Fertility, Pregnancy, and Menstruation

Dr. Anju, BAMS, ND

September 27th, 2018

Table of contents

1. Healthy Menstruation (Rajahkaala)

2. The Vata, Pitta, and Kapha cycle

3. General Cycle Regulation

4. Fertility Maintenance

5. Infertility

6. Pregnancy

7. Miscarriage-Prevention and Treatment

Menstruation Cycles

Healthy Rajakaala (Menstruation)

5

Is bright red in color.

Healthy Rajakaala (Menstruation)

No foul odors. (though it has a distinct odor)

Does not stain. (cloth or skin)

No pain or discomfort.

6

Average discharge amount is 4 anjalis (12 ounces) during the entirety of menstruation

Occurs in a cyclical fashion • Every 28-30 days.

• Hopefully starts on the day of the new moon- follows lunar cycle

Healthy Rajakaala (Menstruation)

Doshic Time Pattern of Menses

Rajahkala

Rutavateta

kala

Rutukala

Doshic Time Pattern of Menses

How do menstrual cycles vary with doshas?

We are all varied amounts of balanced,

so these may not speak to you.

Vata Cycle

Irregular in both presentation and

time between menstruation

Pain - Spasmodic, sharp, lower abdomen/back

Menstruation - Thin, frothy, dry, dark, light flow - Clots - Constipation during the days of menstruation

Balancing the Vata Cycle

Hydration Self-Massage with sesame oil (or Vata Oil) Making a dedicated rest day during menses

This could mean days where light yoga is conducted in the home or where time is spent with the family at home

Avoid vata-inducing foods: - Cruciferous vegetables

• Brussel sprouts, cauliflower, cabbage, etc.

• Kale, collard greens, etc. - Peas - Apples (if dry and less sweet i.e. granny smith) - Raw foods - Dry, rough, crunchy foods

Eat all cooked vegetables, warm, with substantial amounts of ghee

• Use spices like cinnamon, cumin, coriander, clove, cardamom

Avoid all stimulants

Food Tip!

Pitta Cycle

Pain - Burning sensations - Tender breasts

Menstruation - Yellow or Red - Hot, profuse - Fleshy/foul smelling - Heavy Flow - May present acne, headache, Nausea, or vomiting

Regular in both presentation and time between menstruation

Avoid spicy foods (capsaicin)

Eat only cooked foods

Eat in quiet and dedicated spaces

- Don’t eat and work!

Choose cooling foods with your meals

- Avocado

- Cucumbers

- Etc.

Avoid caffeine

Balancing the Pitta Cycle

Coconut oil packs

Coconut oil self- massage

Loving-kindness meditation

13

Food Tip!

Kapha Cycle

14

Pain - Dull, achy, itchy

Menstruation - Yellowish, mucoid, unctuous - A heavier, longer flow

Emotions - Sadness, depression - Emotional eating, cravings

Regular premenstrual bloating

or swelling

Eat warm, spiced foods

Always eat cooked foods

Avoid dairy, hard cheeses especially!

Avoid excess sugars

- Processed

- Added

Limit caffeine

Balancing the Kapha Cycle

Use a warming back on the

body

Sesame oil self-massage

Gentle kapalabati

Fast-paced yoga postures

15

Food Tip!

Irregular Menstrual Cycle Protocol

Regu-Cycle™

Ashwagandha

Sitawari™

SupraMag™

Neem Plus™

Multi

16

17

Vitamin B-6

Aloe Vera

Bamboo arundinacea

Symplocos racemose

Centalla asiatica

Saraca asoka

Regu-Cycle

Ayurvedic Properties of Regu-Cycle

18

Guna (properties): Light, rough

Rasa (taste): Bitter, astringent

Vipak (Post-digestive taste): Astringent

Virya (energies): Cooling

Prabhav (effects): Pacify Kapha and Pitta;

tonify the reproductive system

Aloe vera Rat with experimentally1 induced PCOS were given Aloe vera.

Treatment led to restoration of the estrus cycle, improved glucose sensitivity, and normalized androgen levels.

19

1J Ayurveda Integrative Med. 2010 Oct;1(4):273-9. Effect of Aloe barbadensis Mill. formulation on Letrozole induced polycystic ovarian syndrome rat model.

