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Natural Fertility Info.com

Natural Fertility tips, information, herbs, supplements and more


Study Shows Popular Erectile Dysfunction Drug May Lower Male Fertility

Elizabeth Willett - M.A., Certified Herbalist
July 22, 2021
Reviewed by Christine Traxler, MD

Men, if you knew Viagraยฎ could have negative impacts on your fertility, would you still consider using it? According to a 2007 study men who take Viagraยฎ may be lowering their fertility. The conclusion of the study published in the journal Fertility & Sterility, was that taking sildenafil citrate, well known under the name Viagraยฎ, may significantly increase sperm motility but negatively affect sperm acrosome reaction.

The purpose of this study was to determine the side effects of sildenafil citrate on sperm function given this drugsโ€™ popular marketing for erectile dysfunction in reproductive-age men with fertility health issues leading to erectile dysfunction. These fertility health issues range from psychological issues, diabetes, hormone imbalances, low libido, being overweight, to abnormalities of the genitalia (physical or genetic).

Study Particulars:

Fifty-seven males, ranging in age from 26 to 42 years old, undergoing examinations for infertility at the Andrology Laboratory, Royal Maternity Hospital, Belfast, due to sperm health concerns, participated in the study by giving semen samples.

Semen analysis showed that participants already had reduced sperm motility upon entering the study. Sperm samples were divided into two groups – the first having the best fertilization potential and the second showing poorer potential in terms of being able to fertilize an egg – sperm motility was analyzed in a laboratory setting after exposure to sildenafil citrate for up to 180 minutes.

Study Results:

The speed and number of sperm able to successfully swim forward was significantly increased after being exposed to Viagraยฎ for between 15 and 135 minutes in both groups of sperm samples. However, in both groups, Viagraยฎ also caused a significant increase in the number of acrosome-reacted sperm – 22.1% in the first group and 16.6% in the second group.

What is the acrosome and acrosome reaction?

The acrosome is a specialized layer of cells surrounding the outer layer of the sperm head that contain enzymes necessary for sperm to penetrate a womanโ€™s ova (egg). During the acrosomal reaction, the contents of the acrosome is released and pushed from the sperm head. The enzymes then assist the sperm in fusing to and penetrating the egg. If sperm are prematurely acrosome reacted, as was shown in this study, they become unable to fertilize the egg.

Additional Findings:

Researchers also cite several studies conducted to evaluate the effects of drugs with similar actions as Viagraยฎ, like pentoxifylline or Trental.

These studies concludeโ€ฆ

  • Sperm treated with these drugs are affected by them well after sperm are washed free of the drugs, implicating irreversible effects.
  • This class of drugs inhibit reactive oxygen species (ROS) which are instrumental at lower levels in a variety of the bodyโ€™s normal cellular function and survival mechanisms. At low concentrations, ROS are necessary for normal sperm function and embryo development before and after implantation. โ€œCell numbers of blastocysts and development of the early embryo are both significantly reduced after exposure to pentoxifyllineโ€ฆ also observed [was] embryonic arrest and retarded development…โ€ Should implantation occur, miscarriage is very likely to result.

Researchers concerns:

Of great concern to the studyโ€™s authors is the prescription of Viagraยฎ to men, visiting U.K. Human Fertilization and Embryology Authorityโ€™s licensed assisted conception units, finding it difficult to produce sperm samples on demand and in timed cycles of treatment.

โ€œIn a case report of Viagra use for human-assisted reproduction the investigators noted that there was no fertilization of the oocytes despite the intracytoplasmic injection of the sperm (34). They attributed the failed fertilization to the delay in obtaining the semen sample and the resultant advanced age of the oocytes. However, it is possible that Viagra had a deleterious effect on sperm function and it was the reason for the fertilization failure. When Viagra is given to patients by oral administration there is no opportunity to remove either the sperm or the embryos from its potentially persistent and damaging effects.โ€

As of 2007, more than 1 billion doses of Viagraยฎ have been prescribed to more than 23 million men worldwide, including men of reproductive age, as a sexual enhancer and for erectile dysfunction.


