be on 100mg of ubiquinol daily to maintain efficient mitochondrial activity. 5. Test your hormones early, and keep testing every few years
for an objective measurement of fertility reserves. Follicle Stimulat- ing Hormone (FSH) levels must be tested on day 3 of the menstrual cycle with Anti Mullerian (AMH) levels before beginning fertility protocols. FSH reflects the relationship between the ovaries and pituitary and higher levels indicate perimenopause and/or poor ovarian function. Therefore, levels of FSH under 10 are best. AMH is also called the “egg timer” as it gives an accurate level of the fol- licular reserves of the ovaries. AMH levels do not fluctuate through- out a cycle and can be tested at any time. Serum AMH levels de- cline throughout ones’ reproductive life cycle, and are undetectable after menopause; higher levels are more desirable. 6. Don’t wait too long to consider IVF. If you have been #TTC for more than 9 months and have not become pregnant with regu- lar, timed inseminations, IUI’s or intercourse, make appointments with a fertility clinic and an Integrative fertility specialist. Having a Plan B will decrease stress, and it takes time to consider the finan- cial and medical burdens associated with reproductive technology. However, it is worth it to have that baby in your arms! If IVF is needed, committing to the process earlier in your fertility journey can increase your chances for that #BFP (Big Fat Positive) on your first attempt. 7. Don’t forget the men! At least 30% of infertility is male fac-
tor. Too often one half of the couple is doing everything possible (yoga, clean eating, no caffeine, no alcohol, meditation, support group, acupuncture, etc) while the other half is the root cause of the issue. Getting a sperm analysis is one of the first steps in a fertility evaluation, and can bypass months of angst from non-conception. 8. Sperm need fertility enhancing supplements too! Omega-3 fats, 15 mg zinc, and stress busting herbs like Maca or Ashwaganda will improve sperm health, tonify libido and boost fertility. 9. Have your thyroid hormones including TSH, Free T3 and
Free T4 and your progesterone levels tested. Low thyroid function leads to low progesterone, which leads to frequent miscarriage in a classic vicious cycle. Some Endocrinologists and Family Docs may have conservative opinions on these levels and may use outdated
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