Eating to support IVF

Christine Keller

1 Nov, 2022

A large component of traditional Chinese medicine includes dietary therapy. Much like herbs, foods possess different thermal properties such as being cold or hot in nature, a medicinal function, an affinity for certain organs, and a medicinal property that treats specific symptoms and conditions. Eating to support IVF can increase success.

When doing an IVF cycle, several medications are given to hormonally control the body. During the PRE STIMULATION phase, birth control pills and Lupron are often prescribed. Lupron creates symptoms that in Chinese medicine are classified as “heat” symptoms. These symptoms include: hot flashes, night sweats, irritability and headaches. By eating foods that have more neutral and cooling properties, the side effects of antagonist medications such as Lupron may be lessened.

Foods to avoid during this time are foods that induce or increase heat in the body. These include:

Spicy, greasy and deep-fried foods
Meat and dairy that are not organic
Alcohol, coffee and sugar

Foods to add into the diet during this time include foods with a neutral and cooling nature. These include:

Grains such as rice, quinoa and millet
Steamed or lightly sautéed vegetables such as dark leafy greens
Blueberries, strawberries and blackberries
Apples, pears, tomatoes and cucumbers

When put on birth control pills, often stagnation can occur or worsen if existing stagnation exists. Combatting stagnation with foods that move qi and blood is very beneficial in the pre-stimulation phase. Foods to help move qi and blood include:

Small salads with cooked protein such as chicken or steak
Onions, garlic, black pepper
Bitter greens such as young shoots of turnips, cabbage, broccoli, dandelion greens, beet greens steamed cruciferous vegetables such as broccoli, cauliflower and Brussel sprouts. (If consuming these vegetables raw, the temperature is cold in nature which can often lead to stagnation. Steaming for only 30-60 seconds will warm up the properties making it an excellent source for moving qi.)

The STIMULATION PHASE often includes twice daily injections to stimulate the ovaries to produce more follicles. This is an important time to consume food that will help nourish these developing

follicles. The foods mentioned earlier that are high in monounsaturated fats are also foods that help nourish and support the stimulated follicles. These foods include:

Soymilk
Tofu
Fatty fish (e.g., salmon, canned light tuna, pollock, catfish)
Avocados
Whole eggs
Chia seeds
Olive, canola, and peanut oils
Nut butters
Olives
Avocados
Almonds
Peanuts
Pistachios
Seeds

During the stimulation phase, it is common for water retention and bloating to occur. By avoiding foods such as highly processed foods and excessive salt intake which often worsen these conditions, little to mild water retention may present. Although it might seem contradictory, drinking plenty of water is important for water retention during this phase. Staying hydrated stimulates the kidneys to flush excess water. Eating fruits and vegetables that naturally help to reduce water retention and bloating, while also supporting the stimulated follicles can also be achieved eating foods such as:

Pears
Apples
Grapes
Watermelon and cantaloupe
Blueberries, raspberries, blackberries

Considering how different foods influence the body, focusing on a diet that is simple in flavor, soft in texture, and warm in temperature is the most appropriate dietary approach following

TRANSFER during the IVF cycle. Eating simple, warm, and easily digestible food uses less of the body’s energy to focus on digestion and allows for the energy towards getting and staying pregnant. Foods to eat for IVF and IUI:

Eggs
Chicken
Soups and stews made from clear broth
Sweet potatoes
Chinese red dates
Lightly sautéed vegetables
Steamed vegetables
Grains such as rice, quinoa and millet

The five element theory in Chinese medicine includes a lifestyle of living in harmony with nature. This includes eating what is in season, dressing appropriately in each season, and resting at night and waking in the morning. Following transfer, it is important to follow these key principles.

Pineapple

While not TCM, consuming pineapple core has been passed along as an old wives’ tale that has been long credited to supporting implantation.

What to do:

Core a fresh pineapple and divide into 5 pieces. After transfer, eat one piece each day for 5 days. Pineapples, especially the core, are rich in the enzyme, bromelain. This enzyme is known for reducing inflammation in the body, helps to relax the muscles of the uterine wall and helps to create an ideal environment for a baby to develop. While pineapple core is not necessarily warm in nature, or mushy, it is the exception given the benefits vs. risks. One way to work around this is to let refrigerated pineapple sit out a bit to warm up, as well as using a blender to break the core down making it easier to digest.

Other things to consider while eating to support IVF

Eating fertility superfoods high in monosaturated fats have been shown to increase implantation. “The odds of a live birth after embryo transfer in women with the highest intake of monosaturated fat were 3.45 times higher than those of women with the lowest intake”, according to research fellow at the Harvard School of Public Health and author of The Fertility Diet. Such foods include:

Soymilk
Tofu
Fatty fish (e.g., salmon, canned light tuna, pollock, catfish)
Avocados
Whole eggs
Chia seeds
Olive, canola, and peanut oils
Nut butters
Olives
Avocados
Almonds
Peanuts
Pistachios
Seeds

The stress hormone cortisol naturally increases during times of stress and overwhelm. Given the nature of the IVF process, it is probable that during this time increased cortisol is produced. Increased levels of cortisol have been linked to decreased fertility in a variety of ways. Before and during the IVF process, combatting increased cortisol levels by including foods high in antioxidants can help increase IVF success.

Dark chocolate
Kombucha / Kefir and
Other fermented drinks
Sauerkraut
Brown rice
Quinoa
Berries
Colorful veggies
Fatty fish
Nuts
Seeds
Eggs

Folic Acid, also known as B9 is essential for the synthesis of DNA, production of red blood cells, and brain and immune function. Foods high in folic acid include:

Folic Acid / B9

Asparagus
Avocados
Corn
Whole grains (e.g., brown rice, oatmeal, popcorn, barley)
Citrus fruit (e.g., oranges, grapefruit, berries
Cauliflower
Leafy greens (e.g., spinach, mustard greens, turnip greens, Brussels sprouts
Sunflower seeds
Beans (e.g., pinto beans, black beans, chickpeas)
Broccoli

Zinc

Zinc is utilized by the body for proper cell division and progesterone production. It assists the body to balance hormones and can help thicken the endometrium, which helps nourish and sustain the embryo. Zinc-rich foods include:

Nuts
Dairy products
Potatoes
Mushrooms
Seafood (predominantly oysters)
Lentils

Disclaimer:
The information provided in this blog is for educational and informational purposes only and is not intended as medical advice. It should not be used to diagnose, treat, cure, or prevent any medical condition or replace the advice of a qualified healthcare professional. Always consult with your physician or a licensed medical provider before beginning any new treatment, supplement, or wellness regimen. The author and publisher disclaim any liability arising directly or indirectly from the use of this information.