Comments:

If you are a male experiencing fertility health issues leading to infertility, especially erectile dysfunction, and are offered Viagraยฎ by your healthcare provider, consider talking to him/her about this study.

No matter how well or quickly an erection is obtained, how long it is maintained, or how quickly sperm can swim to fertilize an egg, if the biological process that allows a sperm to adhere to and penetrate an egg happens before the sperm meets the egg, fertilization will not be able to occur. Why take a drug that has been proven to cause this to happen? Not to mention a drug that may have lasting effects.

Erectile dysfunction and low libido may be a sign of psycho-emotional dysfunction, physical dysfunction or sometimes hormone imbalance. These conditions can also be a result of hypertension, chronic use of medications, or drug addiction. It is most beneficial to overall health, including fertility health, to address the underlying cause of any fertility health issues experienced.

Poor diet and lifestyle choices are the most common reasons for poor sperm health. Thankfully guys, you CAN make healthy diet and lifestyle choices to support erectile function, a healthy libido, hormone balance, and sperm health.

Take time to read through these great resources to help you make informed, healthy choices…
The Male Fertility Diet
Male Fertility Cleanse
Increasing Low Sperm Count and Improving Male Fertilityโ€ฆ
Yohimbe Shown to Improve Impotence & Libido in Men
Fo-ti: Herb for Fertility Longevity

References

  • 4.4 The sperm cells meet the oocyte โ€“ the acrosome reaction. (n.d.). Retrieved from: http://www.embryology.ch/anglais/dbefruchtung/akrosom02.html
  • Glenn, D., Mcvicar, C., Mcclure, N., & Lewis, S. (2007). Sildenafil citrate improves sperm motility but causes a premature acrosome reaction in vitro. Fertility and Sterility, 87(5), 1064-1070. Retrieved from: http://www.fertstert.org/article/S0015-0282(06)04387-1/fulltext
  • Smythies, J. (1999). The neurotoxicity of glutamate, dopamine, iron and reactive oxygen species: Functional interrelationships in health and disease: A review โ€” discussion. Neurotoxicity Research, 1(1), 27-39. doi:10.1007/bf03033337 Retrieved from: https://link.springer.com/article/10.1007/BF03033337
  • Rodriguez, H. (n.d.). Increasing Low Sperm Count and Improving Male Fertilityโ€ฆ. Retrieved from: http://natural-fertility-info.com/mens-fertility

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Men's Fertility

About the Author

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Elizabeth Willett - M.A., Certified Herbalist

Elizabeth Willett is the Senior Herbalist and Lead Educator at NaturalFertilityInfo.com. She holds a BS in Mass Communications (2000) from Minnesota State University, and a Master of Arts degree (MA, 2010) in Holistic Health Studies with a specialization is herbalism from St. Catherine University in St. Paul, MN. Liz has written over 200 articles on women's fertility and brings a vast wealth of knowledge and expertise in holistic health and healing to Natural Fertility Info.com

5 Steps To Improve Your Fertility Naturally

  • Learn the 5 different areas to focus on for optimal fertility health
  • Learn how to support hormonal health with herbs and essential oils
  • Tips on transitioning to a whole food fertility diet.
  • Self-care therapies to support your reproductive health

@NaturalFertilityInfo

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Oct 1

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Are you on a fertility journey and seeking a holistic approach? Dive into the Drop Cycle Method, where ancient self-acupressure meets potent essential oils to nourish every stage of your fertility cycle. ๐ŸŒฟ๐Ÿคฒ

Who Is Drop Cycle Method For?

Drop Cycle Method is designed to help those who are experiencing...

๐ŸŒธ Lack of ovulation

๐ŸŒธ Short luteal or follicular phase/Long luteal or follicular phase

๐ŸŒธ Cycles longer than 35 days

๐ŸŒธ PMS, cramps, mood swings

๐ŸŒธ Heavy periods, light periods, missing periods

๐ŸŒธ Spotting

 
Or those who would like to support:

โ˜€๏ธ Healthy circulation to reproductive organs and:
โ˜€๏ธ Improve uterine lining and support implantation
โ˜€๏ธ Improve cervical mucous
โ˜€๏ธ Support cleansing and detoxification
โ˜€๏ธ Stress support

Type DCM in the comments below to learn more...

