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Male Exposure to Chemicals, Alcohol, Diet and Drugs, linked to Longer Time to Conceive

I was going to add some further information to the last post of how males need to be held more accountable in the fertility journey and look after their health better, but I found some research that explained some more about this subject.

There is so much more research on how a man’s diet and lifestyle and exposure to chemicals, does affect his ability to conceive and also what he passes onto his future offspring. Often issues in a man, are actually a bigger factor in not falling pregnant, yet most of the time, women are the ones under the microscope. It really just does not make sense.

It’s well known that what a woman eats, drinks, breathes and puts on her body while she’s pregnant or nursing can all affect her reproductive system and the health of her baby. But there is plenty of research to show that a man’s exposure to harmful chemicals plays an important role, too.

Research has found that the concentration of heavy metals,  persistent organic pollutants, alcohol, drugs and phthalates in a man’s body had more effect on how long it took a couple to conceive than the concentrations of those chemicals in the woman.

In this study, researchers looked at data from the Longitudinal Investigation of Fertility and the Environment (LIFE) Study at the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The study explored the relationship between environmental chemicals and fertility by following 501 couples for up to a year while they tried to conceive, tracking such factors as time-to-pregnancy, miscarriages, infertility, birth size and more.

The research published in the April edition of the journal Andrology, measured the amounts of certain chemicals in the urine and blood samples of both partners. Male exposures were associated with as much as 30 percent reduction in “couple fecundity,” as measured by the amount of time it took them to conceive.

Reference: – http://onlinelibrary.wiley.com/doi/10.1111/andr.12171/abstract
Things such as alcohol exposure, heavy metal exposure, cigarette smoking, recreational drug use, endocrine disruptors and dietary exposures cannot be measured in a semen analysis.

To be honest, a semen analysis is just a brief overview of what is going on for a males reproductive system. Just because a man meets the minimum parameters on a semen analysis, does not mean he has good sperm to conceive naturally, or with assisted reproduction, quite the opposite actually. Semen analysis is not what normal sperm, for natural conception parameters should be, or are based on.

Semen analysis parameters are only an evaluation for Assisted Reproduction levels only, and we know that these parameters only need to be very low to meet the requirements for IVF and ICSI.

If you meet the minim parameters of this test, it does not mean you have good sperm, or sperm good enough for natural conception. Quantitively normal semen, does not mean it is qualitatively good. Plus, you can’t measure DNA damage and other environmental damage to sperm on a semen analysis. This is why so many couples are still having failed cycles, because they are told everything is OK, when in fact it isn’t.

This is why I always treat both the female and male, because over 50% of fertility issues are related to males and 85% of miscarriage issues are related to chromosomal factors relating to the male. It takes two people to have a baby, not just the female, unless you are a single female doing it on your own, or are in a same sex relationship.

Even then, sometimes the frozen sperm has issues too and a new batch is required to bring about success.

If a man is really serious about having a baby, then he will have no issue in giving up the things that are known to affect sperm. It is all about where his priority lies. If alcohol, cigarettes, drugs etc are the priority, then it begs the question, is this the right person to be trying to conceive with.

If you aren’t having success and need some answers, you can call my friendly staff and inquire about my fertility program that has assisted over 12,500 babies into the world… and counting.

Regards
Andrew Orr
Women’s & Men’s Health Crusader”
-Leaving No Stone Left Unturned

-The International Fertility Experts

baby 22194 1920

Men’s Diet, Drinking Habits and Health Affects The Health of Their Unborn Child.

Men should have a healthy diet before conceiving, because the fathers health and everything he puts in his body, is then transferred to his future offspring via DNA in his sperm.

This is something that I have always promoted at my clinic and why I always make sure I treat the males as well as the females. Biology 101 tells us that it takes a sperm and an egg to make a baby, not just an egg. This is why preconception care is so important and why men need to be healthy prior to conceiving, just as much as the females. Healthy men produce health sperm, which then goes on to help produce a healthy baby.

Just treating the female is not ethical practice for assisting a couple for fertility purpose. By just treating the female, that is just hormone regulation and is not helping the couple. Men need to be evaluated and have their health managed and any conditions treated as well.

Semen parameters can change by as much as 20% in a given month and change daily, week, monthly and yearly. Just because the sperm has been OK, weeks, months, years ago, does not mean it is OK now.

It takes up to 90 days for a sperm to fully mature and so what you have done now, like excessive drinking and eating bad foods, can affect your sperm in that 90 days later. This is often why we see poor sperm quality in semen analysis post the Christmas and New Year periods.

