THE WHOLESOME FERTILITY PODCAST
EP 293 Ozempic Babies, Miscarriages, & All Things IVF with Dr. Armando Hernandez-Rey
Dr. Armando Hernandez-Rey is Conceptions Florida’s medical director and triple-board certified in Reproductive Endocrinology and Infertility; Obstetrics and Gynecology; and Surgery. Dr. Armando Hernandez-Rey has over 24 years of experience in the medical field. He graduated from Universidad Autonoma de Ciencias Médicas de Centro America in 1998. He attended medical school at the University of Miami Miller School of Medicine for his specialization in Obstetrics and Gynecology. He specializes in treating patients with polycystic ovary syndrome (PCOS), recurrent pregnancy loss (miscarriage), and severe endometriosis. He is especially interested in fertility preservation (eggfreezing) for patients who must delay childbearing for personal or medical reasons, including cancer and systemic lupus erythematosus. Dr. Hernandez-Rey is an assistant clinical professor at the Herbert Wertheim College of Medicine at Florida International University and serves as an ad-hoc reviewer for the prestigious peer-reviewed journal, Fertility and Sterility. He has also published several articles and chapters in medical literature.
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Transcript:
Michelle (00:00)
Welcome to the podcast, Dr. Hernandez -Ray.
Armando Hernandez-Rey MD (00:04)
Thank you, Michelle. Thanks for the invitation. It's really an honor and a privilege to be on your show, on your podcast.
Michelle (00:09)
Yes, well, I've heard a lot about you over the years because I've had a lot of patients go to you. And one of the things that I've heard is that you do really well with surgeries and fibroids and you're able to in and
but in a way that still preserves fertility. So that was one of the things that I've learned.
Armando Hernandez-Rey MD (00:32)
Well, reproductive endocrinology and infertility as a subspecialty is a surgical subspecialty as is OB -GYN, which is a mandatory path to get to the infertility route. Unfortunately, a lot of the newer generation is not operating because they're not taught, not through no fault of their own, they're not taught. The reality is that it is...
Michelle (00:47)
Mm -hmm.
Armando Hernandez-Rey MD (00:55)
for a myriad of reasons this phenomenon has happened. Number one, the minimally invasive surgery tract has been developed where you have the person who's really just really perfected their obstetrical skills. And then you have the gynecologic oncology route and the pelvic urogynecology or pelvic reconstruction route and the minimally invasive surgical route. And a lot of the reproductive endocrinologists,
have said, you know what, I'm going to forego surgery and I'm going to refer it out. My personal philosophy, and this is in no way critical to absolutely anybody, it's just my own, is that I went into medicine to be a surgeon, I actually wanted to be an orthopedic surgeon. I ended up not liking it, I had a very bad fracture when I was in my teens playing competitive soccer, and I really had some PTSD from that fracture, so I just couldn't see myself doing.
orthopedic surgery, but I somehow found my way towards OBGYN, absolutely loved it. And eventually towards the reproductive endocrinology route, which encompasses a lot of surgery, should you allow it. And so yes, like you said, fibroids are an important part of fertility. you, tubal reconstruction used to be much more important than it is now. People are more, are bypassing that route and going directly to in vitro fertilization.
Endometriosis, as I said, I was running a little bit late today. I was in a very, very complex endometriosis case with a patient with bilateral endometriomas and complete frozen pelvis and scar tissue. And, you know, just a little bit longer, I had to work with the colorectal surgeons to do some resection of the colon because it was, you know, endometriosis is such an awful, awful disease. So yes, to answer your question, I...
Michelle (02:41)
Yeah.
Armando Hernandez-Rey MD (02:44)
Absolutely love surgery. I think it's an integral part of the infertility journey to get a patient from being infertile to getting them to a high level of success with any sort of treatment. And hopefully it's more conservative than having to resort to artificial insemination or in vitro and with just surgery and corrective surgery, we can help the couple achieve a pregnancy.
Michelle (03:07)
Yeah, and I think it's important because I think that a lot of people might not realize that there are certain people that specialize in this or have experience doing that, doing surgery and really getting in there because it is important to find somebody who's specialized if you have a complicated case.
Armando Hernandez-Rey MD (03:23)
I think it's important. I think people feel well taken care of. Again, my perception, people feel well taken care of when everything is done in house. Meaning, you know, there's no messages that get lost as you refer a patient out who may have the minimally invasive surgery knowledge, but not necessarily the focus on infertility, reproductive endocrinology.
