If your first thought is, “What’s a Fertility Hot Seat?!” Then let me tell you!

I go live every other Monday on Instagram and YOU have the opportunity to join me live to get my take on your case. I set a timer for 15 minutes, you ask your question/s and I give you my answers.

Whether you’re chosen to go live with me or not you’ll learn from these lives twice a month.

If you’ve ever thought about coaching with me or my team but weren’t sure if it would be a good fit this would be a great opportunity to test it out!

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Disclaimer: Please keep in mind that I am not a medical doctor. I have been a practitioner of Traditional Chinese Medicine for over 17 years and I will be speaking from my clinical experience helping thousands of women conceive. The office of Aimee E. Raupp, M.S., L.Ac and Aimee Raupp Wellness & Fertility Centers and all personnel associated with the practice do not use social media to convey medical advice. This video will be posted to Aimee’s channels to educate and inspire others on the fertility journey.

SEE FULL TRANSCRIPT BELOW OR CLICK ON THE IMAGE ABOVE FOR THE FULL VIDEO.

Amy:

Hello. Hello. Hello. Hello. It is that time again for my fertility hot seat. Fertility hot seat time. It is Monday and every other Monday or so I do a fertility hot seat. Here's how it works. If you guys remember. Hi, Caroline, how are you? Quick rundown. This is how it works. Here they comes the request. You guys already know how it works. You have to request to join me live. Karen, how are you my love? You have to request to join me live. At random I'm going to pick one of you and then you're going to come on for a free 15 minute consult on your fertility case. The consult is not based on medical advice. It is based on my clinical experience as an acupuncturist, herbalist, author of those books up there, and a woman who has helped at this point thousands of women take home their dream babies and been working with women all over the world for almost a decade at this point, and have been in clinical practice for almost two decades at this point.

Let's see, I see people are rolling on and requesting and let's do it. Let's do it. I'm going to pick somebody at random. Meg, I'm going to pick you because I knew you [inaudible 00:01:30]. Let's do it.

I'm get my notes out. I just need to take notes for some reason. Let's see. Did she join? No. Let's see. I'm accepting you Meg, but if you're on your computer, it's not going to work. You have to be on a phone. Let me just see. I just accepted it. It should just bring you live. But like I said, you have to be on a phone, not a computer. Let's see. I think you have to have recently … There you are.

Meg:

Hi. I'm so embarrassed.

Amy:

You did it. You did it. Hi. I was going to say you need an updated version of Instagram, but you made it work.

Meg:

How are you?

Amy:

I'm good. How are you?

Meg:

I'm in it. [inaudible 00:02:27] that's so sweet. Yes, but I'm good. I got a puppy. My fertility struggles so there we are.

Amy:

Tell me what's going on. Let's share with everyone.

Meg:

My husband and I have had two losses since I would say June. Our last one was in October. This will be my third now third miscarriage because I had a miscarriage with a previous partner. We are currently going to a fertility specialist and have gotten all the blood work, all of the tests, genetic testing. Of course, everything came back positive and nothing's wrong, but still it's hard.

Amy:

They tested you for a clotting factors like MTHFR factor five, PAI, all of it?

Meg:

Everything was negative. I did have small positive ANA. But my specialist says that's nothing to worry about. It's inflammation so I just did your ignite fertility course and following your egg quality diet. My period's regulated in January and have been consistent every 27-28 days since January.

Amy:

Are you actually still trying right now?

Meg:

No. This is so kind of run down. We've been kind of waiting. I've been going to acupuncture once a week, which has been so incredible for not only just me, but my mindset. It was so weird. I'm wondering, so I started the egg quality diet and then I spotted seven days early from my period. I'm wondering if my [inaudible 00:04:20] were regulating. Then I never got my period when I was supposed to in May 6th. Finally it came May 20th. That was my first little pickup of my [inaudible 00:04:35] not being normal. It just came on the 20th and the doctor's requesting us to get an HSG flush just to [inaudible 00:04:45] sure everything's okay in my uterus.

Amy:

That's just your tubes, HSG, but has anybody done an endometrial biopsy because that's something I would recommend? No. I would do an endo biopsy. Then the ANA, I mean, do you have any symptoms? When you did the kinks questionnaire in the equality book, did you have a lot of symptoms?