Increased LH and FSH in test rats, “Histopathological studies revealed enhanced folliculogenesis, presence of mature follicles and detached oocytes”1

- Anti-androgenic2

- Analgesic3

Symplocos racemosa

1J of Ethnopharmacology. 2004 Sep;94(1):197-200. Effect of Symplocos racemosa Roxb. on gonadotropin release in immature female rats and ovarian histology. 2Pak J Pharm Sci. 2014 Nov;27 (6 Spec No.):2221-6 3J Ethnopharmacology. 2016 Apr 2; 181:236-51

Contains phytoestrogens1

21

Centella asiatica

1In Silico Pharmacol. 2015 Mar 22;3:4. doi: 10.1186/s40203-015-0008-z. eCollection 2015. A molecular docking study of phytochemical estrogen mimics from dietary herbal supplements.

A molecular docking study of phytochemical estrogen mimics from dietary herbal supplements.

Saraca Ashoka

In a mouse model, it ameliorated estrogen mediated dysfunctional uterine bleeding1

Protective against breast cancer2 Tonifies the uterus because of its cooling

22

1J Basic Clin Physiol Pharmacol. 2015 Sep;26(5):509-15 2Oxid Med Cell Longev. 2015;2015:205360

Asparagus racemosus or Wild asparagus root

Premier Ayurvedic female tonic

Used in Traditional Chinese Medicine:

Tain Men Dong

23

An adaptogen that can be

given to all women at any

stage in life.

Improves fertility and cycle

Regulates hormonal

fluctuations

Sitawari

Ayurvedic Properties of Sitawari

24

Guna (properties): Heavy, oily

Rasa (taste): Sweet, bitter

Vipak (Post-digestive taste): Sweet

Virya (energies): Cold

Prabhav (effects): Rasayan (adaptogen):

vrishya (adaptogen, sexual tonic)

Asparagus racemosus

Asparagus racemosus contains phytoestrogens steroidal saponins, shatavarins I-IV, in roots.1

1Fitoterapia. 2012 Jul;83(5):947-53. doi: 10.1016/j.fitote.2012.04.014. Epub 2012 Apr 21 2Cell Mol Neurobiol. 2014 May;34(4):511-21. doi: 10.1007/s10571-014-0035-z. Epub 2014 Feb 21

In animal studies Asparagus extract has

anti-anxiety effect comparable to diazepam

(Valium). Enhanced the level of amygdalar serotonin and norepinephrine. It also increased the expression of 5-HT2A receptors in the amygdala. GABAA-mediated mechanism.2

Balances several

hormone systems.

Cortisol cascades

Reproductive hormones

Metabolism hormones

Ashwagandha

26

Critical to a properly functioning and well-balanced thyroid system.

Magnesium is needed

for several metabolic pathways

in the body.

Krebs cycle

Neurotransmitter regulation

Memory and sleep

Mitochondrial processes

SupraMag

27

Neem has a cooling energy

and reduces inflammation.

This is especially critical for women who have hormone based acne

Neem Plus

28

Proper menstruation and effective

fertility depend on adequate

nutrition, as it is the last tissue to

get nutrients, according to

Ayurveda.

Many diets do not provide balanced and adequate nutrition

Multivitamin

29

Teas for Cycle Regulation and Balance

Start on day 21 of cycle or the end of period:

Add 1 tsp of dill seeds to boiled

water

Simmer for 5 mins

Keep covered in the pot.

Pour and Enjoy!

Dill Seed Tea

After you finish period

Add 1 tsp of fennel seeds to boiled water

Simmer for 5 mins

Keep covered in the pot

Pour and Enjoy!

Fennel Tea

33

To balance the right and left brain, to regulate the functioning

of all hormones in the body, we have certain breathing

techniques.

One round of alternate nostril breathing consists of the following 6 steps:

Anulom Vilom (Alternate Nostril Breathing)

35

1. Use the right thumb to plug your right nostril

2. With your mouth closed, inhale completely through the left nostril

3. Pause briefly. Plug your left nostril with the ring finger of right hand.

4. Unplug the right nostril and exhale completely through it.

5. Inhale through the right nostril and plus it again with your thumb.

6. Pause briefly. Unplug the left nostril and exhale completely.

*Perform for 15 minutes, twice a day

Anulom Vilom (Alternate Nostril Breathing)

36

Allows the body to cool off quickly but gently

Sitali Breath (Pitta Breathing Exercise)

37

Sitali Breath (Pitta Breathing Exercise)

1. Sit in a comfortable position, ideally cross-legged on the

floor. Ensure the spine is erect.

