Date- January 2nd 2017
Over 70% of adults in Australia are now overweight, or obese and not only did this pose significant health impacts for this adults, but studies are now showing that the genetic mode of inheritance is now having a huge physical, psychological and developmental impact on children of these adults.
Children of obese parents may be at risk for developmental delays, according to a study by researchers at the National Institutes of Health. The investigators found that children of obese mothers were more likely to fail tests of fine motor skill — the ability to control movement of small muscles, such as those in the fingers and hands. Children of obese fathers were more likely to fail measures of social competence, and those born to extremely obese couples also were more likely to fail tests of problem solving ability.
The study, appearing in Pediatrics, was conducted by scientists at the NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD).
The researchers noted that studies indicate that obesity during pregnancy may promote inflammation, which could affect the fetal brain. They also added that some studies have indicated that obesity could affect the expression of genes in sperm and this is passed on via the genetic and paternal mode of inheritance.
Because of the link between parental obesity and developmental delays being confirmed, physicians should be taking parental weight into account when screening young children for delays and early interventional services.
At Shen Therapies, lifestyle and weight management is part of our Fertility program and a major focus for the couple with their preconception care. Healthy eggs and healthy sperm come from healthy parents, which then goes on to make healthy children. I
If you need help with lifestyle, weight loss and help getting ready to have a baby, then call us at Shen Therapies today. We have helped over 12,000 plus babies into the world with our high successful Fertility Program and we can help increase your chances of having a successful pregnancy by 96.1%.
It May Not Just Be Your Food Intake
If you started taking in more calories than usual, or increase your high GI foods, or cut back on exercise, you wouldn’t be surprised if the numbers on the scale crept higher. Just remember that scales aren’t an accurate assessment of body fat and that muscle does weigh more that fat. It is the waist size that is the true measurement we want people to focus on. We should be more worried about waist gain, rather than weight gain. But what if you’re doing everything the same as you always do, and your weight still goes up? It’s time to delve a little deeper into what else might be going on.
Lack of Sleep
There are two things that can affect your when you aren’t getting enough sleep and may have an impact on weight gain. First, if you’re up late, the odds are greater that you’re doing some late-night snacking, which means more intake of foods that may not be appropriate. The other reason involves what’s going on in your body when you’re sleep-deprived. This leads to running on adrenalin and increased cortisol levels as well. Changes in hormone levels increase hunger and appetite and also make you feel not as full after eating.
When life’s demands get too intense, our bodies go into survival mode. That fight or flight response kicks in and adrenalin and Cortisol, the “stress hormone,” is secreted, which causes an increase in appetite. Cortisol also makes you store fat. And of course, we may reach for high-calorie comfort foods in times of stress as well. This combination is a perfect breeding ground for weight gain.
Antidepressants and other Medications
An unfortunate side effect from some antidepressants is weight gain. Most antidepressants will give people a weight gain of around 3kgs per year of taking them. Talk to your healthcare practitioner about making changes to your treatment plan if you think your antidepressant is causing weight gain. There are natural options that can help with depression, without all the side effects. But never stop or change your medication on your own. Realize that some people experience weight gain after beginning drug treatment simply because they’re feeling better, which leads to a better appetite. Also, depression itself can cause changes in weight.
Steroids and Hormones
Anti-inflammatory steroid medications like prednisone are notorious for causing weight gain. All of the fertility hormones and hormone replacement drugs are steroidal based and cause weight gain too. Fluid retention and increased appetite are the main reasons. Some people may also see a temporary change in where their body holds fat while taking steroids. Places like the face, the belly, or the back of the neck are all areas where you can see increase fluid retention. If you’ve taken steroids for more than a week, don’t stop them abruptly. That can lead to serious problems. They need to be tapered down slowly and weaned off properly. Check with your doctor first. Drugs That May Cause Weight Gain.
Several other prescription drugs are linked to weight gain. The list includes antipsychotic drugs (used to treat disorders like schizophrenia and bipolar disorder), along with medications to treat migraines, seizures, high blood pressure, and diabetes. Work with your doctor to find a medication that treats your symptoms and lessens side effects.
The Contraceptive Pill
Combination birth control pills (estrogen and progestin) do weight gain and fluid retention. There are other contraceptive methods that do not cause weight gain and fluid retention and have lower side effect profiles. If you’re still concerned about possible weight gain, talk to your healthcare practitioner.
Thyroid issues can definitely be a big factor in weight gain. If your thyroid (the butterfly-shaped gland in the front of your neck) is not making enough thyroid hormone, you’re probably feeling tired, weak, and cold, and gaining weight. Without enough thyroid hormone, your metabolism slows, making weight gain more likely. Even a thyroid functioning at the lower end of the normal range might cause weight gain. Treating hypothyroidism with medication may reverse some of the weight gain.
Most women do gain some weight around the time of menopause, but hormones probably aren’t the only cause. Aging slows your metabolism, so you burn fewer calories. We need women to realise this reality, which isn’t always easy to accept. Changes in lifestyle (such as exercising less) play a role in weight and waist gain. But where you gain weight may be related to menopause, with fat accumulating around your waist more than your hips and thighs. There are ways to control this in menopause too.
Weight gain is a common symptom of Cushing’s syndrome, a condition in which you are exposed to too much of the stress hormone cortisol, which in turn causes weight gain and other abnormalities. You can get Cushing’s syndrome if you take steroids for asthma, arthritis, or lupus. It can also happen when your adrenal glands make too much cortisol, or it could be related to a tumor. The weight gain may be most prominent around the face, neck, upper back, or waist.
