Spring is a powerful symbol of fertility, rebirth and renewal.  In our upcoming book The Infertility Cleanse, we spend a fair amount of time writing about the role of symbols in health and healing.  Warning:  this is one of those places where what we do at Pulling Down the Moon moves into the more mystical realm.  As you read the rest of this blog I will ask that you put your skeptical mind temporarily on “pause.”

To understand how symbols can help us to heal and to thrive, let’s understand a few basic concepts.

1. Symbols are images that describe a thought or belief.  Symbols can be personal (something in your life that means something specific to you) or they can also be societal or universal.  Symbols tend to gain power when the “resonate” for more than one person, i.e.  when they evoke the same thought or belief in more than one person.  However, your own personal symbols can be very powerful as well because they have meaning that is uniquely understood by you and can be very specific.

2.  If we look closely at symbols we will often find that it’s difficult to describe them in words.  The experience of trying to put a symbol into words is similar to trying to describe a vivid dream soon after waking.  Words cannot truly capture the power of the dream images and often the act of putting a dream into words drains the “power” one initially felt in dreaming.

3.  Finally, symbols act most powerfully by conveying a feeling state.   For example, to non-car aficionados, the Porsche logo says “power” or “money.”  But witness the power of Porsche for car lovers who have invested the Porsche symbol with a lot of energy.  For these folks the mere thought of owning or driving a Porsche can evoke a visceral feeling of speed or mastery.  Remember the hormone-happy  Tom Cruise character in Risky Business (Porsche – there is no substitute)?

Amazingly, brain science is beginning to shed some light on why symbols can evoke visceral reactions.   Apparently, the different hemispheres of our brain process sensory input differently.  Our left hemisphere is oriented toward linear reasoning and serves to organize sensory input in order, choosing details and constructing a reality that is based on a perceived “past” and projected into an imagined “future.”  The left brain thinks in words and numbers.  The right hemisphere of the brain thinks in pictures and is engaged primarily in the present moment.  It experiences, but doesn’t organize, sensory input.  Time does not exist for the right brain.   Nor does separation of Self from Other (for a striking depiction of right/left brain hemisphere function watch this video of neuro-scientist Jill Bolte Taylor).

This piece of neuro-science is very interesting from the yoga perspective.  In yoga, our aim is to create a state of whole-ness (yoga means union) that is experienced by our witnessing consciousness (we call this Awareness). We start with yoga postures that integrate the different parts of the physical body through balance, strength and stretching.  Yoga breath work (pranayama) brings awareness to our breathing and creates shifts in our state-of-mind.  Finally, meditation trains the mind to let go of the “chatter” that is primarily generated by the detail- and time-obsessed left brain and gives equal attention to the whole-ness of sensory input generated by the right brain.   Meditation does not aim to annihilate the left brain or glorify the right brain – it creates whole-ness and transcendence by unifying input from both brain hemispheres and allowing it to reside in a welcoming awareness.

While this is all well-and-good from a sit around and talk philosophy kind of way, what’s it got to do with symbols, healing and fertility?

Good question.  Fundamentally, we live in a left-hemisphere-driven  world that feel like the only “real” world.  We have lost the ability to connect with the right brain and the “Now-ness” it imparts to us.   However, the Now is enormously important.  Everything that ever happens happens in the Now.  New thoughts and new solutions arise in the Now, positive change happens in the Now, and healing, too, must also arise in the Now.  If we’re obsessed with negative thoughts and beliefs, the Now is a bummer.  If we’re open to positive thoughts and input the Now can be quite lovely.

Meditating on a symbol is like striking a tuning fork for the “Now” our right brain is experiencing.  Since the right brain thinks in pictures and symbols, a symbol can create a shift in the quality of the right brain awareness.   A positive or inspiring symbol can create  a positive and inspiring Now.  Take for example a simple meditation on Spring.  Spring is a powerful symbol of fertility and renewal.  The feeling you get when you “experience” Spring is visceral.  There’s a churning aliveness that feels as if it’s even making our hair grow!  We can use meditation on the symbol of Spring to bring these qualities into the “Now” of our lives.   If you don’t believe me, try the following simple meditation.

