Fertility and Google

Fertility- “When your google search is just not going to cut it”

I always have a little bit of a chuckle to myself when people call my clinic and try to tell my staff that they know everything there is to know about fertility and that they don’t need to have any other investigations etc, because they have had them all done.

Then when I check, not only have they not had them all done, but the person actually only knows the bare basics about fertility. It is perception versus reality and a degree is doctor google, does not make one an expert.  I often have to say to these people that if they really did know everything, then why aren’t they falling pregnant, the truth is generally a reason why.

The truth is, there is generally a reason why, and it is because they don’t know and they actually need help from someone who does not, and someone who is an expert in reproduction.

There is no easy way when it comes to fertility

I wish it was that easy, because that way I would not have had to study to obtain a Master Degree in Reproductive Medicine, done countless hours of clinical research, and  done hands on experience over the last 20 or more years to know what I know now.

The truth is, unless you are a fertility specialist, have extra post graduate training in fertility, and actually work in the field of fertility and reproduction, you just cannot know all there is to know about fertility. It would be like me doing a google search on astrophysics, or any other field I am not qualified in, and then saying that I am now an expert because I have done a few google searches.  We really need to put all of this into perspective and be real about this. I am all for people being educated, but really, you cannot be an expert without years of study, training, ongoing research and hands on experience.

Doctor Google does not have all the answers

I also know that not everyone in the fertility profession is well qualified either and this is due to the lack of regulation in this profession. But, even so, you cannot just do a google search, or do a few IVF cycles, or get advice from some support page, and then call yourself and expert.  Just remember that a lot of the information on Dr Google is actually wrong, or only partially true and that support groups often contain members of the general public, who have no medical experience what so ever. Yet these days, many are taking the medical advice given on these pages and that is absolutely dangerous. I don’t mean for this to sound harsh, because support groups are a great thing, but we need to be real about who and where we get our medical advice from, especially when it comes to fertility.

Fertility is complex with multiple variants

Fertility is not just about putting and egg and a sperm together and it just works. Let’s be real about this. Making a baby is not as easy as our parents and teachers used to tell us. There is a science behind it and it requires the right timing the right conditions and also optimum health of the parents physically, mentally and also genetically.

Age is one of the biggest factors with fertility

Age is also a huge factor. The older we are, the more issues we have with sperm and eggs and the more random genetic and chromosomal errors we get with embryos.

Genetics is very important when it comes to fertility

Genetics is also something many do not understand and something that many overlook. At present I test couples for 180 different genetic mutations , genetic variants and genetic issues that could be affecting a couples chances of pregnancy.

Not to mention Karyotyping to see if the couple is in fact male and female, or don’t have translocation issues on their X & Y chromosome, or other genetic issues such Turners syndrome, Kleinfelters syndrome etc. Then there is cystic fibrosis screening and many other genetic screenings that most people have never had tested and without proper training would not be able to understand how to interpret them either.

Assisted Reproduction

Then we have IVF and Assisted reproduction, which is not as simple as giving someone some hormones, and putting a sperm and an egg together. I wish it was that simple. There are many variants with the whole IVF process that the general public just do not understand and if you don’t know what these are, things can go wrong very quickly. Let’s face it, if you don’t get hormones and everything right, women have died on IVF cycles, or become very critically ill in the process.

The science of embryology takes years of study

We also have scientists who have done years of study to understand embryology and the very intricate details of what it takes to create an embryo. Even when an embryo is created, it does not mean it will go on to become a baby and there are many reasons behind this. This sort of stuff the general public just do not understand and cannot understand with a mere google search.

When an embryo is created, it is then a mixture on egg, sperm and all the chromosomal and genetic variants from the male and female. Many things can go wrong. There can be random errors, there can be arresting of the embryo growth process and then there are also nutrients and so many other factors that are needed for an embryo to just making it to day 5 ( which is called a blastocyst). That is if it actually makes it that far, which many don’t. Regardless of the classification system and grading system for embryos, it does not mean that the embryo is chromosomally viable, nor does it mean it will go on to become a baby.

Sometimes science cannot explain everything

Some technology surrounding embryo quality and viability we just do not have yet.  So in essence, one an embryo is formed; it compacts and grows, and then makes it to transfer. What happens after this really is up to chance. Sure, there is a science behind it all, and that science is very intricate and precise, but there is also an element that is “left up to the gods”, so to speak

The same actually goes for natural conception too. It is exactly the same processes really, except it is all done in the body. The only difference is that we do not know if the sperm and egg are actually meeting and forming an embryo month after month. It is a waiting game to see what happens just the same as it is for those doing IVF who also have to wait to see if a transfer is successful.