Polycystic Ovary Syndrome (PCOS)
PCOS is a common hormonal problem in all women of childbearing age. It is the most common gynaecological disorder in women and is becoming more prevalent due to our high GI diets and being passed on through genetic and hereditary link. Some women with PCOS grow many small cysts on their ovaries, some do not and only have the syndrome and associated symptoms. The condition leads to hormone imbalances that affect a woman’s menstrual cycle and can lead to extra body hair and acne. Women with this condition are resistant to insulin (the hormone that controls blood sugar), so it may cause weight gain. Many women with PCOS are normal, or underweight too. Women with PCOS are also at higher risk of diabetes. The weight tends to collect around the belly, putting these women at greater risk for heart disease and diabetes.
Quitting smoking is one of the best things you can do for your health. When you quit, you may gain some weight, but perhaps less than you think. On average, people who stop smoking gain less than 10 kilograms. You should stop feeling hungrier after several weeks, which will make it easier to help lose any weight you gained.
Rules If You Do Gain Weight
Don’t stop taking any medications without first consulting your doctor. Recognize the importance of the drug you’re taking. It may be critical to your health. Also, something else may be causing you to gain weight. Your doctor can help you figure out what’s going on. There are also natural options that you may take also.
Don’t compare yourself to other people taking the same drug. Not all people experience the same side effects on the same drug. Even if a drug caused someone else to lose weight, the same might not be true for you. Please do not Dr Google, or take advice off anyone other than a qualified healthcare professional.
Remember that if the weight gain is just from water retention, it’s not permanent weight or fat. Once you’re done taking the drug or your condition is under control, the puffiness from fluid retention may ease. Stick to a lower GI diet in the meantime too. High GI foods such as breads, cereals, cakes, pasta, sugars etc, all make the body store fats and stop the burning of fats and cause inflammation.
Check with your healthcare practitioner about another medication you can take. In many cases, your healthcare practitioner can switch you to another medication that might not have the same side effects. There are also natural options that you may be able to take without all the nasty side effects of your medication
Learn if the weight gain is from a decrease in metabolism — from either a medical condition or medication. And if so, take the time to participate in metabolism-raising activities. Get moving!
Also realise that it is waist gain you need to worry about, not weight gain. Many people obsess unnecessarily over weight gain and the scales. When you start to exercise, you may in fact be putting on muscle (which is great) and this will equate to the scales being heavier. Fat does not weigh as much as muscle, so sometimes you wont realise you have actually lost fat and gained muscle. This is why waist measurement, not weight measurement, is the most accurate way to measure proper fat lose and proper waist and weight management.
A kilo of fat, versus a kilo of muscle
At Shen Therapies we can help you with weight management and more importantly waist management. We have specially tailored fat loss and weight loss programs to help you burn fats, increase muscle and do weight loss the correct way.
If you want to get healthy, feel great and look great for summer and years to come, please give the clinic a call and book in for a consultation.
Thyroid issues are common, especially in women and especially if there is a family history of thyroid disorders in your family. When your thyroid goes out of balance, it can cause all sorts of symptoms and issues in your body. You need to know what to look for.
When Your Thyroid Goes Awry
Does fatigue drag you down day after day? Do you have brain fog, weight gain, chills, or hair loss? Or is the opposite true for you: Are you often revved up, sweaty, or anxious? Your thyroid gland could be to blame. This great regulator of body and mind sometimes goes haywire, particularly in women. Pregnancy and post partum is when it can also go haywire too. Getting the right treatment is critical to feel your best and avoid serious health problems.
What Is the Thyroid Gland?
The thyroid is a butterfly-shaped gland in the front of the neck. It produces hormones that control the speed of your metabolism — the system that helps the body use energy. Thyroid disorders can slow down or rev up metabolism by disrupting the production of thyroid hormones. When hormone levels become too low or too high, you may experience a wide range of symptoms.
Symptom: Weight Gain or Loss
An unexplained change in weight is one of the most common signs of a thyroid disorder. Weight gain may signal low levels of thyroid hormones, a condition called hypothyroidism. In contrast, if the thyroid produces more hormones than the body needs, you may lose weight unexpectedly. This is known as hyperthyroidism. Hypothyroidism is far more common.
Symptom: Swelling in the Neck
A swelling or enlargement in the neck is a visible clue that something may be wrong with the thyroid. A goiter may occur with either hypothyroidism or hyperthyroidism. Sometimes swelling in the neck can result from thyroid cancer or nodules, lumps that grow inside the thyroid. It can also be due to a cause unrelated to the thyroid.
Symptom: Changes in Heart Rate
Thyroid hormones affect nearly every organ in the body and can influence how quickly the heart beats. People with hypothyroidism may notice their heart rate is slower than usual. Hyperthyroidism may cause the heart to speed up. It can also trigger increased blood pressure and the sensation of a pounding heart, or other types of heart palpitations.
Symptom: Changes in Energy or Mood
Thyroid disorders can have a noticeable impact on your energy level and mood. Hypothyroidism tends to make people feel tired, sluggish, and depressed. Hyperthyroidism can cause anxiety, problems sleeping, restlessness, and irritability.
Symptom: Hair Loss
Hair loss is another sign that thyroid hormones may be out of balance. Both hypothyroidism and hyperthyroidism can cause hair to fall out. In most cases, the hair will grow back once the thyroid disorder is treated.
Symptom: Feeling Too Cold or Hot
Thyroid disorders can disrupt the ability to regulate body temperature. People with hypothyroidism may feel cold more often than usual. Hyperthyroidism tends to have the opposite effect, causing excessive sweating and an aversion to heat.
Other Symptoms of Hypothyroidism
Hypothyroidism can cause many other symptoms, including:
- Dry skin and brittle nails
- Numbness or tingling in the hands
- Abnormal menstrual periods
Other Symptoms of Hyperthyroidism
Hyperthyroidism can also cause additional symptoms, such as:
- Muscle weakness or trembling hands
- Vision problems
- Irregular menstrual periods
Thyroid Disorder or Menopause?