2. Relax the shoulders.

3. Slightly tilt the chin towards the chest, curl the tongue

length-wise, like a taco Stick the tongue out of the lips a

comfortable distance.

4. Inhale deeply then exhale fully through the curled tongue.

5. Repeat for eight to twelve breaths.

38

This breath is used to block stimulus from the senses. This allows the body feel its own vibrations for a time.

Bhrahmari (Vata Breathing Exercise)

39

Bhrahmari (Vata Breathing Exercise)

1. Sit in a comfortable position, preferably on the floor with legs

crossed.

2. Place the thumbs of each hand on the tragus of the ear.

3. Place the four fingers of each hand on either side of the bridge of

the nose, the middle fingers beside each nostril, and the pinky

fingers underneath the nose, above the lip.

4. Inhale comfortably. As you exhale, hum loudly.

5. Do so until all you can feel and hear is your own humming for eight

to twelve breaths.

40

A warming breath that clears the lungs and moves kapha. It can be practiced aggressively

and gently, depending on the practitioner.

Kapalabhati (Kapha Breathing Exercise)

41

Kapalabhati (Kapha Breathing Exercise)

1. Sit comfortably on a chair or floor, ideally cross-legged on

the floor.

2. Place hands on the knees, propping the body up.

3. Inhale deeply.

4. On the exhale, quickly and sharply bring the abdominal

muscles toward the spine

5. Expect and instant and automatic exhale.

6. Continue to pump the abdominal muscles on the exhale for

15-20 breaths.

Yoga for the Female cycle

Promote poses that stimulate downward flow, as opposed to upward flow.

Avoid inversion poses.

Yoga Postures

Yoga mudra

Child’s pose (balasana)

Extended side angle (Parsvakonasana)

Head to knee (Janusirasana)

Butterfly’s pose (badha konasana)

Supported bridge pose (setu bandhasana)

Reclining hero pose (supta virasana)

43

Child’s pose

This is a restful yet powerful pose

Take any variation you like.

Key points are to have the buttocks close to heels and the forehead touching the earth.

The spine should be tractioned.

Extended side angle

This posture strengthen muscles around the female organs as well as flushes the organs for detoxification.

Stimulates downward energy.

Head to knee pose

46

This pose again massages the internal organs for detoxification, but also stimulates the female organs.

It also invites proper prana flow and apana vayu direction.

Butterfly pose

This pose opens the pelvic floor and invites downward energy.

The elongation of the spine allows for stronger core

Supported bridge Pose

This pose can release tight back muscles that may contribute to cramping.

Bridge pose opens the hear and detoxifies the female reproductive system

Reclining hero pose

Physical activity during menses

DO

Some light walking or yoga

Conduct business as normal (working, taking care of children, running meetings, etc)

Eat simple foods like soups, easy to digest vegetables and proteins

Have a lazy night in on the first day of menses

50

51

DON’T (especially on the first day of menses)

Heavy lifting- this stresses the body as it is trying to detoxify itself.

Running-Running increases vata during the most vata day of the cycle. This can create major stress to the body and may cause energy to rise up instead of point down

Complex foods-digestion is stressed during the first day of menses

Physical activity during menses

52

Four Ayurvedic Essential Elements for Fertility

Timing (Rtu)

The field (Kshetra)

Healthy and Nutritious Fluids (Ambu)

The Seed (Bija)

Timing (Rtu)

Consider the stability in the mother’s life (and factor in the father’s stability)

Do you feel financially settled? How is the stress at work or how thin are you spread?

Consider getting pregnant in the winter, spring, and summer

According to the ancient texts, the optimal age of fertility is 16-35 years.

This may need to be reconsidered in the modern day

How peaceful is

the environment

around you?

Are your menstrual cycles

healthy and regular?

54

The Field (Kshetra)

This is not just the uterus, but the health of the entire female and male body.

The health and prosperity of the bodies making a new being should be greatly considered.

If the body has ama (toxins), one should consider food combination or Pancha Karma

The doshas should be balanced

The uterus should be healthy without abnormalities (remember that there are variations of normal)

The fallopian tubes should be devoid of obstructions

Males counterparts should also be free of ama and have balanced doshas

55

Healthy and nutritious fluids (Ambu) Healthy rasa (plasma and lymph)

and rakta (blood) bring nutrition

to bodies.

