Balanced hormones- for more than fertility

by Stefanie Miska, Acupuncturist Victoria Infertility Lifestyle Menstrual Cycle Pregnancy Support Reproductive Health Ritual 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:

Regulate blood sugar levels
Address stress and the adrenals
Proper elimination
Understanding your menstrual cycle
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

Mittelschmerz – How to tell if you are ovulating

by Stefanie Miska, Acupuncturist Victoria Endometriosis Menstrual Cycle PCOS Reproductive Health

Ovulation Marker #4 – Mittelschmerz

The previous three blog posts have highlighted proven methods of detecting ovulation. The bonus marker for detecting ovulation is mittelschmerz, a German word that means ‘ middle pain’.

While this marker isn’t an accurate (a.k.a official) marker for ovulation, many women experience mittelschmerz around ovulation.

Defining the word

Mittelschmerz: Pain due to ovulation that usually occurs at the midpoint between the menstrual periods. From the German mittel, meaning ‘middle,’ and schmerz, meaning ‘pain.’

Ovulation pain may occur because that follicular growth stretches your ovary before the egg’s release. It might also happen when the cyst actually ruptures, letting loose the egg along with some cystic fluid or blood, which can irritate the lining of your abdomen.

Mittelschmerz pain usually lasts a few minutes to a few hours, but it may continue for as long as a day or two.

How to know if you are experiencing mittelschmerz

While most describe it as a slight pinching sensation, you may experience pain that is:

On one side of your lower abdomen
Dull and cramp-like
Sharp and sudden
Accompanied by mild vaginal bleeding or discharge
Rarely, severe

Mittelschmerz pain occurs on the side of the ovary that’s releasing an egg (ovulating). The pain may switch sides every other month, or you may feel pain on the same side for several months.

Keep track of your menstrual cycle for several months and note when you feel lower abdominal pain. If it occurs midcycle and goes away without treatment, it’s most likely mittelschmerz.

If you have been keeping track of your other signs of ovulation, BBT, cervical mucus, and position of the cervix, and know you are around ovulation, then mittelschmerz is an added tell, or sign, that ovulation is occurring.

I hope you enjoyed this added bonus marker!

Book your consult by calling 1 778 400 6360 or if you are not local, we can connect virtually by booking your 15 minute here.

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Cervical Mucus – How to tell if you are ovulating

by Stefanie Miska, Acupuncturist Victoria Infertility Menstrual Cycle Pregnancy Support Reproductive Health

Ovulation key marker #2 – Cervical Mucus

One of the key markers of ovulation is cervical mucus. You have likely noticed it before, whether you knew it was linked to ovulation or not.

But … what is cervical mucus?

The hormones that control your menstrual cycle, they also make your cervix produce mucus. Thats the gooey stuff on your cervix that comes out of your vagina as discharge.

Your cervical mucus changes in colour, texture, and amount during your menstrual cycle, and especially around ovulation.

Cervical Mucous (also known as CM) increases at ovulation due to the increase in estrogen levels. This helps to create a hospitable environment for sperm.

Cervical fluid can be divided into two categories, peak and non-peak mucous. While both are considered fertile mucous, peak mucous is the well known, stretchy, egg white consistency.

Cervical mucous plays an important role in helping sperm survive longer in the vagina and helping them to move upward to connect with the waiting egg for conception.

Sperm can survive in the vagina for up to 5 days. Knowing when you are ovulating, by observing cervical fluid, can be an integral part of achieving or avoiding pregnancy.

You have likely noticed an increase in discharge around mid cycle, which you can tell by the slippery consistency when you wipe after going to the bathroom, some in your underwear or an overall feeling of increased wetness or lubrication.

Cervical mucus is 100% normal

In Toni Weschler’s book ‘Taking Charge of your Fertility’, she highlights a story about a women who was convinced she was having reoccurring infections every month and would continue to visit her doctor asking for antibiotics. What she did not realize, was that the increase in discharge, which happened monthly, is completely normal, and actually a really healthy part of the menstrual cycle.

Some things to look out for, which may require a check in with your doctor, is discharge that is foul smelling, green or thick yellow.

How to check for cervical mucus

There are three ways you can check your cervical mucous

Wipe the opening of your vagina before your pee with toilet paper, check the colour and feel of the mucous
Look at the colour and texture in your underwear
Put clean fingers into you vagina, and then check the colour and texture of the mucous with your fingers

Book your consult by calling 1 778 400 6360 or if you are not local, we can connect virtually by booking your 15 minute here.

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How to tell if you are ovulating – Tracking your temperature BBT

by Stefanie Miska, Acupuncturist Victoria Endometriosis Infertility Lifestyle Menstrual Cycle PCOS Pregnancy Support Reproductive Health

Ovulation Marker #1 – Tracking your BBT

Tracking your basal body temperature, abbreviated as BBT, is one of the main, and most common ways to track ovulation.

Taking your BBT, involves taking your temperature at roughly the same time every morning before getting out of bed. This includes logging your results, either by paper chart, or one of the handy apps you can download on your phone, to keep track of daily measurements and patterns

How to track your BBT

In order to do so, you will need a thermometer that goes to 2 decimal points, for example 36.68C or 97.68F. This makes it easier to notice temperature shifts, which is what you are looking for.

After ovulation, a hormone called progesterone, is released from the same follicle that the egg came from. This release of progesterone creates a slight temperature increase in the body. This is how we know ovulation has occurred, by tracking BBT.

For example, if you are taking your temperature throughout your entire cycle (which is required to get an accurate reading) your temperature will be lower for the first half, and higher for the second half.