You need a real degree, not a google degree to understand reproduction fully

There is so much to fertility and conception that many will never be able to comprehend, unless they undertake the study to do so. Even then you need to be doing the actual hands on work on this profession too. There is a huge difference between what one reads in a text book, to what actually happens in practice. It is a marriage of theory, study, research and practical experience that is needed to actually call one an expert in reproduction and fertility.

Education is important, but be careful who your source is

When I say all this, this is not to discourage people from being educated, asking questions and finding out as much as they can on their journey to become parents. Education is important and this is why I do my fertility program, so that couples are educated on everything they need to know about fertility and what is needed to have a baby.

My fertility program covers what no google search every will

In my fertility program and education for couples,  I go through everything from medical procedures, genetics, pathology, chromosomes, egg quality, sperm quality, male and female health, gynaecological issues, male fertility issues, surgical interventions, counselling, supplements, dietary and lifestyle changes, diet plans, IVF and assisted reproduction, hormones, medications, complementary medicines, scientific procedures (andrology, embryology, ICSI etc) and so much more that can only be given to couples by multiple degrees, post graduate degrees in Reproductive medicine, and over 20 years’ experience in helping couples have babies.

The importance of seeing a reproductive medicine expert

As I have tried to explain, there really many things that are needed to ensure optimum fertility and better chances of a successful pregnancy outcome. I wish it was as easy as doing a google search and that all answers could be provided. There are lots of underlying reasons that couples are not falling pregnant and this is why it is important to see someone who knows what they are talking about and who is an expert in reproductive medicine. They also need to be appropriately qualified and certified, because the fertility profession is largely unregulated. Like any profession, there are lots of bad practitioners out there too. This is in both the medical and complementary medicine.

Do you your homework, but don’t rely on google

Do your homework on whom you are thinking about going to see, but please remember that your google search does not make you an expert. Google does not have all the answers when it come to the very complex and intricate details of the world of fertility and reproduction. Please see someone who is trained properly, who has years of experience, who is caring, who does listen, and who can guide you through every step of the process in your journey to having a baby.

Final word about fertility and reproduction

Last but not least, when it comes to treating a couple for fertility, both the male and female need to be investigated and managed as part of legal and ethical requirement for fertility services. We cannot just see the female as males are 50% of the fertility equation. If a male is not on board, then females need to be asking some big questions of their partner, not the fertility clinics they are trying to go to. Biology 101 tells us that it takes a sperm and egg to make a baby, and not just an egg and this is something that I talk about often.

If you do need help and assistance with having a baby, and need to find out all the proper information and answers regarding reproduction, please give my friendly staff a call and enquire how I may be able to assist you in your journey to becoming parents as part of my fertility program.

Regards

Andrew Orr

-No Stone Left Unturned

-Master of Reproductive Medicine

-The International Fertility Experts

Fertility Facts Ovulation does not occur mid cycle for every woman.

Ovulation Does Not Occur Mid-Cycle For Every Woman

Ovulation can happen at anytime in a cycle and research has shown that more than 70% of women are ovulating outside the traditional view that ovulation occurs mid-cycle.

Too many couples are focussing on this small window period, when in fact ovulation may be occurring before, or after.

Many are also unaware of when they are actually ovulating and some women may in fact not be ovulating at all. This is why it is important to find out by proper monitoring by a trained professional.

Once an egg is release it has but 24 hours to be fertilised, otherwise it will die.

The egg also needs one vital ingredient during this time…… sperm. This is why men need to be evaluated properly, to see that their swimmers can actually swim and fertilise the egg.

This is why couples need to be trying to have sex as much as possible when trying to conceive. Miss having sex in that 24 hours period and then there is no chance until the next cycle.

If you are trying for a baby and not having any success, then it is time to get some real help and some proper evaluations and management around your fertility.

My Fertility Program has helped over 12,500 (plus) babies into the world and it could be the answer to assisting you having your baby as well.

For more information and to book in for the program, please contact my friendly staff on +61 07 38328369, or email info@drandreworr.com.au, or contact by the online form on the website.

You can also book a meet and greet appointment prior to joining the program (to find out more information) and we do see couples locally, interstate and from overseas.

Copy of Fertility Facts Being Overweight or underweight can adversely affect fertility

Being Overweight, or Underweight Can Adversely Affect Fertility

It is important to have healthy weight and waist size when trying to conceive. It is know that being underweight, or underweight can adversely affect fertility.

