

A few ways to manage stress in the body

As you have learned, there are internal stressors in the body, like unregulated blood sugar levels; and there are external stressors on the body, like job stress, traffic, finances etc.

As you would have read in previous blog posts, there are a few simple steps to help manage stress, although they may not always be easy.

Get enough sleep. This is wear your body rests, repairs, and manages inflammation.

Manage blood sugar levels

Exercise regularly  – high intensity or low impact will depend on your bodies needs and current symptoms

Meditation or flow state – even 1-2 minutes of meditation per day can be impactful. If meditation doesn’t feel right, find an activity that allows you to be focused, present and playful.

For a more comprehensive program to help your body manage stress, get in touch for a virtual or in person consultation.

Call 1-778-400-6360 to book.

 

stress and hormones

Balancing hormones by regulating your blood sugar levels

by DietLifestyleReproductive Health

What does blood sugar have to do with hormones and menstrual cycle?

Unstable blood sugar can be an important underlying cause behind hormonal problems.

“Your endocrine system (hormone system) performs all of its complex functions via the language of the hormones. One of its main functions, first and foremost, is transporting glucose to your brain, muscles and heart. If anything with that process is amok, you’re going to have mismanaged blood sugars as your first problem; as a result, though, none of the other parts of your endocrine system will function according to plan either!” – Vitti

Hormones are the body’s chemical messengers, helping to control nearly every physiological process in the body. This includes metabolism, immune functioning, the menstrual cycle, and overall reproductive health

Balanced hormones are essential for overall health. (Head back to this article to learn more about that.)

Blood sugar metabolism in the body

Three of the organs associated with blood sugar regulation in the body, are the pancreas, the liver, and the brain.

When you eat an abundance of sugar, or things that turn into sugar, the pancreas reacts to this increase in glucose in the body by releasing insulin. When your blood sugar is low, your pancreas pumps out glucagon, which the liver turns into glucose so that it has enough to send to your muscles, brain and heart.

Maintaining control of your blood sugar levels can become a delicate seesaw process that easily goes awry.

Therefore, a diet high in sugar can have significant effects on the reproductive hormones.

How to stabilize blood sugar levels

A good place to start is by working with your health provider to do a simple blood test checking for fasting blood sugar and insulin levels.

Depending on results, these tests may be repeated after a few months of diet and lifestyle shifts.

A few simple steps to get started:

  • Notice how you feel after you eat certain foods. Are you tired, lethargic, energized, or bloated?
  • Eat well rounded, nutrient dense meals, avoid snacking. This allows time for the body to metabolize the food and self regulate blood sugar levels (if you have any other disorders, like diabetes or PCOS, talk about this with your care provider)
  • Less refined white sugar, instead try fresh fruit or substitutes like honey or maple syrup
  • Drink enough water. This can help with over eating and proper elimination
  • Avoid processed food, fast food, oily and greasy food

These are great steps to get started regulating blood sugar levels, for more personalized support get in touch to book a virtual or in person initial consultation.

Call 1-778-400-6360 to book!

 

balanced hormones

Balanced hormones- for more than fertility

by InfertilityLifestyleMenstrual CyclePregnancy SupportReproductive HealthRitual Medicine

The importance of a healthy menstrual cycle

We all know the importance of balanced hormones, but do we really know why? Many of my patients come into my office thinking that the only reason to address hormonal imbalances or menstrual cycle challenges is if they want to get pregnant.

While, if that is a goal of yours, it is essential to address these issues, your menstrual cycle health has so much more to do with your overall health than just your ability to conceive.

Balanced hormones and a healthy menstrual cycle has major roles in

  • Cardiovascular health
  • Bone and joint health
  • Libido (sex drive)
  • Stress management
  • Adequate sleep

to name a few!

Hormone balancing basic

There are a few basic tools and steps I invite my patients to incorporate during their treatment plans to help reach their health goals.

The book titled ‘Womancode’ by Alisa Vitti, is one I encourage all my patients to read. It offers a step by step introduction to hormone balancing. It is easy to read and understand.