Faulty DNA can be passed onto the unborn child through the sperm

We also know that many miscarriage issues are related to poor quality sperm and DNA damage of sperm as well. Up to 85% of miscarriage issues can be related to faulty DNA in a man’s sperm and this can all be due to what he eats and drinks and puts into his body.

DNA damage to the sperm that cannot be measured by normal semen analysis and requires specialised testing. If the DNA is faulty then through the mode of genetic inheritance this faulty DNA is then passed onto any future child. This can lead to many future health and developmental consequences for that offspring.

Genetic inheritance is something we all need to consider and fetal origins of disease.

Endocrine Disruption

It has been well established that environmental chemicals (endocrine disrupters) are reproductive toxicants and can be associated with impaired semen quality and reproductive potential in animals and humans.

An endocrine disruptor is defined as:

“as an exogenous agent that interferes with the synthesis, secretion, transport, binding, action or elimination of natural hormones in the body that is responsible for the maintenance of homeostasis, reproduction, development and/or behavior.”

Research has shown that poor fetal nutrition to adult-onset diseases including coronary heart disease, Type 2 diabetes and metabolic dysfunction,and has formed the basis for the developmental origins of health and disease paradigm, which similarly posits a correlation between perinatal health and the eventual development of chronic diseases. Toxicologists have also identified neonatal development as a ‘critical window of exposure’, such that chemical exposures (e.g., endocrine disrupters) have been linked to adult-onset reproductive cancers and many other diseases

Taken together, these models support the extreme sensitivity of the neonatal period to environmental influences, as shown by research, the models provide an explanation for fetal origins of adult obesity risk and other disease states, including infertility.

There are treatments for DNA damage and poor quality sperm

As part of my fertility program I talk to couples about what can assist male sperm quality and assist with DNA damage to sperm. Proper medical testing and evaluation and screening is done prior to commencement of treatments and ongoing management.

At my clinic and as part of my  fertility program, I always make sure the male is part of the whole process and ongoing health management, when helping couples have a baby.

Just remember, Biology 101, tells us it takes a sperm and an egg to make a baby, not just an egg. This is why it is so important for men to step up and be as healthy as they can prior to have a baby and do things that can help with their sperm quality as well.

Regards

Andrew Orr

-Women’s and Men’s Health Expert

-No Stone Left Unturned

-The International Fertility Experts

01 Dr Andrew Orr

healthy diet

Adherence to a Healthy Diet a Must For Fertility Success

Is it time you that you got your diet healthier to help assist you getting the baby you have been longing to have?

While eating a health diet isn’t going to be a miracle cure to having a baby, it may help you increase your fertility and chances of a healthy pregnancy.

Of course, there are so many other factors to fertility and proper evaluation and assessment is crucial, but research does show that by adherence to a healthy diet can increase pregnancy rates by up to 80%. (American Congress of Obstetricians and Gynecologists (ACOG) 61st Annual Clinical Meeting: Abstract 96. Presented May 6, 2013.) + (Fertil Steril. 2012;98[Suppl]:S47)

It is well known that healthy couples produce healthy sperm and healthy eggs and healthy parents produce healthy babies. A proper healthy diet may also help assist with gynaecological conditions as well, alongside medical management.

When I talk about diet, I am not talking about it in term of dieting. I am talking about it in terms of the proper way to way. Diet is such a crucial part of my  fertility program that has helped with assisting over 12,500 babies into the world.

So many people neglect a healthy diet and don’t try hard enough to adhere to it. Preparation for falling pregnant is just as crucial as preparing for a marathon. If you don’t put in the work, nutrients and the training, you won’t make the distance, or get a result.

It is so sad seeing people go through cycle after cycle and not doing anything to change their diet and lifestyle and then getting a failed cycle time and time again.

Of course their can be other factors to take into consideration as I said before. But, you can’t go into a cycle, or try to fall naturally, if you not eating properly, or if you are overweight, or underweight for that matter.

Medically we know that the risk of miscarriage, preterm delivery, complication etc is high in women who are either under, or overweight. (Lifestyle management before fertility treatment -Obstetrics & Gynaecology 2007;110:1050-1058.)

So many people think they have a good diet, only to find out that what they have been taught is not right. It isn’t their fault. Some people really just do not know what a healthy diet its either.

A poor diet that is high in High GI Carbohydrates causes inflammation and this has a negative impact on fertility. Inflammation is causes by high sugars, which then spikes your insulin and this causes the inflammatory response. This may also affect hormones as well.

High inflammatory response then causes oxidation which may then affect your egg and sperm quality and this may then result in damage to the DNA of the sperm and egg.