Healthy Waist Size

Healthy waist range for a woman is 80cm (from the belly button around) Healthy waist range for a man is 94cm (from the belly button around)

If a woman’s waist size is about 88cm and a man’s waist size if above 102cm then they are in what we call “metabolic syndrome”

Metabolic Syndrome

Metabolic syndrome increases their chances of the following:

  • diabetes
  • heart disease
  • depression
  • gynaecological conditions (PCOS, endometriosis etc)
  • sperm issues,
  • egg quality issues
  • reproductive issues,
  • increased miscarriage
  • increased risk of certain cancers
  • infertility

Excess body fat (now known as obestrogens) can disrupt hormones and fertility and can have a negative effect on egg and sperm quality.

Similarly being underweight and low body fat can affect fertility outcomes too.

Body fat has a regulatory role in reproduction

Body fat has a regulatory role in reproduction and a moderate loss of fat, from 10% to 15% below normal weight for height, may delay the menstrual cycle, completely stop the menses altogether and inhibit ovulation. Both dieting and excessive exercise can reduce body fat below the minimum amount and lead to infertility. But this is reversible with weight gain, increased body fat and reduction of intensive exercise, or both.

A moderate reduction in body fat, not just weight, for those overweight, can increase fertility and chances of pregnancy exponentially.

Similarly an increase in body fat for those that are underweight, and who don’t have enough body fat, can increase their fertility and chances of pregnancy as well.

This goes for men too. Increased body fat, or not enough body fat can affect hormone production and fertility and can affect sperm quality and sperm production.

The importance of preconception care

This is why preconception care and healthy screening and weight and waist management is so important before trying to conceive. This should also be a part of any fertility program and is definitely part of my fertility program for all couples.

Are you in healthy waist range?

Regards

Andrew Orr

– No Stone Left Unturned

-Master of Reproductive Medicine

-The International Fertility Experts

Untitled design 16

Lycopene Helps Improve Sperm Quality

A new research study conducted by the university of Sheffield has shown that supplementation of Lycopene, a compound found in cooked tomatoes, has helped improve the sperm quality in a group of men.

Many studies have examined the role of dietary factors, antioxidants and amino acids and data from randomized controlled trials suggest that antioxidant therapy can improve sperm quality.

Health benefits of lycopene supplementation have been proposed for a variety of health conditions. This recent study examines whether 14mg of daily lycopene supplementation, for 12 weeks, can help improve sperm motility and sperm morphology in men.

Poor sperm quality

Poor sperm quality is a major contributor to infertility in heterosexual couples, but men are often overlooked and often are unwilling participants in the journey to have a baby. There is no doubt that sperm quality is declining and many couples inability to have a baby is actually coming from the male side of things, not the female side.

It is generally recognized that 50% of fertility issues are related to male sub-fertility and poor quality sperm. Typically, fertility problems in the male manifest themselves as ejaculates containing too few sperm (oligozoospermia), or sperm that swim poorly (asthenozoospermia), or sperm with poor size and shape (teratozoospermia) or a combination of all three.

Factors Affects Sperm Quality

Known factors that affect sperm are – Poor diet, obesity, alcohol, smoking, recreational drugs, steroids, medications, chemicals and environmental factors. There are also genetic and hereditary issues that affect sperm as well.

Women are often driving force behind fertility health

Women are often the ones being very proactive in whatever it takes to have a baby and will take supplements, improve their diet, and look at any way they can to help with conceiving. Unfortunately, getting men to do the same can be like pulling teeth and we need to start educating men of the importance of preconception care prior to having a baby.

Men offered very little advice about sperm health

Unfortunately many fertility clinics and healthcare practitioners in general, are giving very little advice and information around what men can do to improve their sperm. Many healthcare professionals are also only focussing on delivering general advice to highlight the known lifestyle risks for poor sperm quality. More advice around preconception care is needed.

Preconception care for men is a must

There is now lots of research about the importance of preconception care for men and lots of research on the importance of a healthy diet, lifestyle changes and the role of antioxidants and amino acids for sperm health and sperm quality.

This recent study could add to the ways that men can improve their sperm quality and help with the outlook for men with known sperm issues. This recent study could also add to existing research and could also lead to better ways to reduce the damaging impact of modern living on reproductive health. We really do need for all couples to know, that of all infertility cases, at least 50 per cent of the issue is due to male factors and poor quality sperm.

Lycopene increases sperm quality

This is the first ever double-blind randomised controlled trial to assess the impact of giving men a bio-enhanced form of lycopene (called LactoLycopene) to see if it helped with sperm quality. The team from the university of Sheffield discovered that the lycopene supplementation made no significant difference to sperm count and concentrations. However the rapid progressive motile sperm and the sperm with normal morphology increase by around 40% in response to the lactolycopene intervention. Rapid progressive sperm and morphology are the two most important parameters for sperm quality and for increasing chances of fertilisation and pregnancy.