• Sit quietly, with a straight spine on the floor or in a chair.  Close your eyes and tune into your breath, simply feeling the inhales and exhales as pure sensation.
• When you begin to feel still, call to mind an image that symbolizes Spring - this could be a tulip, a leaf-bud or any image that calls to your heart and mind the energy of Spring
• As you hold the image/symbol in your mind’s eye allow the feeling of Spring to arise – the newness, the sense that winter is over, the sense of fertility and expectation, the smell of damp earth and green things growing.
• Rest in that feeling state for as long as you can – working up to 15 minutes.
• Upon coming back from your meditation, bring the feeling state of Spring back with you and practice holding this energized state as you move through your day.

This last part of the meditation is the most important.  Symbols can help us stay attuned to this happy (higher) vibration.  I use symbols in this way every day.  In my home I have a simple altar (actually it’s a shelf) where I place symbols that have a powerful personal meaning for me.  Whenever I am quietly going about my business at home, I light the candle and welcome the vibration of the inspiring symbols to permeate my “Now.”  Throughout my day I will often visualize lighting that candle and accessing these symbols in times of stress or need.

Reiki is an ancient Japanese form of Natural Healing.  Rei is the Japanese word for Universal (the Energy that is available for everyone) and Ki (chi in Chinese) is the Japanese word for energy. Reiki moves  the Ki that is abundantly available in the universe into the body for health and wellbeing.  Of the many holistic techniques for fertility (yoga, acupuncture, massage, nutrition) reiki is probably the most unknown.  That’s unfortunate because a session with a gifted Reiki Master has many benefits for the fertility journey.  (You can read more about reiki and fertility in Beth’s blog on the subject here).

We have many different ways to experience reiki at Pulling Down the Moon.

Yoga + Reiki = Bliss.  Join us for a Restorative Yoga + Reiki workshop on Saturday March 12 at Pulling Down the Moon in Chicago from 1 to 3 p.m.  Fertility yoga expert Jenilyn Gilbert and Reiki Master Lisa Espinosa will help you experience a deeply healing session of supported yoga poses and healing touch.  Pre-registration is required and space is limited.  Click here to register.

One-On-One Reiki for Fertility Sessions with our Reiki Master.  Call 312-321-0004 for more information.

Starting April 7 join us on Thursdays for a drop-in Reiki & Meditation Women’s Circle from 5 to 6 p.m. every Thursday.  Call 312-321-0004 for more information.

By Beth Heller, M.S.

Spring is coming and this time of year our minds turn inevitably to swimsuits, sleeveless sundresses and bare skin – when we’re not thinking about babies, that is.  Body conscious times like this can create additional stress for those of us who are trying to conceive.   Many of us have given up exercise during our fertility journey,  the fertility medications and emotional ups and downs that accompany treatment may have helped us gain a few pounds and our body image may be less-than-fabulous.  The good news is that a fit, toned body is not out of the question when we’re trying to conceive.  We just need to be smart about it.

At Pulling Down the Moon we use a sort of decision tree to help women find an exercise regimen that’s right for them:

1.  How close are you to your ideal bodyweight?

Body weight can play a major role in our fertility.   According to the American Society for Reproductive Medicine about 12% of infertility is related to weight – 6% of cases due to underweight, where a woman’s body is too lean for proper hormone function, and 6% due to overweight, where excesses of estrogen-producing adipose tissue (fat) disrupts hormonal balance.  For women who are close to their optimal weight, an exercise program should serve to reduce stress, develop/maintain strength and keep the heart healthy.  Women who need to lose weight should set goals to increase daily activity levels significantly through a program of low impact cardiovascular exercise, strength training and stress reduction activities such as yoga.   If you’re not sure about your ideal weight, a consultation with one of our nutritionists is a great place to start.

2.  What role has exercise played in your life up to this point?

Some women have a less-than-healthy relationship with physical exercise.  Some may hate it and struggle to fit it in to their day.  Chronic under-exercise can make it hard to maintain a healthy body weight or may contribute to sluggishness and depression.  On the flip side, there are those of us who train hard every day, use exercise to maintain an “ideal” body weight or feel anxious when exercise is limited.  Chronic over-exercise can raise levels of the stress hormone cortisol as well as negatively affect the function of the hypothalamic-pituitary-ovarian axis (the hormonal system that governs reproductive function).  Your relationship with exercise will dictate whether you need to slow down or speed up.

