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Natural Fertility Info.com

Natural Fertility tips, information, herbs, supplements and more


Azoospermia – Know Your Options for Treatment

Dalene Barton - Certified Herbalist, Birth Doula
July 13, 2021
Reviewed by Christine Traxler, MD

We hear it too often, “My husband was diagnosed with azoospermia, can you help me and what is this?” This complicated medical condition has a variety of causes and can be challenging to treat, especially naturally. Few cases will be able to be successfully helped through natural means alone.

Let’s get down to the facts first, since so many people aren’t quite sure what azoospermia is. Azoospermia is a male medical condition, diagnosed when there is an undetectable amount of sperm in a man’s semen. This condition affects 1% of the male population and it is estimated that up to 10-15% of cases of male infertility are due to azoospermia, according to the Cleveland Clinic.

There are three different classifications of azoospermia, falling under either obstructive or non-obstructive azoospermia. This is where we will get into some medical names and terminology that may be hard to understand. I will do my best to explain.

Obstructive azoospermia

Male reproductive tract obstruction. Sperm are still produced, but not ejaculated.

Posttesticular azoospermia
This is where sperm are still produced, but a blockage in the genital tract is preventing ejaculation. This condition affects 7-51% of azoospermia cases.

Causes of posttesticular azoospermia:

  • Congenital absence of the vas deferens, idiopathic epididymal* obstruction. Congenital reproductive tract obstruction should have cystic fibrosis (CF) gene mutation analysis performed prior to going for IUI or IVF, because these men are at a higher risk for carrying CF gene mutation.
  • Acquired from infection due to vasectomy, or other injury to the male reproductive tract.

Non-obstructive azoospermia

Inadequate production of sperm.

Pretesticular azoospermia
This is defined as inadequate stimulation of otherwise normal genital tract and testicles. Follicle-stimulating hormone (FSH) is typically low. FSH is needed to stimulate the testes to produce sperm.

Testicular azoospermia
Sperm production is severely disturbed or completely absent due to abnormal, atrophic (decreased size, atrophy of the testicular tissues), or absent testes. FSH levels are typically elevated because of an interruption in the hormonal feedback loop. Elevated FSH level in men is known as testicular failure and is responsible for 49-93% of azoospermia cases. High FSH levels lead to low production of sperm or complete absence of mature sperm because this alters spermatogenesis, which is the maturation of sperm.

Causes of Testicular Failure:

  • Genetic conditions
  • Infection due to STD’s or surgery
  • Surgery/trauma (vasectomy, cancer, radiation, chemotherapy)

A common reaction from surgery may be mast cells that work to release inflammatory mediators, which may lower sperm motility (forward movement).

It is recommended that men diagnosed with elevated levels of FSH and azoospermia for unexplained reasons ask their doctor about a referral for a chromosomal evaluation.

Idiopathic azoospermia
Idiopathic simply means “unknown cause”. Doctors and researchers are working to figure out why, in some cases, men may still be diagnosed with non-obstructive azoospermia with no known cause. Some new research has shown a connection between azoospermia and being overweight to obese. The odds of an overweight man having azoospermia is a ratio of 1:1, whereas it is 1:3 for obese men.

Treatment for Azoospermia

A doctor will be able to provide information on medical options specific to diagnosis. Since the cause of azoospermia can be varied, there will be different treatment options, depending on the cause.

For men with genetic causes of azoospermia, treatment may be limited to non-existent, depending on the type of genetic defect. In the case of testicular failure, doctors may be limited to treating a man with hormonal medications. Obstructive azoospermia may be able to be treated with surgery to remove the blockage.

Several tests will be run to determine if there is any sperm cell production, if there is, the sperm may be extracted for IVF.

For some men with obstructive azoospermia, according to P. N. Schlegel of The New York Presbyterian Hospital, Weill Medical College of Cornell University, treatment may include:

  • “microsurgical reconstruction or transurethral resection of the ejaculatory ducts, depending on the level of obstruction”
  • sperm retrieval via assisted reproductive technology, with success rates ranging from 25% to 65%

Natural Options for Azoospermia

To be honest there are very limited natural options for men with azoospermia. First and foremost, it is important to work with a doctor who specializes in this condition. Second, it is a well-known fact that the male body requires a wide variety of nutrients to produce balanced hormones and healthy sperm. For men working to reverse azoospermia, eating a nutrient-dense whole food diet is going to be very important. Today’s modern diet often doesn’t nourish the body properly and that is where nutritional supplementation can be useful in improving sperm production.

