All posts tagged womanhood

Guest Post: Getting Pregnant with PCOS

Image by janineomg

By Aimee Raupp, MS, LAc, Guest Writer

Many of you have requested information about hormonal imbalances, fertility, and other women’s health issues.  I’ve asked Aimee, who practices Chinese medicine and works in women’s health, to share a series of articles with you.  This is the first one — getting pregnant with PCOS.  Aimee has an excellent success rate — 100% so far!  Thanks for sharing, Aimee!

What is PCOS?

Dealing with fertility as much as I do in my Traditional Chinese Medicine (TCM) practice—I see patients with PCOS quite often.  Currently, it is estimated that 10% of women between the ages of 18 and 40 have this condition often characterized by hormonal imbalances, multiple ovarian cysts and an irregular menstrual cycle.  Generally speaking, PCOS women have too many androgens (male hormones) circulating in their body in conjunction with an imbalance of the female hormones estrogen and progesterone.   One thing you need to know if you have been diagnosed with PCOS: PCOS is NOT a disease, it is a hormonal imbalance condition and it is reversible.

Clinically there appears two different types of PCOS—the insulin dependent type and the non-insulin dependent type.  The first is the “classic” PCOS presentation: weight gain, acne, facial hair and hair loss on the scalp.  The PCOS type that is not insulin dependent usually presents as being fairly thin and “wiry” as we would say in TCM terms.  Although this is a generalization of the two types of PCOS, typically this is what I see in my clinic.

Upon ultrasound (one of the diagnostic tests completed to confirm PCOS) not all women will show with ovarian cysts.  To accurately diagnose PCOS a blood test must look at FSH (follicle-stimulating hormone), LH (luteinizing hormone), fasting glucose and insulin as well as testosterone and estrogen levels.  I also recommend these patients have a blood serum thyroid panel taken as this can be a cause of PCOS in some patients.  Typically all PCOS patients (insulin dependent and non-insulin dependent) will  have high testosterone levels and an LH to FSH ratio of 1:1.  The insulin-dependent types will have high fasting glucose levels and the non-insulin dependent types will have a normal glucose level.

Fertility Diet

Okay, so medical specifics out of the way, let’s talk about how best to get pregnant if you have PCOS.

One of the most important things to do is to clean up your diet.  By this I mean, eating foods that are organic and pesticide free.  Pesticides have what are called xeno-estrogens and can cause and or exacerbate any hormonal imbalance in your body.  As well, you must consume organic, grass fed and hormone free animal products.  The conventional (non-organic) farm animal is pumped up with hormones and PCOS women don’t need any more hormones in their bodies.

Eliminating any processed white flour and sugar is also imperative—not just for the insulin dependent types, as white flour and sugar increase circulating testosterone levels in the body and will worsen the PCOS condition.

Lastly, you must remove all soy from your diet.  Soy foods not only are highly processed and toxic but are also estrogenic and will further disrupt any hormonal imbalance.  With some patients, I even go so far as to remove gluten and dairy from their diet as both of these foods are very inflammatory and can exacerbate the PCOS condition.

As well, recent studies have also shown a link between BPA (bisphenol A) exposure and increased incidence of PCOS as BPA has estrogenic properties.  So watch your BPA exposure.

Image by acidpix

Additional Fertility Help

In addition to dietary changes and weight loss (if needed), I treat my patients with acupuncture to encourage ovulation.  As long as you ovulate and attempt to conceive the right time—you can get pregnant.  For PCOS women timing is tricky as menstrual cycles can be long and erratic.  Often, I’ll have patients use a basal body temperature chart  to help us “catch” ovulation as the store bought ovulation predictor kits don’t always work for PCOS patients (due to their imbalanced hormone levels).

Scientific studies have shown that acupuncture plus electrical stimulation can help induce ovulation in PCOS patients and I see that as well in my clinic.

Most all my fertility patients, PCOS ones included, get prescribed individual Chinese herbal prescriptions to help regulate their hormone levels and menstrual cycles.  There is no one specific herb I can recommend here as each case is different.  See a NCCAOM certified Chinese herbalist for your case.

Lastly, most all PCOS patients show up with vitamin D deficiency.  So, get in some vitamin d daily—the best is through 10 minutes of unprotected sun exposure daily.  Second best is through taking a daily dose of cod liver oil (high in omega 3 fatty acids, vitamin d and vitamin a).  My favorite brand to recommend is Green Pastures fermented cod liver oil.  Typical dosage is 2 capsules/day of cod liver oil (which gives you about 3,000-5,000 iu’s of vitamin D).