During the 12-week trial half the recipients took LactoLycopene supplements and the other half took identical placebo (dummy pills) every day for 12 weeks. Neither the researchers nor the volunteers knew who was receiving the LactoLycopene treatment and who was receiving the placebo. Sperm and blood samples were collected at the beginning and end of the trial. The researchers were surprised by the improvement in the sperm quality shown by the results. The improvement in morphology and rapid progressive sperm was dramatic after lycopene supplementation.

What are Lycopenes?

Lycopene can be found in some fruits and vegetables, but the main source in the diet is from tomatoes. However, the bioavailability of lycopene from fresh tomatoes is low, but this is enhanced by a special natural processing technique of heating and infusing tomatoes with oil. As such, this study used lactolycopene, the main ingredient of which lycopene is embedded in a special protein mix for enhanced intestinal absorption.

This was the first properly designed and controlled study of the effect of LactoLycopene on semen quality, and it has spurred researchers to want to do more research into lycopene and well as other antioxidants and amino acids that may help with sperm quality. The research also shows the role these antioxidants play in helping inhibit the damaging effects of oxidation and oxidative stress.

Oxidation and Oxidative Stress Damage Sperm

Oxidation and oxidative stress is a known cause of damage to sperm and the sperm DNA. Lycopene is a powerful antioxidant that is potentially inhibiting oxidation and the damage of oxidative stress causes to sperm quality. Researchers believe this antioxidant is the key to improvements in sperm quality seen in this trial and could be an answer to the cause of many male fertility problems. More research is needed and the research team is hoping to embark on a new study as soon as possible.

Final Word

As part of my fertility program all males are educated on the importance of preconception care and about optimum sperm health. All men on my fertility program are given antioxidants and supplements that have been shown to assist with sperm quality and maintain optimum sperm health. Men are 50% of the equation of making a baby and why all men need to be included in any preconception care and any program to assist couples in having a baby.

Regards

Andrew Orr

-No Stone Left Unturned

-Master of Reproductive Medicine

-The International Fertility Experts

 

Journal Reference:

  1. Elizabeth A. Williams, Madeleine Parker, Aisling Robinson, Sophie Pitt, Allan A. Pacey. A randomized placebo-controlled trial to investigate the effect of lactolycopene on semen quality in healthy malesEuropean Journal of Nutrition, 2019; DOI: 1007/s00394-019-02091-5
fat children

The Prevention of Childhood Obesity Must Start Before a Couple Conceives.

The key to preventing obesity in future generations is to make their parents healthier before they conceive, leading health researchers suggest.

In a series of papers, published in The Lancet Diabetes and Endocrinology, the researchers say that the time before couples conceive represents a missed opportunity to prevent the transmission of obesity risk from one generation to the next. They argue that a new approach is needed to motivate future parents to live a healthier lifestyle.

There is now a wealth of evidence that the risk of obesity and its associated conditions, such as heart disease diabetes and some cancers, could impact the developing baby. In turn, when the child becomes a young adult they may pass the risk of obesity on to their children — it is a vicious cycle.

The nature of this problem is not adequately appreciated. Many young people, whilst appearing outwardly healthy, are nonetheless on a risky path to obesity and chronic disease and more likely to pass this risk to their children, the researchers warn.

Many pregnancies are unplanned, and the special needs of adolescents and young people at this important time are not sufficiently recognised. Far from helping them to prepare and plan for pregnancy and parenthood, many public health programmes assume that their needs are similar to the general population and require no special measures or provisions.

In a comment piece accompanying the research papers, Professor Mark Hanson of the University of Southampton, says an entirely new approach is needed that engages parents-to-be and encourages them to be part of the solution.

Engaging future parents in leading healthier lives will not only promote their health later, but will give their children a healthier start to life.

Getting couples to have a healthier diet and lifestyle and manage weight is all part of my fertility program and something we have always promoted. We know that the health of the parents gets passed onto the offspring and why we are so focussed on helping a couple be the healthiest they can be. So many couples are choosing to overlook the obvious because it is all too hard. Well… so they think.

A moderate weight loss of 10% body fat, or an increase for those underweight, can increase a couples chances of conception by 50%. That is huge.

I have helped and assisted over 12,500 babies into the world, via my fertility program.  Part of the fertility program is about preconception care and getting the parents healthy before they try to have a baby. Healthy parents produce healthy babies.

If you do need help have a baby, please call my friendly staff about how the fertility program may assist you in having a baby.

Regards

Andrew Orr

-No Stone Left Unturned

-The International Fertility Experts

Chill Pill

A Special Kind of Pill for Better Health and Increased Fertility

Previously I have mentioned that I was going to talk to you all about a special medicine and a special kind of pill, that can not only help you with gynaecological and other healthy issues, but it can also help with fertility and being able to fall pregnant.