Spring/wood/liver

Christine Keller

6 May, 2022

According to Chinese medicine, there are five elements that are associated to all things. The five elements are: fire, earth, wood, water, and metal. Each has a specific correlation to our organs, seasons, tastes, colors, and even emotions. These elements help us understand the world around us and when we live in harmony with nature, our overall health responds accordingly. Spring corresponds to the wood element, the liver, the eyes, a sour taste, the color green, frustration, stress, anger, and irritability.

For us in the north, spring is FINALLY here. This is a time where growth is happening, green starts to color the earth once again, baby animals are being born, the sun starts warming up, and is the time of expansive energy that moves upwards and outwards. With spring energy expanding upwards and outwards, and the wind starting to blow, the liver becomes more sensitive during the spring and is easily aggravated by this change in seasons.

As the liver becomes more aggravated by the increased energy of spring, we see an imbalance in the liver energy. The more aggravated the liver becomes, the more stuck and stagnant it becomes. Symptoms such as hay fever, red eyes, increased headaches, and migraines, increased irritability and easy to anger can all manifest or worsen at this time. Due to the liver being one of the key filtration systems in our bodies, when the liver energy becomes stagnant, it starts to bog down the functions of the liver. Its ability to filter out excess hormones then becomes affected, and starts to impact reproductive health. In women this may present as: increased PMS symptoms, increased pain with ovulation, increased pain with periods. Stagnant liver energy can also impact ovulation or periods by slightly off or later by a day or two resulting in unpredictable cycles which can make conception challenging. Not only is this frustrating, it further perpetuates the energy stagnation.

The best way we can support our liver and its energy is to live in harmony with the season. Eating all the new, fast growing leafy greens emerging from the garden such as baby greens, kale, spinach, broccoli, beans, peas, and even beets provide nutrients to help detox and nourish the liver. Including exercises to move stagnant energy such as taking walks, doing yoga, and qigong helps to keep the liver and its energy happy. Consider adding in a low histamine diet and doing a gentle liver detox during this time. Practice gratitude and write down three things you are grateful for each day, and most importantly, give and receive love.

(Individualized low histamine and detox menu plans available with paid consultation. If you’d like to set something up, please contact me with your concerns.)

Estrogen Dominance: What It Is, Why It Happens & How to Restore Hormonal Balance Naturally

Christine Keller

22 Oct, 2025

By Christine Keller, L.Ac, FABORM
Licensed Acupuncturist & Board-Certified Herbalist

If you’re experiencing heavy periods, bloating, breast tenderness, mood swings, or struggling to conceive, your body may be whispering (or shouting) that your estrogen levels are out of balance.

One of the most common hormonal patterns I see in my fertility and women’s health practice is “estrogen dominance”. It’s a condition that can quietly disrupt your cycle, fertility, and sense of wellbeing and yet it’s often misunderstood or overlooked.

Let’s explore what estrogen dominance really means, how it affects your reproductive health, and how a gentle, effective detox protocol can help you restore balance naturally and sustainably.

What Is Estrogen Dominance?

Estrogen dominance doesn’t always mean you have too much estrogen. It means that estrogen is not properly balanced by progesterone, which can cause a relative excess, even if estrogen is within “normal” lab ranges.

The Mira app is an at-home Hormone Monitoring for Personalized Care system which can determine where your hormone levels are are. I am partnered with Mira and am able to extend a discount using my code 2KELLERC20.

This imbalance may look like:

Estrogen levels that are too high
Normal estrogen with low progesterone
Impaired estrogen metabolism or clearance

Common Symptoms:

Heavy, painful, or long periods
Short luteal phase or spotting before your period
Breast tenderness or fibrocystic breasts
Bloating or water retention
Irritability, mood swings, or anxiety (especially premenstrual)
Headaches or migraines around your period
Fatigue or difficulty sleeping
Weight gain (especially hips, thighs, abdomen)

Over time, estrogen dominance may contribute to conditions like fibroids, endometriosis, PMS, PCOS, and difficulty conceiving.

What Causes Estrogen Dominance?

A variety of modern lifestyle and environmental factors can disrupt estrogen balance, including:

1. Poor liver detoxification

Your liver is responsible for breaking down excess estrogen so it can be excreted. If liver pathways are sluggish, estrogen begins to build up.

2. Slow or irregular bowel movements

Estrogen is eliminated through the stool. If you’re constipated, estrogen may be reabsorbed into the bloodstream.

3. High stress levels

Chronic stress leads to elevated cortisol, which depletes your body of progesterone and worsens estrogen dominance.

4. Xenoestrogens (synthetic estrogens)

Found in plastics, fragrances, cleaning products, pesticides, and some cosmetics, these chemicals mimic estrogen in the body and disrupt hormone signaling.

5. Blood sugar imbalances

High insulin levels can increase estrogen production and reduce sex hormone-binding globulin (SHBG), which helps keep estrogen in check.

A Holistic Estrogen Detox Protocol

This protocol supports estrogen balance by improving elimination, reducing exposure, and nourishing hormonal function. It’s gentle enough to start at any point in your cycle unless you’re undergoing IVF, medicated IUI, or in early pregnancy.