Once we know the answers to the questions above, we can begin to make recommendations.   In general, a fertility-friendly exercise program should include cardiovascular exercise that is low-impact and low to medium intensity, which means keeping our heart rate under 60% of max.  Exercise modalities like strength-training are  also fabulous when you’re trying to conceive.  Strength training increases lean muscle mass and helps us keep our bodies strong and shapely (although we need to be careful here – a body fat percentage of at least 22% is generally accepted as necessary for a regular menstrual cycle).  In addition to looking good, lean mass means increases metabolism and builds stronger bones.  Yoga is another must-try for those who are trying to conceive.  The yoga asanas increase strength, improve our flexibility and help to balance our hormones.  Yoga has been proven to reduce levels of the stress hormone cortisol and in yoga physiology its believed that specific yoga postures can be used to increase the flow of blood and life energy (prana) to reproductive organs.

So get out and exercise this spring, but exercise wisely.  For some of us, this will mean increasing our exercise levels, and for others it will mean slowing down – and some of us will find that what we’re doing is just right.  Remember, this is not the time to try and get ripped, drop your body fat percentage to “Hollywood” standards or train for a marathon.  A fertility-friendly exercise program will leave you feeling nourished and relaxed.

By Beth Heller, MS RYT

It has been one of those amazing weeks where emails from past yoga students have filled my inbox.   As I read the comments of women who have taken class with me or with another of our teachers or used treatments like nutrition, fertility massage and acupuncture at Pulling Down the Moon I realize how blessed I am that this is my life’s work.

Moreover, I am drawn back to the beauty of yoga and my faith in its applicability to the fertility journey.

In a week where headlines have trumpeted the results of a meta-analysis that shows that a woman’s stress levels do not impact her odds of IVF success (you can read an assessment of the strengths and weaknesses of this study here), I am reminded that yoga is far more than a stress-reduction technique.  From the strength and flexibility benefits gained from practicing poses, to the clarity and calm cultivated with breathing and meditation, yoga works on many different levels of being.  It invites us to step into the flow, to welcome ourselves not as we think we should be but as we really are and to embrace what we find.  Yoga engages us in the process – not just of conception – but of becoming whole.

I wanted to share some of what our students have shared because their words convey the gifts of yoga better than anything I can write.

“Because of my time at PDtM, meeting with and sharing such personal feelings with other participants, I have a kinder view of the world.  There are so many good, deserving ppl out there.  On one hand, it makes me hurt for women/couples like us when I see stories regarding children in need and think how unfair it is, but it also gives me a warm feeling to know that whatever souls end up in our care will be so loved and cherished.  The strength of ppl in our shoes continues to amaze me…Because of it I have more self-confidence and am more sure of myself in my own skin.  I know what I want and will do whatever it takes to get it.  While I realize the struggle to become parents can put a chink in the armor of marriage, I also know, first hand, that is can make a marriage stronger.”

“Everyone’s fertility journey is long, but I shall make this brief. After a miscarriage, my husband and I struggled to conceive our second child. I picked up your brochure at FCI.  I started coming to Moon in Chicago at the same time we started our relationship with FCI. When we were forced to take a month off after a failed artificial insemination, we conceived spontaneously…I truly believe that the acupuncture, your yoga dvd (my schedule didn’t allow me to come for the class), the meditation, the holistic vitamins…everything…helped us conceive our lil’ boy.  I think, most importantly, I felt empowered by these new practices and lifestyle changes. Western technology is amazing, but it puts the power in drugs, in ultrasounds. Moon provides a healing, grounded environment to come, breathe and gain strength in your body, in your spirit and in your mind.”

“I came to the doorstep of Pulling Down the Moon’s Yoga for Fertility Class in a very dark place. After two IVF cycles that both ended in miscarriage I needed to find a space in my life where I could not only  link up with supportive women who had similar experiences to mine but  a space where I could learn a Yoga and meditative practice to help my  body and mind heal. This is exactly what I found! This class gave me  the support and the tools I needed through Yoga with a community of  women to move onto to the next thing in my fertility journey. Our  teacher Rebecca was outstanding. I would highly recommend this class  to anyone no matter what part of the fertility journey you are on.”