Understanding your menstrual cycle

If you are unsure about the different phases of the menstrual cycle, their duration and what’s happening, I encourage you to go back and read the previous posts:

Menstrual cycle simple explained

If a person has, say, a 28 day cycle (let me clarify though, a ‘normal’ cycle is anything between 21-35 days) from day 1 (first day of bleed) to day 14 (ovulation), body temperature would be roughly 2 tenths of a degree cooler than from day 15 to when bleeding starts again.

*If pregnancy occurs, progesterone levels continue to rise (throughout pregnancy) and therefor body temperature continues to rise and will not drop again at day 28.

You can purchase a BBT at any drug store, or easily off amazon. While you can get more fancy versions, it is not necessary, and you can easily get started with a thermometer for $20.

Apps to use when you start tracking your BBT

Some apps to check out are:

Kindara
Daisy
Natural Cycles
Clue
Period Tracker

It is important to remember, that in order to get accurate readings, you must take your temperature after 5 hours of uninterrupted sleep, at roughly the same time every morning, and certain things like drinking alcohol, staying up late, or illness will effect your body temperature.

If you need help with charting your cycle or learning to read your BBT, book your consult by calling 1 778 400 6360 or if you are not local, we can connect virtually by booking your 15 minute here.

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Tracking your BBT

Ovulation Phase Of The Menstrual Cycle

by Stefanie Miska, Acupuncturist Victoria Menstrual Cycle Reproductive Health

What is ovulation?

Ovulation (the Ovulatory phase) is the shortest phase and lasts for 2-3 days.

Ovulation is when a mature egg is released from the ovary, pushed down the fallopian tube, and is made available to be fertilized.

Approximately every month an egg will mature within one of your ovaries. As it reaches maturity, the egg is released by the ovary where it enters the fallopian tube to make its way towards waiting for sperm and the uterus.

The lining of the uterus has thickened to prepare for the fertilized egg. If no conception occurs, the uterine lining, as well as blood, will be shed.

The shedding of an unfertilized egg and the uterine wall is the time of menstruation.

The interlude – ovulation

The dominant follicle in the ovary produces more and more estrogen as it grows larger.

The dominant follicle reaches about 2 cm (0.8 in)—but can be up to 3 cm—at its largest right before ovulation (6,7). When estrogen levels are high enough, they signal to the brain causing a dramatic increase in luteinizing hormone (LH).

This spike is what causes ovulation (release of the egg from the ovary) to occur. Ovulation usually happens about 13-15 days before the start of the next period.

During this time, if the egg comes in contact with sperm, it is fertilized. So keep in mind that during these days you are most likely to get pregnant (remember to use contraception).

The egg will survive for 12-24 hours and will either be fertilized or will die. Your cervix becomes soft, moves up higher and opens. It moves up higher to help the egg get the best sperm – the sperm have to swim farther to get to the egg. Your cervical fluid is very clear or viscous egg-white fluid, with lots of elasticity.

Hormones during ovulation

The two main hormones from the previous phase, estrogen and testosterone, continue to ride to their peak levels, enhancing all the benefits you enjoyed during the follicular phase.

You may notice you look, and feel, more attractive, and more confident. Your senses may feel heightened, your vision, smell and taste. You also may notice an increase in libido, or sexual arousal, again – mother nature doing its part to ensure procreation.

What to do when you are ovulating

This is a great time to connect with your sexual energy and put it towards connecting with your own body and energy, or with your partner. Ovulation phase is the optimal time to be putting energy outward, to connect with new friends and relationships, to make future plans, and plan public speaking or networking events.

This is also the best time in your cycle for high impact and intensity workouts.

Book your consults by calling 1 778 400 6360 or if you are not local, we can connect virtually by booking your 15 minute here.

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The Menstruation Phase Of Your Menstrual Cycle

by Stefanie Miska, Acupuncturist Victoria Menstrual Cycle Reproductive Health

What is happening when you are on your period?

The first day of bleeding is considered day one of your menstrual cycle. On this day, the hormone progesterone plunges, which causes the uterine lining to shed, AKA “your period”

Each menstrual cycle starts with menstruation (the period). A period is the normal shedding of blood and endometrium (the lining of the uterus) through the cervix and vagina.

A normal period may last up to 8 days, but on average lasts about 3 to 6.

The first day of your period is the start of your menstrual cycle. The reason you might experience menstrual cramps during the first days of your periods is that the uterus lining breaks down and sheds. In order to do this, the muscles of the uterus contract (to help push the blood and tissue down) which can cause cramping.

You begin menstruation- old blood and tissue from inside the uterus is shed through the vagina

Why energy is lower on your period

During your first week, estrogen starts out at its lowest point and begins a steady climb. For the first day or so of this cycle week, the low level of this hormone combined with period-related aches and fatigue may make you a bit quiet and have you preferring to stay close to home.

This is why it is important to rest while you are bleeding. This can be counterintuitive to how society and your schedule is structured. While it may seem less productive for those few days while bleeding, if you allow your body space to rest during this time, your overall productivity will be greater.

What exercise to do when you are on your period

This is a great time to keep your to- do list short, and your calendar clear.

By honouring your body and its rhythms, unwanted symptoms tend to be less.

Simple and gentle movement like yoga, deep stretching, or a walk out in nature are great things to schedule during this time. Strenuous activity should be kept for the other few weeks of your cycle.

Book your consults by calling 1 778 400 6360 or if you are not local, we can connect virtually by booking your 15 minute here.

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