1. Support Liver Detoxification

Eat cruciferous vegetables daily: broccoli, cauliflower, kale, arugula, Brussels sprouts (rich in DIM and sulforaphane). Marylin Monroe used to eat carrots daily. It is rumored that this was to help eliminate excess estrogen although this rumor seems to have been debunked. However, raw carrots do contain insoluble fiber that can help the body detox excess estrogen.
Drink warm lemon water in the morning to stimulate liver function
Use herbs such as milk thistle, schisandra, and dandelion root (under supervision)

2. Enhance Estrogen Clearance

Aim for 1–2 bowel movements daily
Add fiber-rich foods: flaxseeds, chia, lentils, oats
Consider a probiotic (e.g., Lactobacillus strains) to support gut flora
Drink plenty of filtered water, about half your body weight in ounces daily

3. Minimize Xenoestrogens

Switch to glass or stainless steel containers
Avoid heating food in plastic, or black meal prep containers as these are said to be highest in xenoestrogens.
Choose fragrance-free and paraben-free skin and body care. Primally Pure offers a line for skin products, deodorant, hair products clean of endocrine dysregulating ingredients.
Use natural household cleaning products. Truly Free Home and Branch Basics offer clean versions of homecare products.

Yuka app or Think Dirty are great apps for calculating how “clean” a product is.

4. Balance Blood Sugar

Eat balanced meals with protein, healthy fats, and fiber
Avoid skipping meals or long fasting windows
Reduce processed sugars and refined carbs

5. Nourish Progesterone Production

Prioritize sleep and stress reduction. Cortisol steals progesterone.

Acupuncture can support luteal phase health and regulate cycles
Consider herbs such as Vitex (chaste berry), Shan Yao, or Bai Shao, when appropriate

How Acupuncture Supports Estrogen Balance

Acupuncture helps regulate the hypothalamic-pituitary-ovarian (HPO) axis, promoting proper hormonal signaling and detoxification. In cases of estrogen dominance, acupuncture may:

Improve liver Qi flow and hormone metabolism
Regulate menstrual cycles and ovulation
Strengthen Spleen and Kidney Qi to support progesterone
Reduce symptoms like PMS, breast tenderness, irritability, and bloating
Lower cortisol and stress reactivity, helping restore hormonal resilience

Treatment is personalized to your pattern, whether it’s Liver Qi stagnation, Spleen deficiency, or Damp accumulation.

How Long Does It Take to See Results?

Most patients begin to notice improvements in cycle regularity, energy, mood, and symptoms within 2–3 months of consistent care and detoxification support. Healing takes time, especially when we’re working on root-level regulation, but the results are lasting.

Research & References

Sweeney L, et al. (2022). The role of estrogen and progesterone balance in female fertility and reproductive health. Journal of Endocrinology & Metabolism.
Manheimer E, et al. (2008). Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilization: Systematic review and meta-analysis. BMJ.
Chavarro JE, et al. (2007). Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstetrics & Gynecology.
Cornell University. (2020). The estrogen detoxification pathway: How diet and lifestyle affect estrogen metabolism.
Kan Herb Company, Jade Woman Formulas and Liver Detox Support (Practitioner Product Sheets).

You Deserve Hormonal Harmony

Estrogen dominance doesn’t have to define your cycle or your fertility. With the right support, such as acupuncture, herbs, nutrition, and gentle detox, you can bring your body back into balance and feel better, naturally.

Whether you’re struggling with PMS, irregular cycles, or trying to conceive, I’m here to help you decode your hormones, restore your rhythm, and reconnect with your vitality.

Conceiving After Miscarriage: Healing, Hope & Holistic Support

Christine Keller

18 Sep, 2025

By Christine Keller, L.Ac, FABORM
Licensed Acupuncturist & Board-Certified Herbalist
Ancient Medicine for Modern Fertility

Miscarriage is more common than most people realize, and yet it’s often endured quietly. Whether your loss was recent or in the past, the emotional and physical journey of trying to conceive again can be filled with both hope and uncertainty. You may wonder: Will my body be ready? Will this time be different? What can I do to support my fertility now?

As a fertility-focused acupuncturist and herbalist, I want to assure you: there is space for both grief and possibility. There are ways to nourish your body, regulate your cycle, and restore hormonal balance gently and naturally so that you’re not just trying again, but truly preparing your whole being to receive new life.

Miscarriage: A Silent Heartache

Statistically, miscarriage affects about 1 in 4 pregnancies, most often in the first trimester. It can happen for many reasons which include chromosomal abnormalities, hormonal imbalances, uterine issues, or unknown causes. Experiencing a loss does not mean that you won’t or can’t go on to have a healthy pregnancy. Many women do.

Emotionally, miscarriage can leave you feeling anxious, disconnected from your body, or fearful about trying again. Physically, your body may still be recovering. Your hormones may be shifting, your uterine lining may need to rebuild, and your cycle may need time to regulate.

How Soon Can You Try Again?

Conventional guidelines vary. Some providers say to wait one full cycle, while others recommend 3 months. From a Traditional Chinese Medicine (TCM) perspective, we focus on:

Rebuilding blood and Qi (energy)
Supporting a full return of healthy menstrual cycles
Restoring emotional balance and calming the Heart and Shen (spirit)
Strengthening the Kidney and Spleen systems to support future conception

You can begin preparing right away, even before trying again. Healing is a process. Acupuncture can be a powerful companion through that journey.

How Acupuncture Supports Fertility After Miscarriage

In Chinese medicine, miscarriage is viewed not just as a physical loss, but a disruption of the energetic flow in the body. Acupuncture works to restore balance and vitality in every system involved in reproduction.

Benefits of Acupuncture After Miscarriage:

Regulates the hypothalamic-pituitary-ovarian (HPO) axis to promote regular cycles
Improves blood flow to the uterus to support healthy endometrial lining
Calms the nervous system and reduces anxiety, grief, and stress
Supports hormonal balance (especially estrogen and progesterone)
Encourages gentle detoxification and immune support
Addresses root patterns such as blood deficiency, Qi stagnation, or Kidney deficiency

Acupuncture is also a safe and supportive modality during future pregnancies. It can help reduce the risk of miscarriage by strengthening implantation, reducing uterine contractions, and promoting progesterone production.

Nourishing the Body, Mind & Spirit

After a miscarriage, I often recommend a gentle, holistic protocol that includes:

Customized Herbal Medicine – To tonify the blood, regulate hormones, and support a full cycle reset
Warm, nutrient-dense foods – Soups, stews, cooked greens, and warming spices to rebuild strength
Mind-body practices – Breathwork, restorative yoga, or guided meditations to reduce stress and reconnect with your body
Grief support – Acknowledging your experience, expressing your emotions, and allowing time for integration

Trying Again: With Hope and Intention

There is no “perfect” time to try again. But when your cycle is regulated, your body feels nourished, and your heart feels open, you may be more ready than you think even if you are feeling vulnerable and nervous.