I hope you will join me for our upcoming Yoga for Fertility sessions beginning Sunday, March 6 from 9:30 to 11 a.m.  The class runs for six weeks (no class on April 10) unti April 17.  Click here to register, or send me an email with your any questions to beth@pullingdownthemoon.com.

We hope you will take the time to read this wonderful article by Jenny Rough from Bethesda Magazine.   In the article Jenny shares her personal journey, interviews Reproductive Endocrinologists and speaks to women who used techniques like yoga, nutrition and Traditional Chinese Medicine to support their fertility journey.

We’re also excited to share that Jenny will be offering a FREE writing workshop at Pulling Down the Moon in Rockville on Saturday March 26 from 1 to 4 p.m.  Read more about this event here.

by Beth Heller, M.S.

Recurrent Pregnancy Loss (RPL) is one of the most frustrating fertility challenges a woman can experience.   One loss is devastating enough but the cycle of  expectation and disappointment that accompanies RPL can create feelings of despair.  But from both a medical and a holistic perspective, though, couples who experience RPL have plenty of reason to be hopeful.

“In practice we will initiate a work-up for RPL after two losses in a row,” says Reproductive Endocrinologist Dr. Christopher Sipe of Fertility Centers of Illinois.   A medical work-up is important since common conditions such as hyper/hypothyroid, PCOS, luteal phase defect , infection and diabetes can cause RPL.  Once there is a better understanding of the causes of miscarriage, steps can be taken to choose a treatment plan that will optimize the chance of a healthy pregnancy.

There are also holistic strategies for addressing potential root causes of miscarriage.

1.   Acupuncture and Traditional Chinese Medicine

From the Traditional Chinese Medicine perspective much of miscarriage prevention occurs in the months leading up to pregnancy. Regular fertility acupuncture treatment prior to conception can help to manage stress, potentially regulate the menstrual cycle and improve the uterine environment  by increasing blood flow – key elements promoting a healthy uterine environment and pregnancy.   In cases of  threatened abortion, several studies show that treatment with TCM herbs has been shown to be beneficial and may relate to an impact on endocrine hormones and abnormal maternal-fetal immune interaction.  While herbs are NOT appropriate during a medicated fertility cycle,  woman who are not using ART may wish to explore acupuncture and herbal therapy.  However, if you choose to consider this route, we recommend that you check with your OB before beginning any herbal regimen and ALWAYS work with a licensed TCM practitioner who specializes in fertility and pregnancy.

2.  Nutritional Support

Studies have linked conditions like hyper/hypothyroid, obesity, PCOS and oxidative stress to early pregnancy loss and each of these conditions has a nutrition connection.  Assuring that a woman’s diet is rich in antioxidant nutrients like Vitamin A, C, E and selenium can reduce oxidative stress.   In some cases, food allergy or intolerance may be causing gastro-intestinal inflammation which in turn may negatively impact the uterine environment or impair the absorption of nutrients that are vital to reproductive function, as in the case of celiac disease.  RPL is also more prevalent in women with  diabetes and PCOS. Working with a nutritionist to learn how to eat an anti-inflammatory diet that is rich in antioxidant nutrients, and supports good blood sugar regulation and  GI function not only supports overall fertility but may address root causes of pregnancy loss.

3.  Stress Reduction

Giving yourself time to grieve, finding community and surrounding yourself with positive people can make a huge difference for a woman who has experienced RPL and is “trying again.”  Researchers hypothesize a link between stress and poor pregnancy outcomes , so techniques like support groups, yoga and meditation not only help you feel better but may help you stay pregnant.

If you would like more information about holistic support for miscarriage or would like to meet with a Pulling Down the Moon Patient Advocate to discuss your particular experience, please call us at 312-321-0004 (Chicago-Area) or 301-610-7755 (DC Metro) or email us at info@pullingdownthemoon.com.