I was going to post this up straight away, but then I had to think more about it, because I know when you mention this subject, people can take a message with the intention of helping the wrong way.

So what is this special pill that I am talking about and not yet available on the market?

Well, it’s called a “Chill Pill” and many of us need to be taking it often, or learning to administer it often.

Now, before anyone gets all up in arms about this and what I am about to say, I need you to listen and take the personal out of this and just hear the reasons why.

I have been on the other end of stress, where it almost killed me, literally and I know how it then affected my health and then exacerbated pre-existing health complaints I had. So I am coming from a place of understanding, but also a place of wanting to help people through my own experienced personally, but also what I see in clinical practice daily. I was one of those people who kept saying that weren’t stressed, or that I don’t feel stressed, yet all the while my body signs were saying something different.

Like any change we need to make, the first part is admitting there may be something wrong in order to enact that change.

The sad fact is that 9 out of 10 people report being stressed and 41% of people feel they experience unhealthy levels of stress. Stress and the body’s response to it, can affect people in different ways. Small amounts of stress that are easily resolved can help to keep us motivated and achieve our goals.

The difference with long term or chronic stress is that it can affect the whole body in a negative way. It is the long grade, low grade stress (or busyness) that often creeps up on us and causes issues. Many people do not even know they are stressed, or that stress is a big factor in their current health issues, because they are either so used to it, or their health issues takes over and they cannot even begin to see the correlation.

The harsh reality of many problems in life is that we are ultimately responsible for our own well-being. Not all people will want to accept this, as it is so much easier to blame someone or something else for our dilemmas.

Nearly every problem we experience in life may have an element of stress to it bought on by ourselves and our busy lives, with many of us not consciously knowing it is at play. That means everything from a common cold to a long-standing illness. Everyone reading this will be by now squirming in his or her seats as the harsh reality of such a statement hits home. But the real problem with this is that it is true. I know I had to face this reality with my own health issues. We can and do cause many of our own health problems, or exacerbate them, either consciously, or subconsciously.

The problem with any health matter is getting people to become responsible for their own self. So much illness is completely preventable if we would just take responsibility for our own actions. It is so much easier to blame someone, or something else with comments such as “ I have tried everything”, “That didn’t work for me”, or “I’ve been everywhere and nothing can help me”.

The problem with many of these blanket statements is that they are all just excuses not to take responsibility for our actions. Maybe it isn’t that the methods you are trying aren’t working. Maybe it is simply a matter of nothing will ever work unless we make that all important change for ourselves first.

Sure, some disease states are hereditary, or someone have a predisposition for them, but even so, once the illness, or disease is expressed in the body, it is our responsibility to do what we can to control it.

Yes, sometimes it doesn’t seem fair, I get that, but sometimes you just have to admit there is an issue that isn’t going away in a hurry, or keeps being flared up, because you need to make some changes in your life to better manage this issue.

I know this is something I had to learn myself. Boy did I fight the reality of this in the beginning too. But, I also acknowledge that some people have seen some pretty shitty healthcare practitioners who have missed and dismissed their issues too. It all compounds and just makes everything seem so much worse. But, at the end of the day you can also find good practitioners who can help you too.

Stress is also a major factor in many couples not being able to conceive. Stress affects cortisol levels and the adrenals and this then has an effect on testicular and ovarian function.

Stress can affect both sperm and egg quality and high stress levels also affects our hormones and our immune system. Stress also has an effect on the uterine environment, which can affect implantation, affect circulation in the uterine lining, and also increase the risk of miscarriage. High stress levels also exacerbate, or fuel many gynaecological and men’s reproductive health issues too.

Looking for the ‘Off ’ Butt on

Stress can affect each of us differently. Perhaps you are suffering from anxiety, feeling worried, depressed or irritable; even feeling exhausted and overwhelmed can indicate you are under stress. As well as affecting your ability to cope, stress may also be causing a disruption to your health. When under stress for a length of time, you may be more susceptible to tension headaches, high blood pressure, frequent colds and flus, digestive disorders or a worsening of an existing condition.

So you can see, there are many reasons why it is so important to manage your stress now, take that “Chill Pill” before it starts impacting your health and wellbeing.

How Resilience Begins

Some people seem to deal with stress better than others. That doesn’t mean that the rest of us need to continue suffering. The ability to increase your resilience to stress is something that can be learned and helped with talking to a counsellor, or psychologist etc.

There are supplements, nutrients, and vitamins to support your body’s individual stress response system too. Many people are lacking key nutrients because of our highly processed diets now and we also know that gut health, and a healthy microbiome is integral to psychological wellbeing and our moods.