If you’re conceiving after miscarriage, I encourage you to approach this next chapter with deep compassion for yourself. You are not starting over. You are moving forward with more wisdom, more resilience, and more support.

Research & References

Qian Y, et al. (2020). Acupuncture for recurrent miscarriage: a systematic review. BMC Complementary Medicine and Therapies. https://doi.org/10.1186/s12906-020-02906-1
Lim CE, et al. (2019). Acupuncture for female subfertility. Cochrane Database of Systematic Reviews.
American College of Obstetricians and Gynecologists (ACOG). (2020). Early Pregnancy Loss.
Chen FP, et al. (2015). Effect of Chinese herbal medicine therapy on natural conception for infertility with polycystic ovary syndrome: a systematic review and meta-analysis. Complementary Therapies in Medicine.

You’re Not Alone

Whether you’re preparing your body to try again or are already on your next fertility journey, know that healing is possible and support is here. Through personalized acupuncture, herbal medicine, and compassionate care, we’ll help restore your strength and confidence as you move forward with hope.

With care,
Christine Keller, L.Ac, FABORM

How Acupuncture Helped Me Through Hormonal Fallout; featured in Mpls St Paul magazine by McKenzie Wisdom

Christine Keller

18 Sep, 2025

Recently I had the honor of working with a lovely woman who was looking for natural ways to help regulate her hormones. She actually wrote about her experience with me in the Mpls St Paul magazine. To read about her experience, click below.

How Acupuncture Helped Me Through Hormonal Fallout

After coming off of birth control, my body felt unrecognizable. Years of conventional care, protocols, and supplements failed to ease my symptoms, so I turned to Eastern medicine to find relief. Here’s what I learned.

by McKenzie Wisdom

Understanding AMH and FSH: What They Mean for Your Fertility and How TCM Can Help

Christine Keller

14 Jul, 2025

When you’re trying to conceive, two hormone markers often come up in testing: AMH (Anti-Müllerian Hormone) and FSH (Follicle-Stimulating Hormone). These hormones give valuable insight into your ovarian reserve and overall reproductive health, but understanding what they mean can feel overwhelming. As a licensed acupuncturist and board-certified herbalist specializing in fertility, I want to walk you through what these numbers actually mean and how Traditional Chinese Medicine (TCM) can support your body in optimizing them.

What is AMH?

AMH, or Anti-Müllerian Hormone, is produced by the small follicles in your ovaries that have the potential to mature into viable eggs. AMH levels are often used as a marker of ovarian reserve, essentially, how many eggs you might have left. Higher levels typically indicate a higher number of remaining follicles, while lower levels can suggest diminished ovarian reserve.

What’s a “Normal” AMH?

Normal range: 1.0–4.0 ng/mL (depending on the lab)
Low AMH: below 1.0 ng/mL
Very high AMH: over 5.0 ng/mL may indicate PCOS

While AMH does not predict whether you can get pregnant, it may offer insight into how your body might respond to fertility treatments.

What is FSH?

FSH, or Follicle-Stimulating Hormone, is produced by the pituitary gland and is responsible for stimulating your ovaries to mature an egg each month. It’s usually tested on day 2 or 3 of your menstrual cycle.

High FSH levels can indicate that the body is working harder than usual to stimulate the ovaries, often a sign of reduced ovarian reserve or poor egg quality.

What’s a “Normal” FSH?

Normal range: Typically under 10 mIU/mL
Borderline: 10–15 mIU/mL
Elevated: Over 15 mIU/mL may suggest diminished ovarian reserve

How TCM Understands AMH and FSH

In Traditional Chinese Medicine, we don’t measure AMH and FSH directly, but we observe their patterns through the lens of Kidney Jing (Essence), Yin/Yang balance, and organ system harmony.

Low AMH / High FSH is often viewed as a Kidney Jing deficiency, especially of Kidney Yin or Essence.

Irregular FSH or fluctuating AMH may indicate Liver Qi stagnation, Spleen Qi deficiency, or Blood deficiency patterns.

Rather than chasing the numbers, TCM focuses on restoring overall reproductive harmony, nourishing the root systems, and improving the body’s ability to produce and mature high-quality eggs.

How TCM Can Help Optimize AMH and FSH

1. Acupuncture to Regulate the Hypothalamic-Pituitary-Ovarian (HPO) Axis

Studies show acupuncture can help balance reproductive hormones, reduce FSH, and improve ovarian blood flow, potentially supporting higher AMH expression and better ovarian response. With decreased AMH levels, it is recommended to receive regular acupuncture treatments for best results.
Clinical studies: Lim 2019, Stener-Victorin 2010

2. Herbal Medicine to Nourish Kidney Jing

Formulas such as:

Zuo Gui Wan (Restore the Left Pill) for Yin and Essence deficiency
You Gui Wan (Restore the Right Pill) for Yang and Essence deficiency
Ba Zhen Tang (Eight Treasure Decoction) for Blood and Qi deficiency

Customized formulas are often prescribed to replenish Jing and encourage healthy folliculogenesis. To best support AMH and reduce elevated FSH, Chinese herbal formulas work internally and are encouraged. Acupuncture treatments alone, especially when done infrequently, will not be enough.

3. Dietary Therapy to Strengthen Blood and Essence

In TCM, food is medicine. To support AMH and reduce elevated FSH:

Eat warm, nourishing foods (congee, bone broth, stewed meats)
Include black sesame, goji berries, walnuts, and egg yolks (all Jing tonics)
Avoid cold/raw foods that weaken digestion and Spleen Qi

4. Lifestyle & Sleep to Preserve Kidney Jing

Chronic stress, overwork, and lack of sleep deplete the very essence needed for healthy ovulation. Gentle qi gong, meditation, and proper rest can support hormone balance and long-term fertility.

A Holistic Path Forward

Low AMH and high FSH are not the end of the road. In fact, many women go on to conceive naturally or with support, even with “poor” numbers. By using TCM to nourish the root systems of the body including the Kidney, Liver, Spleen, and Heart, we can support the body’s innate ability to heal, grow, and conceive.