Final Thoughts

To sum up—the best way to ensure pregnancy when suffering from PCOS:

  1. Clean up your diet: No sugar, no soy, no white flour.  Eat only organic, grass-fed and hormone free animal products.  Focus on avoiding all environmental hormones.
  2. Lose weight if necessary
  3. Track your BBT daily to pinpoint ovulation
  4. Get acupuncture to help induce ovulation
  5. Get in a healthy dose of vitamin D daily

And, most importantly, stay optimistic. I’ve never had a PCOS patient not get pregnant in my clinic.  You WILL get pregnant!

Do you suffer from PCOS?  If you’ve successfully gotten pregnant, what has worked for you?

 

 

Aimee Raupp – acupuncturist, herbalist and author of Chill Out & Get Healthy (Penguin) – practices  Traditional Oriental Medicine to help her patients reclaim their health and prevent disease. An active public speaker, Aimee practices in Manhattan and Nyack, NY and is writing a book about fertility. For more information, visit www.AimeeRaupp.com.

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Feminism Meets Biblical Womanhood

Image by Jodi Womack

Recently I was reading an article by Dr. Lissa Rankin, regarding her new book, What’s Up Down There: Questions You’d Only Ask Your Gynecologist if She Was Your Best FriendShe’s been on a promotional tour, and has run into a rather ridiculous issue: the word “vagina” is ‘too saucy’ to say on a mainstream media outlet.  She’d written an article called “15 Crazy Things About Vaginas,” but it got pulled after only an hour for being inappropriate (even though a similar article on sperm created no controversy).

Okay.  I don’t define myself as a feminist by any means.  But this is ridiculous.

What’s wrong with discussing important women’s health issues?  What’s wrong with bringing these issues to light?  To me, this is related to anti-choice in birthing (you will have a hospital birth or else), telling women they shouldn’t breastfeed in public (or at all), and other feminist issues.

God made our bodies perfect, and strong.  He made our bodies to carry babies, to give birth to them, to nourish them with our breasts.  Why should we be ashamed of that?  Why should we hide it behind closed doors and pretend it doesn’t happen?  Or worse, lose all knowledge of natural processes and confidence in our ability to do what God created us to do?

Because Satan wants us to be, that’s why.

Feminists are sure that women are denigrated and seen as sex objects and inferior people.  They think that men are deliberately doing this to women because of a paternalistic, religious belief.  They’re right about the first part — but wrong about the second.

Satan’s Greatest Lie

God’s design for the family is that men submit to God, and women submit to their husbands (which does not mean that husbands are ‘in charge of’ their wives or that wives don’t have brains of their own).  Men and women have unique roles in the family, and neither is superior or inferior to the other.  They need each other and cannot live without each other.  Men and women are merely different but equally strong.

If Satan can convince men that they are superior, though, and that women ought to be inferior, then he can destroy the family.  He can pit men and women against each other.  He can make women feel meek and afraid to ‘stand up to’ their husbands, and that their place is silent, pregnant, and barefoot in the kitchen.  This is not a Biblical marriage.  This is a bastardization of one, one that Satan has gotten his hand deeply into.

Worse, Satan’s convinced those who are not religious that this is actually God’s plan!  He has convinced the world at large that women ought to be inferior and it is God’s design and God’s fault, and therefore they — especially women — should turn away from God!

Women are Toys

This has led to our culture objectifying women as sex objects — portraying them scantily clad all over advertisements, and leading them to believe there is power in using their bodies as strippers, prostitutes, or even just “dressing to please” in everyday life.  Attempts to wear modest clothing are seen as further evidence of keeping women down, rather than a woman choosing to show respect for her own body.

Women are to be empty vessels, who exist to give men sexual pleasure.  This can take the form of stimulating magazines, videos (porn), advertisements; or it can take the form of prostitution; or even in marriage that a woman is quiet and allows her husband to “do to her” what he will.

The Bible does say that a woman ought not to refuse her husband.  But it also says that he ought not to refuse her.  It goes both ways.  Again, the theme of “different but equal” is there, but ignored.

The Ultimate Undoing

The ultimate undoing would be to acknowledge that a woman is not inferior and not a sex object.  It would be to publicly and shamelessly acknowledge a woman’s strength, and respect the way that God made her.

Satan cannot allow this to happen.