By Breea Johnson, MS RD

DHEA and DHA are two supplements that are often confused by people trying to conceive. While their abbreviations may look similar they are in fact very different – one is a fatty acid while the other is a hormone and one should be taken during pregnancy while the other should be avoided during pregnancy.

DHA stands for Docosahexaenoic acid, which is an omega-3 fatty acid and found in conjunction with EPA (Eicosapentaenoic acid). DHA is beneficial for neurological health and is added to prenatal vitamins for the central nervous system and optical development of a fetus. While it’s not always included in prenatal supplements, it is highly recommended that both pregnant and breastfeeding women take a DHA supplement. Consider this research:

• A 2004 study published in Child Development found that babies whose mothers had high blood levels of DHA at delivery had advanced attention spans into their second year of life. During the first six months of life these infants were two months ahead of babies whose mothers had lower DHA levels.
• A 2003 study published in the journal Pediatrics showed children whose mothers took a DHA supplement during pregnancy scored higher on intelligence tests at four years of age than children of mothers not taking DHA supplements.
• In a 2011 review article, researchers concluded that decreased brain DHA represented an important potential risk factor for depression generally, and postpartum depression in particular as research has found low levels of DHA in mother’s milk and in the red blood cells of women with postpartum depression (Journal of Affective Disorders, 2002).
• In a trial of women receiving DHA supplementation during the third trimester, the average length of gestation increased six days (Obstetrics & Gynecology, 2003).

DHA is beneficial not only for the health of a growing baby but also for the health of a mother, and thus it’s a critical supplement to take while pregnant and breastfeeding. But, while DHA is an important omega-3 fatty acid, EPA is left out of almost all prenatal supplements. EPA is the anti-inflammatory omega-3 fatty acid and is most beneficial when trying to conceive. Research has shown many studies that men and women with higher levels of blood omega-3 fatty acids have increased fertility rates compared to people with lower levels of blood omega-3 fatty acids.

So, now switching to DHEA, which stands for Dehydroepiandrosterone. Unlike DHA, which is a fatty acid, DHEA is a hormone, one of the most abundant circulating hormones in the human body. DHEA has recently garnered a lot of attention in the world of fertility for helping women with Decreased Ovarian Reserve (DOR) and Premature Ovarian Failure (POF) as it is a precursor to hormones such as testosterone and estrogens and may help increase follicular stimulation. It is also known to sharply decline with age. DHEA has been shown in some small studies to improve IVF outcomes in women that are poor responders to IVF. Some research also points to DHEA as possibly reducing aneuploidy chromosomal abnormalities) in embryos and thereby decreasing miscarriage rates.

A few things should be noted about utilizing DHEA when trying to conceive. First, it should not be taken in high doses for long term as it may cause undesirable fluctuations in hormone levels and may also cause liver damage. Also, before beginning DHEA it is advisable to get DHEA-S levels tested to make sure they are within range before supplementation. It is also highly encouraged to notify your Reproductive Endocrinologist before beginning a DHEA supplement. Unlike DHA, DHEA is not to be used if pregnant and should be discontinued as soon as a positive pregnancy test is achieved. DHEA should also not be used if you have PCOS, as this hormone may make this condition worsen.

DHA and DHEA are very different supplements – while both have important roles in trying to conceive it’s vital to know the difference between the two. If you have additional questions, please ask your reproductive endocrinologist or one of our nutritionists at Pulling Down the Moon. To book a nutrition appointment, please call (312) 321-0004 or visit www.pullingdownthemoon.com to book online.

By Breea Johnson, MS RD

A recent published Cochrane review reported that the partners of men taking oral antioxidant supplements had significantly higher pregnancy and live birth rates than men taking no antioxidant supplements.  While this may be a somewhat controversial topic in the world of fertility because a) the appropriate dosage for each man may differ and b) the advantages of “mega-doses” of antioxidant supplements are not well established the benefits of antioxidants are clear, especially from food sources. Antioxidants are vitamins (like vitamin C, vitamin E, carotenoids, and Coenzyme Q10), minerals (such as zinc and selenium) and phytonutrients (flavonoids and polyphenols, for example) that most people consume on a daily basis. If you are eating more greens and beans than the average American chances are you also are consuming more antioxidants. The best sources of antioxidants are fruits, vegetables, beans, nuts and seeds.