Taking a strain specific probiotic and a prebiotic daily can improve gut health and improve your immune system and psychological wellbeing. Omega 3 oils, multivitamins, melatonin, St John’s wort, passion flower, chamomile and many other herbs and nutrients can assist with coping with stress and its impact on the body.

Don’t buy vitamins or supplements off the shelf at the chemist or supermarket as these are so inferior and contain lots of fillers and additives that aren’t good for you. Always see a qualified healthcare practitioner to get proper advice on what nutrients and supplements are needed for your health complaint.

By the way, Dr Google is banned in my clinic. Dr Google is not a reliable way to find out about healthcare products and illnesses. Only a trained healthcare professional should be giving you that advice. But, in saying that, researching where to find a good practitioner is great and also developing and understanding of ones health issues is great too, as long as it doesn’t become an obsession and that is all you focus on. It is about a balance. There is nothing wrong with trying to be informed. But, trying to self diagnose, or self prescribe is not a good thing at all.

Some people may be in such a bad state that medication may be needed to get them over their first hurdles and develop some resilience and coping skills. This should always be done in conjunction with talk therapy as well. To be honest, most of us could do with talking to a good counsellor or psychologist to get some coping strategies to deal with work, business, health, or life better.

Lifestyle Tips to Help Manage Stress

Managing your stress is essential for long-term health and vitality. With proper support, a variety of stress relief techniques can be introduced, in conjunction with a

healthy eating plan to help assist you in stressing less. These may include:

  1. Exercise: Daily movement is essential for brain health. Aerobic exercise including running, swimming or walking is proven to decrease stress hormones. Resistance exercise is also great for stress relief, burning fats, increasing lean muscle and keeping you healthy.
  2. Enjoy the benefits of spending some time in the sun. Being in nature for 30 minutes per day can help reduce stress hormones and assist recovery after a stressful situation.
  3. Meditation and/or yoga can help to increase relaxation whilst benefiting not just the mind, but also the body. Learning to unwind is important for reducing stress.
  4. Favourite pastime: create time for YOU! Do something that you love, like listening to music, enjoying a candle lit bath, watching a movie, or starting a creative project – these fun activities can help you become more tolerant of everyday stress.
  5. Get creative and express yourself in as many different ways as feels good; singing, dancing, and art projects are but a few ways to do this.
  6. Eat seasonally, fresh and organic as much as possible. Include protein at every meal with a variety of fruit and vegetables.
  7. Include good fats such as omega 3s from fish, nuts and seeds, and olive oil to help with brain health and mood regulation.
  8. Drink plenty of water, a minimum of eight glasses per day and avoid excessive alcohol, caffeine, sugar and salt.
  9. See a counsellor, or psychologist to get some coping strategies in place.
  10. Acupuncture has been shown to be as effective as medications for stress and equal to the effects of talk therapy in several major studies.

Stress Less for Good Health

Our modern lifestyle is inescapable. The stress of it however, is manageable. This is why I mentioned the magic “Chill Pill”. All people have to do is take the advice and administer it often.

You aren’t born stressed and being stress isn’t a part of you. It is a learnt behaviour that can be changed. You can become more resilient to the symptoms and long term effects of stress through the aid of individualised lifestyle and dietary changes, together with nutrients, supplement and in some cases medicines that your healthcare providers can help you with.

Talk therapy such as counselling and psychology is an integral part of leaning to cope with stress and dealing with it better too. Mindfulness and meditation can also assist with stress.

Supporting a healthy stress response will allow you to feel more energised, resilient and ready to tackle life, so you can maintain the state of health and wellness that you deserve.

I hope that helps everyone and please remember to take off those superwoman/superman capes regularly, allow space to just breath and shut off the mind and just have some you time. It is OK to just sit there and not feel guilty about it. People need to learn to switch off the “busyness” and close down the 100 boxes they have open. It is Ok just to sit in peace and quietness and not feel guilty about it. Actually, your body needs to do this to maintain your inner health, but also your psychological health.

Every persons health, or disease state is different and while stress may not be the cause of ones particular issue, it can certainly exacerbate it. This is why it is so important to look at every aspect of ones life, not just a small isolated portion of it.

When was the last time you allowed yourself the space to just be, just take some quite time and let the world pass by for a little while without worrying about it?

Take care and relax and don’t work too hard. We work to live, not live to work.

Regards

Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

doctor and patient

Finding Common Ground To Work With a Good Healthcare Practitioner

Finding a good healthcare practitioner can be hard. Many have already been jaded and been missed and dismissed by many. This then sets up the expectation that everyone you see, is going to be the same as the last.

The reality is that there are good practitioners out there and it is about finding some common ground, letting go of the past and moving forward with someone who really does want to help you.

Just be careful not to let the past experience with not so good healthcare practitioners be bought in with you when seeing a new healthcare practitioner. It can often then lead to more angst and boundaries and then leading to a good practitioner not being able to really help you.