Michelle (03:33)
Mm -hmm.
Armando Hernandez-Rey MD (03:50)
specialist has and I think people feel comfortable with that.
Michelle (03:52)
Yeah, absolutely. Because there's some people that will take out fibroids, but they're not doing it with fertility in mind. You know, for many women, it could just be just taking out fibroids, but you're doing these things with fertility in mind.
Armando Hernandez-Rey MD (04:07)
There are many great surgeons out there that are not infertility specialists. You know, I want to make sure that I'm clear. I just think that I was, I always love surgery. I happen to do surgery and I feel my patients feel very comfortable with me doing the surgery and not being referred out. It's what I think. You know, the journey, the infertility journey is very complex. It requires a lot of a woman in particular more than the male and to be
Michelle (04:25)
Yeah.
Armando Hernandez-Rey MD (04:36)
you know, passed around, it gets complicated. And I think it's nice to be able to offer that service to patients.
Michelle (04:44)
Yeah, for sure. And then you do specialize in miscarriages.
Armando Hernandez-Rey MD (04:49)
Sure, I mean, I think we all really have a focus on on as you know, we're all specialized in miscarriages and and PCOS and all that there's some people that tend to see More miscarriage patients or they people will refer miscarriage patients to us We have a particular kind of focus on that, you know, I think a lot of it is
genetic, a lot of it is immunologic, a lot of it is just taking a holistic approach to things and not just focusing on one or the more common causes of infertility. And even now, I think that, you know, the use of supplements, which maybe 15 years ago was maybe considered some snake oil. Now, I think there's a lot of provocative data that has shown that supplements do work, in particular in
Michelle (05:18)
Mm -hmm.
Armando Hernandez-Rey MD (05:44)
cases with recurrent miscarriage. And now we have the ability to measure those levels and we are now ability to supplement those levels and they have tremendous impact positively on these patients.
Michelle (05:57)
And what supplements have you seen help with miscarriages?
Armando Hernandez-Rey MD (06:02)
Well, I think a lot of it has to do with what the cause of the miscarriages is. Oftentimes, believe it or not, miscarriages can alluded to fibroids, it could be anatomical, sub -mucosal myoma. Well, there's not gonna be any supplement that's gonna help with that. It's just purely the surgical route or the diminished ovarian reserve,
Michelle (06:07)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (06:29)
cause for recurrent miscarriages, which is older women or ovaries that are behaving or eggs that are behaving older than what their chronological age would dictate, you have a higher chance for aneuploidy. And in those cases, there's a variable cocktail of supplements that we use, including ubiquinol, including N -acetylcysteine, including vitamin E, even melatonin has been shown to be very, very effective. And I can go on and on, even alpha lipoic acid.
Michelle (06:50)
Mm -hmm.
Armando Hernandez-Rey MD (06:57)
as well. There's some very nice studies coming out of Mayo Clinic that have shown that aflalipoic acid is very, very good for recurrent miscarriages. So again, things that we thought were, well, they can't hurt, now we know that they absolutely help.
Michelle (06:57)
Yeah.
Right. Yeah. I mean, that's great because it just helps to know that there's something that people can do that really does make a difference. And it's not just like in theory with miscarriages when it comes to immunology. I'd love to talk about that because I know that that's a big one. Actually, I did see a study that showed that women who have are more sexually active, that their immune system calms down. It behaves differently in the luteal phase.
Armando Hernandez-Rey MD (07:31)
Mm -hmm.
Michelle (07:44)
so that it's able to receive life so that it's not seeing like the sperm as an invader the, yeah.
Armando Hernandez-Rey MD (07:50)
So women that are more sexually active than others, it's probably a function of repeated antigen exposure, which is the more the woman is exposed to the antigens of the sperm, more there becomes an acquiescence by the immune system to be more receptive of that embryo. Because remember, the embryo is
Michelle (08:06)
Mm -hmm.
Armando Hernandez-Rey MD (08:19)
a haplotype, meaning it's half female, half the woman, half the mother, and half the male. And the only genes that the immune system of the mother has got to harbor the pregnancy are her own. And so oftentimes the immunologic processes are heightened because it does not recognize the male antigens that are formed part of the embryo in general. But as a whole, I mean, recurrent pregnancy loss,
Michelle (08:33)
Mm -hmm. Right.