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Sep 30

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Castor oil packs are one of my favorite fertility self-care therapies.

 They help to improve circulation, reduce inflammation, and restore hormonal balance.

Castor oil is an ancient remedy that has been used for centuries for a variety of health purposes.

From aiding digestion to reducing menstrual cramps and clearing up skin conditions, castor oil packs can be used to support reproductive health in several ways... 

๐Ÿ‘‡Type PACK in the comments below to get access to my Womb Care Castor Oil Workshop ๐Ÿ‘‡

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Sep 29

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๐ŸŒฑ One of my favorite ways to support fertility and hormone health is through herbs. 

Over the past 20+ years that I have been an herbalist I have seen what herbs can do to help turn someoneโ€™s health around. 

When it comes to fertility there are a lot of different herbs that you can use. But they all have different actions. There is no one herb that fits all for fertility. 

That is one of the reasons I make herbal blends & formulas. 

Three of my favorite herbs are vitex, maca and shatavari, but they each have different effects on the body. 

So the key to success with fertility herbs is to first figure out what is going on in your body and then you can pick the right herbal formula for you. 

You can do this by charting your fertility (I have a lot of posts about fertility charting on my feed as well as my website) and also paying attention to your period. ๐Ÿฉธ

To learn more about my herbal formulas for fertility support type HERBS in the comments below and Iโ€™ll share a link to my formulas ๐Ÿ‘‡๐Ÿ‘‡

naturalfertilityinfo

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Sep 28

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Plastics can have a major impact on egg health, hormone health and the ability to ovulate. 

These are only 3 studies that I am sharing today, but during my research there were hundreds. 

๐Ÿ‘‡ Type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally. ๐Ÿ‘‡

naturalfertilityinfo

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Sep 27

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A key to healthy progesterone levels is to make sure you understand its purpose and how it works. 

If you are only focusing on progesterone levels and not the root cause, you may be shooting in the dark when it comes to results. 

๐Ÿ‘‡ Type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally. ๐Ÿ‘‡

naturalfertilityinfo

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Sep 27

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๐Ÿƒ Discover FertiliClearโ„ข Therapeutic Essential Oil Blend: Nature's Answer to Reproductive Detox & Balance ๐ŸŒผ

Delve into the aromatic essence of FertiliClearโ„ข, meticulously crafted by the esteemed herbalist, aromatherapist, and fertility specialist Hethir Rodriguez.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐ŸŒฑ Natural Detox Delight: Dive into a detox with FertiliClearโ„ข! Its blend of organic therapeutic essential oils ignites the body's natural detoxification rhythm, paving the way for a conception-friendly environment.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐Ÿ’ง Lymphatic Liberation: Boost your body's detox powerhouse - the lymphatic system. FertiliClearโ„ข acts as a catalyst for lymph drainage, ensuring toxins and waste gracefully exit, safeguarding reproductive health.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐Ÿ”ฅ Inflammation's Antidote: Combat the hidden enemy of fertility - inflammation. With its potent anti-inflammatory essence, FertiliClearโ„ข fosters a harmonious reproductive realm, priming it for conception.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
โญ Antioxidant Armor: Fortify your reproductive cells against free-radical foes with FertiliClearโ„ข, a rich source of antioxidants. Revel in its protective embrace, ensuring the vitality of eggs and sperm.

Type DCM in the comments below if you would like to learn more about how to use FertiliClear to support your fertility naturally.

naturalfertilityinfo

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Sep 26

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Boost your fertility with castor oil packs! ๐ŸŒฟโœจ

Are you looking for natural ways to support reproductive health? Look no further! Castor oil packs have incredible benefits for fertility. Here are 5 reasons why you should start using them:

1๏ธโƒฃ Increase circulation
2๏ธโƒฃ Promote lymphatic draining
3๏ธโƒฃ Beat inflammation
4๏ธโƒฃ Reduce pain (prostaglandins)
5๏ธโƒฃ Feel calm and relaxed

With the Womb Care Therapeutic Castor Oil Kit, applying castor oil packs is easier than ever. Simply apply the organic castor oil to the cloth, place it on your lower abdomen or liver area, and let the magic happen.