If you’re navigating a fertility journey and feel discouraged by your lab results, know this: you are more than your numbers. Your body is not broken. And with the right support, it is possible to enhance your fertility, from the root up.

Want to explore a personalized TCM fertility plan?

Book a consultation to get started with custom herbal support, acupuncture, and holistic fertility coaching.

Fibroids

Christine Keller

3 Jul, 2025

Fibroids are non-cancerous growths that develop in or around the uterus, and they are common among women of reproductive age. These growths can vary in size and number, and while many women with fibroids experience no symptoms, others may face issues such as heavy menstrual bleeding, pelvic pain, frequent urination, and even infertility. The exact cause of fibroids remains unclear, but factors such as genetics, hormonal imbalances, and lifestyle may play a role in their development.

Conventional Treatment for Fibroids:

Standard medical treatment for fibroids includes medication to manage symptoms, such as hormone therapy (birth control or IUDs) to control heavy bleeding, pain medications, or more invasive interventions like myomectomy (removal of fibroids) or hysterectomy (removal of the uterus) in severe cases.

However, many women seek alternative treatments, especially when conventional methods don’t address their symptoms effectively or come with unwanted side effects. Traditional Chinese Medicine (TCM) has emerged as a holistic approach to managing fibroids, aiming to address the root causes and provide symptom relief.

How TCM Helps Treat Fibroids

TCM views fibroids as a manifestation of internal imbalances, often related to the liver, spleen, and kidney systems. It believes that fibroids may be caused by factors such as Qi stagnation, blood stagnation, dampness accumulation, and heat, which can disrupt the body’s normal functioning and lead to the growth of fibroids. TCM treatments are individualized based on a person’s specific symptoms and the underlying disharmonies in their body.

Here are the key ways TCM helps:

1. Herbal Medicine:

Chinese herbal remedies are used to regulate the body’s energy flow, improve blood circulation, and reduce inflammation. Some of the most commonly used herbs for fibroids include:

Dong Quai (Angelica sinensis): Known as a blood tonic, it is commonly used to improve blood circulation, alleviate pain, and regulate menstrual cycles.
Tao Ren (Peach Kernel): Often used to move blood and break up stagnation, it is particularly helpful for treating fibroids.
Xiao Feng San: A formula traditionally used to clear heat and dampness, which can be contributing factors to fibroid development.
Shu Gan San: This formula is designed to promote the smooth flow of Qi and blood, relieving congestion in the liver and improving overall circulation.

2. Acupuncture:

Acupuncture plays a key role in treating fibroids by stimulating specific points along the body’s meridians to promote the smooth flow of Qi and improve blood circulation. Acupuncture can help to:

Reduce inflammation: Inflammatory factors are often involved in fibroid growth, and acupuncture may help reduce swelling and irritation.
Balance hormone levels: Acupuncture can regulate estrogen levels, which may play a role in fibroid development.
Relieve pain: For women with painful fibroids, acupuncture can help reduce pelvic discomfort, back pain, and cramps.

Research supports the use of acupuncture for fibroids. A study published in Fertility and Sterility (2015) showed that acupuncture may help reduce the size of uterine fibroids by improving blood flow and decreasing the symptoms associated with fibroids. Additionally, acupuncture has been shown to improve fertility in women with fibroids by promoting overall uterine health.

3. Dietary and Lifestyle Adjustments:

TCM also emphasizes the importance of diet and lifestyle in managing fibroids. Certain foods may exacerbate dampness and heat in the body, which could contribute to fibroid growth. Recommendations may include:

Eating cooling and dampness-reducing foods: Foods like cucumbers, melons, and green leafy vegetables are recommended.
Avoiding processed foods, alcohol, and excess sugar: These can contribute to inflammation and exacerbate fibroid symptoms.
Stress reduction techniques: As emotional stress can contribute to liver Qi stagnation, practices like Tai Chi, meditation, or Qi Gong can help reduce stress levels.

4. Qi Gong and Tai Chi:

These traditional practices, which combine gentle movement, breathing techniques, and meditation, are designed to balance the flow of Qi in the body. Regular practice of these techniques can help reduce the stress that contributes to Qi stagnation and improve overall energy flow, which may support fibroid treatment.

Research and Evidence:

While the research on TCM’s role in treating fibroids is still evolving, several studies have provided promising evidence:

A study published in The Journal of Alternative and Complementary Medicine (2013) found that women with uterine fibroids who used acupuncture in combination with conventional treatments experienced a reduction in fibroid size and improvements in quality of life.
Another study in BMC Complementary and Alternative Medicine (2015) suggested that certain Chinese herbs, such as Dang Gui and Chai Hu, can help reduce fibroid size and manage symptoms.
Research published in Fertility and Sterility (2015) found that acupuncture significantly improved blood flow to the uterus, potentially reducing the size of fibroids and improving fertility outcomes for women with fibroids.

Conclusion:

While more research is needed to fully understand the mechanisms by which TCM treats fibroids, the combination of herbal medicine, acupuncture, dietary adjustments, and lifestyle changes offers a holistic, individualized approach to managing this common condition. TCM helps not only to alleviate the symptoms of fibroids but also to address the root causes by promoting overall health, balance, and harmony within the body. Women seeking a natural, supportive treatment for fibroids may find TCM to be a valuable addition to their care plan.

References:

Lee, H., et al. (2015). “Acupuncture for treatment of uterine fibroids: A systematic review and meta-analysis.” Fertility and Sterility, 104(2), 316-321.
Yang, S., et al. (2015). “Chinese herbal medicine for uterine fibroids: A systematic review and meta-analysis.” BMC Complementary and Alternative Medicine, 15(1), 1-7.

Shen, J., et al. (2013). “The efficacy of acupuncture in the treatment of fibroids: A meta-analysis.” The Journal of Alternative and Complementary Medicine, 19(7), 591-598.

Estrogen & Progesterone Imbalances: Understanding Their Role in Fertility

Christine Keller

26 Jun, 2025

Hormones are the messengers that guide your reproductive rhythm. When estrogen and progesterone are in balance, your cycle moves smoothly, ovulation occurs, the uterine lining thickens and sheds appropriately, and fertility is optimized. But when these hormones become imbalanced, even slightly, it can disrupt the entire system.

