Third Trimester – Pregnancy Acupuncture

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.

 

Cervical Mucus

Cervical Mucus – How to tell if you are ovulating

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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importance of ovulation

The Importance of Ovulation (and its markers) for Women’s Health

A key marker for overall health

One of the key markers of a healthy menstrual cycle is ovulation, to catch yourself up on exactly what is happening during ovulation, check back to the original blog post here.

In addition to being paramount in conception, ovulation is ALSO important for the health of, your bones, cardiovascular system, and your overall endocrine (hormonal) system.

After reading the blog post ‘The ovulation phase of the menstrual cycle’ , you now know what is happening in your body, the next question is … how can you tell if you have ovulated?

How to tell if you have ovulated

There are three key markers (plus a bonus one) to help you tell if your body is ovulating, and if so, when it is.

The four markers of ovulation are :

  1. Basal Body Temperature or BBT / cycle charting
  2. Cervical fluid/mucous
  3. Position and firmness of cervix
  4. Mittelschmerz

 

The top three are markers, that if use correctly, are very accurate ovulation predictors.

One of the things I always educate my patients on is the importance of presence over prediction. While most often, the cycle tracking apps we have on our phones, or when we are planning ahead as to when we can expect our next period – it is usually based on past cycles and using that old data to predict what will happen and when, during this upcoming cycle.

Your whole menstrual cycle, and especially ovulation and your period, is a report card of the last few weeks, or months, of your life. There are many factors that may change the duration of one or more of the phases of your menstrual cycle, and tuning into that is more important than what date you ovulated last cycle.

Disruptors of healthy ovulation

Things that may disrupt regular cycle patterning are:

  • Travelling
  • Changing time zones
  • Daylight savings
  • Stress (this includes good stress like planning a wedding or going on vacation)
  • Lack of nutrition / change in diet
  • Illness

Observing ovulation during your cycle is important for understanding your body and your overall health.

It is an easy way to keep track of how your hormones, your physical and emotional body are doing.

 

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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importance of ovulation

ovulation

Ovulation Phase Of The Menstrual Cycle

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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menstrual cycle

Menstrual Cycle Simply Explained

Menstrual cycle basics

For many, the understanding is that the menstrual cycle is comprised of the only ‘obvious’ phase of the cycle … when you have your period.

Your period, or your menstrual cycle, is actually the entire time from the first day of your period, all the way until your next period starts, but the length may vary from cycle to cycle, and may also change over the years.

Cycle length changes between menarche (when periods first start during puberty) and menopause (when periods stop permanently).

The average number of days for this is 28, however for some, it is still considered a normal cycle anywhere between 22-35 days.

All bodies are different, so the length of your own menstrual cycle may be shorter or longer and not all menstrual cycles are regular.

Hormone signals are sent back and forth between the brain and the ovaries, causing changes to the sacs in the ovaries that contain eggs (follicles) and the uterus

Understanding your period

Your menstrual cycle is actually made up of 4 distinct phases:

Menstruation (your period)

This phase can range from 2-7 days, this is when you are bleeding- the shedding of the uterine lining. Levels of estrogen and progesterone are low.

How it might affect you: During menstruation, you may feel low on energy and have aches or pains. This is a time for rest and inward contemplation, this is not a time for high intensity exercise or expanding your energy outward.

Follicular Phase

This is the phase after bleeding until ovulation (around day 14) Estrogen rises as an egg prepares to be released.

How it might affect you: Your estrogen levels start to rise and you might find yourself being in a better mood and having more energy. During this phase you might notice a higher sex drive and more discharge (clear or white sticky mucus).

Ovulation

The release of the egg from the ovary, mid-cycle. Estrogen peaks just beforehand, and then drops shortly afterwards.

How it might affect you: During this phase you might feel a boost of energy and inspiration. You might also feel an increase in your sex drive.

Luteal Phase

The time between ovulation and before the start of menstruation, when the body prepares for a possible pregnancy. Progesterone is produced, peaks, and then drops.

How it might affect you: In the first part of this phase, you will experience the benefits of the hormone surges from ovulation. During the second half of this phase, due to the rise in progesterone your stress levels can increase easily and you might feel moodier during this phase. You might also feel easily irritated, experience some sadness or feel anxious. Your breast might feel more sensitive or even sore.

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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