The best part? You can go about your day while the pack works its wonders. The organic wrap traps your body heat, allowing the oil to penetrate deeper. Say goodbye to discomfort and hello to enhanced reproductive health!

Whether you're dealing with uterine fibroids, endometriosis, or simply want to boost your fertility, castor oil packs are a game-changer. You can use them for 30 minutes to an hour, 3 to 4 times a week, or even overnight for maximum benefits.

Ready to learn more about the Womb Care Therapeutic Castor Oil packs? Type PACK in the comments below and I will send you the link for my workshop and all the info you need. Don't forget to like and subscribe for more natural fertility tips! ๐ŸŒธ๐Ÿ’•

#castoroilpacks #fertilitysupport #naturalfertility #wombcare #reproductivedetox"

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Sep 26

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Uterine fibroids can be a challenging health concern for many, but the thoughtful incorporation of herbs and supplements might offer some relief.

Addressing this issue goes beyond a one-size-fits-all solution; it demands a multifaceted approach, targeting several body systems simultaneously.

๐Ÿ‘‡ Comment "FIBROID" below and I'll share a quiz link for you to discover your Fibroid Wise Profile!

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Sep 25

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๐Ÿคฐ Ready to maximize your fertility and increase your chances of successful implantation?

๐Ÿ‘‡ Type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally. ๐Ÿ‘‡

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Sep 25

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Get ready to prep your body for conception with Fertility Cleansing 101 ๐ŸŒฟ

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception.

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started?

๐Ÿ‘‡ Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. ๐Ÿ’ช

#FertilityJourney #ReproductiveHealth #Cleansing

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Sep 24

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What most people donโ€™t understand about low progesterone

Many people don't fully grasp the complexities of low progesterone. 

There are three key factors to consider when aiming to support the body's progesterone production. 

๐Ÿ‘‰๐Ÿฝ Misconception #1 surrounding progesterone....

It's not widely known that its deficiency is often a result of inadequate ovulation. 

In order for progesterone levels to rise, the body must first ovulate, which triggers the transformation of the follicle into a corpus luteum, responsible for producing progesterone. 

If ovulation doesn't occur, low progesterone is likely to persist since the body doesn't require an increase in progesterone without ovulation.

๐Ÿ‘‰๐Ÿฝ Misconception #2... the cause of low progesterone can be estrogen dominance.

There is a balance between estrogen and progesterone happening within the body and if there's too much estrogen this can affect a lot of different functions with hormone balance as it pertains to ovulation and progesterone production.

Considering the larger context of the entire fertility cycle is crucial when addressing progesterone production. Instead of solely focusing on supporting it, zooming out and examining all aspects of the cycle is necessary. 

This entails understanding the characteristics of the menstrual period, the length of the follicular and luteal phases, and awareness of ovulation patterns. 

๐Ÿ‘‰๐Ÿฝ Misconception # 3 Dietary habits contribute significantly to hormone production and balance within the body. 

๐Ÿ‘‰๐Ÿฝ Misconception #4... Another aspect worth exploring is thyroid function, as it can also impact hormone equilibrium. Regular thyroid testing is therefore recommended to assess its influence on hormonal well-being.

๐ŸŒธ To learn more on how to support your fertility naturally, type STEPS in the comments below to join my free mini-course - 5 Steps To Improve Your Fertility Naturally, where I go into detail on each of the steps you can take to support your fertility cycle. โœŒ๐Ÿฝ

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Sep 23

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What exactly are uterine fibroids? 

Uterine fibroids, also known as leiomyomas, are noncancerous growths that develop in the muscular wall of the uterus.

These common benign tumors can vary in size and number, ranging from small pea-sized nodules to large masses that can distort the shape and size of the uterus.

Although the exact cause of uterine fibroids is unknown, certain factors like hormonal imbalances, genetics, and estrogen levels are believed to play a role in their development.

