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To better understand our hormones and menstrual cycle, we first need to discuss what an ideal cycle looks like, as this provides valuable insight into reproductive health and fertility. An ideal menstrual cycle is typically 28 days long, with about four days of bleeding and ovulation occurring around cycle day 14. Symptoms such as premenstrual spotting, clotting, and severe cramping should be minimal or absent. Additionally, experiencing little to no discomfort during your period is a positive sign of a well-regulated hormonal system, reflecting overall reproductive health. Once achieved, an ideal cycle not only supports conception but also helps sustain a healthy pregnancy to full term.

While a 28-day cycle is often regarded as ideal, we recognize that many cycles fall between 21 and 35 days. Cycle consistency is crucial for accurately predicting ovulation and assessing reproductive well-being, and this cannot be achieved by an app... That said, shorter and longer cycles can often signal an underlying imbalance, especially when paired with fertility challenges. In a well-regulated cycle, bleeding typically lasts three to seven days, with four days being optimal. The absence of premenstrual or mid-cycle spotting is also important, as spotting can indicate hormonal or other underlying issues. Similarly, significant pain or clotting may suggest concerns with blood flow or potential uterine conditions, often verified via transvaginal ultrasound or saline sonogram.

Many couples face challenges when trying to conceive and receive a diagnosis of unexplained infertility. At our clinic, this is the most common diagnosis we hear and while many of our patients struggle to conceive, nearly as many couples we work with deal with recurrent pregnancy loss. Both situations can be particularly frustrating and traumatic especially when standard tests reveal no identifiable cause. How do you treat a problem you can’t identify? Often, the answer is addressing the root cause. Moreover,  there are often hard-see-see underlying factors, even if they are not immediately clear. Mild endometriosis or subtle hormonal imbalances may go undetected by standard non-invasive tests, and more invasive procedures can sometimes complicate matters further. Surgeries such as hysteroscopies, laparoscopies and myomectomies remove scarring and masses but these procedures can also cause infection, blocked tubes, scarring and adhesions. 

Lifestyle factors such as stress, sleep habits, diet, and environmental exposures can also negatively affect fertility and are not always easily identified. Additionally, genetic and age-related factors may negatively impact fertility but often remain undetected in routine evaluations. There isn’t currently a way to accurately assess egg quality, however for men, that’s no longer the case. Men are much easier to evaluate. 

When conventional approaches are unsuccessful, many couples turn to medicated cycles, intrauterine insemination (IUI) and in vitro fertilization (IVF). While medicated cycles can offer hope, they also pose risk. One common complication is ovarian hyperstimulation syndrome (OHSS), which can cause swollen, painful ovaries and torsion. Fertility medications often lead to the formation and growth of polyps, fibroids, or cysts, sometimes requiring additional surgeries that then cause set-backs. Fertility treatments also take an emotional toll, with many couples experiencing anxiety and depression during treatment.

Given these challenges, holistic therapies such as acupuncture have gained recognition as supportive measures during both natural cycles and fertility treatments. Acupuncture in natural cycles can support healthy follicle growth and development. In a natural or medicated cycle, acupuncture can help reduce stress, regulate hormones, and improve menstrual regularity and ovulation. Acupuncture also enhances blood circulation to our reproductive organs, creating a more favorable environment for follicle production and implantation and increasing IVF success rates.

At the Texas Center for Reproductive Acupuncture, we often recommend trying acupuncture before starting a medicated cycle. This, of course, is not always possible for everyone in every situation. That said, many of our patients conceive naturally within only a few cycles of weekly acupuncture treatment. For those undergoing medicated cycles with IUI or IVF, incorporating acupuncture can help improve outcomes and manage side effects, supporting both physical and emotional well-being.

By gaining a better understanding of your cycle and utilizing supportive therapies, you can navigate the complexities of fertility more effectively. Whether you are proactively preparing to start trying to conceive, trying naturally, experiencing loss or seeking additional support during medicated cycles, our clinicians are here to guide you toward your goals with a compassionate, comprehensive approach. 

Give us a call for more information, we’re happy to help! 

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