I hope people can see the point I am trying to get at here. Not all healthcare practitioners are bad. Some are actually amazing and could really help you get your life back to normal again.

It is about working together for your greater health and to do that, there must be understanding on both parts. It is an individualised team approach.

Have a look at my video (below) on this issue.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-The Women’s Health Experts

weight loss 2036966 1920

Being Overweight, or Underweight, Can Adversely Affect Fertility

As mentioned in previous posts about fertility and weight, it is important to have healthy weight and waist size when trying to conceive. It is important to address dietary and lifestyle issues in order to be in health weight and waist range before trying to conceive.

Healthy Waist Size

Healthy waist range for a woman is 80cm (from the belly button around)

Healthy waist range for a man is 94cm (from the belly button around)

If a woman’s waist size is about 88cm and a man’s waist size if above 102cm then they are in what we call “metabolic syndrome”

This increases their chances of diabetes, heart disease, depression, gynaecological conditions (PCOS, endometriosis etc), sperm issues, egg quality issues, reproductive issues, increased miscarriage, increased risk of certain cancers and of course…. infertility.

Body fat and how it affects fertility

Excess body fat (now known as obestrogens) can disrupt hormones and fertility and can have a negative effect on egg and sperm quality.

Similarly being underweight and low body fat can affect fertility outcomes too. Body fat has a regulatory role in reproduction and a moderate loss of fat, from 10% to 15% below normal weight for height, may delay the menstrual cycle, completely stop the menses altogether and inhibit ovulation. Both dieting and excessive exercise can reduce body fat below the minimum amount and lead to infertility. But this is reversible with weight gain, increased body fat and reduction of intensive exercise, or both.

A moderate reduction in body fat, not just weight, for those overweight, can increase fertility and chances of pregnancy exponentially. Similarly an increase in body fat for those that are underweight, and who don’t have enough body fat, can increase their fertility and chances of pregnancy as well.

This goes for men too. Increased body fat, or not enough body fat can affect hormone production and fertility and can affect sperm quality and sperm production.

This is why preconception care and healthy screening and weight and waist management is so important before trying to conceive. This should also be a part of any fertility program and is definitely part of my fertility program for all couples.

Are you in healthy waist range?

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Master of Reproductive Medicine and Women’s Health Medicine

-Women’s and Men’s Health Advocate

01 Dr Andrew Orr 1

Cartoon sperm

Sperm Quality and How To Took After It

More often than not, women are often told that is their egg quality, or some gyneacological factor is the cause of not being able to conceive. But, in truth, more often than not, it is actually the sperm quality that is at fault, or in combination. Fertility issues are not just a woman’s cross to bare.

Men are 50% of the fertility equation and up to 85% of miscarriage issues can be related to chromosomal and DNA factors relating to poor quality sperm in men.

To be honest, men often think that they have this inherent right to conceive and often believe there is nothing wrong with their sperm, despite never being tested. Many often avoid being tested and will often make great claims as to why they should not be tested either.

As part of proper fertility assessment, both the man and the woman need to be evaluated, not just the female.
A man will need to have a comprehensive semen analysis done and may also need further testing such as DNA fragmentation analysis, or a sperm chromatin assay. There will also be further genetic testing needed as well.

A semen analysis is really on a basic test that lets us know what the sperm look like and if they have 2 heads, 2 tails and may be swimming in circles. The fact is, that many men’s sperm quality is substandard and their sperm is actually not in a good shape at all. Recent research and statistics have shown that the male sperm quality has fallen by as much as 70% in the last 60-70 years.

There are many things that can affects a male sperm quality such as:
1. Steroids and recreational drugs
2. Alcohol
3. Smoking (including recreational drugs)
4. Chemicals
5. Drugs (pharmaceutical and illegal)
6. Being overweight and too much body fat
7. Age

These are to name just a few. There are also genetic and hereditary issues that need to be checked as part of proper fertility evaluation as well.

More often than not these days, men are the bigger part of the issue when it comes to not being able to have a baby. Men are often also overlooked as part of the issue as well, which is actually not good ethical practice.

Many couples are also quick to tell me, or other healthcare practitioners, that the man’s sperm is fine, or they have been told it is fine, when actual fact it is not. OK, or fine for IVF purposes does not mean that the sperm is fine. It is very rare to see a man that is having troubles conceiving a baby with his partner that has sperm that is fine. That is the truth.

If you have been trying to conceive for a long time (and not being able to conceive) and the male has not been checked properly, or on some kind of lifestyle and preconception care plan, then in might be time you looked into that.

If you do need help with preconception care and getting your eggs and sperm more healthy, then enquire about my fertility program that has helped over 12,500 babies into the world and counting.

