Recently I blogged about how we at The YinOva Center help couples going through IVF. Some of you emailed or called and asked if we would offer a discount for people who are scheduling an assisted reproductive technique and need to book a series of appointments. We hadn’t thought of this and are grateful for the suggestion. The answer is YES! We are happy to support you in this way. So if you are doing an IVF cycle or IVF with donor egg here are our suggested treatment schedules which you can purchase ahead of time as a package.

Although you will buy your treatments ahead of time you don’t have to schedule all your appointments up front because timing will vary according to your cycle. Also we want to reassure you that should your procedure be canceled we will be happy to give you a refund for the treatments that are outstanding.

We are happy to offer you a discount on the following packages of treatments with YinOva Acupuncturists Margaret Sikowitz, Liz Carlson and Marie Amato. Because timing your treatments is important you may see any or all of our practitioners depending on who is available at the time that fits your ART schedule. To schedule some or all your appointments with Jill Blakeway please talk to our manager Mark Radoncic who will be delighted to help you.

The YinOva IVF Support Package

1 Initial intake prior to start of IVF
1 Acupuncture treatment during menstrual phase, if applicable
2 Acupuncture treatments during stimulation phase
2 Treatments (1 prior to retrieval and 1 prior to transfer; these should be scheduled about 24-48 before retrieval and transfer)
1 Treatment after transfer (24-48 hours after transfer, not the same day)
1 Treatment during luteal phase (usually around cycle day 20-28)

Package Value – $955 YinOva Discounted Price – $850

The YinOva Donor Egg IVF Support Package

1 Initial intake prior to start of IVF
1 Acupuncture treatment during menstrual phase, if applicable
1 Acupuncture treatment to enhance uterine lining (more if necessary)
1 Treatment after transfer
1 Luteal phase treatment

Package Value – $610 YinOva Discounted price – $550

All of these treatment packages are also offered to current patients without the initial consult fee.

ART Packages for Current Patients without the Initial Consult Fee

IVF Package – Package Value – $805 YinOva Discounted price – $725

Donor Egg Package – Package Value – $460 YinOva Discounted price – $415

So thank you YinOva patients for a great suggestion. It is our pleasure to offer you these discounts and as always we appreciate your faith in us. We are happy to support you through your IVF cycle.

Patients who have been diagnosed with unexplained infertility often find it a great relief that their seemingly random collection of symptoms make sense from a Chinese medicine perspective. They have usually undertaken a battery of tests by the time they visit us at the YinOva Center and their first question is, “If nothing is wrong, why am I not getting pregnant?”

Chinese diagnosis is based on identifying patterns of disharmony so an acupuncturist will look for signs that have meaning when seen in relation to each other. Two of the most common patterns in women with unexplained infertility are Liver Qi Stagnation and Kidney Yang Deficiency. In our book, Making Babies: A Proven Three Month Program for Maximum Fertility, Dr. David and I called these the Stuck Type and the Tired Type. You can identify your type by taking this quiz on the book’s website.

The Stuck Type describes someone who manifests stress physically. Often they have tension headaches or nervous stomachs, which are signs that they have become tight like a pressure cooker and qi is not flowing smoothly. This lack of flow can lead to unsmooth hormone transitions resulting in symptoms such as PMS. At the YinOva Center we give these patients a very well known Chinese formula called Xiao Yao Wan and treat them with weekly acupuncture to move qi. We know they are getting better when they no longer have PMS and many of them then go on to get pregnant.

The Tired Type describes someone who has metabolic issues that effect their reproductive hormones. They usually complain of fatigue, feeling cold and weight gain. At the YinOva Center we put them on a warming herbal formula and suggest they eat warming foods. We give them weekly acupuncture often with moxibustion, a warming herb. We know that they are getting better when they tell us they have more energy and that their hands and feet are not cold anymore. At that point many of them go on to get pregnant.

Both these types can result in problems that can be identified by conventional medicine. Women who are the Stuck Type can have elevated prolactin levels and women who are the Tired Type can have low thyroid hormone. However in many cases the imbalance is sub-clinical and not picked up by medical testing. That is a great reason to seek out an acupuncturist and herbalist in order to correct patterns of disharmony that may be minor but are subtly impeding your fertility.

I recently wrote a blog entry that was all about influencing the sex of your baby. All that talk about X and Y chromosomes prompted one of my patients to ask me about Fragile X syndrome. She had just been diagnosed as a carrier for this disorder and wanted me to help her sort through her options.

What is Fragile X Syndrome?

Fragile X is a genetic disorder and is the most common cause of inherited mental impairment and cognitive problems including some forms of autism. It is caused by a mutation of the FMR1 gene on the X chromosome. The mutation turns off the production of the FMR1 protein which in turn affects brain development. People with Fragile X suffer from mental impairment which can take the form of anything from very minor learning difficulties to severe cognitive problems. They may be hyperactive or over sensitive to stimuli and they may have short attention spans. Physically people with Fragile X may have a long narrow face, prominent ears, enlarged testicles and loose joints. Approximately 1 in 2000 boys suffer some kind of mental impairment due to Fragile X. The disorder also affects girls but the incidence is lower and the symptoms tend to be milder. This is because girls have 2 copies of the X chromosome whereas boys only have one. This means that girls have 2 copies of the FMR1 gene so if one is mutated a girl has another copy of the gene to fall back on. Boys only have one X chromosome.

What does it mean to be a carrier of Fragile X?

Fragile X syndrome is carried on the X chromosome. Since men (XY) and women (XX) each have at least one X chromosome, both parents can be carriers.

If a father is a carrier, he can only pass the gene defect to his daughters, since he transmits a Y chromosome to his sons. All of his daughters will inherit the gene, but as far as anyone knows this inherited defect will be in the premutation stage which means that if a daughter inherits Fragile X from her father she will not be symptomatic although she can pass the disorder on to her children.