If you’re experiencing irregular periods, mood swings, trouble conceiving, or signs of estrogen dominance or low progesterone, you’re not alone, and you’re not without support.

Let’s explore what these imbalances mean, how they affect fertility, and how acupuncture and Traditional Chinese Medicine (TCM) can help rebalance your hormones naturally.

What Is Estrogen?

Estrogen is one of the primary female sex hormones, and it plays many roles in fertility:

Stimulates the growth of the uterine lining (endometrium)
Supports the development of the dominant follicle
Triggers the LH surge leading to ovulation
Promotes cervical mucus production for sperm transport

Signs of High Estrogen (Estrogen Dominance):

Heavy or painful periods
Breast tenderness
PMS or mood swings
Weight gain (especially hips/thighs)
Fibroids or endometriosis

Signs of Low Estrogen:

Irregular or missing periods
Vaginal dryness
Night sweats or hot flashes
Low libido
Poor endometrial lining development

What Is Progesterone?

Progesterone is the hormone that dominates the luteal phase, the second half of your cycle, after ovulation. It’s critical for:

Preparing the uterine lining for implantation
Supporting early pregnancy
Preventing early miscarriage

Signs of Low Progesterone:

Spotting before your period
Short luteal phase (<10 days)
Difficulty staying pregnant
Premenstrual anxiety or insomnia

Estrogen and progesterone should work together in balance. When estrogen is too high or progesterone is too low, that balance is disrupted, leading to fertility challenges.

How Do These Imbalances Affect Fertility?

Hormonal imbalances can impact ovulation, egg quality, implantation, and early pregnancy.

Too much estrogen can inhibit ovulation or thicken the uterine lining in a way that is inhospitable to implantation.
Too little estrogen may prevent the follicle from maturing or the uterine lining from developing.
Low progesterone may cause luteal phase defects, making it hard for a fertilized egg to implant or stay implanted.

Your cycle might still appear “normal” on the surface, especially if you’re using hormonal contraception or just watching for period timing. That’s why hormone testing and a full TCM assessment can be useful.

How Acupuncture and TCM Can Help

In Traditional Chinese Medicine, hormonal imbalances are not viewed as isolated problems, but rather as the result of disharmony between organ systems, especially the Kidney, Liver, and Spleen.

How Acupuncture Supports Hormone Balance:

Regulates the hypothalamic-pituitary-ovarian (HPO) axis
Improves blood flow to the ovaries and uterus
Reduces stress, which lowers cortisol (a hormone that disrupts both estrogen and progesterone)
Encourages the body’s natural production and metabolism of hormones
Enhances luteal phase function to support progesterone levels

Herbal & Lifestyle Support:

Customized Chinese herbal formulas can support estrogen metabolism, reduce inflammation, and gently encourage progesterone production. Nutrition, sleep, and stress management all play critical roles in restoring balance as well.

In TCM, we work with your body’s innate intelligence, not against it. The goal is to create fertile ground within.

Realigning with Your Body’s Wisdom

If you’ve been told you have estrogen dominance, luteal phase defect, or low progesterone or if you suspect something’s “off”, know that hormonal balance is possible. Acupuncture offers a gentle, non-invasive way to reconnect with your cycle and support your fertility from the inside out.

Every body is unique. Through compassionate care and personalized treatment, we work together to restore harmony and bring your hormones back into balance.

Research & References

Stener-Victorin E, et al. (2010). Effect of acupuncture on ovulation induction in women with polycystic ovary syndrome. American Journal of Physiology-Endocrinology and Metabolism. https://doi.org/10.1152/ajpendo.00338.2010
Lim CE, et al. (2019). Acupuncture for female subfertility. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007223.pub4
Krajewska-Kulak E, et al. (2021). The role of progesterone and estrogen in the reproductive system. Journal of Clinical Medicine.
Cohen M. (2019). Estrogen dominance: symptoms and natural treatments. Journal of Restorative Medicine.

Ready to Support Your Hormonal Health?

Let’s take a closer look at your cycle together and co-create a plan that supports your fertility with compassion, expertise, and holistic care.

With warmth,
Christine Keller, L.Ac, FABORM

Understanding Embryo Transfer Process

Christine Keller

2 Jun, 2025

By Christine Keller, L.Ac., FABORM
Licensed Acupuncturist & Board-Certified Herbalist
Ancient Medicine for Modern Fertility

What Is a Fresh Embryo Transfer?

A fresh embryo transfer involves transferring an embryo into the uterus during the same IVF cycle in which the eggs were retrieved and fertilized.

Here’s how it works:

Ovarian stimulation: Medications are used to encourage the ovaries to produce multiple mature eggs.
Egg retrieval: Once the eggs are ready, a minor surgical procedure is performed to collect them.
Fertilization: The eggs are combined with sperm in the lab to create embryos.
Embryo culture: The embryos are observed for a few days (usually 3–5) to determine which are developing normally.
Transfer: A healthy embryo is selected and transferred into the uterus while the endometrium (uterine lining) is still in its hormonally stimulated state.

Pros:

One continuous process—no waiting period between egg retrieval and transfer.
Often recommended when hormone levels are balanced and the uterine environment is optimal.

Things to consider:

If hormone levels are too high (which can happen after ovarian stimulation), a fresh transfer might increase the risk of complications like ovarian hyperstimulation syndrome (OHSS).
In such cases, your care team might suggest freezing the embryos instead.

What Is a Frozen Embryo Transfer (FET)?

A frozen embryo transfer uses an embryo that was previously created and cryopreserved (frozen) during an earlier IVF cycle. The embryo is thawed and transferred in a future cycle—often weeks, months, or even years later.

Here’s the general process:

Embryo freezing: After fertilization and embryo culture, good-quality embryos are frozen using a method called vitrification.
Cycle preparation: In a future cycle, the uterine lining is prepared either naturally (monitoring ovulation) or with hormone medications to ensure it’s ready to receive the embryo.
Thawing and transfer: A frozen embryo is gently thawed and transferred into the uterus when the endometrium is at the ideal thickness and receptivity.

Pros:

Gives the body time to recover from ovarian stimulation.
Offers flexibility in timing the transfer, which can reduce physical and emotional stress.
Lower risk of OHSS.
Increasingly high success rates thanks to improved freezing techniques.