I will be elaborating on these steps in this blog series. Vitti breaks it down into 5 simple steps:

  1. Regulate blood sugar levels
  2. Address stress and the adrenals
  3. Proper elimination
  4. Understanding your menstrual cycle
  5. Living in alignment with your cycle energy

Simple, but not always easy

While the information I will be sharing with you about balancing hormones may seem simple at first, it is not always an easy adjustment if you are used to eating, acting and living a certain way.

I will be the first to admit, it is not always easy to see the correlation between these actions and our symptoms. With anything cycle related it can takes weeks, or even months, to notice any change. So, often times you will not see the direct benefit from your actions right away.

However, if you stick to these simple hormone balancing tools, with time, you will start to notice a change in your menstrual cycle, energy levels, and more!

 

 

 

As always, get in touch with any questions of concern you may have, or to book an initial consult either virtually or in person.

Call 1-778-400-6360 to book.

balanced hormones

Third Trimester – Pregnancy Acupuncture

by Postpartum CarePregnancy SupportReproductive Health

The final stretch – the third trimester

It may feel as if there’s no way your belly can get any bigger, but there’s no doubt about it —  it will get bigger over the course of the third trimester of pregnancy. A lot bigger. Here’s what to expect from your body and your rapidly-maturing baby in these final few weeks.

Some commonly asked questions about these last few weeks

How long is the third trimester?

Week 29 – Week 40 (birth)

How is my body preparing for delivery?

One of the ways your body prepares is as your due date approaches, your cervix becomes thinner and softer in a process called effacement that helps the cervix open during childbirth.  This is a normal, natural process that helps the birth canal (vagina) to open during the birthing process.

Why do I have to pee so much?

As you baby grows, the pressure on your organs will increase, including your bladder.

How is my baby growing?

  • Your baby’s bones are soft but fully formed.
  • Movements and kicking increase.
  • Body fat increases
  • The eyes can open and close.
  • Organs are almost fully developed
  • Lanugo (fine hair) begins to fall off

Symptoms you may experience

  • Your belly button may protrude
  • Hemorrhoids
  • The baby “dropping,” or moving lower in your abdomen
  • Heartburn
  • Difficulty sleeping
  • Anxiety
  • Contractions – which may be a sign of real or false labor
  • Softening of ligaments and joints in preparation of birth
  • Stretch marks

Tips to manage third trimester symptoms

  • Keep moving – gentle walks, a prenatal yoga class
  • Massage- most mums find massage extremely helpful for general aches and pains during pregnancy
  • Acupuncture for labor preparation and cervical ripening
  • Plan ahead for postpartum care. I invite all my patients to pre book their post party visit prior to labour. This ensures if there are any post part symptoms to address, they won’t be put on the back burner. Postpartum doulas are extremely helpful, to help with cooking, holding baby while you shower, offering advice about recovery, breastfeeding etc.

 

 

Stefanie Miska is a licensed acupuncturist and herbalist with a practice focus on reproductive care. Call 1 778 400 6360 to schedule a consult.

 

Second Trimester – Pregnancy Acupuncture

by Pregnancy SupportReproductive Health

Second trimester of pregnancy

The next three months bring lots of changes for your growing fetus and, most likely, welcome relief from early pregnancy symptoms. Here’s everything you need to know to really sail through most women’s favourite time of pregnancy, the second trimester: weeks 14–28.

Once you enter the second trimester you may find it easier than the first. Your nausea (morning sickness) and fatigue may lessen or go away completely.

However, you will also notice more changes to your body.

That “baby bump” will start to show as your abdomen expands with the growing baby. By the end of the second trimester you will even be able to feel your baby move!

Symptoms you may experience

While most mum’s find the second trimester the most comfortable in terms of symptoms or general discomfort, here are some symptoms that you may experience:

  • Heartburn
  • Low back or pelvis discomfort
  • Mild swelling of ankles and feet
  • Varicose Veins

 

What part of my baby is growing?

