What Can I Do to Support Uterine Lining and Implantation During IVF?
“What can I do to support uterine lining and implantation? I have had uterine adhesions and surgery last year, but I’m struggling to get a good uterine lining duringmy IVF frozen embryo transfer.”
Given that you are going through IVF, I’m sure that you are being given progesterone to help improve your uterine lining and certainly within the cycle that would be having some impact.
Ultimately however, irrespective of whether that’s working or not, it’s probably not working to the liking of the practitioner treating you, because otherwise you would already know the answer to this question.
In my professional opinion as a natural fertility specialist, preconception preparation is the most effective way of assisting the body to deliver the best results in regards to improving the quality of embryonic or uterine lining to have the embryo implant and grow within the uterus.
The reason that preconception health care is the most effective way is because in order to have good lining there are several different things that have to happen at the same time. First, you need to have optimum hormonal balance, an excellent nutritional foundation which is going to be essential for the development of a quality egg.
Now you might think, “Hang on a second. I’ve already got these embryos. Why are you talking about quality egg?” Well, a quality egg is essential when we’re talking about lining because, what happens is that once the egg is actually ovulated, what’s left behind is called corpus luteum.
If the corpus luteum is not robust enough or well-developed enough, it doesn’t produce adequate progesterone for the lining to develop as effectively as it needs to. So what happens is that it’s actually the responsibility of the corpus luteum in the first 12 weeks of gestation to create the uterine lining that’s going to be ideal for implantation to occur.
If you don’t have optimum hormonal balance overall, irrespective of whether you’re going through IVF or not, it’s going to affect the quality of the eggs that are ovulated and therefore the quality of the corpus luteum and that in itself is going to affect the quality of the lining of the endometrium for a particular transfer to occur.
As far as creating the endometrium lining to be the best quality it needs to be for you to be able to conceive and implantation to occur and pregnancy to occur, preconception preparation is going to be vital.
The quality of the egg and sperm today, is essentially what’s happened, well over your lifetime, but predominantly in the last 4 to 8 months. It actually takes approximately 8 months for the egg to go from primordial follicle to actually be the follicle that’s ovulated and what that essentially means is that in order for you to release an egg, that process begins quite a lot before the egg is even ready to be fertilised.
Now, what’s interesting about that is that we talk about 4 to 8 months being the time that it takes for the egg to mature, but you can make a dramatic improvement, certainly a dramatic impact on the quality of the egg within a 120-day period . There is the first recruitment and then the second recruitment and the second recruitment takes approximately about 120-day period.
Essentially it’s really about making sure that you are doing every possible little thing that you can to optimise your chances. So that 1 20 days of preconception preparation for you and your partner is ideal. And what happens is I mean, obviously, now you’ve got your embryos to be transferred. So your partner’s contribution on this level has ended for a temporary period of time.
However what happens is that, if for whatever reason, touchwood, the embryos that you have are not going to be enough or are not enough in order to get you the pregnancy that you want, then we may need to go and do another IVF cycle and if that’s the case, it’s really important to have your husband’s health to be as optimum as it can be.
So if you already have those embryos which seems to be the case from what you’ve said, the strategy to apply is that you want to have that nutritional foundation be as robust as possible and you want to have that optimum hormonal balance again, to be as good as it can be. This is paramount to get the best possible results and certainly to improve your chances of an effective implantation and a healthiest possible baby.
In our clinic we achieve excellent results by implementing various modalities including, but certainly not limited to what I call our F.E.R.T.I.L.E. Method®. In addition to that, one of the things that is important to also qualify here is that sometimes physical interventions are actually quite effective in helping to improve the blood flow as well as the energy to the uterine lining.
So there’s a few things that comes to mind when I think of this.
- One is exercise, exercise is very underestimated activity when it comes to the best possible results with blood flow coming to the uterine area.
- Another technique that is fantastic is actually Cranial Sacral therapy or even Bowen therapy as well as chiropractic could be quite useful for helping to align the pelvis and certainly align the blood flow to the area.
- Of course then you have acupuncture, which is also proven to help to improve the blood flow to the region and certainly help to improve the quality of that uterine lining.
So those are some of the external things that you can do, none of which are going to work effectively if you don’t have the biochemical and nutritional foundation that’s required.
What happens with nutrients is that you need to make sure that you’re taking the right nutrients, but you also need to make sure that you’re taking the right quality nutrients. With the prescriptions that we do in our clinic, we certainly customise them quite specifically to the people that we’re treating, but we also only use practitioner strength products because we know that most of the things that you buy over the counter are just not as effective. =
In this particular situation, there are certain basic things that I would absolutely recommend and again the dosages change depending on what is happening for a particular case. So I would recommend that you have a discussion with someone who is an expert in this area, it could be one of our naturopaths or someone in your area to be able to support you in knowing exactly what dosage you should be taking. But the basic things that I would recommend would be certainly a good quality practitioner-strength multivitamin, a liquid fish oil, a vitamin C supplement as well as a zinc and coenzyme Q10.
These are very important for helping to provide the foundation for basic nutrition that the body needs in order to improve the quality of egg as well as improve the quality of the lining in the long-term.
Of course, then we’ve got herbal medicines and herbal medicines in my opinion are one of the most amazingly under used tools when it comes to improving uterine quality, particularly in lining, particularly when other things are not working. It does take a little bit of time for herbs to really have their full effect.
I would say that between a 3 to 4 month period is what you’re looking at, certainly it can’t be used during certain parts of the IVF cycle. However, some of my patients I do put them on an anti-miscarriage mix or an implantation mix after their embryo transfers and we’ve seen some excellent results by doing that in combination with some other tools and techniques that we use in the clinic.
So those are things to certainly consider and have a thought about how you could start to implement those different aspects in order to give you the best possible chance. Like I said, if for whatever reason, the IVF cycle doesn’t work because the lining is simply not getting any better, then 120 days of preconception preparation is absolutely what I would recommend that you get started with as soon as possible to really give you the best possible chance.
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