Ambu also includes hormones,

vitamins and minerals, and vital

essence (ojas).

Maintaining ambu involves

proper nutrition

Ensure proper hydration and lubricate the skin

Treat disorders such as anemia, fatigue, and skin problems prior to attempting conception

Balance hormones for both males and females

Females: Gain regular and balanced menstrual cycles

Males: Ensure that thyroid and testosterone levels are balanced

Eat well balanced and Dosha appropriate meals

Lastly, reduce and mitigate stress!

The Seed (Bija)

The seed is actually the seeds Egg and Sperm

The reproductive tissues are the last tissues to get nutrition and therefore the last tissues to be created

This tissues are the most pure and most complete tissues in our body and get whatever we digest from food, emotions, and thoughts

Ensure proper diets and remember that eating is an enjoyable process

Ensure you have good, healthy, and happy social networks

Avoid tobacco use, excessive alcohol consumption, and eating foods treated with chemicals

Minimize the exposure to toxins if possible

These keys are important for women, but more so for men, as sperm are constantly being reproduced.

Women must protect eggs

General ways to satisfy the 4 essentials of Fertility

Cleanse-PanchaKarma • This procedure removes toxins and

excess doshas from the all four aspects of fertility

• This process of preparing to cleanse and PK takes 1-3 months

Emotional cleansing should also occur, ensuring happiness brings lives to being

• Ensure you and your partner are in love and happy together-marriage counseling

Have intercourse or insemination procedures close to ovulation.

• Every other day during the week of ovulation

• This ensures the field is fertile and brings fun and intimacy to creating children

Spiritual cleansing is necessary • Daily affirmation or prayer • Use Ashoka bath to remove

sorrow from the body, mind and spirit

Infertility

About 10 percent (6.1 million) of women in the United States ages 15-44 have difficulty getting pregnant or staying pregnant, according to the Centers for Disease Control and Prevention (CDC).

Causes of infertility

- Most cases of female infertility are caused by problems with ovulation. Without ovulation, there are no eggs to be fertilized.

- Irregular or absent menstrual periods.

- Stress

- PCOS is the most common cause of female infertility.

- Primary ovarian insufficiency (POI) is another cause of ovulation problems.

- Less common causes of fertility problems in women include:

- Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy

- Physical problems with the uterus

- Uterine fibroids

- Hypothyroidism

60

Risks of infertility

- Age

- Smoking

- Excess alcohol use

- Stress, both physical and emotional

- Poor diet

- Strenuous athletic training

61

- Being overweight or underweight

- Sexually transmitted infections (STIs)

- Health problems that cause hormonal changes, such as polycystic ovarian syndrome and primary ovarian insufficiency

Drugs that affect female fertility

Steroids effects FSH and LH

Largactil

Aldomet

Tranquilizers

Anti-seizure medications barbiturate and Tegretol

SSRIs

Thyroid medication

Estrogen and progesterone

62

Diazepam (Valium), Chlordiazepoxide (Librium) Alprazolam (Xanax)

Treatment for Infertility

Nutrition

Exercise

Yoga

Breathing Exercises

Meditation

PK treatments

Herbs

Diet for ferility

Eat easy to digest foods • Cooked vegetables, never raw • Avoid raw salads on a frequent

basis • Avoid raw meats

Get clean protein • Fish is high in protein and healthy

fats • Wild caught fish only

• Poultry provides balanced protein sources • Organic, free range poultry

Ensure adequate hydration and electrolytes Eat plenty of fruits

64

65

Herbs for Fertility

Ashwagandha

Asparagus racemosus Cissus quadrangularis

Bamboo manna Aloe barbadensis

Cimicifuga racemosus Coral powder Saraca asoca

Symplocos racemosa Centella asiatica

Vata subdoshas while getting pregnant

Apana Vayu- Downward moving Vata

Specific to digestion and to female health

Starts at the sacral chakra and flows downward

Is easily aggravated by intense physical activity, stress, and improper diet

Physical activity when conceiving

Running can reduce the chances of getting pregnant

• The increase in Vata in addition to upward movement make it difficult for the egg to implant in the uterus.

• Furthermore, running causes strong, repetitious movements around the uterus and ovaries

Try light jogging, swimming, or yoga

Remember that this change is not forever but for the months around conception.