Click here to learn about the most important nutrients for sperm production and health…

For men who are overweight or obese with azoospermia, getting on a weight loss program is going to be imperative to restoring sperm production.

There are a variety of herbs that have been shown to help support men’s hormonal balance and sperm production. These herbs may be worth considering as part of a healing plan for azoospermia caused by non-genetic, non-obstructive azoospermia. As always, it would be best to find a natural healthcare practitioner, skilled in the use of botanical medicine to work with, alongside a medical doctor.

Herbs to improve hormonal balance and sperm production in men:

  • American Ginseng root (Panax quinquefolius)
  • Cordyceps mushroom (Cordyceps sinensis)
  • Maca root (Lepidium meyenii)
  • Saw Palmetto berries (Serenoa repens)
  • Schisandra fruit and seed (Schisandra chinensis)
  • Tribulus aerial parts and fruit (Tribulus terrestris)

Important Note: We do not suggest combining any herbs for fertility while also taking medications for fertility treatments.

Systemic Enzyme Therapy is a natural option that may be considered after surgical treatment. For men who plan to have surgery to remove an obstruction causing azoospermia, they will want to consider ways to prevent additional scar tissue and inflammation. Systemic Enzyme Therapy may be a good option. Specific systemic enzymes may help support the health and proper healing post-surgery by aiding the immune system’s inflammatory response. This may help prevent excessive scar tissue formation. Excessive scar tissue formation may cause the area treated to become blocked again.

Systemic Enzyme Therapy may also be useful for those who have developed antisperm antibodies due to vasectomy or other surgery.

Managing stress and sadness surrounding medical testing, treatments and diagnosis, along with facing the possibility of infertility, should also be considered. There are a variety of natural options to help manage stress.

Closing Thoughts

For the vast majority of men diagnosed with azoospermia, natural treatment options are going to be important for supporting the overall health and function of the body and reproductive system, but cannot be relied on as the sole solution. Men with azoospermia need to work closely with their medical doctor on solutions unique to the cause. Some men may find that improving diet and lifestyle choices will be all it takes to aid the body in producing sperm once again but, to be honest, this is very rare.

In the case of irreversible testicular azoospermia, sperm extraction for IUI or IVF may be required.


*A single, narrow, tightly-coiled tube connecting the efferent ducts from the rear of each testicle to its vas deferens.

References

  • Schlegel, P. N. (2004). Causes of azoospermia and their management. Reproduction, Fertility and Development, 16(5), 561. doi:10.1071/rd03087 Retrieved from: http://www.publish.csiro.au/RD/RD03087
  • Hwang, K., Smith, J. F., Coward, R. M., Penzias, A., Bendikson, K., Butts, S., . . . Vernon, M. (2018). Evaluation of the azoospermic male: A committee opinion. Fertility and Sterility, 109(5), 777-782. doi:10.1016/j.fertnstert.2018.01.043 Retrieved from: https://www.fertstert.org/article/S0015-0282(18)30069-4/fulltext
  • Azoospermia. (n.d.). Retrieved from: https://my.clevelandclinic.org/health/diseases/15441-azoospermia
  • Epididymis. (n.d.). Retrieved from: https://www.merriam-webster.com/dictionary/epididymis

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Fertility Nutrition    Fertility Therapies    Men's Fertility

About the Author

Dalene Barton - Certified Herbalist, Birth Doula

Practicing natural health and herbalism for over 18 years, Dalene received her training and herbal certification under the guidance of Lynn Albers at Yarmony Mt. Herbal College in Colorado in 2000. She went on to become a Certified Birth Doula at Birthingway College of Midwifery in Portland, Oregon in 2007. As a Birth Doula, Dalene has helped to bring many new lives in to this world. Dalene has written 280+ fertility articles and with her vast array of herbal and holistic healing knowledge has helped 1000's of women on their journey to Motherhood.