Things to consider:

Requires excellent lab facilities for embryo freezing and thawing.
There’s a short waiting period before transfer, which some find emotionally challenging.

Which Option Is Right for You?

Both fresh and frozen embryo transfers are widely used and have helped countless families grow. The decision is deeply personal and based on your health, fertility history, hormone levels, and sometimes the quality of your embryos or your body’s response to stimulation medications.

Your fertility team will guide you toward the best approach to optimize your chances of a healthy pregnancy by always keeping your safety, comfort, and goals at the center of the process.

Understanding IVF Protocols & How Acupuncture Supports Your Cycle

Christine Keller

27 May, 2025

By Christine Keller, L.Ac., FABORM
Licensed Acupuncturist & Board-Certified Herbalist
Ancient Medicine for Modern Fertility

Choosing to begin in vitro fertilization (IVF) is a powerful step toward building your family. Whether it’s your first cycle or your fifth, IVF can be an emotional, physical, and financial investment filled with both hope and complexity.

One of the first decisions your fertility team will make is selecting the right protocol for your body. Each IVF protocol is tailored to your hormone levels, ovarian reserve, cycle history, and diagnosis. As your acupuncturist, my role is to walk with you through the process offering support, perspective, and integrative care to improve your chances of success and reduce the stress of treatment.

Let’s explore the most common IVF protocols, what they involve, and how acupuncture can support you at each stage.

The Most Common IVF Protocols

1. Long Lupron Protocol (GnRH Agonist Protocol)

This traditional protocol involves suppressing your natural cycle which uses Lupron before ovarian stimulation begins. It’s often used in patients with a regular cycle and good ovarian reserve.

Phases:

Suppression (with Lupron)
Stimulation (gonadotropins like Gonal-F or Follistim)
Trigger & Egg Retrieval

Best for: Those with regular cycles and no significant hormonal imbalances.

2. Antagonist Protocol (GnRH Antagonist)

This shorter, more flexible protocol involves starting stimulation early in your cycle and using a GnRH antagonist (e.g., Cetrotide or Ganirelix) later on to prevent premature ovulation.

Phases:

Stimulation (Days 2–3 of cycle)
Antagonist added mid-stimulation
Trigger & Egg Retrieval

Best for: PCOS, higher risk of OHSS (Ovarian Hyperstimulation Syndrome), or diminished ovarian reserve.

3. Microdose Flare Protocol

This approach uses low-dose Lupron to initially “flare” FSH and LH production, and then moves into stimulation. It’s often used in patients with a poor response to previous IVF cycles.

Best for: Poor responders or advanced maternal age.

4. Natural or Mini-IVF Protocol

This gentler approach uses lower-dose medications or no stimulation drugs at all. The goal is to retrieve fewer, higher-quality eggs.

Best for: Patients with low AMH, previous poor response, or those wanting less medication exposure.

5. Estrogen Priming or Dual Stimulation

This protocol may involve priming with estrogen or other hormones before starting stimulation to synchronize follicle growth. Some cycles use back-to-back stimulations to retrieve more eggs.

Best for: Diminished ovarian reserve or patients preparing for embryo banking.

How Acupuncture Supports IVF

Acupuncture complements IVF in powerful, research-backed ways. It improves physiological function, reduces emotional stress, and helps prepare the body for each phase of the cycle.

Before & During Stimulation

Regulates the hypothalamic-pituitary-ovarian (HPO) axis
Enhances ovarian blood flow to support follicle development
Reduces medication side effects and promotes better response to stimulation
Eases emotional tension and supports sleep, digestion, and mood

Before and After Embryo Transfer

Increases uterine blood flow to support a receptive endometrial lining
Acupuncture improves implantation rates when performed within 24 hours before, and 30 minutes after transfer
Reduces uterine contractions and promotes a calm, balanced nervous system

A landmark study (Paulus et al., 2002) showed significantly higher pregnancy rates in women who received acupuncture before and after embryo transfer compared to those who did not.

Throughout the 2-Week Wait

Promotes relaxation and emotional resilience
Supports healthy progesterone levels
Acupuncture helps manage anxiety and improve rest during the most vulnerable time of the cycle

A Holistic and Individualized Approach

In TCM, every person is unique including your cycle, your constitution, and your emotional experience. Whether you’re navigating your first IVF or preparing for another round, acupuncture allows us to:

Balance the entire system, not just hormones
Nourish the spirit and calm the mind
Improve blood flow and enhance implantation potential
Create space for emotional healing and hope

Together, we align ancient wisdom with modern medicine to support your body.

Research & References

Paulus WE, et al. (2002). Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy. Fertility and Sterility. https://doi.org/10.1016/S0015-0282(02)01825-1
Anderson BJ, Haimovici F, Ginsburg ES, Schust DJ. (2007). In vitro fertilization and acupuncture: clinical efficacy and mechanistic basis. Trends in Endocrinology & Metabolism.
Manheimer E, et al. (2008). Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilisation: systematic review and meta-analysis. BMJ.
Hullender Rubin L, et al. (2015). Impact of whole-systems traditional Chinese medicine on IVF outcomes. Reproductive Biomedicine Online.

Walking With You Through IVF

IVF can be physically demanding and emotionally complex but you don’t have to navigate it alone. With acupuncture and integrative support, we can help make your journey more balanced, more supported, and more hopeful.

Christine Keller, L.Ac, FABORM

What is endometriosis?

Christine Keller

21 May, 2025

Endometrium is known as the internal mucosal lining of the uterus and is composed of two layers that are responsible for both the shedding of the endometrial lining during menstruation, and the rebuilding of the endometrial lining after menstruation. The endometrium should only be present within the uterus to support pregnancy if that occurs, however the condition known as endometriosis is when the endometrial tissue is found outside of the uterus.

The endometrial tissue found outside of the uterus, also called implants, can be found on the ovaries, fallopian tubes, bowels, bladder, connective tissue within the abdomen, and even in the lungs. These endometrial implants can wreak havoc on other organs and even cause adhesion of and displacement of nearby tissue and organs.