67

Women who use procedures for pregnancy

The uterus is weakened and needs to be nurtured to sustain pregnancy

Heavy physical training such as long distance running, sprinting, heavy lifting, or rigorous yoga must be avoided, even for the most seasoned athlete

Of course some physical exercise is necessary

Gentle walks

Gentle yoga (such as prenatal yoga)

Practice 2-3 times a week

The body must relax and build

This change in physical activity is temporary

Stress management

Meditation

68

69

Pregnancy

First Trimester

There can be significant nausea and vomiting during the first trimester of pregnancy.

• Make strong ginger tea • Eat easy to digest foods,

appropriate for your doshic constitution

This is the kapha time of pregnancy, where the fetus is growing and building shape

70

First trimester maintenance

Reduce the intensity of physical activity

Allow the apana vayu to be calm to ensure implantation

Eliminate all inversions during this time in pregnancy

Continue to take prenatal multivitamin

Folic acid is necessary

71

Second Trimester

During this phase of pregnancy, the fetus is rapidly grown but is also differentiating at an incredible rate. Many enzymatic reactions occur here

Many women become fatigue and weak due to nutritional issues

This is the Pitta phase of pregnancy

72

Second Trimester Maintenance

Be ok if during this trimester, you gain some weight.

Mother and baby bodies need extra energy during metabolism

Take supplemental Magnesium as leaching from the bones occur

Having adequate magnesium from second trimester to birth eases birth pain

Ensure proper calcium intake Supplemental or through diet

73

Third Trimester

During this time, the child is growing in size and moving in the womb

The child needs more building material for this rapid growth

Though there are Pitta and Vata aspects occurring, the movement and activation of the nervous system makes this the Vata part of pregnancy

74

Third Trimester Maintenance

Eat foods very high in protein

Lentils Meat (if you are not a vegetarian)

Remember to still have a plant based diet

Eat Anise Jaggary Brittle (recipe below)

Dry eating Brown Garbanzo Beans with amaranth rice to give high protein that is easy to digest

Physical activity can be vigorous now

Still avoid inversions Only exercise moderately

75

Summer squash with horsegram or lentils Horsegram is like a lentil bean that is packed with protein. Easily digestible after soaking, these beans are great for the urinary health.

• ¾ cup horsegram or lentils beans

• 6 cloves of garlic, crushed

• ½ medium onion, diced

• 1-2 fresh chilis (optional)

• ½ teaspoon turmeric

• 2 ½ cup water

• ½ cup crushed tomatoes

• 1-2 tablespoons ghee

• 1 cup chopped summer squash (green and yellow are most popular)

• 1.5 teaspoons brown mustard seeds

• Salt and pepper to taste

• Go through the horsegram and remove any debris.

• Soak the horsegram beans in lukewarm water overnight.

• Discard the soaking water and rinse the beans with cool clean water.

• Place the horsegram in a pressure cooker. Add garlic, onion, chilies, turmeric, and water. Pressure cook for 40-60 minutes on medium heat or until beans are tender. Add the salt and then set aside.

• Heat the ghee in a small think-bottomed pan. Add the mustard seeds and stir until they pop. Add crushed tomatoes and squash. Cook for 10 minutes, until squash is tender

• Add the pot’s contents into the pot full of horsegram. Stir and simmer for 10 minutes.

• Serve with avocado or lime. Optional to serve with rice. Makes 4 servings.

76

Lemon Amaranth

• Use this recipe as an accompaniment to many dishes.

• ¼ cup pine nuts

• 3 curry leaves

• 1 cup Amaranth

• 3 cups water

• 2 teaspoon Wright Salt

• 1 juice of lemon

• Heat a cast iron pan. Toast the pine nuts until they just start to brown then remove from heat. Lightly heat the curry leaves for about 1 minute. Then add to the pine nuts.

• Wash the amaranth so that the water runs clear. Place the amaranth, salt, curry leaves, and water in a pot and cook until tender, about 20-25 minutes on medium high heat. Check to see if the water has evaporated. Let rest about 2 minutes before stirring.

• Once tender, add the pine nuts and lemon juice.

• Enjoy!