  • Digestive system
  • Senses: by week 22 of pregnancy, baby is developing senses and is starting to smell, see and hear, and those little eyes are beginning to open.
  • Heart
  • Hair, Skin, Nails
  • Brain

What tests or screening might I need to get?

  • Glucose screening: About one in 10 pregnant women is diagnosed with gestational diabetes, which is why the American College of Obstetricians and Gynecologists (ACOG) recommends that all women be screened for the condition around week 24  to week 28 of pregnancy.
  • Ultrasound/ Reveal the sex of the baby: Usually between 18 and 22 weeks of pregnancy, your doctor will measure the baby, check developing organs, determine the amount of amniotic fluid, and — if you like — clue you in on the sex of your baby.
  • Possibly, prenatal genetic screening: If you haven’t already and if you have certain risk factors, your doctor may suggest a genetic screening
How should I be taking care of myself during these few weeks?
  • Eating a well balanced, nutrient dense and nourishing diet. Think lots of vegetables, health fats and quality protein.
  • Making sure to move your body at least a little every day, gentle yoga, a walk around the block, a living room dance party, increasing blood flow and strengthening muscle tone is crucial.
  • Tracking your weight gain and making sure you have your doctors appointments scheduled.
  • Consider planning a baby moon. Since first-trimester nausea should be quelled (and some airlines put restrictions on traveling later in pregnancy), now’s a good time to plan one last hurrah before baby’s arrival.
  • Continuing on with your regular acupuncture treatments to keep you feeling as good as possible!

 

 

Stefanie Miska is a licensed acupuncturist and herbalist with a practice focus on reproductive care. Call 1 778 400 6360 to schedule a consult.

 

First Trimester – Pregnancy Acupuncture

by Pregnancy SupportReproductive Health

First trimester of pregnancy

For some folks, the first trimester of pregnancy can be the most challenging. With symptoms ranging from extreme fatigue to debilitating nausea, and the sensitive (sometimes secretive) nature of this time can lead to feelings of isolation.

When I work with mum’s in their first trimester, having a safe container to speak openly about their experience is welcomed and often looked forward to.

Some commonly asked questions

How long is the first trimester?

The first trimester lasts from week 1 through the end of week 13 of pregnancy

What part of the baby is growing during this time?

Bones, hair and nails, digestive system, heart, brain, sense of taste and touch, muscle and white blood cells

Is it a Boy or girl?

You probably won’t know if you’re having a baby boy or girl for about 16 or more weeks, but sex is determined at the moment of fertilization.

Some common symptoms during the first trimester

Morning sickness: not all women experience their nausea or vomiting during the morning hours. Symptoms can be felt at any time of the day or night. Some women experience mild symptoms while some require medication to subdue vomiting.

Fatigue: a common symptom (your body is doing some pretty amazing things!) extreme fatigue should be check by your care provider.

Weight gain: if you are feeling more hungry and consuming more calories through the day, some weight gain is completely normal, a greater increase in weight will be noticed later in the pregnancy.

Tips to manage first trimester  symptoms

Rest- if you feel tired, sit down, take a nap, let your body rest. One of the most common complaints I hear in my clinic is about lack of energy in the first trimester, where working long hours, attending many meetings throughout the day, and maintaining our usual social and exercise schedule feels impossible. Listen to your body, yes exercise is important, and letting your body rest during this time is possibly more important.

Eat frequently- eating small meals or snacks consistently throughout the day can help with nausea and vomiting, mood changes and energy levels. Bland, easy to digest foods work well. Think plain crackers, congee, potato soup etc. Always a good idea to keep snacks in your purse, your desk and work and in the car.

Get acupuncture- acupuncture is extremely supportive and beneficial for symptoms like fatigue, nausea, stress/anxiety, mood swings, digestion, threatened miscarriage, etc.

 

 

Stefanie Miska is a Dr. TCM, a licensed acupuncturist and herbalist with a practice focus on reproductive care. Call 1 778 400 6360 to schedule a consult.