In the mean time have a look at this great fact sheet about your sperm and how to look after them at yourfertitity.org.au and put together by Andrology Australia.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Master of Reproductive Medicine and Women’s Health Medicine

-Women’s and Men’s Health Advocate

01 Dr Andrew Orr 1

pregnancy 1410705 1920

Why Excess Body Fat and Obesity is The Enemy of Fertility

Excess body fat and obesity is the enemy of fertility and it is something that needs to be talked about. Despite what anyone tells you, being overweight, or being obese significant affect on fertility and it can also affect the future health of offspring. This is a fact and we need to talk about it more and bring more awareness to this subject. This is why I have been focusing on this very important subject a lot more lately.

At present up to 70% (or more) of Australians are either overweight, or obese, so we can no longer ignore what the consequences of these statistics mean. We know that excess weight and excess body fat is linked to serious health consequences, but we need to talk about how it affects fertility and decreases the chances of obtaining a live birth.

Overweight, or obese men and women have higher levels of body fat and higher levels of the hormones leptin. As I have mentioned in previous posts, this excess body fat is also now referred to as obestrogens, as they cause the same health consequences as environmental estrogens (known as endocrine disruptors). These excess body fats and higher levels of leptin do impair production of sex hormones and also reduces fertility. It can also lead to poorer sperm quality, poorer egg quality and can also increase the risk of miscarriage. The more excess body fat, the greater the risk of fertility difficulties a couple will have. This is a fact. Despite what your specialist, your doctor, Dr Google, or your own mind tells you, this is a fact and we need to start being real about it. It isn’t about fat shaming either. It is to help people who are struggling with fertility and to help them seek the help they need to have a baby.

Excess body fat, especially excess abdominal fat is also linked to insulin resistance, metabolic syndrome and other health issues. It also interferes with the regulation of sex hormones and sex hormone binding globulin (SHBG).  This can then increase the risk of irregular cycles, PCOS, endometriosis, sperm quality issues, miscarriage and other factors affecting fertility.

While the facts around excess body fat, excess weight and obesity are very real and can often seem overwhelming, there is some good news for couples that are overweight and obese.

Dietary and lifestyle changes and fat loss interventions which also includes exercise, can significantly improve fertility outcomes. It can also help with regular menstrual cycles, PCOS, endometriosis, sperm issues, egg quality, mental health and many other health issues. It definitely improves the chances of pregnancy and lessens the chances of miscarriage.

Research has shown that fat loss of up to 7%, for those that are overweight, achieved by diet, exercise and lifestyle changes, can improve overall health, fertility and improve chances of a successful live birth.

There is no fast track, or easy way to lose excess body fat and people need to face the facts, face reality and just get in a do it. The best ways to do this are as follows:

Seek the help of trained healthcare professionals that can help you with dietary and lifestyle changes and can help monitor you and support you rather than blaming and shaming. It also helps to hold you accountable and keep you motivated.

Do any dietary, exercise or lifestyle changes as a couple. It is much easier if you both do it and can support each other in any changes. You can also hold each other accountable and also see the changes in each other.

Set realistic goals and be realistic about how long things will take. It is no use setting unrealistic goals and having an unrealistic perception of how long things will take to change it your body. This will only set you up for failure and chances of rebounding. It is about one day at a time and one step at a time.

Seek the help of a trained healthcare professional to educate you on what good nutrition, good dietary and lifestyle habits are. The more educated you are about what a good diet is, the better your chances are of eating the right foods and achieving your fat loss goals

You need to exercise as well. Diet changes alone will only help to a point and you do need to do some form of resistance work to help burn fat. While walking is great, it doesn’t burn fat and increase lean muscle like resistance exercise (weights etc) can. You may even need to see a personal trainer to get yourself started and be held accountable.

Have access to fresh foods and means to increase your levels of physical activity. It is important to have access to good fresh foods and stay away from the processed and refined foods. You also need to have ways of exercising and keeping your body active and burning fat.

It is all about perception versus reality. You need to be real about your weight, your body fat and then set realistic goals to lose the excess body fats. Just remember it is about being proactive. Nobody is going to do this for you, but they can help encourage you to be healthy and make better dietary and lifestyle choices.

Lastly, men and women are twice as likely to achieve healthy weight and waist range and proper dietary and lifestyle choices if their partner does it too. The journey to having a baby requires a couple to do it and the same goes for weight loss and achieving healthy body fat and healthy waist range too.

Take care

Regards

Dr Andrew Orr

-No Stone Left Unturned

-Master of Reproductive Medicine and Women’s Health Medicine

-Women’s and Men’s Health Advocate

01 Dr Andrew Orr