Because thyroid disorders can cause changes in menstrual cycle and mood, the symptoms are sometimes mistaken for menopause. If a thyroid problem is suspected, a simple blood test can determine whether the true culprit is menopause or a thyroid disorder — or a combination of the two.
Who Should Be Tested?
If you think you have symptoms of a thyroid problem, ask your doctor if you should be tested. People with symptoms or risk factors may need tests more often. Hypothyroidism more frequently affects women over age 60. Hyperthyroidism is also more common in women. A family history raises your risk of either disorder.
Thyroid Neck Check
A careful look in the mirror may help you spot an enlarged thyroid that needs a doctor’s attention. Tip your head back, take a drink of water, and as you swallow, examine your neck below the Adam’s apple and above the collarbone. Look for bulges or protrusions, then repeat the process a few times. See a doctor promptly if you see a bulge or lump.
Diagnosing Thyroid Disorders
If your doctor suspects a thyroid disorder, a blood test can help provide an answer. This test measures the level of thyroid stimulating hormone (TSH), a kind of master hormone that regulates the work of the thyroid gland. If TSH is high, it typically means that your thyroid function is too low (hypothyroid). If TSH is low, then it generally means the thyroid is overactive (hyperthyroid.) But just measuring TSH levels is not enough. People with thyroid disorders can have normal TSH levels and the other thyroid hormone levels and this is why thyroid antibody testing is probably the most important testing to be done. High thyroid antibodies mean you have a thyroid condition and your thyroid gland is under attack. Hopefully doctor will want to check all the other thyroid hormones in your blood. If he/she doesn’t, make sure they do. They should always check TSH, Free T3, Free T4, Reverse T3 and Thyroid antibodies. In some cases, imaging studies are used and biopsies are taken to evaluate a thyroid abnormality.
The most common cause of hypothyroidism is Hashimoto’s disease. This is an autoimmune disorder in which the body attacks the thyroid gland. The result is damage to the thyroid, preventing it from producing enough hormones. Hashimoto’s disease tends to run in families. This is why thyroid antibodies needs to be checked because people with Hashimotos disease can actually have normal TSH levels and normal Free T3, Free T4 and reverse T3 levels.
Other Causes of Hypothyroidism
In some cases, hypothyroidism results from a problem with the pituitary gland, which is at the base of the brain. This gland produces thyroid-stimulating hormone (TSH), which tells the thyroid to do its job. If your pituitary gland does not produce enough TSH, levels of thyroid hormones will fall. Other causes of hypothyroidism include temporary inflammation of the thyroid or medications that affect thyroid function.
The most common cause of hyperthyroidism is Graves’ disease. This is an autoimmune disorder that attacks the thyroid gland and triggers the release of high levels of thyroid hormones. One of the hallmarks of Graves’ disease is a visible and uncomfortable swelling behind the eyes. Again this is why testing thyroid antibodies is so important.
Other Causes of Hyperthyroidism
Hyperthyroidism can also result from thyroid nodules. These are lumps that develop inside the thyroid and sometimes begin producing thyroid hormones. Large lumps may create a noticeable goiter. Smaller lumps can be detected with ultrasound. A thyroid uptake and scan can tell if the lump is producing too much thyroid hormone.
Thyroid Disorder Complications
When left untreated, hypothyroidism can raise cholesterol levels and make you more likely to have a stroke or heart attack. In severe cases, very low levels of thyroid hormones can trigger a loss of consciousness and life-threatening drop in body temperature. Untreated hyperthyroidism can cause serious heart problems and brittle bones.
If you are diagnosed with hypothyroidism, your doctor will most likely prescribe thyroid hormones in the form of a pill. This usually leads to noticeable improvements within a couple of weeks. Long-term treatment can result in more energy, lower cholesterol levels, and gradual weight loss. Most people with hypothyroidism will need to take thyroid hormones for the rest of their lives.
The most common treatment for hyperthyroidism is antithyroid medication, which aims to lower the amount of hormones produced by the thyroid. The condition may eventually go away, but many people need to remain on medication for the long term. Other drugs may be given to reduce symptoms such as rapid pulse and tremors. Another option is radioactive iodine, which destroys the thyroid gland over the course of 6 to 18 weeks. Once the gland is destroyed, or removed by surgery, most patients must begin taking thyroid hormones in pill form.
Surgery for Thyroid Disorders
Removing the thyroid gland can cure hyperthyroidism, but the procedure is only recommended if antithyroid drugs don’t work, or if there is a large goiter. Surgery may also be recommended for patients with thyroid nodules. Once the thyroid is removed, most patients require daily supplements of thyroid hormones to avoid developing hypothyroidism.
What About Thyroid Cancer?
Thyroid cancer is uncommon and is among the least deadly. The good thing with thyroid cancer is that it is encapsulated, so it won’t spread. Once the thyroid gland is removed, the cancer is removed also. The main symptom is a lump or swelling in the neck, and only about 5% of thyroid nodules turn out to be cancerous. When thyroid cancer is diagnosed, it is most often treated with surgery followed by radioactive iodine therapy or, in some cases, external radiation therapy
Complementary Medicine For Thyroid Issues
There are many complementary medicines that can assist thyroid issues and Acupuncture and Chinese Herbal medicine has successfully treated thyroid disorders for centuries. There are also supplements and other herbal medicine to assist thyroid function, or balancing the thyroid hormones. Diet and lifestyle changes are also very important for thyroid health, as is working on the gut to reduce inflammation in the body and assist the immune system as well. There are also compounded natural thyroid medications we can discuss with you also
At Shen Therapies, we specialise in all hormone issues and can help you with thyroid testing, blood tests etc and thyroid management.
Do you suffer Dyspareunia?
Pain with sex, Intercourse pain, or dyspareunia, can cause problems in a womans life and it can be a cause of problems in couple’s sexual relationship. In addition to the physically painful sex, there is also the possibility of negative emotional effects. Then even when a woman may feel aroused and wanting sex, the fear of the pain can cause the whole process of wanting sex to stop.