Meg:

Honestly. No. Not really.

Amy:

How do you feel on the diet?

Meg:

Good. I've kind of given myself grace after the whole period issue, just because that kind of stressed me out. I was like, “Oh my gosh, I've been so regular. Is this because I'm doing this stuff?” I don't know.

Amy:

Did you lose weight on the diet? Because that could have been it. Did you lose weight when you started it?

Meg:

No. Not any weight. Just pretty maintaining my weight, which is my goal.

Amy:

Did you eat enough? You weren't skipping some of the meals?

Meg:

[inaudible 00:05:50] normal. Breakfast, really trying to focus on eating. I thought, I think that prior was my issue. I never ate until 2:00.

Amy:

You're going to do the HSG and then what was the plan with the fertility docs? An IUI?

Meg:

Pretty much do the HSG flash and take Letrozole in hope that he thinks it's most likely an egg issue, which is just hard to hear.

Amy:

How old are you?

Meg:

I'm 33.

Amy:

Not an egg issue. That's bullshit. That's not an egg issue.

Meg:

No. The HSG and the electrical helped me release a healthy egg.

Amy:

How far along were you in the miscarriages?

Meg:

The first one was a chemical pregnancy, so super early. Then the second one, I had a DNC at 10 weeks.

Amy:

Did they do genetic testing on it?

Meg:

They did not. I wish they did. Both times in my last, my previous one was actually 10 years ago with an ex. I had a DNC at 12 weeks and they were both blighted ovums. I don't know if that has anything to do with it. It's interesting that they're both the same type of miscarriages.

Amy:

You're at a healthy BMI? Do you know what your BMI is?

Meg:

I don't. No, but I would assume so. I mean I'm … Excuse my dog.

Amy:

Your periods, how are they? What would you consider them normal, healthy flow?

Meg:

Normal. Every 27-28 days. That's the hard part. I've never [inaudible 00:07:34].

Amy:

How many days do you bleed for?

Meg:

Three or four, in the shorter end of things.

Amy:

How heavy is it? How often are you changing something?

Meg:

I would say moderate. It really depends. Some months it's worse than others. Some months it's short. Some months, I'm dealing with one dog and a puppy. It's crazy.

Amy:

That's okay. Any clots or cramping when you bleed?

Meg:

Since my DNC, I've been fairly, my periods have been fairly okay. Prior to getting pregnant, I would have pretty bad ovulation cramps. Sometimes it'd put me out to where I'm just laying on the couch in pain. I have had cysts before, when I was in my teens. I had, I think five cysts at one point.

Amy:

When you get the HSG, note if it's painful or not, because if I see painful ovulation and painful HSG, I do sometimes think about endometriosis. Endometriosis is an inflammatory disorder that can impact egg quality from the sense of it impacts blood flow to the ovaries. It can if it's on the ovaries. But it's more that it's an inflammatory condition, so not a very hospitable environment. That could cause a loss. Doing the egg quality diet, it's kind of what it was made for was endometriosis girls or unexplained infertility, autoimmune, endo, PCOS inflammatory conditions. I think sticking to that.

Amy:

But then I would also really consider, there's a supplement called wobenzym, which maybe you've heard me talk about before. It's W-O-B-N-Z-Y-M. If you message me on the back end, I can message you back and tell you. That can help a lot with inflammatory stuff. I would also make sure you're on at least 3,000 milligrams a day of fish oil. Not just 1,000 like the regular prenatal or the DHAs give you.

Meg:

[inaudible 00:09:41] oil. Is that what you …

Amy:

Yeah. Cod liver. Are you taking liquid or capsules?

Meg:

I have not taken that. I literally [inaudible 00:09:50].

Amy:

Add it in. I would get the liquid form. I use the cinnamon flavor. I kind of like the flavor. Take a full syringe and another half so one and a half syringes will give you a good dose.

Meg:

Great. My acupuncturist has me on Fenco, chase tree and a standard endo [inaudible 00:10:11] multi pack from standard process. I've been taking the needle and omegas, but I haven't been taking fish oil, so I will definitely take that.