As I shared before, a healthy diet is a big  part of my fertility program and those on the program then know what a good diet is supposed to be like. Yet we see many ignoring it and wondering what has gone wrong, or what else they can do.

One of the answers is, be good with your diet!

Close enough is not good enough in this case. It is all or nothing, because this is so important. This is about having a baby. But, while having a baby is one thing, we also need people to realise that a healthy diet is also important for living a long and healthy life long after baby has arrived.

If you are overweight, you need to lose weight and if you are underweight you need to put some on. Many people are looking for miracles and go looking for an answer that doesn’t exist, or blame something else, when the fix may be as simple as adhering to a healthy eating regime.

Again, obviously diet is only a small piece of the puzzle when it comes to fertility, but it is an important one at that.

There is so much medical research out there showing that adhering to a low GI diet and the diet I promote at my clinic and for those of my fertility program

  1. The nurses study of 17,500 women showed that a diet with protein, full cream dairy, multivitamins and supplements, good fats etc increased fertility rates exponentially. (Journal of Obstetrics and Gynaecology, Nov 2007)
  2. Harvard medical schools study on 19,500 women showed that having full fat diary increased fertility while low fat dairy decreased it by 85 % and had an anovulatory effect. (Journal of Fertility and Sterility Feb 2008)
  3. A recent study in the Journal of Fertility and Sterility showed that diet increased embryo quality and pregnancy rates by as much as 80%. In a study presented at the American Society of Reproductive Medicine (ASRM) in 2012, IVF patients who switched to a low-carbohydrate, high-protein diet and then underwent another an IVF cycle increased their blastocyst formation rate from 19% to 45% and their clinical pregnancy rate from 17% to 83% (Fertil Steril. 2012;98[Suppl]:S47).

Even non-IVF patients with polycystic ovarian syndrome and endometriosis have improved pregnancy rates after making dietary and lifestyle changes.There are many other research papers out there showing this.

So if you are having failed cycle after failed cycle, or not being able to conceive naturally, you need to start looking at your diet and lifestyle as a major factor.

If you are overweight, or underweight, the same applies. An easy way to work out what weight should be (roughly), is take 100cms off your height and this will give you what you should be in body mass.

So if you are 165cms tall, then you should roughly be about 65kgs (give or take a few kilos).

All men should have a waist size of 94cm or below for good health, and all women should have a waist size of 80cms or below for good health. This is measured from the belly button around, not higher, or lower than this point.

If you are on my fertility program you should be doing this. If you aren’t and need assistance, then you can call my friendly staff and find out more about my fertility program.

I always tell my patients that the time for making excuses is over. If you do want to have this baby you have been longing to have, then you need to prepare the body as though you were about to train for a marathon. We always say that the ones that do everything right have a much higher chance of getting the results.

Is it time you got your diet and lifestyle back on track?

Take care

Regards

Andrew Orr

-No Stone Left Unturned

-Women’s and Men’s Health Advocate

-The International Fertility Experts

Womens Health Consultations 1 1

Women’s Health Consultations

*Need help with a Women’s health condition?
*Suffering from a long term chronic disease state?
*Not getting the answers and care you deserve?
 
Many of these issues are not normal, but more importantly many of these issues can easily be treated quite easily with the proper investigations, treatments and proper management. 
 
Everyday I see women who are sick of being ‘missed’ and ‘dismissed’ by everyone they see and they just want to get some sort of normal life back. This is where as a healthcare practitioner with over 20 years experience in assisting with reproductive issues, pregnancy and women’s health conditions, I may be able to assist you. My motto is “No Stone Left Unturned” and I apply this to every person I have helped.
 
I am proud to announce that I now have a better way of being able to doing consultations for anyone needing help with women’s health conditions and reproductive issues. It doesn’t matter where you live, now I can help more people from around the globe and get them the answers they should be getting. 
 
Before we only had skype, which had limitations of not being able to screen share the important information that I need to share in a consultation with patients
 
Well, now I can do consultations through Zoom and these are nearly the same as if you were with me in person and share the same information, just the same as if you were in person.
 
Reports and Treatment medicinals and supplements are then mailed to you.
 
This is for patients who live out of the Brisbane area, or are interstate and overseas and it gives so much more scope to help everyone who wants my help.
 
If you want to get the best advice, best care and see someone with over 20 years experience in helping people, who has a Masters of Reproductive Medicine (medical) and Masters of Women’s Health Medicine (medical) as well as having qualifications in complementary medicine (Doctor of TCM, Nutritionist, Complementary Medicine etc), then you need to see book in with me.
 
My multi-modality approach has helped with assisting over 12,500 plus babies into the world and assisted tens of thousands of women with women’s health conditions and Reproductive issues, along side medical interventions. 
 