How many people get Pain with Sex
It is estimated that about 20%-25% of women suffer vaginal pain with foreplay or intercourse. Pain can be acute, intermittent or chronic and can stem from a wide variety of causes that will be covered shortly. Unfortunately when women complaining of pain during sex, they are often dismissed as being inhibited, having psychiatric issues, or merely just making it up to get out of having sex. Many men would like to boast that it is them being well endowed that is causing the problem (they wish) but in fact if your partner is in pain, then you need to actually stop and listen to the reasons why. The fact is most of the time, their symptoms are related to legitimate medical issues that need to be investigated and treated accordingly. So guys, get your hand of it and start listening to your partner if she says she is getting pain.
What causes pain with Sex (Dyspareunia)?
In many cases, a woman can experience painful sex if there is not sufficient vaginal lubrication. There could be many reasons for this and one that is commonly seen in menopause. When this occurs, the pain can be resolved if the female becomes more relaxed, if the amount of foreplay is increased, or if the couple uses a sexual lubricant. Issues like this can easily be overcome, but there are some medical and gynaecological issues that could be causing the pain and being very much overlooked.
So what are the other causes of Pain with Sex
Endometriosis – This is a condition in which the endometrial like tissue (lesions) that lines the uterus grows outside the uterus. It can cause all sort of pain in the pelvis, bowel and rest of the body, but it can cause pain with sex. It is one of the leading conditions that does cause pain with sex. Many women with endometriosis may not have symptoms of it, or may only have one symptoms like pain with sex. Symptoms do not correlate to the extent of the disease either. Some people with small amounts get lots of pain, while others can have lots of it and have no pain. Endometriosis can only be properly diagnosed via surgery (laparoscopy)
Adenomyosis – is a condition which is very similar to endometriosis. It is a conditions in which the inner lining of the uterus (the endometrium) breaks through the muscle wall of the uterus (the myometrium). Adenomyosis can cause menstrual cramps, lower abdominal pressure etc, before the menses and can result in heavy periods. It can also cause pain with sex. The condition can be located throughout the entire uterus, or localized in one spot
Vaginismus- This is a common condition. It involves an involuntary spasm in the vaginal muscles, which closes up the vagina and prevents penetration from happens. It is sometimes caused by fear of being hurt.
Vaginal Infections- These conditions are common and include yeast infections such as thrush and candida and these can cause inflammation to the vagina and cause pain with sex and also localized bleeding.
Vaginal skin conditons– Dermatitis arroudn the vulva and also a condition called Lichen Sclerosis can all cause pain with sex due to the inflammation of the skin.
Problems with the cervix (opening to the uterus). In this case, the penis can reach the cervix at maximum penetration. So problems with the cervix (such as infections) can cause pain during deep penetration.
Problems with the uterus. These problems may include polyps, cysts, fibroids etc that can cause deep intercourse pain.
Problems with the ovaries – Problems might include cysts on the ovaries, or tubal disease.
Pelvic Inflammatory Disease (PID) – Often referred to as penis injected disease. With PID, the tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain.
Ectopic Pregnancy – This is a pregnancy in which a fertilized egg develops outside the uterus, or into the tubes. It can cause immense pain and even death if not death with properly.
Menopause- With menopause, the vaginal lining can lose its normal moisture and tone and become dry. The vagina, uterus and surrounding organs can all suffer atrophy, which can cause bleeding and pain. It can also cause prolapse.
Intercourse too soon after childbirth, or surgery – Trying to have sex too soon after childbirth, or a surgery, can cause pain during sex.
Sexually Transmitted Infections (STI’s) – These may include chlamydia, genital warts (HPV), genital herpes, or other STI’s.
Injury to the vulva or vagina- These injuries may include a tear from childbirth or from a cut (episiotomy) made in the area of skin between the vagina and anus during labor.
How Can Painful Sex In Women Be Treated?
Some treatments for painful sex in women do not require medical treatment. For example, painful sex after pregnancy can be addressed by waiting at least six weeks after childbirth before having intercourse, or when a women feels she is ready again. Make sure to practice gentleness and patience. In cases in which there is vaginal dryness, or a lack of lubrication,water-based lubricants will help. In the cases of some conditions such as menopause, topical estrogen creams may be needed to bring tone back into the vaginal wall, along with lubricants during sex.
Some of the conditions such as endometriosis, PID, fibroids, or trauma to the vagina and will require surgery and adjunct therapies such as hormones and other medications.
Other issues such as vaginal infections, bacterial infections, skin conditions, STI’s etc may just need medications such as antibiotics, antifungals, steroids and other medications for their treatment
Some conditions like vaginismus, or psychological traumas (sexual abuse), may require a person to see a counselor, psychologist, psychiatrist, or sex therapist.
There are also natural medicines such as Acupuncture, Chinese Herbal medicine, naturopathy, herbal supplement etc than can help with pain, either on their own, or in combination with medical treatments and talk therapy
If you do have pain with sex, you need to go and speak to your healthcare provider, or seek the help of a gynaecologist, or women’s health specialist.
Pain with sex is not normal, and you need to find out the cause of these issues and not put it off.
At Shen Therapies, Dr Andrew Orr can help you if you are having pain with sex. Dr Andrew Orr is a Reproductive Medicine and Women’s Health Medicine Specialist (medical), who also has qualifications in complementary medicine such as Traditional Chinese Medicine, Naturopathy and Nutrition.
Could you be suffering Premenstrual Dysphoric Disorder (PMDD)?
Do you suffer any of the following symptoms?
Are some of these symptoms worse around your menses, or mid-cycle?
- Mood swings (worse around your menses, or mid-cycle)
- Depressed mood or feelings of hopelessness
- Marked anger, increased interpersonal conflicts, the anger can be worse at certain times of your cycle, or near your period. You may even feel violent with the anger.