Antioxidants are highly beneficial for health because they prevent DNA damage from oxidative stress. Think of oxidative stress as what happens after a nail is left outside – it begins to rust and age because of lack of protection from the elements. The same thing can happen to the body – both inside and out – and antioxidants can provide the added protection. Oxidative stress also affects optimal sperm function by altering membrane fluidity, sperm motility, count and morphology.

An antioxidant-rich diet is key to quench the excess reactive oxygen species (ROS) caused by inflammation (i.e. a poor diet, smoking, alcohol, stress, chemical toxicity). Here are some easy tips to help increase antioxidants:

• Eat your green veggies. Push aside the lettuce for more nutrient-rich greens such as kale and chard.
• Try a daily green drink. We recommend Phytoganix which is loaded with antioxidants such as raspberries, blueberries, goji berries, lingonberries, spirulina, green tea, astragalus, ginger, green cabbage, beets, carrots and spinach!
• Add a serving of nuts to your diet daily – try organic, raw, and unsalted almonds, cashews, walnuts and pecans!
• Red beans are one of the highest sources of antioxidants – and they are great especially added to soups and salads!
• If you are taking a multivitamin, make sure it is high quality and a great source of antioxidants.
• Omega-3 fatty acids are also protective of ROS and help keep sperm membrane fluidity – great sources are dark leafy greens, wild salmon and walnuts! Or try a high-quality omega-3 supplement.

To learn more about how nutrition may affect male sperm quality, book an appointment with a Pulling Down the Moon nutritionist by calling (312) 321-0004 or visit www.pullingdownthemoon.com and click on “Schedule an Appointment.”

When you walk into our new River Walk center you will see mehndi designs on the walls.  Mehndi is the name for the temporary henna tattoos that women from India and Pakistan wear on their hands and feet at weddings and other celebrations.  The mehndi tradition is synonymous with women, community and joy.  Our new River Walk center is “tattooed” with mehndi designs as a celebration of women, their beauty and their innate ability to support and heal each other through community.  We thought we’d share this video, from the movie “Monsoon Wedding” because it is filled with that kind of joy.

We will begin seeing patients at our new space on Sunday, January 23.  Call 312-321-0004 to book your fertility acupuncture, yoga for fertility, FEM protocol or nutrition consult.  We are Chicago’s specialists for the holistic care of women’s health, fertility and pregnancy.

By Breea Johnson, MS RD

It’s the end of the holiday season and most people are already looking towards next year saying to themselves “This will be the year that I _______.” Whatever it is that this next year will be about, cleansing on an emotional, physical and nutritional level is a great way to clear your head and start working towards achieving your goal. Because being in your best health in your best body with your best mind opens you up to achieving anything you set out to accomplish.

Over the past year I have gotten many requests for us to do our ART Recovery/Prep cleanse as a group cleanse as many women like the peer and emotional support that group meetings provide. So, for the New Year, yoga teacher Jenilyn Gilbert and I are working together to offer a joint nutrition and Kundalini yoga cleanse for 4 weeks starting in January 2011. The nutritional cleanse will be a slightly modified version of our ART Recovery/Prep Cleanse which is sure to move your diet to a more clean and green fertility-friendly place. Every week we will split our time between an interactive nutrition lecture and a yoga class that focuses on cleansing a specific area of our body.

What you need to know:

Start the New Year with a special yoga and nutrition combo cleanse! This cleanse will combine nutrition guidelines and Kundalini yoga to focus on restoring digestion, supporting liver detoxification and cleansing both physically and emotionally. Peer support will help you find greater success and even enjoy the process of cleaning up body, mind and spirit!

This class is not for women currently on a medicated fertility cycle or who are pregnant. No prior yoga experience required. The class fee of $200 includes four combined nutrition and yoga sessions, teas and snacks. Any related nutrition supplements are extra.

Co-taught by senior PDtM yoga instructor Jenilyn Gilbert and nutritionist Breea Johnson at the Chicago River North location this is the right class to help you meet your goals for health and wellbeing in 2011!

To sign up or if you have any questions, call Pulling Down the Moon at (312) 321-0004 or visit our web registration page.