Armando Hernandez-Rey MD (08:47)
is, is a small portion of the general population and, it's skewed towards advanced maternal age and advanced paternal age. so the immunologic component, while absolutely important, I think it's the one where we're still not a hundred percent sure how to absolutely treat it. Although supplementation and.
immune suppression definitely are known to work. It's the testing that I think we still need a lot more work in doing because you know people talk about NK cells and you know that was part of my thesis when I was a fellow. So we talk about NK cells and ANA and antiphospholipids and all of that and the reality is that these tests have very very
poor sensitivity in the realm of immunologic infertility or reproductive immunology. And so you may have COVID and then you can test positive or lightly positive for NK cells. And so I think that the overwhelming response by the treating physician is, well, they're positive, they must be immunologically incapable of handling a pregnancy. So therefore we should treat.
Michelle (09:40)
Mm -hmm.
Armando Hernandez-Rey MD (10:04)
with nowadays what we use as intralipids. Back in the day, we used to use IVIG that has kind of fallen by the wayside a little bit. I think it's better to treat empirically than to have someone treat or test for all of these different immune markers that really, really in the presence of immunology and reproductive immunology,
They have very low sensitivity. Now if you're treating or you're looking for lupus or rheumatoid arthritis or mixed collagen disorder or Sjogren's for sure, they are your go -tos every single time.
Michelle (10:44)
And what about a PRP for ovaries? What has do you do offer that?
Armando Hernandez-Rey MD (10:50)
ovaries. American study of reproductive medicine came out with a black box warning that they do not recommend PRP for ovaries. Now, PRP for recurrent implantation failure, poor lining development, there is some very robust data that there may be some room or benefit for this.
Michelle (10:57)
okay.
Mm -hmm.
Armando Hernandez-Rey MD (11:14)
And we do do offer that. We do not offer intra ovarian PRP because ASRM has a huge black box warning on this. It's a liability. The potential for infection is there. Tubo ovarian abscess have been reported, adhesions, periovarian adhesions, and with very little to no benefit whatsoever. I mean, the whole premise for it is that we are...
Michelle (11:16)
Okay.
wow, okay, I didn't know that.
Mm -hmm.
Okay, got it.
Armando Hernandez-Rey MD (11:42)
regenerating the follicle complex and therefore improving egg quality and that definitively has not been shown to be the case. Although anybody who suffers from that as I would be would be like, slide me up. But unfortunately, you know, it's very easy for us to fall prey to things that we desperately want without having the medical literature to corroborate it or back it up.
Michelle (11:49)
Got it.
Right.
Got it. So that's actually showing to not necessarily be what a lot of people originally thought, but for the uterus, it has been shown to help.
Armando Hernandez-Rey MD (12:15)
Yes, we are doing PRP installations and very select group of women with those diagnoses in particular. And.
Michelle (12:25)
So who would be a good candidate? Somebody who's had failed transfers, inflammation.
Armando Hernandez-Rey MD (12:30)
Yes, someone with very high quality embryos, high quality embryos that are not getting pregnant. Also patients, for example, patients who have adenomyosis that do not develop a nice lining, a thickened lining. Those have been shown. Our numbers are very small, you know, by no means.
Michelle (12:42)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (12:53)
they are in the realm of what a randomized controlled trial should be. We're following the data from the randomized controlled trials and from the literature that's out there. So patients with adenomyosis who have poor lining development, recurrent implantation failure, so patients with euploid embryos, that means a normal embryo that's tested that looks to be high quality. Also, after a second implantation failure, we'll...
offer that to the patient as a possibility.
Michelle (13:19)
Mm hmm. Got it. Awesome. And then also we were talking about Ozempic pre -talk. So I'd love to get your... Yes. Yeah. Ozempic babies.
Armando Hernandez-Rey MD (13:24)
the topic du jour these days, right?
It's right. So as we were discussing, I mean, this, this phenomena is not really a phenomenon that's surprising at all. It is just a, a byproduct, a side effect of, of how the medication works and the effects that positive effects that I have on women with in particular, and ambulatory disorders, specifically polycystic ovarian syndrome, which is often tied to or associated with insulin resistance, obesity, sometimes even overt.
type 2 diabetes and the elevated levels of insulin, the elevated testosterone levels, they all work together to create this sort of environment within the ovary and the system of the female which creates an ovulatory disorder or dysfunction. And as a woman loses weight by virtue of the way that these GLP1s or glucocortes
Michelle (13:58)
Mm -hmm.