Therefore, we must hide things like sex, birth, and breastfeeding — women’s powerful, natural functions — from everyone.  We must shield people from these “obscene” things and ask that they occur only behind closed doors.  Women and “those things they do” are naughty, and polite company doesn’t talk about them (don’t some women teach this to other women?).  That’s the way women keep themselves down!

But this is a lie from Satan.  Talking openly about birth, breastfeeding, marital issues, women’s health — is not naughty or obscene.  Showing off one’s body in a sexual manner to entice men you are not married to, that’s obscene.  But the latter is truly inferior (viewing women only as objects of affection/sexual thoughts), while the former is truly powerful (celebrating women as real people, the way God designed them).

We, as Christian women, cannot buy Satan’s lie.  We cannot refuse to talk about important, crucial women’s health issues because we believe it to be “wrong” to talk about.  That’s not God’s design.  In the Bible it talks openly about women becoming pregnant, giving birth, and nourishing babies at their breasts.

We need to break free of the stereotypes and meet up with the feminists who, for very different reasons, are championing women’s rights to birth where they choose, breastfeed their babies (if they choose), and otherwise celebrate their bodies.  We can meet on common ground and show feminists who are not Christians that just because we are Christians doesn’t mean that we just lie down and let our husbands treat us like doormats.  We have strength, too, and we are not afraid to talk about it!

Some say that birth and breastfeeding are wrong because there’s some sort of hidden sexual agenda there.  In fact, there is nothing sexual about this.  That’s just another of Satan’s lies — that anything we do with our bodies must be sexual in nature.  There’s nothing sexual about health, birth, or breastfeeding!  These are natural, normal, non-obscene functions of a woman’s body.

Proud to Be a Woman

I’m proud to be a woman.  Are you?  I’m proud that I am able to carry a child within my body, give birth to it, and nourish it with my breasts, as God designed me to do.  A man cannot do that.  We should accept and love our bodies!

On another note, we shouldn’t denigrate men.  They didn’t “do” this to us; Satan did.  We should respect and admire their unique strengths, too.  Men don’t have to be pushed down so women can climb up — yet another of Satan’s lies!

Are you ready to talk openly about women’s issues?  Ready to admit that you’re a perfect creation in the image of God with nothing to hide?

What do you think?  Has Satan lied to us about womanhood?

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Recovering from Pregnancy: The Kegels

Okay, ladies…time to talk more about recovering from pregnancy.  Guys, if you’re reading, you might want to skip this one.  It’s going to talk entirely too much about lady parts.

Ready?  (Guys, you’re not reading anymore, right?)

Birth and Your Lady Parts

So, we’ve all heard the stories.  After you have a baby you’re…well…looser.  Right?  Which could lead to annoyances like accidentally peeing your pants a little, experiencing less pleasure with your husband, or other, more serious issues (like actual incontinence).  Those pelvic floor muscles are pretty important, no?  Not to mention we need them to push out future babies, if we’re planning to have any!

Well, this is a mix of truth and lies.  Yes, birth affects your pelvic floor muscles.  And yes, that can lead to some of the above mentioned side effects.  But no, you’re not going to be super loose after having one baby.  Or even two or three.  Depends on your individual muscle tone, your age, etc. but you will not necessarily experience issues.

I only pee my pants when I’m still pregnant.

Yeah, I know, that’s no fun to hear.  I do remember one of my friends, while pregnant with her third, having competitions with her older children to see who could change their pants fewer times (due to wetting them) in a day.  There are all kinds of fun stories!

(If you haven’t had a baby yet…I am not trying to scare you.  It really is not — usually — a big deal.  And when you are 9 months pregnant and huge and tired, accidentally peeing a little will be the least of your worries.)

Helping the Pelvic Floor Muscles

Whether you’ve had a baby or not, strengthening your pelvic floor muscles should be important to you.  Strong muscles can help you push your babies out more effectively.  It can also prevent nasty things like true incontinence or bladder prolapse someday.

Most people talk about kegel exercises.  This is one major way to strengthen these muscles.

But I’ll confess: I almost never remember to do them.  Do you?  And honestly, even when I try, it feels strange to me.

They’re so good for you and they can really help you, though.  Seriously.

So when a company, Intimina, approached me to talk about their new product, a “kegel exerciser,” I was intrigued.  The company has a line of intimate products but this is the only one I was interested in (and the only one they asked me to try).