- Tension and anxiety
- Irritability, especially with your menses, or even mid cycle.
- Decreased interest in usual activities
- Difficulty concentrating
- Change in appetite
- Feeling out of control or overwhelmed
- Sleep problems
- Physical problems, such as bloating, breast tenderness, swelling, headaches, joint or muscle pain.
If you do, then you may be suffering a condition called Premenstrual Dysphoric Disorder (PMDD). Premenstrual dysphoric disorder, or PMDD, is a severe form of premenstrual syndrome (PMS). The symptoms of PMDD are similar to those of PMS but are severe enough to interfere with work, social activities, and relationships. It is often a very much overlooked hormonal issue and often misdiagnosed. PMDD can actually cause women to have extreme anger and extreme mood swings and even become physically violent towards a partner, or loved ones.
How Common Is PMDD?
PMDD occurs in up to 10% of menstruating women, but it may be much higher than this. Women with family history of premenstrual syndrome or PMDD are at greater risk for developing PMDD as there appears to be a strong genetic component. There can be underlying gynaecological conditions exacerbating, or contributing to PMDD too and we will talk about this later
What Causes PMDD?
As with PMS, the exact cause of PMDD is not known. Most researchers believe PMDD is brought about by the hormonal changes related to the menstrual cycle. Hormones can be affected from anything form dietary changes, increased stress, medications, lack of exercise, increased abdominal fats and also consumption of alcohol. Recent studies have shown a connection between PMDD and low levels of serotonin, a chemical in the brain that helps transmit nerve signals and helps regulate moods, sleep and even pain. Changes in serotonin levels can lead to PMDD symptoms.
How Is PMDD Diagnosed?
PMMD is diagnosed by seeing a healthcare professional who knows what signs and symptoms to look for. Usually this is a gynaecologist or women’s health specialist. PMMD can be diagnosed by charting mood swings at certain times in the cycle, along with other changes to the body during this time.
Before a diagnosis of PMDD is made other emotional problems, such as depression or panic disorder, need to be ruled out first, as these may be a cause of all of the symptoms. In addition, underlying medical or gynecological conditions, such as endometriosis, fibroids, menopause, and hormonal problems that could account for symptoms, also must be ruled out.
For the diagnosis of PMDD to be made usually at least five of the listed symptoms listed before (including at least one of the first four) occur for most of the time during the seven days before menstruation and go away within a few days of the start of the menstrual period. If these symptoms are present every day and do not improve with menstruation, they are unlikely due to PMDD.
How Is PMDD Treated?
Many of the same strategies used to treat PMS may also be helpful in relieving symptoms of PMDD. The main ones to focus on are:
Good nutrition – High Gi carbohydrates and highly refined grains increase insulin levels and this then in turn causes disturbances with hormone levels and can also cause inflammation. This then exacerbates the symptoms of PMDD. It is recommended that women with PMDD limit their intake of refined sugar, and alcohol. There are vitamins and nutritional supplements that will help with PMDD as well.
Exercise – Moving the body is so important for PMDD and it is important to do some sort of weight bearing exercise, or resistance work such as weights. Exercise such as walking, or swimming appears to improve premenstrual symptoms too. Exercise will also have other benefits to the body and overall health as well.
Medications- Medically PMDD is usually treated with medications such as antidepressants and hormone therapies. Some over-the-counter pain relievers may help some of the symptoms of PMDD, such as headache, breast tenderness, backache, and cramping. Diuretics, or water pills, can help with fluid retention and bloating. Hormones can be used to treat PMDD but it is unclear whether this approach is effective.
Natural Medicine– Various Herbal medicines and vitamins and nutritional supplements have all been researched and shown to reduce the symptoms of PMS and PMDD. Always consult with with a qualified natural medicine practitioner for proper treatment and advice.
Acupuncture & Traditional Chinese Medicine (TCM)– Research published in the BMC (Effects and treatment methods of acupuncture and herbal medicine for premenstrual syndrome/premenstrual dysphoric disorder: systematic review) showed that Acupuncture and herbal medicine treatments provided a 50% reduction in symptoms in the first month of treatment and symptoms continued to reduce with subsequent treatments.
Counseling- Counseling and psychology need to be a big part of the overall treatment therapy to help women with PMDD develop effective coping strategies.
Other Therapies– Relaxation therapy, meditation, reflexology, and yoga may also help, but these approaches have not been widely studied.
At Shen Therapies, Dr Andrew Orr can help you with PMDD and PMS with a combined integrative approach of using western medicine and complementary medicine and therapies. Dr Andrew Orr is a Reproductive Medicine and Women’s Health Specialist (medical) but also has qualifications is TCM, Naturopathy and Nutritional medicine. If you need help with PMDD, please give our clinic a call on 07 32795697, or email email@example.com
Seminal fluid is often viewed as simply a vehicle to carry sperm to fertilize the female egg, but a more complex function in influencing female reproductive physiology is now evident
Remarkably, seminal fluid contains special signaling agents that interact with the female reproductive tract to prime the immune response, with consequences for fertility and pregnancy outcome. This research isn’t new and we have spoken about this in previous posts. But we now know a bit more about how sperm may assist in implantation for, especially for IVF.
See our other post http://shentherapies.com.au/sex-around-the-time-of-embryo-transfer-increases-the-likelihood-of-successful-early-embryo-implantation-and-development/
Recent studies demonstrate a key role for seminal fluid in enabling embryo implantation and optimal placental development. In particular, seminal fluid promotes health immune responses which facilitate embryo implantation by suppressing inflammation, assisting uterine circulation and blood supply and also protecting the embryo.
