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female infertility
Herbal practitioner:
Carole Guyette MNIMH
History Taking for Fertility Problems 1
Delay in conception
Duration
Previous
investigations/treatments
Effect on client's life
History Taking for Fertility Problems 2
Menstrual History
Menarche - age & how it was experienced
Menstrual cycle - length/regularity/changes
Dysmenorrhoea - self help?
Premenstrual symptoms
Blood: colour/flow/clots/ease LMP
Use of pads/tampons - how many? Symptoms
related to ovulation -
History Taking for Fertility Problems 3
Mittelschmerz
coital, stress...
Feelings/comments re cycle &
others' perceptions
History Taking for Fertility Problems 4
Reproductive History
Previous pregnancies
Same/different partners
Time taken to conceive
Health during pregnancy
Outcome - incl terminations, miscarriages
Residual feelings/body/cycle changes
Labour & delivery, term/pre-term
History Taking for Fertility Problems 5
Sexual History
Intercourse
Frequency
Enjoyment
Lubricants
Dyspareunia
Difficulties
History Taking for Fertility Problems 6
History
of Mothers
and Grandmothers
May reveal interesting
patterns/attitudes
History Taking for Fertility Problems 8
Past Medical History
Pelvic inflammation
STDs
Peritonitis
Pelvic operations
Tubal pregnancy
Appendectomy
Drug therapy
Endocrine
Weight change
Galactorrhoea
Hirsutism
Acne
Smears
History Taking for Fertility Problems 9
Social History
Occupation & intentions
Domestic circumstances
Relationship with partner
Diet
Smoking
Alcohol
Stress
Exercise
History Taking for Fertility Problems 10
Psychological history
Reasons for wishing conception
Conflict re. conception
Depression
What is cause?
physical/emotional/mental
/spiritual
What block/s prevents
successful pregnancy?
Case History Taking
etc…
Fertility tonics
Useful herbs:
Chamaelirium (cultivated) – prime fertility herb, magnificent uterine
and ovarian tonic, strengthens pelvic tissues and promotes pelvic
nutrition. Up to 30ml/week
Rubus – strengthens and tones pelvic muscles, relaxing at same
time. Soothes kidneys, tones mucous membranes. Tea or tincture
- up to 40ml/week
Relaxes uterus when contracted, contracts uterus when relaxed.
Provides excellent support. Emotionally - helps soften the heart and
allow for greater receptivity and intuition.
Viburnum prunifolium – uterine sedative, anti-spas, relaxant to
uterine muscle,
spec. for uterine irritability & painful conditions of pregnancy
improves uterine & ovarian circ > promotes pelvic nutrition
Strengthens pelvis after prev. miscarriage
One of best remedies for nervous conditions in pregnancy or affecting
fertility
Fertility tonics
Vitex increases Progesterone & LH
Hormonal balancer par excellence esp. where low progesterone –
e.g. woman prone to early miscarriage e.g.9/40 spotting or
miscarriage
Brings inner strength & emotional balance.
Alchemilla vulgaris –
Uterine tonic. Hormone balancer. Promotes fertility. Haemostatic.
Traditionally for soft, gentle women
Mitchella –
Uterine strengthener, inspires self-confidence
Leonurus –
Uterine tonic and sedative, reduces nervous tension, anti-spas,
helps pelvic irritability. Helps with fears around motherhood.
Dioscorea –
Powerful smooth muscle relaxant relieving spasm and
inflammation, regulates hormones, opens up blood vessels
Fertility tonics
Trifolium
Alterative, Hormone balancer (phytoestrogens),
lymphatic cleanser, anticoagulant.