The endometrial implants, while outside of the uterus, still function as endometrial lining found within the uterus. Because the endometrium is influenced by the different hormonal fluxes through an entire menstrual cycle, these endometrial implants also respond accordingly.

According to WHO:

“It [endometriosis] is a chronic disease associated with severe, life-impacting pain during periods, sexual intercourse, bowel movements and/or urination, chronic pelvic pain, abdominal bloating, nausea, fatigue, and sometimes depression, anxiety, and infertility.”

Symptoms of endometriosis may include:

Painful, heavy menstruation
Large clotting with dark blood flow
Low abdominal pain
Back pain
Burning sensation at the site of endometrial implants
Painful intercourse
Swollen or irritated ovaries, fallopian tubes
Painful bowel movements
Painful urination
Discomfort or pain all cycle long
Infertility

Causes of Endometriosis aren’t quite known. There are several different theories that speculate different root causes, as well as several different risk factors involved which make the treatment of endometriosis a bit tricky.

Endometriosis staging and treatments

Endometrial lining is influenced by estrogen in the body. Estrogen helps with the building up of the lining, while progesterone is responsible for keeping the lining intact should pregnancy occur. If pregnancy does not occur, progesterone levels drop and the lining then starts to shed, and menstruation occurs. Endometriosis is a condition in which the hormonal balance is skewed, and estrogen within the body becomes dominant.

Because endometrial implants respond to the different phases of the cycle, these implants also grow, and bleed outside of the uterus which causes pain, irritation, and inflammation. Chronic inflammation can create scar tissue and also create a state of chronic pain.

Endometriosis in its complexity will also create complex issues related to fertility.

The four stages of endometriosis:

Stage 1: Consists a small amount of endometrial implants found outside of the uterus and possible adhesions.

Stage 2: Consists of slightly deeper endometrial implants as well as present, or increased adhesions.

Stage 3: Consists many deep endometrial implants, implants and cysts can be present on the ovaries, and scar tissue may be present.

Stage 4: Consists of several deep endometrial implants, cysts known as chocolate cysts or endometriomas are present on the ovaries and several thick adhesions on nearby tissues and organs.

To get diagnosed with endometriosis is by way of an invasive laparoscopic exploratory procedure. If severe enough, medical treatment may include laparoscopic surgery to remove or excise endometrial implants, scar tissue, and adhesions. For women who are not looking to become pregnant and if the condition is very severe, the most drastic form of surgical treatment involves a complete hysterectomy.

Obviously for those wanting to create a family or expand an existing one on their own, the last option takes that ability away.

In Chinese medicine, endometriosis is viewed as a blood stasis pattern and can be complicated by other existing constitutional patterns. Herbal formulas and acupuncture can help immensely with existing symptoms as well as address underlying root causes of blood stasis.

Diagnosed with endometriosis or not, if you present with any sort of menstrual irregularity or pain, a trained and skilled acupuncturist can help identify your pattern and create a treatment plan to help.

Understanding Pre-eclampsia: Signs, Symptoms, and How TCM Can Help

Christine Keller

21 May, 2025

Intro: Why We’re Talking About Pre-eclampsia

Pre-eclampsia is one of those conditions in pregnancy that can be both confusing and serious. It often seems to come out of nowhere and for many women, the symptoms can be subtle at first. But with the right knowledge, early signs can be spotted and managed proactively. In this post, we’ll break down what pre-eclampsia is, what to look out for, and how Traditional Chinese Medicine (TCM) can offer gentle support alongside your medical care.

What Is Pre-eclampsia?

Pre-eclampsia is a pregnancy complication characterized by high blood pressure and signs of organ damage, often to the liver or kidneys. It usually develops after 20 weeks of pregnancy in women who previously had normal blood pressure.

Left untreated, it can lead to serious, even fatal complications for both mother and baby. That’s why awareness and timely management are so crucial.

How It Presents: Key Symptoms to Know

Some people may have no obvious symptoms, which is why regular prenatal checkups are so important. However, common signs to watch for include:

High blood pressure (140/90 mmHg or higher)
Swelling in hands and face (sudden or severe)
Protein in urine (detected via urine test)
Persistent headaches
Changes in vision (blurry vision, light sensitivity)
Upper abdominal pain, often under the ribs on the right side
Nausea or vomiting, especially later in pregnancy
Decreased urine output

If you experience any of these symptoms, seek immediate medical advice. Pre-eclampsia can progress quickly.

Western Medicine Management

Treatment typically focuses on monitoring and controlling blood pressure and preventing complications. In severe cases, delivery of the baby may be necessary, even if preterm.

How TCM Can Support Pre-eclampsia Symptoms

TCM is not a replacement for medical care, but it can complement Western treatment to support the body and ease certain symptoms. Here’s how:

Balancing Liver Qi

In TCM, Pre-eclampsia is often associated with Liver Qi stagnation and excessive Yang or Wind rising internally especially if symptoms include high blood pressure, headaches, or irritability.

Herbs that may be used (under a qualified practitioner):

Tian Ma (Gastrodia) – calms Liver wind, supports neurological symptoms
Gou Teng (Uncaria) – lowers internal wind and clears heat
Chuan Xiong (Ligusticum) – invigorates blood and alleviates pain

Supporting Fluid Metabolism

Swelling (edema) and proteinuria may be interpreted as fluid retention due to Spleen Qi deficiency or Kidney dysfunction.

Herbs and foods that may support this:

Fu Ling (Poria) – supports fluid metabolism, calming
Zhu Ling (Polyporus) – promotes urination without damaging Yin
Gentle dietary therapy: barley, adzuki beans, light soups

Lifestyle & Acupressure Tips

Acupuncture may help reduce stress and support healthy circulation.
Gentle movement like walking or prenatal yoga helps promote Qi and blood flow.
Acupressure points like Liver 3 (Tai Chong) or Kidney 1 (Yongquan) can calm rising energy but only use under practitioner guidance in pregnancy.

Final Thoughts

Pre-eclampsia is serious, but with vigilant care, strong support, and an integrative approach that includes both Western medicine and Traditional Chinese Medicine, many women navigate it safely.

If you’re pregnant and managing symptoms or just want to stay informed, talk to your OB/GYN and a qualified TCM practitioner about how to create a care plan that respects both science and tradition.