There is emerging evidence where seminal fluid provokes an adaptive immune response in the cervical tissues after contact at intercourse, and spermatozoa accessing the higher tract potentially affect the endometrium directly. Research has now shown that sperm and seminal fluid actually help with endometrial receptivity, which is needed to create the right environment for a healthy embryo to implant.
These biological responses may have clinical significance, explaining why
 intercourse in IVF ET cycles improves the likelihood of pregnancy
 inflammatory disorders of gestation are more common in women who conceive after limited exposure to seminal fluid of the prospective father
 preeclampsia incidence is elevated after use of donor oocytes or donor sperm where prior contact with conceptusalloantigens has not occurred.
Research like this is important to define the mechanisms through which seminal fluid interacts with female reproductive tissues, to provide knowledge that may assist in preconception planning and infertility treatment. It also bring attention to the fact that couples still need to be engaging in regular intercourse during IVF cycles to help not only with implantation, but to increase pregnancy rates through optimization on the endometrial lining through contact with seminal fluid. Regular intercourse also promotes connection and bonding for the couple as well and this is something that is very much overlooked.
Shen Therapies offer a Fertility Program where couples are educated on important factors such as this… and more
If you would like to find out how you could improve your chances of having a baby, please give Shen Therapies a call and ask about our highly successful fertility program that has helped over 12,000 babies (and counting) into the world and can increase a couples chances of conception by 96.1% *
For more information on our highly success fertility program, see also http://shentherapies.com.au/shen-therapies-highly-successful-fertility-program/
When women come to see me for help with gynaecological conditions, or couples come to see me for help with having a baby, one of the first things I ask all of them to address is excess body fats and look at diet and lifestyle modifications. Women, men, and couples who are underweight, need to look at this also, because being underweight can be just as bad as being overweight, but for the purposes of this post, we are going to look at how excess fats can not only interfere with fertility, but they can be a major driving factor in gynaecological and men’s health conditions that many face on a daily basis. Worse still, excess body fat can also lead to many cancers that both men and women get also.
One of my biggest challenges with men, women and couples is getting them to look at how excess body fat is playing a big part in their current health, the gynaecological condition they have, or how it is affecting their fertility. I always get all sorts of excuses from “My friend was overweight and he/she does not have my condition”, or “The next door neighbour is overweight and she has had 3 children” and all many of excuses that seem to be a big block in actually taking responsibility for one’s health. I get that it can be hard to get started and hard to make the steps for a better life, but at the end of the day, all these things I hear are just excuses really. Yes, the next door neighbour may not have your health issue, but they may also have some other health issue, or be at risk of another health issue. Yes, your friend might be overweight and has had a couple of children easily, but they may also be younger than you and many of the health issues they face because of their weight may not have caught up with them yet, but it will. I always have to get people to stop focusing on others and get back to looking at themselves, because other people are different. Other people are not you. We are all different individuals with different weaknesses in the body and what may affect one person, may not affect another, but this does not mean we can sit back and just do nothing about our health, or keep comparing our life to another.
Looking at a person’s overall weight is paramount for any health condition that the body faces and we need to look at the individual, not at the masses. Research shows us that excess body fat can lead to diabetes, heart disease, cardiovascular events, cancers, gynaecological issues, infertility, men’s health issues and many other complaints in the body. It can also lead to an early death too. This is a fact and no matter how many excuses people want to make, nothing is going to change the fact that excess body fat is not good for us and it causes problems with our health and now costing the health systems dearly too.
Excess body fat produces excess estrogens in the body and we are now calling these “Obestrogens”. These excess estrogens can not only have an effect on testicular and ovarian function, but they also interfere with other hormones, increase inflammation in the body and then add as drivers for other health issues in the body. These “Obestrogens’ can also interfere with your DNA and can also be passed on to your future offspring through the DNA of the sperm and eggs and also pass genetic conditions onto them as well.
Eating too many grains, sugars, alcohol and refined foods are a big cause of excess fats in the body. These foods lead to increased blood sugar levels, which in turn lead to excess insulin in the body. This then leads to the body storing fat and also stopping the burning of fat. This then leads to high levels of inflammation in the body and a big driver behind many of the major health complaints in the body and even our leading causes of death, in both men and women. When people ask me how refined foods and grains lead to excess fats I also ask them “How do we fatten up cattle and livestock?” The answer is we give them high amounts of grains which increase hormone levels, which then lead to excess growth and also lead to higher amounts of fats in their bodies.
Excess body fats are a big contributing factor in PCOS, Endometriosis, Fibroids, Cysts, Polyps, Sperm quality issues, Prostate issues, Diabetes, Infertility, Cardiovascular disease, Heart disease and Cancers in both men and women
For women excess body fat can lead to menstrual irregularities and heavy periods too, without necessarily having a known gynaecological condition. These excess fats produce estrogens, which is needed to thicken the uterine lining. But when there are too much circulating estrogens, the lining becomes too thick and unstable, eventually leading to bleeding. This can be unpredictable, and often very heavy, lasting a long period of time. These excess estrogens can then lead to gynaecological conditions such as PCOS, Endometriosis, Fibroids etc, but they can also be a big contributing driver of cancers in women.
These excess fats can also lead to men growing breasts, feminisation, having prostate cancers, prostate issues, sperm issues, diabetes, heart disease, infertility, erectile dysfunction, and many cancers that men face.
With many of the developed western countries have a population with over 70% of its people being overweight, or obese, now more than ever we need to look at ways of educating people about eating better, exercising more and looking after their health. While we need governments to intervene, we also need people to take personal responsibility too. With so much health information about the dangers of refined foods, processed foods, sugars, grains and alcohol, we really do have lots of resources that we never used to have available to us. There really is no excuse any longer. If you really do not know what a good diet is supposed to be, there are qualified health professionals, such as nutritionists etc, who can help you. If you truly are eating a proper healthy diet and exercising, then you shouldn’t be overweight. If you are doing all the right things, then there could be other underlying issues that need to be addressed by an appropriate healthcare professional. But many times I find that what people think is a healthy diet, or appropriate exercise, is very far from what a healthy diet and appropriate exercise is. It is all about what people have been taught by their family and what their perception of a healthy lifestyle is.