Amy:

I mean, that's fine. I would also consider the liver. You know how I talk about doing that.

Meg:

I just ordered some from Heart and Soil.

Amy:

Perfect. Then I would also, even if clotting factors didn't come back, there's two things you can do. Did they actually do a complete panel? Meaning there's 18 different ones they test for. It's a lot of vials of blood.

Meg:

I think 13 or 14 vials of blood. He was like, I just [inaudible 00:10:53].

Amy:

He did it. He did it. The other thing you could still consider is a baby aspirin in the [inaudible 00:10:58] phase. Once you could be pregnant, whether you do try at home. You're on that? You're doing it already?

Meg:

Yep. I just started.

Amy:

Were you doing it in that last pregnancy?

Meg:

No.

Amy:

Then was your diet very different than the egg quality diet in the last pregnancy?

Meg:

I live pretty anti-inflammatory over the last, I would say, seven years. I do soy, dairy, and gluten. I'm really on eating pretty clean. It's honestly not a huge change. I think phase two is a little more of the bigger change I would say. But in the mindset of just, I know I'm doing this for my future child, so it makes me happy to do it, but then when my [inaudible 00:11:45] messed up I kind of [inaudible 00:11:46].

Amy:

I don't blame you. It's a little hiccup. When you were going to acupuncture, did your acupuncturist say if your pulses felt weak or stagnant? Did she say that when the period was delayed?

Meg:

No. I mean, she literally just every time I go there, she's working on it and I got this last time because I go every week. The last two weeks that I was supposed to have my period, she really focused on the spots to make sure help my period come. Then this third round, this third week, the next day it was [inaudible 00:12:17].

Amy:

Now it's powerful. Isn't it? It's amazing. I would stick with the diet. The Wobenzym, the fish oil, the liver pills, the baby aspirin. Go and do the HSG. If it is painful, there's not much else you would do that you're not already doing for if it was endometriosis. But what I would say is have it on your radar of if there is another loss that you should look into what's called the pregmune testing. It's P-R-E-G-M-U-N-E pregmune.com. They're always, it's autoimmune testing basically. It goes way beyond what any other doctor does. It's reproductive immunology testing to see what are the other potential reasons for the losses. It can give you an idea of whether or not you have endometriosis too. That's the next step, just to put it in the back of your head.

Meg:

Definitely.

Amy:

Then castor oil packs I would also do before you could be, if you're not actively trying right now, you could do it all month long. But if you're trying, you only do it in the first half of the cycle.

Meg:

Until after. Our HSG flushes on Friday.

Amy:

You could do them up until then. That's fine. Then you wouldn't do Letrozole this month, right? You're just going to skip this month and then try Letrozole next month.

Meg:

I'm not sure. I'm waiting for the doctor to call me back. I called him at 8:00 this morning to let him know. I started my period late on Friday.

Amy:

Because usually would start Letrozole early in the cycle so chances are you won't. I don't know that they, maybe they would do the HSG while you're stemming, maybe so maybe. Maybe we'll see, but you could still do castor oil packs right now. I just would. I have a video on how to do those too if you want. Just again, message me in the back end.

Amy:

I'm trying to think what else. Would the positive ANA, the fish oil should help that. [inaudible 00:14:25] cystine is another great supplement that I don't know if you're taking or have heard of, but you could.

Meg:

Get a pen.

Amy:

I'm writing it all down so if you want to just message me and be like, “Hey,” and then I'll put it in there. I can't directly message you, but you can message me and then I'll reply.

Meg:

Perfect. Wonderful.

Amy:

Because that's the only thing I think of is with the ANA, but you don't have any joint pain or anything like that. It might just be that you're so young, it's not kicking in, but you're seeing it from in a fertility perspective. It's like keep doing all the things you're doing.

Meg:

What did you just say?

Amy:

I said I don't know if you lost, keep doing all the things you're doing because maybe you have a tendency and has someone done a complete thyroid panel on you? No.

Meg:

No [inaudible 00:15:13]. My mom, she had multiple miscarriages before me and she has thyroid stuff. That's definitely something to look into.