As a healthcare practitioner with a special interest in reproductive and women’s health, my motto is “No Stone Left Unturned” and I apply that to every person I help. It is because I care and want to help care for you as well.
 
If you would like to organise an online, or in-person consultation with me, please give my staff a call on +61 7 32795697, or email info@shentherapies.com.au. You can also submit an online enquiry through my website www.drandreworr.com.au too.
 
I hope to be able to help you and care for you all soon
 
Regards
Andrew Orr
-No Stone Left Unturned
 -Women’s and Men’s Health Advocate
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Having More Sex Enhances Positive Relationship Satisfaction

While part of my job is to make sure couples are having enough sex, in order to have babies, part of my education to couples is about maintaining a health and happy relationship too.

Sex and intimacy is a big part of a relationship and it helps couples connect on a much deeper level than just being about the act of pleasure. While that part is nice too, couples still need to learn to connect and share on a much deeper level too.

I always find it sad to see couples who aren’t having sex anymore and are so disconnected. It is also sad to see my fertility couples stop this connection, once the “Job is done” and the baby making is complete.

I always explain that if they cannot connect and maintain that healthy relationship now, how are they going to survive once a baby comes along. It is something that many just don’t think about and often it all becomes about the all consuming goal of “I want a baby”. But at what cost to a relationship?

I do also understand that when couples have been trying so long and there are failures and fertility drugs mixed into the equation, it does become hard. But, you still need to move past that and still find time to connect, otherwise the relationship will die.

I get all the reasons why, but at the end of the day, that lack of connection is a big part of the reason so many couples relationships end. For couples going through fertility issues, there is up to an 80% separation rate and this is often tied back to that lack of physical and emotional connection, through bonding through sexual connection.

A health relationship should be having intimacy and sex at least 1-3 times per week and this helps to promote this deep bonding and connection needed for a relationship to survive.

Regular intimacy and sexual activity can also help promote good physical health and also help with mental and emotional health too. A relationship isn’t all about the sex, but it sure helps make it stronger, as many studies like the one quoted below have shown.

When was the last time you connected on this deep level with your partner?

Might be time for a weekend away, or plan those regular date nights real soon.

Source: Hicks LL, McNulty JK, Meltzer AL et al. Capturing the Interpersonal Implications of Evolved Preferences? Frequency of Sex Shapes Automatic, but Not Explicit, Partner Evaluations. Psychological Science. 2016.

Regards

Andrew Orr

-Leaving No Stone Unturned

-Women’s and Men’s Health Expert

Polycystic Ovarian Syndrome PCOS 01

Women with PCOS often have to wait 2 years and often see multiple healthcare professionals before diagnosis is made

Polycystic ovary syndrome (PCOS) is the most common endocrine/gynaecological/reproductive disorder — and most common cause of infertility — affecting 9 to 18 percent of women around the world.

Despite the prevalence of this chronic condition, one-third of women diagnosed with PCOS saw at least three health professionals over the course of two years before receiving a diagnosis, according to a study from the Perelman School of Medicine at the University of Pennsylvania.

The study, published in the Journal of Clinical Endocrinology & Metabolism, is the largest to date examining time to diagnosis, and reveals what the authors say are “major gaps” in education and support for women with the condition.

As a healthcare practitioner with a special interest in this area,  I see these same issues with so many women waiting years to get a proper diagnosis and they have seen multiple healthcare professionals in both the medical and complementary medicine profession.

The signs and symptoms of PCOS are very clear and easily diagnosed, but many healthcare professionals end up focussing on one symptom, while overlooking the bigger picture and then these poor women get their condition missed.

Many practitioners and public alike, do not understand the difference between PCO (Polycystic Ovaries) and PCOS (Polycystic Ovarian Syndrome) either and this creates a big issue as well. These days the two condition are actually put under the heading of the one condition, when this is not entirely true. For more information about PCO and PCOS, please click of this link (click here)

PCOS primarily affects women of reproductive age — most often between the ages of 18 to 35. The most common signs of PCOS are:

  • Absent, Irregular and Inconsistent menstrual periods,
  • Acne
  • Excess hair growth (some women can have hair loss too)
  • Central obesity

If a women presents with Acne, irregular periods, absent periods etc, there is a good chance that she may have PCOS. The problem for these women, as explained before is that healthcare providers and placing too much emphasis on only one of these symptoms, which is usually the Acne, or just that the cycle is irregular. Then women are then put on the Pill and these symptoms are masked for years, until they try and have a child and have difficulty doing so.