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. 🌿🤲

Who Is Drop Cycle Method For?

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

🌸 Lack of ovulation

🌸 Short luteal or follicular phase/Long luteal or follicular phase

🌸 Cycles longer than 35 days

🌸 PMS, cramps, mood swings

🌸 Heavy periods, light periods, missing periods

🌸 Spotting

 
Or those who would like to support:

☀️ Healthy circulation to reproductive organs and:
☀️ Improve uterine lining and support implantation
☀️ Improve cervical mucous
☀️ Support cleansing and detoxification
☀️ 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... 

👇Type PACK in the comments below to get access to my Womb Care Castor Oil Workshop 👇

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Sep 29

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🌱 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 someone’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. 🩸

To learn more about my herbal formulas for fertility support type HERBS in the comments below and I’ll share a link to my formulas 👇👇

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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. 

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

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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. 

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

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Sep 27

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🍃 Discover FertiliClear™ Therapeutic Essential Oil Blend: Nature's Answer to Reproductive Detox & Balance 🌼

Delve into the aromatic essence of FertiliClear™, meticulously crafted by the esteemed herbalist, aromatherapist, and fertility specialist Hethir Rodriguez.
⠀⠀⠀⠀⠀⠀⠀⠀⠀
🌱 Natural Detox Delight: Dive into a detox with FertiliClear™! Its blend of organic therapeutic essential oils ignites the body's natural detoxification rhythm, paving the way for a conception-friendly environment.
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💧 Lymphatic Liberation: Boost your body's detox powerhouse - the lymphatic system. FertiliClear™ acts as a catalyst for lymph drainage, ensuring toxins and waste gracefully exit, safeguarding reproductive health.
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🔥 Inflammation's Antidote: Combat the hidden enemy of fertility - inflammation. With its potent anti-inflammatory essence, FertiliClear™ fosters a harmonious reproductive realm, priming it for conception.
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⭐ Antioxidant Armor: Fortify your reproductive cells against free-radical foes with FertiliClear™, 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.

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Sep 26

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Boost your fertility with castor oil packs! 🌿✨

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:

1️⃣ Increase circulation
2️⃣ Promote lymphatic draining
3️⃣ Beat inflammation
4️⃣ Reduce pain (prostaglandins)
5️⃣ 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! 🌸💕

#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.

👇 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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🤰 Ready to maximize your fertility and increase your chances of successful implantation?

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

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Sep 25

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

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?

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪

#FertilityJourney #ReproductiveHealth #Cleansing

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Sep 24

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What most people don’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. 

👉🏽 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.

👉🏽 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. 

👉🏽 Misconception # 3 Dietary habits contribute significantly to hormone production and balance within the body. 

👉🏽 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.

🌸 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. ✌🏽

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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.

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

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Sep 22

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🥚 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. 🤯

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:
➡️ Proper circulation
➡️ A healthy fertility cycle
➡️ Balanced hormones
➡️ 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 egg’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. ⏳

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. 

🙂 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 but….

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

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Sep 22

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Discover Calm Womb™ Therapeutic Essential Oil Blend - Your Ultimate Companion on the Fertility Journey 🌿
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Envision a blend crafted to instill tranquility in your womb and serenity in your spirit. Enter Calm Womb™, meticulously formulated by renowned herbalist, aromatherapist, and fertility specialist Hethir Rodriguez. Let's unveil its magic:
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🌼 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.
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🍃 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.
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🌟 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.
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🌺 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.
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Whether you're practicing the Drop Cycle Method™, indulging in Self Fertility Massage™, or integrating with Womb Care™ Therapeutic Castor Oil Packs, Calm Womb™ 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.

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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.

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

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

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

3️⃣ 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.

4️⃣ 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.

5️⃣ 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.

👇 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.

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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.

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

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Sep 20

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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. 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪

naturalfertilityinfo

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Sep 20

Open
Get ready to prep your body for conception with Fertility Cleansing 101 🌿

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? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪 

#FertilityJourney #ReproductiveHealth #Cleansing"

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Sep 19

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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? 

👇 Type CLEANSE in the comments below and I'll send you my Guide To Fertility Cleansing. 💪

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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 🍍), juicing is my fast-food substitute that’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 ! 👇
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