Trigonella
“there’s a baby in every cup” (Weed) – bitter &
warming, stimulates uterus, soothes irritable tissues,
reduces blood sugar & cholesterol, benefits weak
digestion
Serenoa
Adaptagen, sedative, warming, helps sex drive, urinary
antiseptic, endocrine stimulant, helps intimacy &
openness, learning to give & receive
Anemone
Sedative, anti-spas, reduces pain in repro system,
soothes inflamed mucous membranes
Fertility tonics
Too cold
Zing Achillea – improve circ to pelvis
Pelvic congestion
above & Calendula – improve circ of blood & lymph,
Attention to NS
Scutellaria, Avena, Hypericum, Passiflora, Valerian, Verbena,
& Raise vital force
Salvia
Uplift
Rosemary, Melissa
Loss of libido
Vitex, Serenoa
Healthy sex life depends on good ovarian, adrenal and pituitary function (&
psychological)
Cause could be hormonal, exhaustion, depression, drug-related,
relationship difficulties, fear of pregnancy… related to family attitudes,
childbirth…,psychological(eg prev. abuse)
Turnera
aphrodisiac, sexual stimulant, anti-depressive, promotes well-being,
relieves anxiety
Case history 1
Woman 40yrs Sec. school teacher – v.busy
lifestyle – worrier/stressed
Trying to conceive for 12/12. Stable, happy
relationship. No prev. pregnancies.
History of PMT. Regular, ovulatory cycles apart
from times of high stress. Chocaholic.
R Vitex 20 Chamaelir 20 Verbena 20 Scut 20
Avena 20 (x2) sig 7 ½ ml. bd
Kept her on same or similar mix for 3 months.
Drastically reduced sugar & chocolate. PMT
disappeared, reduced Vitex to 10 & put in
Chamomilla. Conceived after total 7 months.
Healthy pregnancy & normal delivery.
Case history 2
Woman 41yrs Trying to conceive 7years. MH 1 healthy FT
pregnancy @ 25. Unplanned. Daughter age 15, raised by patient’s
mother for 1st 3 years. GRIEF & ANGER , husband told her she
was ‘depressed’ for those years although she did not remember
clearly.
Normal ovulation and hormone levels. Partner’s sperm – good numbers &
motility
Wanted to avoid IVF.
Aim: to dissolve grief and other emotions trapped in tissues. Facilitate letting
go of mistaken beliefs.
R Rosa 20 Borage 20 Leon 20 Alth rad 20 Anem 10 Chamaelir 10 (x2)
sig 5ml bd
R Alchemilla vulgaris Tea one cup daily
+ flower essences
Released huge grief. Woke in night saying “I’m not a bad mother”.
Healing dreams. Now feels a different person.
Similar herbs over 8 months leading to conception and healthy FT
pregnancy.
Use of ‘medicine bundle’ to connect with uterus – release feelings
without having to analyse.
IVF etc.
Recurrent Miscarriage
Rubus + Mitchella – Strengthening & relaxing combination for uterus. 20gtt bd/tds up to 5ml
bd/tds
Leonurus – tones uterus, reduces nervous tension & spasm. Lovely uterine sedative for
false labour pains, nervous debility, pelvic irritability.
Additional nervines/rescue remedy
Case history 4
Woman 35yrs.MH Uterine fibroids. Surgery @27. Trying to conceive
past 6/12. History alcohol/smoking
R Calendula 20 Chamaelir 10 Rubus 20 Tarax rad 30 Achillea
20 (x2) 5ml tds
Circ/lymph/ uterine/fertility tonics/ liver/ circ/
Fertility Tea on Full Moon: ALCH. VULG./RUBUS (TRIFOLIUM)
Conceived after 5/12.
At 32/40 niggling pains like ‘crampy period pains’ back & front on
walking (not Braxton Hicks) could last 30-60mins. No blood loss
Stressed. Split with partner.
R Rubus 30 Mitchella 30 Leon 20 Vib prun 20 (x2) 5ml tds (+
rubus tea)
Pains became less frequent, shorter duration and ceased after
10days
36/40 nervine mix R Chamomilla/Val/Pass 10ml nocte
Normal delivery at 41/40 & healthy baby