While some women with uterine fibroids may experience no symptoms at all, others may suffer from heavy menstrual bleeding, pelvic pain, urinary frequency, and various reproductive issues.

Understanding what uterine fibroids are and their potential impact on women's health is crucial for effective management.

๐Ÿ‘‡ Comment "FIBROID" below and I'll share a quiz link for you to discover your Fibroid Wise Profile!

naturalfertilityinfo

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Sep 22

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๐Ÿฅš In the past, a common belief was that the only factor which determines ovarian and egg health was age. 

Based on new studies, we now know that this may not be true. ๐Ÿคฏ

There are many factors that can have an impact on the health of the ovaries and eggs including environmental factors, hormones in the diet, and stress, just to name a few.

In addition, having healthy fertility is based on many additional aspects to consider, including:
โžก๏ธ Proper circulation
โžก๏ธ A healthy fertility cycle
โžก๏ธ Balanced hormones
โžก๏ธ Healthy eggs

Egg health is one of the cornerstones of healthy fertility. 

The health of your eggs (ova) can affect whether or not fertilization and implantation will occur as well as the viability of a pregnancy.

During the cycle of an eggโ€™s journey towards ovulation, there is a window of opportunity, a period of time, when certain factors can affect the health of the eggs that are preparing for ovulation. โณ

This journey takes about 90 days. 

The steps you take today will impact the health of your eggs 3 months from now. 

That is why I talk so much about taking a MINIMUM of 90 days to prepare for pregnancy or IVF/IUI. 

๐Ÿ™‚ The good news is that there are steps you can take to help support the health of your eggs. There is too much info to put into this tiny caption butโ€ฆ.

Type EGG if you would like me to send you my Egg Health Checklist that takes you through all of the steps to take.๐Ÿ‘‡๐Ÿ‘‡

naturalfertilityinfo

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Sep 22

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Discover Calm Wombโ„ข Therapeutic Essential Oil Blend - Your Ultimate Companion on the Fertility Journey ๐ŸŒฟ
โ €โ €โ €โ €โ €โ €โ €โ €โ €
Envision a blend crafted to instill tranquility in your womb and serenity in your spirit. Enter Calm Wombโ„ข, meticulously formulated by renowned herbalist, aromatherapist, and fertility specialist Hethir Rodriguez. Let's unveil its magic:
โ €
๐ŸŒผ A Soothing Two-Week Wait: Navigate the luteal phase with a receptive and serene body, thanks to Calm Womb Essential Oil. Every drop whispers calm during that pivotal two-week wait.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐Ÿƒ Mind & Nervous System Zen: Dive deep into a tranquil haven as this blend calms the mind and eases the nervous system. Say goodbye to stress and allow the body's reproductive function to flourish in peace.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐ŸŒŸ Harmonious Hormonal Dance: The dance of fertility is choreographed by hormones. Ingredients like clary sage and geranium in Calm Womb are nature's maestros in balancing this delicate act, fostering menstrual regularity and optimal hormone synthesis.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
๐ŸŒบ The Anti-Inflammatory Embrace: With powerhouses like lavender and chamomile, experience reduced inflammation in your reproductive system, setting the stage for enhanced reproductive health and increased conception possibilities.
โ €โ €โ €โ €โ €โ €โ €โ €โ €
Whether you're practicing the Drop Cycle Methodโ„ข, indulging in Self Fertility Massageโ„ข, or integrating with Womb Careโ„ข Therapeutic Castor Oil Packs, Calm Wombโ„ข is versatile enough to complement all. Simply apply to your lower abdomen, feet, or ankles and let the symphony of organic therapeutic oils work their magic.

Type DCM if you would like to learn more about using essential oils to support fertility.

naturalfertilityinfo

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Sep 21

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The 5 benefits of castor oil packs for fertility....

If you're looking for natural ways to support your reproductive health, castor oil can be hugely beneficial.

๐ŸŒŸ Here are the top 5 benefits of castor oil for fertility:

1๏ธโƒฃ Improved Circulation: Castor oil helps increase blood flow in the reproductive organs, ensuring they receive optimal nourishment and oxygen.

