Integrative Telemedicine - Integrative Fertility Programs for Men and Women

Integrative
Fertility Programs for Men and Women

Redefining Infertility with Balance

Dr. Sundermeyer is excited to discuss wonderful Integrative treatments to help couples wanting to become pregnant or those struggling to get pregnant. Today couples are being faced with something that our grandparents never had to face. Infertility and the need to consider Preconception Care if wanting to start a family.

Currently 1 in 10 individuals are dealing with some form of infertility (either primary or secondary) or 1 in 5 couple’s. So if you look around your work place someone else is also dealing with this. Trying to conceive (#ttc) has become more difficult over the last 50 years and there are many possible reasons why.

 

  • Primary infertility is when a woman has never been able to get pregnant.
  • Secondary infertility is when a woman is unable to become pregnant again after carrying one or multiple pregnancies to term.

Leading the Way
in Integrative Fertility Programs

This list could go on and on. What we have found is that many of these things are happening already but don’t always affect fertility.

Lets define infertility:

  • Trying for more than 6 months without success and you are over 35 years of age.
  • Trying for more than 12 months without success if you are under 35 years of age.
  • Repeat miscarriages

Many couples face stress and begin getting concerned after TTC for over a length of time and eventually start hitting the “Google” searches trying to find out what could be wrong or what they could do to help them. Thankfully, there is a ton of information online, unfortunately, none of it is really specific to you, its very generalized or and some information doesn’t have any research behind it. How many times have you been told to try something by a friend cause she or he was told it would help this and you come to find out that wasn’t the case??? These are the joys of “Google”.

1/3 of infertility is caused by men; 1/3 of infertility is caused by women; 1/3 of infertility is caused by a mixture of both. This is where infertility specialists should come into play and the sooner the better. For couples older than 35 interventions are still available but the time to act is now because these interventions can take up to 12 months to really do their job. So another year of work before you are even able to get pregnant. Why is that?

Did you see the list of Reasons for Infertility?

When was the last time you spoke with your primary about concerns of your hormones being imbalanced or poor erections and they didn’t do much about it?

Reasons For Infertility

Our Environment Has Become More And More Unclean
  • Leading To Poor Sperm Function And Low Testosterone In Men
  • Leading To Poor Egg Quality And Hormone Imbalances
Menstrual Cycle Irregularities
  1. Long Cycles
  2. Short Cycles
  3. Luteal Phase Defect
  4. Low Progesterone
  5. Poor Ovulation Or Anovulatory Cycles 
Low Sperm Count

Did you know that men in the 1950’s had over 100 million sperm per 1mL. Which means, today healthy sperm counts would be considered infertile in the 1950s.

Low Motility
Work Environment
Stress
Undiagnosed Nutritional Deficiencies
Undiagnosed Auto-immune Disorders
Elevated Prolactin
Hypothyroidism
Age

So Why Is
Preconception Care Important?

This is also where preconception care comes into play. So what is preconception care? It’s a 120 window you and your partner use to PREPARE and REDEFINE your genes! The steps of our Preconception program are nice and easy and are done based on your personal history and current environment. Appropriate labs are drawn and dietary evaluation is taken to get you started. Specialty labs may also be a part of your initial consultation depending on your personal/work history, environment, and overall health. 

Health today plays the biggest role in how likely you and your partner are going to be at becoming pregnant. These labs also give us information about a timeline for needed support before referring Trying to Conceive or referring to a Reproductive Endocrinologist. 

So why is preconception care important?

    • Decrease Toxic Burden
    • Increase Nutrition
    • Increase Nutritional intake of deficient nutrients. 
    • Balance Hormone
    • Balance Body weight/composition
    • Decrease Stress level
    • Emotional Considerations
    • Clean up your Genes (Epigentics)

Because everything you and your partner do will affect the health of your future child. 

It’s a time for fact-finding and research about your personal history. It’s time to get the proper labs and evaluations done in an appropriate manner before you’ve wasted too many years with “google” and “my friend said” information. Do this now before it gets to a point where IUI (intrauterine insemination) and IVF (in vitro fertilization) are now your only options. There’s time if you give it time.

Let's Talk About
The Female Cycle

What’s Normal?!

  • An Average Cycle Between 27-35 Days
  • A Menses Should Occur Every Month
  • A Period Of 4-7 Days
  • No Pms 
  • No Flooding
    • Meaning a woman should not have to worry so much about the last time she changed her pad or tampon because of fear that she will have a menstruation accident. Women should not have to wear a pad and a tampon for “extra protection”.

What’s Not?!

  • PMS
    • Mood Changes, Anxiety
    • Weeping/Anger/Irritability
    • Pelvic/Back/Leg Pain
  • An Abnormal Menstrual Cycle
  • Short Periods: Less Than 3 Days 
  • Long Periods: More Than 7 Days
  • Mid Cycle Bleeding
    • Bleeding On Days 8-26 Of The Cycle Should Never Happen. 
  • Ovarian Cysts 
  • Uterine Fibroids
  • PCOS 
    • Polycystic )varian Syndrome
      • Meaning you not only have cysts on your ovaries (although some women don’t) but you also have acne, excess hair growth on your face or other parts of the body, irregular menstrual cycles, are overweight. 
  • Premenstrual Migraines

Let's Talk About
Male Fertility

  • How do we produce healthy sperm that have better Motility, Morphology, Count?
  • Sufficient testosterone production is necessary to mature sperm.
    • What Inhibits Testosterone?
      • Alcohol
      • Coffee
      • Sedentary lifestyle 
  • Testosterone supplementation inhibits sperm production because it blocks the pituitary pathway.
  • Within 1mL of seminal fluid ideal volume of sperm is >48 million.
    • Normal is > 20 million sperm per mL 
  • Men today have a lower sperm count than in the 1940’s. Meaning = Today’s men would be considered infertile. 
  • Advanced paternal age brings its risks
    • Men >50 have a 3x increase risk of having offspring with schizophrenia 
    • Men > 40 have a 5.75x increased risk of having offspring with autism 
  • Male infertility is primarily attributed to Oxidative stress
    • Ie: increased systemic production of Reactive oxygen species without the body being readily able to detoxify or repair the damage caused.

The Initial Evaluation.
What's Next?

For Women:

  • PAP history
  • Surgical history
  • Antibiotic use
  • Heavy metal and Chemical exposure current and past
  • Day 3 hormone evaluation
  • 7 days post ovulation hormone evaluation
  • Thyroid and Adrenal function tests
  • Proper understanding of your cycles, ovulation, cervical mucus and luteal phase. 
  • Specialty testing depending on personal history: Nutrition Testing, Digestive function, adrenal stress index testing. 

 

For Men:

  • Testicular function evaluation
  • Surgical history
  • Antibiotic use
  • Semen analysis
  • Full hormone panel
  • Thyroid and Adrenal function evaluation
  • Specialty testing depending on personal history: Nutrition Testing, Digestive function, adrenal stress index testing. 

Caring For The Growing Needs Of The Community

Serving People Through Exemplary Health Care

Specialty Medicine With Compassion And Care

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States

As of 2017, 47 States cover Telehealth through the Medicaid program. Many have enacted telemedicine parity laws requiring coverage.

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With an average wait time for an appointment of 18.5 days with a Primary Care Physician; Telemedicine Services improves access to healthcare.

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