Armando Hernandez-Rey MD (14:22)
Glucagon like peptides work They're very successful. They're very good at number one slowing gastric emptying which in turn slows down the release of sugar into the blood system to the Number one number two it stops the the release of glucose produced by the liver and Number three increases insulin levels so increase insulin levels helps get the the
the sugar into the muscles out of the circulation and out of stimulating the ovaries and the theca cells to produce more androgens which then get produced produce more estrogen which then stops the hypothalamic pituitary ovarian axis from functioning correctly and as these levels drop patients automatically begin to have spontaneous ovulation if the system is working and the male has normal sperm and they're sexually active.
this is how the ozempic baby phenomena occurs. And what we discussed also is that the concern is of the downstream consequences of ozempic babies given that the current recommendations are to have at least a two month washout period before anybody starts to try to conceive.
Michelle (15:32)
So two month washout means like really not trying anything. Yeah. And then also, I know like naturally, myonocytol is really helpful as well for insulin resistance. It might take a little longer. And then also metformin has been used as well.
Armando Hernandez-Rey MD (15:37)
No exposure, right? No exposure.
Yeah. Yes. So, my own hospital is, is a, is a great product. my own hospital alone, although you will find oftentimes my, my own hospital with a D chimeric, hospital and really the literature shows that my own hospital by itself is the one that truly has the most benefit might be hard to find.
Michelle (16:06)
Right, yeah.
Right because for a little while they said my own hospital and dechiro, but now they're going back to saying just my own ocital, correct?
Armando Hernandez-Rey MD (16:23)
Yeah, well the way that it's normally found in the body is at a ratio of 20 to 1. And that's what those supplements show, 20 to 1. Although we know now that in the ovary it's almost 40 to 1 ratio of myoinocytol to D -chimeric, inocytol.
Michelle (16:30)
Mm -hmm.
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (16:49)
Myo Inositol is actually not an essential vitamin, but it's considered like a vitamin, but it's in the category of B8 It's a glucose like peptide that basically helps to Help the system function by processing the circulating blood sugar in a way that's more physiologic and there by lowering insulin levels and thereby also helping tremendously with
Michelle (16:56)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (17:16)
regularity of cycles and even spontaneous ovulation as well. And metformin obviously is medication that's been around for many, many years. It is somewhat of a controversial drug. It is an anti -aging drug even these days because we know that insulin levels are so profoundly toxic for aging for the muscle and for the system in general.
Michelle (17:29)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (17:45)
And so we know it works, we know that it helps with the efficiency of insulin. And so it's certainly been used for many, many, many years in the presence of patients with polycystic ovarian syndrome. I would challenge people to be a little bit more meticulous about using it in patients who are the lean PCOS.
Michelle (18:11)
Right.
Armando Hernandez-Rey MD (18:11)
or the skinny PCOS or the ovulatory PCOS even though insulin levels have been shown to be higher, slightly higher in...
Michelle (18:19)
So you're talking about being cautious with metformin, not necessarily myonositol. Yeah, yeah.
Armando Hernandez-Rey MD (18:22)
Metformin, you also don't want very high levels of myelonostetal because they can be, you know, there is some quote unquote toxicity. I think the recommendations are up to four grams per day. I think all the recommendations are four grams per day in two divided doses, two grams in the morning and two grams at night. I've seen patients be on eight grams and 10 grams and toxicity really starts happening around the greater than 10 gram dose.
Michelle (18:29)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (18:52)
I in our office we only use it, you know, what's recommended which is the four gram total per day two grams in the morning two grams at night and I don't think it's the end -all be -all I don't think it's you know treating anything in life is multi -pronged. It's not just one single thing perhaps but I definitely believe very wholeheartedly that it does assist in in adjunct treatment, although we certainly have patients put patients on on myocytil and combined with
Michelle (19:06)
Yeah. Right.
Armando Hernandez-Rey MD (19:20)
diet and exercise and have been able to achieve pregnancies on their own, which is obviously what we want instead of having to go through treatments.