2๏ธโƒฃ Promotes Lymphatic Draining: By stimulating the lymphatic system, castor oil aids in detoxifying the reproductive area, promoting a healthy environment for conception.

3๏ธโƒฃ Anti-inflammatory Properties: Castor oil's anti-inflammatory effects can help reduce inflammation in the reproductive system, supporting a balanced and healthy environment to conceive.

4๏ธโƒฃ Pain-Reducing Effects: Prostaglandins found in castor oil can help ease discomfort associated with menstrual pain, making it an excellent choice for women trying to conceive.

5๏ธโƒฃ Calming and Relaxing: Using castor oil as a part of your fertility routine can help reduce stress levels, promoting a calm and relaxed state of mind.

๐Ÿ‘‡ Type PACK in the comments below if you would like to learn more about castor oil packs for fertility and I will send you a link to my workshop.

naturalfertilityinfo

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Sep 21

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So, how do we deal with this?

First, we cleanse and detoxify the body.

By supporting the body's natural ability to eliminate these compounds and excess hormones, we can significantly alleviate the hormonal imbalance.

The human body is in a constant state of detoxification, eliminating chemicals, excess hormones, and other compounds on a daily basis.

This is a natural process that's intrinsic to our biology.

However, based on my research and experience over the past 15 years, it's become apparent that regular cleanses and daily supportive measures can significantly enhance the body's natural detoxification abilities.

๐Ÿ‘‡Type CLEANSE to learn more about cleansing for fertility health and I will send you my Guide To Fertility Cleansing.

naturalfertilityinfo

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Sep 20

Open
BPA is a major concern when it comes to hormone health, and this is just one of the many compounds found in plastics. 

I know it sounds daunting, but it is well worth  the effort to avoid using plastics containing BPA and other hormone-disrupting chemicals.

There are many alternatives available, such as glass or stainless steel containers and water bottles.

You can also look for products labeled "BPA-free" or "phthalate-free". Taking these small steps can help protect your health and the environment. 

But what can we do about our previous exposure? Cleanse, helping the body  naturally remove toxins. Supporting the liver in its ability is a great way to detoxify toxins like BPA, the Fertility Cleanse is great for this. Also eating a diet rich in whole foods and fiber is awesome as well. 

๐Ÿ‘‡ Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. ๐Ÿ’ช

naturalfertilityinfo

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Sep 20

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Get ready to prep your body for conception with Fertility Cleansing 101 ๐ŸŒฟ

The time leading up to pregnancy is crucial in creating a healthy foundation for your growing baby. That's where fertility cleansing comes in!

By cleansing the uterus and liver through the use of herbs, you'll be supporting your body in preparation for conception. 

The Fertility Cleanse encourages the liver to cleanse the body of toxins and excess hormones, while also supporting the uterus in cleansing old stagnant blood and increasing circulation.

Ready to get started? 

๐Ÿ‘‡ Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. ๐Ÿ’ช 

#FertilityJourney #ReproductiveHealth #Cleansing"

naturalfertilityinfo

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Sep 19

Open
The Fertility Cleanse kit is one of the best ways to prepare for conception. 

It's the first step we suggest for most couples when they start trying to get pregnant. 

With over 680 five star reviews, the Fertility Cleanse Kit is by far a customer favorite. 

You can find the Fertility Cleanse Kit on our website. Link in the bio... @naturalfertilityinfo

Want to learn more? 

๐Ÿ‘‡ Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. ๐Ÿ’ช

naturalfertilityinfo

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Sep 18

Open
Juicing is a game changer.

It's not just about squeezing a few oranges; it's about effortlessly infusing my diet with nutrient-rich veggies every single day.

Beyond the incredible flavors (hello, celery, ginger, turmeric, and a hint of pineapple ๐Ÿ), juicing is my fast-food substitute thatโ€™s both quick and nutritious.

The real game-changer? Investing in a quality juicer. It makes all the difference. My juicer is the J2 from Nama. 

Type DIET if you would like to learn more about eating for optimal reproductive health ! ๐Ÿ‘‡
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