 

Acupuncture During Pregnancy

by Pregnancy SupportReproductive HealthRitual Medicine

Is Acupuncture during pregnancy safe?

Pregnancy is a transformational and exciting time in a new families life. It can bring so many different emotions and symptoms with it. From joy, anticipation, fear and worry, to nausea, fatigue, physical discomfort and more.

The first and most common question we get is “is acupuncture safe during pregnancy?”.

The answer is YES, absolutely.

By working with a trained and licensed care provider, and someone who specializes in pregnancy care, you are in good hands during your pregnancy.

With all the poking and prodding that comes along with pregnancy, getting stuck with needles voluntarily probably seems like the last thing you’d want to do. But when it comes to banishing some pregnancy woes, many moms-to-be sing the praises of acupuncture. 

A few of the benefits of acupuncture during pregnancy:

Acupuncture eases nausea

Pregnancy-related nausea and vomiting are common among women, particularly in the first and second trimesters. Acupuncture helps to ease the severity of these symptoms and support the body.

Acupuncture relieves pain

Women experience discomfort in all stages of their pregnancy, whether it’s pelvic pain, hip pain, lower back pain or ligament pain. Acupuncture is a safe, natural and effective way to improves these complaints.

Acupuncture reduces stress

Stress can have a negative impact on the pregnant body and the development of your baby. Acupuncture helps to calm the nervous system and reduce stress in the body which is beneficial to both mum and babe.

What can acupuncture during pregnancy treat?

During pregnancy, acupuncture has been shown to effectively treat the following conditions :

  • Miscarriage prevention
  • Morning sickness (nausea and vomiting)
  • Fatigue
  • Pregnancy induced hypertension
  • Breech and posterior positions
  • Edema (fluid retention)
  • Constipation
  • Acid reflux
  • Sinusitis
  • Hemorrhoids
  • Pain
  • Induction
  • Cervical Ripening

 

 

Stefanie Miska is a Dr. TCM, a licensed acupuncturist and herbalist with a practice focus on reproductive care. Call 1 778 400 6360 to schedule a consult.

 

 

Preconception Care – Trimester Zero

by InfertilityLifestylePregnancy SupportReproductive Health

Planning ahead for the important things in life

We all know the importance of planning ahead for those big, life changing decisions. Like buying a new house, planning a wedding, preparing for your next vacation, yet often times we don’t spend very much time at all, planning for one of life’s biggest journeys – parenthood, and more specifically – getting pregnant. This is called preconception care.

Have you ever considered that most folks spend more time planning their wedding than they do planning to conceive?

Research confirms that the growth cycle of both sperm and eggs is approximately 90 days. So that means, if getting pregnant is something you are wanting or planning for in the near future, taking steps at least 3 months in advance to make sure you and your partner are healthy, is super important.

What is preconception care?

Preconception care is defined as:

a set of interventions that aim to identify and modify medical, behavioral, and social risks to a woman’s health or pregnancy outcome through prevention and management.

These 3 months prior to conception are considered Trimester Zero. An integral part of the pregnancy journey.

What you should be doing to prepare for pregnancy

Some things to include during trimester zero:

  • A good prenatal supplement
  • Family doctor or Naturopathic Doctor check up with lab/blood work
  • Regular acupuncture treatments
  • Limiting stress or incorporating mindfulness technique like meditation or gentle walks in nature

When you received regular acupuncture treatments in preparation for conception, some of the benefits include:

  • More relaxed
  • Stress management
  • Increased blood flow to the reproductive organs
  • Balanced hormones
  • Improved egg quality

Many things impact our health and ability to conceive

When I work with patients who are trying to get pregnant there are many important factors that come into play. Having support from your health care team is one of those integral factors.

We know how influential the external environment and lifestyle can be for your overall health, and the health of your eggs and unborn children. Your genetic material is influenced by these factors so taking pro active steps for you and future baby is essential!

Schedule your consult for preconception care by calling 1 778 400 6360.