If you do have a gynaecological condition, have a men’s health issue, are having problem with fertility, or just need to get healthier, now is the time to act. We can no longer deny that excess fats are a major concern for the population and are causing so many health issues across the board.
Just so people know, it isn’t necessarily about weight and measuring yourself with scales. Scales do not show the amount of body fat we have and muscles weighs more than fat. We need people to get out the tape measure to truly see how much fat they have and start to look at waist measurement, rather than weight measurement.
A health male needs to have a waist measurement of 94cms or below and a woman needs to have a healthy waist measurement of 80cms or below. If a male has a waist measurement about 94cm or more, or a woman has a waist measurement of 80cms or more, both he and she are at increased risk of health issues. A measurement of above 102 cm (for men) or 88 cm (for women) is one of the components of Metabolic Syndrome, which puts you at increased risk of diabetes, cardiovascular disease and cancers.
Maintaining a healthy lifestyle is vital protection against many of the health issues we face. Regular exercise, limiting alcohol, non-smoking, a nutritious diet, reducing grains and refined foods and stress reduction are all important. The lower GI diets (Primal, Zone etc) have been shown to be much better than others for people who are overweight, obese and have excess body fats. At Shen Therapies we believe that we can give you the best dietary advice available. A healthy diet, nutritional and herbal supplementation has been researched and shown to benefit many people and is a big part of our overall treatment for everybody that comes to see us for help. Please know that we are here to help you, not judge you. Helping you, help yourself have a better life and have better health, is our priority.
Researchers have successfully documented not only that acupuncture is safe and effective for the relief of migraines, but also how acupuncture achieves positive outcomes.
As a past sufferer (yes past sufferer) of Migraines, I know all too well how debilitating and painful this condition can be when an attack happens. Even when the initial stage of the Migraine subsides, the aura and residual effects can last for days. While pain medication is a much needed part of the process, I also know that if you don’t administer the medication at the right time, the medication sometimes will have little, or no effect, once the migraine takes hold. Worse still, the withdrawal effects of these very strong pain medications can often then induce migraines and headaches, which then require further medication. It really can be a never-ending viscous cycle.
Migraines really do need a multimodality approach to them because the causes of them come from neck dysfunction(sublaxations), diet, blood sugars, hormones, stress and lifestyle. This is why an individual approach is always needed to properly assess, evaluate and treat migraines is needed. Too many people are just patching their condition, with a variety of treatments that really are only just getting them through to the next attack. What people need is a treatment that will not only treat the cause of their migraines, but also help prevent further migraines and give them long term relief and even cure. Acupuncture is just one component in that overall treatment and prevention. So let’s look at how acupuncture can help.
Acupuncture has been shown to induce important biological responses to prevent and alleviate migraines. Imaging studies of the brain using fMRI technology confirm that acupuncture causes specific cortical responses to achieve lasting analgesic effects. In addition, blood level measurements document specific responses to acupuncture that play an important role in preventing and eliminating pain.
Researchers conclude that acupuncture is effective for the prevention and treatment of migraine headaches. A meta-analysis of controlled clinical and laboratory investigations are the basis for the conclusion. In analysis of recent clinical trials, they showed the effectiveness of acupuncture as a treatment for migraines, with less migraine days and less pain intensity levels when acupuncture was administered. Furthermore, no severe adverse effects occurred. A follow-up of up to three months following acupuncture treatments maintained the same results and showed that acupuncture is effective for the treatment of migraines both on the short-term and long-term basis.
In some of the investigation, researchers conducting a clinically-controlled study using fMRI (functional magnetic resonance imaging) where they found a significant decrease in the functional connectivity of the right frontoparietal network of migraine patients. This connectivity dysfunctions was found to be reversible after four weeks of treatment using acupuncture. This is another curative effect of acupuncture that is quantifiable in repeated controlled experiments.
For over 7 thousand years, people have used acupuncture in China for the treatment of various pain conditions, including migraines. It is useful, both as a supplementary treatment and as an alternative treatment, in situations where there is no response to drug therapy. Migraines are a headache disorder affecting a broad population that causes many burdens due to associated healthcare costs and people not being able to go to school and work.
Up to 25% of households in Australia and the United States have at least one member who suffers from migraines. The estimated total number of migraine patients in the United States alone exceeds 28 million and half of them have reduced work or school productivity. In Australia millions of people suffer from Migraines daily and it also affects their work, study and general day to day function, with some not even able to leave their homes due to this debilitating condition.
Scientists have uncovered some of the biochemical mechanisms responsible for acupuncture’s pain killing effects. Drugs used for the treatment of migraines not only have a analgesic action, but they also activate a reaction in the cerebral vessels. In the studies analyzed it was found that acupuncture has been found this very same analgesic action and also activated the same process in the cerebral vessels. The studies revealed acupuncture’s ability to regulate key regions of the brain affected by migraines. The areas are essentially the pain circuitry regions of the brain and cognitive components of pain processing. In addition, acupuncture also restores normal serum nitric oxide (NO) levels that have been found to be almost 55% higher in patients with migraines. Excess NO is a potent vasodilator contributing to headaches and acupuncture restores homeostasis. The regulatory effects of acupuncture can be quantified as early as the fifth acupuncture session and the effects are cumulative.
Based on these and other studies in the meta-analysis, the researchers conclude that acupuncture improves patients’ psychological profile, relieves pain, is safe and cost-effective, and has been found to be at least as effective as conventional preventative pharmacologic treatments for migraines.