It’s a tricky and private subject, but…we need to talk about it.  We need to make sure our bodies are strong enough to handle child birth and the aftermath, and not succumb to “damage.”  It does not have to be that way.  I’m big on taking on controversial subjects in order to help people, so I agreed to do this.

The way this product works is that you wear it, internally.  The natural motions of your body during the day combined with your muscles having to work to keep the small device in place actually strengthens the muscles, without you having to actively remember to do any specific exercises.

How handy is that, honestly?  There are a thousand things that would be good for me that I just don’t remember to do each day.  I am far too busy to add anything to my routine that is going to take any serious time or brain power to do.  I can’t.  I even have to make all my daily salads at once or I will not eat them.   If this company had asked me to do something active, that required a 10 – 15 min. per day routine or something, there is no way I could have pulled it off.

So, the idea of doing “nothing” and getting a work out — especially since I’m still working to recover from my most recent birth, about 4.5 months ago — sounded pretty neat.

I’m a little afraid of it, but I’m going to suck it up and give it a go.  Especially since I had that minor issue with uterine prolapse after Jacob’s birth, I want to make sure my muscles are healed and strong before I even think about getting pregnant again.

On Monday I’m going to give you my thoughts on it.  And then, you’ll have a chance to win one for yourself!  (Yes, a brand new one.)

**This post was sponsored by Intimina.  All opinions are my own.**

Are pelvic floor exercises important to you?  Is this an issue you’ve struggled with?

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Monday Health & Wellness: Choosing The Right Diet

Image by DrJimiGlide

**This post has been entered in Monday Mania at The Healthy Home Economist!**

(That’s not me…wouldn’t it be cool if I could do that though?!)

Over the last couple months, I’ve been trying to get back to “normal,” post-pregnancy.  I’ve done so much research into what’s normal and what’s not, and what I might be deficient in, and so on.  I normally lose all my baby weight by 3 months postpartum but I’m still at least 10 lbs. up and Jacob’s 4 months old.

Something I forgot through all of this was to forget all the research and conflicting views out there, and listen to my body.  What makes me feel good?  What works best for me?

Basic Diet Principles

Don’t get me wrong.  I’m not about to throw all the basic, sound diet principles out the window.  I still believe:

These hold true for everyone.  But these are very general guidelines!  Which fats you choose on a regular basis or which you eat the most often can vary, or the percentage of fat in your diet can vary.  What types of meat and how much you eat (from rarely to quite a lot) can vary, too.  The same goes for all the other food groups, as well.

What Works FOR YOU?

I had forgotten that *I* personally feel the best when I:

  • Have smoothies with breakfast in the morning (along with eggs/sausage/bacon)
  • Have a salad daily (with homemade dressing)
  • Have soups frequently
  • Exercise regularly

None of this is with the express intention of weight loss.  But these things make me feel especially energetic and good, so I imagine they will lead to weight loss in time.

I believe I need a higher proportion of fruits and vegetables in my diet than I had been getting.  And perhaps a bit less meat.  I’m also going to limit grains much more now, aiming to eat grains only once a day (with some days entirely grain-free) and make sure they’re soaked or soured.  I think I might try my hand at a sourdough starter again!  I’m also planning to severely limit sugar — I’ll have my daily ice cream, which we make with only a very small amount of raw honey (we each might get a tablespoon or so).

That is what works for me.

What works best for you?  When do you feel the best?  It’s important to eat real foods and avoid processed foods, but exactly what your diet looks like in terms of percentage of produce, fats, meat, carbs, etc. is very individual.

It is so important not to get caught up in all the new research that comes out and think, “I should really be eating more of…” or “less of…” or “I must be deficient in….”  That may not be the case for you!  You need to pay close attention to your body and what makes you feel the best.  Then do that, regardless of what others are telling you.

Strive for Balance

Now — don’t misunderstand.  I’m not talking about overindulging in sugar because sugar makes you feel “good.”  I mean, what makes you feel most balanced?  Most energetic?  What makes you feel healthiest?

Here are some questions to ask yourself:

  • Am I sleeping well?  Falling asleep easily, staying asleep through the night, waking refreshed in the morning?
  • Do I have a lot of consistent energy?  No spikes/crashes?
  • Do I feel good, in stomach/digestive?  No stomachaches, diarrhea, constipation, etc.?
  • How is my mood?  Balanced and generally happy?  Or irritable, stressed, angry?
  • Overall — do I feel good?  Or just “okay,” or “bad?”

Notice how different foods or combinations affect you. Notice how exercise (or the lack of) affects you.  Notice how the time you go to bed affects you.  Notice how the stress in your life affects you — and are there things that you need to just let go of?