77

To assist with lactation

Cumin is a powerful

lactation herb

Make cumin tea, add cumin to meals (either whole or ground)

Fenugreek and Dill are also great lactation aids

Add these to foods or make a tea

78

Diet after Birth

Birth is a very intense Vata event

• Digestion is weak after birth

• Eat foods that mitigate vata • Soups with ghee

• Only warm foods and well cooked vegetables

• Stick to vegetarian diet for a time after birth, adding in meat once the body can digest

• Top foods with trikatu

• AVOID cold foods and heavy dairy! • Similarly, no raw foods

Easily to digest vegetables

• Asparagus

• Squash

• Okra

• Yam

• Ginger

• Mushrooms

• Carrots

Greens can be added a week after birth

79

Kitchree Recipe 2 cups yellow mung dal beans

4 tablespoons ghee, divided

2 teaspoons each black mustard seeds, cumin seeds, coriander, fennel seeds, ground fenugreek seeds, and cinnamon

2 bay leaves

1 cup white basmati rice

3 green cardamom pods

8 cups of water

½ teaspoon trikatu

• Rinse the mung dal beans and strain them five times, or until the water runs clear.

• Heat the ghee in a large pot. Add all the seeds and toast until the mustard seeds pop. Add the bay leaves and mix together.

• Stir in the rice and beans. Add eight cups of water, and cardamom pods.

• Bring to a boil and reduce to a simmer. Cook at least one hour, or until the beans and rice are soft and the kitchree has a porridge-like consistency.

• Top each potion of kitchree with ghee and trikatu before serving

80

To recover from child birth

Fennel, Dill, Cumin, Coriander

tea is a great way to not only

assist in lactation, but also to

improve digestion and stabilize

the body

Use equal parts of each seed.

Add to boiling water and boil for 3 minutes

Remove the pot from heat and leave covered for another 3 minutes.

Serve with honey

81

82

Miscarriage Prevention and Treatment

To avoid Miscarriage

If proper diet and physical activity is followed, then the risk of miscarriage is greatly reduced.

However, the loss can happen and healing must occur

83

After miscarriage

Get a thyroid workup T3, T4 and T4 Free, and the thyroid antibody

Check hormones levels Estrogen/Progesterone

Insulin

Thyroid hormone

Gandotropin releasing hormone

84

After miscarriage, continued

Be seen for a nutrition consult. It is key for the next pregnancy

Take 4-6 months of healing before trying for pregnancy again

Re-establish the 4 essential elements of fertility

85

Treatments for after miscarriage

It is imperative to cleanse the female reproductive system using:

Diet

Light physical activity

Addressing emotional/mental health

Herbs

86

Diet For fertility after miscarriage

Eat nuts and seeds as snack and incorporate into meals Eat light meals for a week or more after confirmed loss

Soups Heavy protein kitcheri

Can be made with quinoa Bone broth with ghee

Eat clean proteins such as fish and lentils

Baked fish can be an excellent addition to simple rice and vegetable meals

Avoid cruciferous vegetables Such as Brussel sprouts, peas, kale, etc.

Avoid raw meat such as sushi and deli meets

87

Recipe for a cleansing and fertility increasing snack

• ½ cup Almonds- soaked, dried, and crushed

• 2 tablespoons of ghee

• 1 tablespoon anise seeds

• ½ cup jaggary (raw sugar)

• 1 teaspoon +1 teaspoon trikatu

• Glass of milk (or alternative milk)

• Honey to taste

• Warm a pan and add ghee

• Smash the almonds pieces into the ghee, creating a slight paste

• Stir in anise seeds and heat until fragrant

• Stir in jaggary. Continue to stir until jaggary is melted and a syrupy texture is attained. Stir in the trikatu.

• Pour the mixture onto a parchment paper lined baking sheet and spread to cool

• Cut the brittle into square

• Eat the brittle with warmed milk mixed with the additional trikatu and honey • DO NOT COOK THE HONEY

88

Spices to aid in healing

Anise seed- cleanses and tonifies the reproductive system

Turmeric- reduces inflammation and cleanses the blood

Saffron- helps with mental/emotional health and further reduces inflammation.

Has been shown to stabilize estrogen levels when smelled and consumed

89

Herbs for miscarriage healing

Coral Powder-for calcium supplementation

Sitawari- tonifies the uterus and ovaries, regulates hormones

Regu-Cycle- builds and regulates the menstruation cycle

Ashwagandha- directly effects the adrenal glands and balances the pituitary-hypothalamus axis

90

CoCurcumin-improves inflammatory responses, cleanses the blood, improves digestion

Ayu-Dep- contains saffron to refresh the body and mind

BioGynema if blood sugar is a concern