If a mother is the carrier, she can pass the gene defect to either her sons or her daughters, since she contributes an X chromosome to each. If, as a woman, you are a carrier you have a 50% chance of passing the gene on because you have two X chromosomes and only one of them is affected. So if you are a carrier you may not pass on the defect at all or you may just pass on the premutation or your child could inherit the full syndrome. Sons who have fragile X are at high risk of intellectual disability but daughters who receive the fragile X gene may appear normal because the have two X chromosomes and only one is affected.

If you are a carrier how is risk assessed.

A simple blood test can establish if you are a carrier of Fragile X and the degree to which this mutation is likely to cause problems for your child. Geneticists classify the gene mutation into three categories based on the number of repeats of a pattern of DNA called CGG repeats. Individuals with less than 60 CGG repeats have a normal gene. Individuals with 60-200 CGG repeats have a premutation which means they do have a small risk of their child suffering from Fragile X syndrome and that risk is directly related to the number of CGG repeats. Parents with over 200 repeats have a full mutation which causes fragile X syndrome.

As for my patient. She fell into the middle ground in that she had the premutation and so was at a small risk of passing on Fragile X. Fortunately we live in a time when we have access to good genetic testing and advice. Her doctor was able to reassure her that, because the number of CGG repeats was low her risk of passing this disorder on to her child was minimal. An amniocentesis at 16 weeks was able to confirm her doctor’s prediction and she was relieved to hear that her baby was just fine.

Although it’s scary to find out that you are a carrier for a genetic disorder such as Fragile X, it’s important to find out more about your own situation. You may find that with a combination of genetic and prenatal testing you , like my patient, receive reassuring news.

I enjoyed this video by Alice Eve Jones performing an extract from her book, What I Thought I Knew. In it she describes how, after a long struggle with infertility, she was told she was in menopause, only to find out that she was pregnant. Recently Dr. David and I were consulted by a patient in her mid-thirties who was told she was menopausal and that she should give up all hope of bearing her own child. She’s now four months pregnant. Miracles do happen. In fact they happen all the time.

Thanks to Njemile Carol Jones, an fabulous acupuncturist in Maryland for sending me this link. Njemile specializes in OB/GYN with a particular specialty in treating infertility. So if you are looking for an acupuncturist in the MD or DC area she would be an excellent choice.

Kathryn, one of our lovely YinOva patients was reading our book Making Babies: A Proven 3-Month Program for Maximum Fertility when she had a thought. She facebooked me to suggest that we start collecting fertility-friendly recipes and publishing them here on the blog. I loved the idea and thought her first two recipe suggestions were great. I’m growing cucumbers in my garden so her creamy cucumber soup sounds wonderful and her second recipe for a spicy lentil soup is a fabulous hot weather idea.

These recipes are inspired by our book and nourishing for people who are trying to conceive but they’re also just lovely summer fare. Enjoy!

Thanks, Kathryn, for your contribution. I hope you’ll write more recipes and share them with the YinOva community and for anyone else out there who wants to join in I say, feel free….email me, comment or facebook me and I’ll put your recipes on the YinOva blog.

K’s Creamy Cucumber Soup

2 medium onions, roughly chopped
2 T. butter
4 cucumbers, peeled, seeded & chopped
4 oz. fresh goat cheese
sea salt
white pepper

Saute onions with butter and 1 tsp salt until soft (“sweated”) but not browned. Add cucumbers and cook until tender. Remove from heat and puree in a blender with the chevre (a VitaMix is ideal for this, but a food processor or a blender works fine). Add salt and white pepper to taste. Chill in the fridge. Serve cold or room temperature.

Kathryn emailed me to add that she often chops mint and sprinkles it on this soup.

K’s Super-Delicious Red Lentil Soup

1 T. olive oil
1 inch fresh ginger, peeled & sliced
2 cloves garlic, minced
2 stalks lemongrass, bruised and cut into 3 inch lengths
1 medium red onion, finely chopped
1/2 or 1 jalapeno pepper, seeded and finely chopped (optional)
1 can light coconut milk
1 c. red split lentils
4 c. water
1 t. sea salt, or more to taste
1 large handful cilantro, finely chopped (I love cilantro, so I tend to go heavy handed with it, but some people hate it)
4 fresh scallions, finely chopped
2 c. fresh baby spinach
½ lime, juiced (about 1 or 2 tablespoons)

Saute ginger, garlic, lemongrass, onion, and optional jalapeno in olive oil, until fragrant (leave the ginger & lemongrass large enough so that you can remove the pieces from the soup later). Add water, coconut milk, red lentils and salt. Cook until lentils are tender, about 40 minutes. Remove lemongrass & ginger pieces. Add cilantro, scallions, spinach and cook until spinach is wilted (but don’t overcook!). Add salt and lime juice to taste. Yummy!

FIFTEEN MINUTES WITH THE “FERTILITY GODDESS,” JILL BLAKEWAY

In the new tome Making Babies: A Proven 3-Month Program for Maximum Fertility (Little Brown) acupuncturist and herbalist Jill Blakeway, who specializes in fertility and women’s health, teams up with reproductive endocrinologist Sami David to demystify the often fraught process of getting pregnant, covering everything from sex ed 101 to common causes of infertility and how to overcome them. Called a “fertility goddess” by the New York Times, Blakeway spoke to us about her approach to alternative medicine, her patients and how men play into the equation.

Why did you decide to write this book now?

Dr. David and I have collaborated on patients for six years, so this book grew organically out of that relationship. We were frustrated that patients were being given unnecessary medication and undergoing needless procedures, and we were having great success at helping people get pregnant more naturally. Click here to read more on the W website.