Women with PCOS also have an increased risk of type 2 diabetes, gestational diabetes, metabolic syndrome and anxiety and depression, and studies have shown that the longer it takes for the condition to be diagnosed, the greater the patient dissatisfaction.

These new results are concerning for those of us who do know how to deal with PCOS and other gynaecological conditions properly. These women should not be having this conditions missed. The other issue is that not only do women often wait several months or even years before care providers are able to diagnose the condition, but even after diagnosis, patients are often unsatisfied with the information and support they receive. It is such a vicious cycle.

But let’s not forget out Endo Sister’s who have endured the long road to diagnosis and management for their disease. It can often take up to 12 years for their diagnosis and again many of them have their condition missed and are dismissed. It is again such a vicious cycle of mismanagement and focus one symptoms before someone finally properly diagnoses their disease. Then many of these also complain of the management and treatment after diagnosis. We also know that many with endometriosis, also have PCOS. These two disease states can go hand in hand and both can equally be missed and dismissed.

Based on the study findings, the authors are calling for the development of international evidence-based guidelines, co-designed consumer and health professional resources and international dissemination to improve diagnosis experience, education, management and health outcomes.

Too right they should be calling for better diagnosis and better education and training for these healthcare professionals. If you don’t know how to do your job properly, or it is out of your scope of practice, get out of the way and refer these women onto people who are trained to diagnose and manage these conditions properly.

Lets, help put and end to PCOS and also put an end to Endometriosis as well. Let’s break the silence and help women get the diagnosis and care they need. Early intervention and treatment is crucial for any disease state and let’s help women get this care sooner.

Take care

Regards

Andrew Orr

-Women’s and Men’s Health Advocate

-“Period Pain IS NOT normal”

-“Leaving no Stone Left Unturned”

Dr Andrew Orr Logo Normal 20 07 2016

Journal Reference:

Melanie Gibson-Helm, Helena Teede, Andrea Dunaif, Anuja Dokras. Delayed diagnosis and a lack of information associated with dissatisfaction in women with polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism, 2016; jc.2016-2963 DOI: 10.1210/jc.2016-296

ovulation

You May Ovulater

The traditional theory that women have the potential to ovulate at one time in the month (being around day 14) is actually been proven to be wrong and is something many have known for a long time

This research was first published back in 2000 in the British medical journal and then research, published in the journal Fertility and Sterility in 2003(2003;80: 116-22 [PubMed]) could explain why the “rhythm” method of contraception is so unreliable and why women who take hormonal contraceptives sometimes become pregnant.

Researchers from these studies did daily ultrasound scans on women who apparently had normal menstrual cycles. Some were nulliparous; others had had up to three children. They found that all of the women produced at least two and sometimes 3 major waves of follicular development.

The existing theory held that at the beginning of each menstrual cycle, 15 to 20 follicles begin to grow in the ovaries and that one of them develops into a mature egg at roughly the middle of the cycle. The research showed that 40% of the subjects had the clear biological potential to produce more than one egg in a single month. Moreover, they could be fertile at any time of the month.

“These studies have actually caused the rewriting of the human reproduction textbooks” The leading researchers have explained. “It explains why natural family planning often doesn’t work, why hormonal contraception sometimes fails, and why we see fraternal twins with different conception dates.” The studies have also helped to improve assisted reproduction success rates too and why we see some women ovulate again (as part of their natural cycle) after hormone induced ovulation.

Research published back in 2000 that was published in the British medical Journal also showed that “Ovulation – Fertile days are unpredictable”

The timing of the fertile window is highly variable and to assume that ovulation occurs on day 14 or between day 10 and day 17 is based on outdated information.

Fertile days are unpredictable, and can fall anytime during the menstrual cycle-even for those women with regular Cycles. There is only a 10% probability of being fertile in the fertile window (day 10-17) as identified by Clinical guidelines and more than 70% are in the fertile window before day 10 or after day 17 of their cycle.

There is also a 1-6 % chance of being fertile during a menstrual phase of the cycle. (British medical Journal 2000 321:1259-1292)

This is why couples need to be having regular sex in a cycle, if they want to conceive and that they need to stop just trying in the so called old school thinking of the “Fertility Window” as identified as day 14, or between day 10 to day 17 of the cycle.

Like anything in life, if something isn’t working, then you need to change what you are doing. If that doesn’t help, then you need to get help from a professional.

I have helped over 12,500 babies into the world and this is part of what I teach my couples and part of my multimodality fertility program.

If you are having trouble having a baby, then call my staff and find out more about my fertility program and how we may be able to assist you in having your little miracle.

Take care

Regards

Andrew Orr

-No Stone Left Unturned

-Women & Men’s Health Crusader

-The International Fertility Experts