Follow what works best for you and you will feel great and balance your body naturally!  All the research and experts in the world cannot give you the perfect answer for you.  But you can find it, by following your own instincts!

Giveaway Winner

The sourdough ecourse giveaway is now over!  The winner is:

Heidi (redlioness@…)

Congratulations!  You should hear from Wardeh soon to claim your prize.  For those who didn’t win, you can still sign up for the class yourself.  Consider it a Christmas present to yourself and your family to eat healthier food. :)

Also, I have a neat sale going on right now!  If you buy Real Food Basics, you’ll get a coupon code to get Real Fast Food for 50% off!  (And vice versa.)  How cool is that?  It’s another great way to get started with real food this Christmas!

How do you feel today?  Are you still working towards what is “right?”  If you are there, how did you find it?

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Mama Cloth

Image by Sara. Nel
**This post has been entered in Works for Me Wednesdays at We Are THAT Family and Things I Love Thursdays at Diaper Diaries.**

Ever heard of “mama cloth?” It’s cloth pads to replace the disposable ones typically used during your monthly “visitor.” (I’ve barely had a need in the last three years, since I’ve been pregnant most of the time from May ’07 – Jul. ’09 and just got it back Sunday!) But, mama cloth is really great for you and the environment! And I did use it postpartum with Daniel. I’m liking using it now too.

A lot of people say their first postpartum period is really painful and awful and this time I’m having no pain at all (which wasn’t true when I got it back after Bekah and I was still using disposable pads!). I really think the cloth is making a difference because I always had cramps and general soreness and fatigue before.

Why Should You Use A Mama Cloth?

  • Disposable pads contain dioxin and other chemicals, which can cause serious and as yet unknown reproductive problems (like PCOS, infertility, or even just extra cramping and bleeding. Think about it — you’re pressing these chemicals up against your most sensitive regions and you’re actually absorbing the chemicals!).
  • Cloth pads feel softer and nicer. No more crunchy, bulky pads!
  • Cloth pads are much greener — just save them in a zippered, waterproof bag and wash at the end of the week. Nothing to throw in a landfill.
  • Potential for reduced pain and reduced bleeding (due to the fact that you’re not exposing yourself to the chemicals anymore). This is really serious. I believe that our exposure to these chemicals is causing us to experience longer bleeding, more painful periods, PCOS, and other reproductive disorders. Eliminating your exposure to harmful chemicals could, over time, cure you of these problems (and red raspberry leaf tea can reduce your pain naturally in the mean time, by the way).
  • Always have clean pads (bleeding more than usual? Lasting longer? Do a wash and you’ll have fresh pads in an hour or two, no trips to the store).

How To Get Yours

There are many places that you can buy pads if you want to (look at the resources below). You can also make your own. I made all of mine. They’re not like the old rags women used to use. They’re shaped, absorbent, they snap in place, and the top layer wicks the moisture away from you.

(You can also buy cloth tampons if you’re interested, but I can’t quite get my head around that one. Some people knit them and stuff them with cotton padding, leaving a trail of yarn at the end to remove it. Of course there’s no applicator with this type. But, if you really hate the feeling of pads, you can try this. Another option is the Diva Cup, which many women prefer, but I believe these are silicone, and you do have to put it inside. If you don’t like putting things inside or you are allergic to silicone or latex — I can’t remember which they’re made from — cloth pads are for you.)

There are many free patterns out there to make your own mama cloth, and many that you can pay for as well. I offer one for free on another website (listed in the resources). The patterns have instructions with them. They really do sew up quickly; I made 30 pads in just a few hours. My pattern also comes in two different sizes. If you don’t have a snap press, you can use sew-on snaps, or Velcro (though I recommend Aplix or Touchtape instead).

Postpartum

For postpartum use, along with my pads, I also sewed several 6″ x 6″ flannel wipes, and I kept a peri bottle in the bathroom. Whenever I used the bathroom, I would wash off warm water from the peri bottle and wipe gently with the flannel wipes. It was soooo very soft when I was sore and swollen from birth, and I just tucked it all into my little zippered, waterproof bag! I had cloth (bamboo terry, also very soft) ice packs that I had dipped into comfrey leaf tea and frozen that went into these bags. I highly recommend this system, and you can use parts of it every time, not just postpartum.

Check out the resources section for more information!

Resources:

What do you use during your period? Are any of these options new to you?

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