At Shen Therapies we know how to treat Migraines properly and also help prevent them returning. We use a multimodaility approach that also give an individualized treatment and also looks at the individuals cause. Our aim is to prevent Migraines from happening in the first place and hopefully prevent them from returning for good. With the right care, this can be done and now research is now backing up what we have known for many years.
Wang Y, Xue CC, Helme R, Da Costa C, Zheng Z (2015) Acupuncture for Frequent Migraine: A Randomized, Patient/Assessor Blinded, Controlled Trial with One-Year Follow-Up. Evid based Complement Alternat Med 2015: 920353.
Da Silva AN (2015) Acupuncture for migraine prevention. Headache 55: 470-473.
Vijayalakshmi I, Sjankar N, Saxena A, Bhatia MS (2014) Coomparison of effectiveness of acupuncture therapy and conventional drug therapy on psychological profile of migraine patients. Indian J Physiol Pharmacol 58: 69-76.
“What you can eat during Pregnancy”
Earlier this year, I put up a post to see what people thought that you (can) and (can’t) eat during… pregnancy, or if you were trying to fall pregnant. It was really interesting to see what foods people thought you could not eat during pregnancy. It is really interesting that most people want to tell you want you can’t eat, but hardly anyone tells you what you can eat during pregnancy and while trying to fall.
What prompted this post was that a while back I overheard one of my staff and lovely mother to be, talking to another mother to be about what she has been cutting from her diet while she was pregnant and how her food choices were so limited.
I heard all kind of wonderful things from not eating any seafood; not eating any cold meat, not eating soft cheeses, not eating eggs, not eating nuts and nearly the whole food pyramid was being added.
What many people don’t know is that I actually have a background in food science and that I used to teach about bacteria and food hygiene and the nasty consequences of what bacteria can do to the body.
Most pregnant women have the number one fear of foods containing Listeria. It is a rare form of bacteria but it can be fatal (very rare) to a lady if she is pregnant and cause issues such as miscarriage. So not discounting it at all and some countries around the world do not have the food hygiene standards we have here in Australia. We only see about 5 cases per million people in Australia. Basically there is about 0.3-0.4% chance of getting it and we all make such a big deal about it. Again, this is not to discount it either. Listeria can be found in unpasteurised products such as diary and cheese and can be found in some forms of deli meats mainly.
But if a health issues such as Listeria poisoning is so rare, why do we make such a fuss about it and not warn women of other potentially worse factors that cause more cases per year, and can be potentially fatal too. The problem is if women only hear about the foods they can’t eat, many of them are going to be nutrient deficient all for the fear of a tiny chance of listeria causing an issue with a pregnancy.
The truth is, other bacteria such as Salmonella, Shigella and Camphyobacter have a higher rate of infection per year than listeria ever will and nobody ever talks about them. There are over 25,000 cases of these combined and most of the spread is through person to person contact, not just foods themselves. Basically many food poisoning cases are actually from bacteria being on your own hands, which then at some stage end up in, or near your mouth. This is why smokers are at higher risk of food poisoning.
Then we have a far wider implication of gestational diabetes, which account for about 15,000 plus, pregnant women per year, with an annual increase of 5% per year. When someone eats sugary foods, highly processed foods, grains etc during pregnancy, that are a major cause of diabetes, nobody says a thing. Yet mention the word Brie cheese, cold meats etc and everyone goes nuts.
So what do pregnant women really need to know and what can you eat?
Basically the same food hygiene that is needed when you aren’t pregnant is to be observed when you are. There only needs to be a little bit more caution, not an ‘OMG’ stay clear of everything, that unreliable Dr Google, or ‘Someone’, has told you. I would love to know who ‘Someone’ is because he, or she, causes a lot of problems. Remember temperatures between 5 and 60 degrees C are you danger zone area. This is why foods need to be stored below 5 degrees and heated over 60 degrees C.
So what can you eat?
- So basically you can eat any deli meats as long as they are cryo-vacced and in date. Cryovacced means the air has been taken out and not even bacteria can live in an non-oxygenated environment.
- You can eat all seafoods as long as they are cooked and fresh.
- You can eat all cheeses but need to be more careful around the soft cheeses. New research actually shows that small amounts can be beneficial for you. If you cook soft cheeses there is definitely no issue. Just don’t eat cheeses from unpasteurised sources.
- You can have any form of pasteurised milk or UHT milk.
- You can have soft serve ice-cream as long as the place you are getting it from looks hygienically clean. Maybe not a good idea to get them from the old ice-cream trucks that aren’t checked regularly by food standards.
- You can eat nuts and now there is evidence to show that mums not eating nuts during pregnancy may now be the cause of nut allergies.
- You can definitely eat eggs and you just have to make sure they aren’t raw. Boiled eggs, poached eggs and fried eggs are all fine. Egg custard is fine because it is cooked
- You can eat all meats if they are cooked and you don’t have to char it until it resembles an old leather shoe. Medium is fine. You just need to cook all chicken right through because all chicken contains salmonella and cooking it kills it.
- You can have coffee and tea and you just need to limit all caffeine to no more than two cups per day (remember tea has as much caffeine as coffee)
Basically the healthy food pyramid we teach at Shen Therapies needs to be applied.
1. Take our ConceptShen Multivitamin & Omega 3 Oils daily and take a probiotic
2. Eat 2 handful of nuts daily or two tablespoons of healthy oils
3. Limit you grains to one serve (only) per day or cut them completely (best)
4. Eat 2 pieces of low GI fruits per day
5. Protein with every meal or snack
6. 3 serves of veggies or salads per day (just not from a salad bar)
7. 8 glasses of water
8. 2 serves of electrolytes per day when pregnant
9. 30 -45 minutes exercise 2-3 times per week
# No diet drinks or artificial sweeteners at all
Remember food is to be enjoyed and so is pregnancy. Don’t get too caught up in all the worry of what you can’t eat and look more at what you can eat and stick to those foods.