Amy:

Complete thyroid panel with thyroid antibodies. I'll write it down so I remember to tell you. If you come back with thyroid antibodies, then that's a clue in that you're like, “Okay, there's autoimmunity going on,” and then the diet, you're still doing the right things to support yourself. It's just then at that point, I say to consider gluten, dairy and soy as an allergy.

Meg:

I've cut out soy now for 10 years. But every once in a while I'll have gluten and dairy.

Amy:

I get it.

Meg:

[inaudible 00:15:55] I'll cut it out. I can do that.

Amy:

You can try. Do you have any last questions for me or was I not …

Meg:

What are your thoughts on the Letrozole?

Amy:

I think it's fine. I'm sure your reserve, I would guess that your reserve's probably fine.

Meg:

It's below average. A little below average. My mom went through menopause at 44 so he thinks maybe that's just genetic.

Amy:

Well, I have opinions about that too. It's not really genetic. Well, it's one way to say that.

Meg:

For sure.

Amy:

The way they say it, you may think it's set in stone that no matter what you do, you would lose your menopause at 44, but it's all actionable genetics. It's like what I talk about a lot with epigenetics of you could, my mom went through menopause at 43. I'm older than that and still regularly menstruating and ovulating. Do you know what I mean? But I live my life …

Meg:

Completely different.

Amy:

Yeah. Not that she wasn't healthy, but what we thought was healthy back then is really different than what we know now, too, which is kind of funny, but, and her amount of stress and all those things. It's like, you might have the predisposition towards those things, but you can do a lot to affect them. I mean, either way, you're still nine years or 10 years younger than that anyway.

Meg:

I think I'm good. I just need to keep my mindset. Like I said, your course really helped my mindset because it was in the gutter for a little. Well, this is great. I feel a lot [inaudible 00:17:32]. I'll message you as far as [inaudible 00:17:35].

Amy:

Message me and I'll reply with the things that I want you to incorporate.

Meg:

Awesome. Thank you, Amy.

Amy:

You're welcome. Sure. I'll talk to you soon. Bye.

Meg:

Bye.

Amy:

Hi guys. Sorry. The connection was in and out. I'm eating cucumbers. It's an interesting case. I mean it makes me think a little bit like, “Okay. Hmm. What else could possibly be going on?” Let's get a complete thyroid panel. I mean, come on. We need a complete thyroid panel, not on her. Her doctor should be looking at that. This is now her third miscarriage. She's very young. Why has no one looked at her thyroid?

[inaudible 00:18:14] being slightly positive to me is still my antlers go up because it's like, “Okay, there's something.” I mean, that really shouldn't be positive. Why is it positive? She doesn't have a lot of symptoms, but as you guys hear me say, it's the older we get, the more easily the pipes get clogged.

At 33 she might still be able to be getting away with things. Even though her lifestyle sounds very healthy so it's like maybe she's just living in a way that's supporting it. If she was living like the standard American diet, she might be full blown in rheumatoid arthritis at this point in time. It's just really interesting to look at all of that.

Then of course I didn't see her labs, but I trust if a doctor pulled that many vials of blood, I trust that they did a pretty elaborate clotting factor panel, which is great. I think the changes she's making, we add in a couple more tweaks, if God forbid another loss happens, then I would really encourage that she look at reproductive immunology and going in the route of Pregnume.

If you guys want to check out the testing, it's pregnume.com. Also whenever I see really painful ovulation, not like, oh, I feel cramping, I can feel my ovulation or I get a little bloated with ovulation. Not that. Painful, doubled over ovulation, I think ovarian cysts, possibly endometriosis. Then if I couple that and they say, “And then I had an HSG and it was really painful,” nine out of 10 times in my clinical experience again, it has been determined that it's endometriosis.

Again, my flags go up. My little antlers go up of like, “Okay, what else can we look for here?” But hopefully she's on the path and the things that she shifted are making the big difference. We'll add in the Wobenzym. We'll add in the fish oil. We'll do the liver pills, the caster oil pack, the NAC. Guys, I'm going to go. Have a beautiful day and we'll talk with you later.

END TRANSCRIPT.

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