Michelle (19:27)
That's great. I mean, I will say that I was very surprised this past year. two different patients came from different, different places, not yours, it was other doctors, but I think the nutritionist there suggested metformin when they did not have insulin resistance or PCOS for egg quality.
Armando Hernandez-Rey MD (19:47)
Yeah, I'm not familiar with any studies that have shown that have improved that. In fact, when I was a fellow, we were, just as I was coming into fellowship, where I trained, Rutgers was involved with a very well known and publicized study, it's called the PP COAS study, which looked at patients on placebo versus metformin alone versus metformin with Clomid, sorry.
placebo versus clomid versus clomid with metformin and there was no difference in pregnancy rates or anything else. I'll go one step further with them going back to the myonocytol. It has even been shown to decrease the rates of gestational diabetes and so in our patients with PCOS with who are you know
Michelle (20:18)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (20:39)
Stage one, type one obesity, type two, we'll continue them on the myonostetal throughout the pregnancy and when they leave us and go to their OB -GYN, in our referral letter back, we'll say that we're recommending for her to continue on myonostetal because there have been improvements in sugar levels and glycemic control and reduction in gestational diabetes overall.
Michelle (20:54)
Yeah, that's good to know.
another big one is vitamin D. A lot of people, even though we're in Florida here, we have a lot of sun. A lot of people are very deficient in vitamin D.
Armando Hernandez-Rey MD (21:11)
Yeah, What it is is a combination of things. Number one, we're not as sun exposed as you think we are. You know, we're always in a car, we're always indoors, it's very hot. And yes, we go out to the beach and there is a lot of sun, but we become very, very sensitive to the sun and to the untoward effects of the sun.
Michelle (21:17)
Mm -hmm.
Armando Hernandez-Rey MD (21:35)
So we protect ourselves tremendously. That's number one. Number two is that I think the levels are set higher than what the average person can sustain with just diet and sun exposure. And actually the recommendations now in the infertility world that when you order a vitamin D from Quest, they'll tell you that the levels are, you want them at
Michelle (21:38)
Mm -hmm.
Armando Hernandez-Rey MD (22:04)
definitively above 20 Certainly above 30 and now recently now the recommendations are that for them to go above 40 and and and Yeah, I'm not yeah, so I heard I've read 40 I it was a Paper that came out of Either the Lancet or
Michelle (22:11)
Yes, yep, I've been hearing that or even 50. Yeah.
Armando Hernandez-Rey MD (22:27)
or fertility necessarily, anyone, one of, that they recommend now for vitamin D levels to be above 40. So that's really hard. I mean, I work really hard. I take a lot of vitamin D and I'm just barely scraping like 50. You know, I take about 5 ,000 units a day, which is what we're recommending nowadays, 5 ,000 units of vitamin D. And I take that every single day and I barely scratch,
Michelle (22:38)
Mm -hmm.
Yeah.
Armando Hernandez-Rey MD (22:56)
you know, 45, 50 every time I get an average check. So I'm not getting as much sun as I think I am, number one. I am out fairly often. I do play some golf, not enough. And yet it's not enough. So definitely supplementation's important.
Michelle (23:03)
Mm -hmm.
Yeah, magnesium is also important. That's another thing. It's to not be deficient in magnesium because magnesium plays an important role of our absorption of D, which, you know, obviously doing this, I learned, I was like, that's might be deficient magnesium and be taking a lot of D and then their body's not processing, which is why it's important sometimes even in foods, foods have everything. So like,
even beef liver, you know, from Chinese medicine perspective is so beneficial because it has iron, but it has it in a combination of nutrients that helps the body absorb it.
Armando Hernandez-Rey MD (23:46)
Yeah, B6, B12 are incredibly important for iron absorption as well. So all of these things are extremely important. Everything is all intertwined and we're just learning about this. And for us, I've really gotten grabbed hold of this whole longevity thing, hence my aura ring and all of this. And...
Michelle (23:57)
It is.
Yeah.
Armando Hernandez-Rey MD (24:09)
I'm just trying to apply a lot of the things that we know today work for longevity medicine and anti -aging principles to the infertility world because it's all intertwined. It's all intertwined.
Michelle (24:16)
Yeah.
without a doubt. It's funny because that you say that because I always say it's pretty much anti aging. Yeah.
Armando Hernandez-Rey MD (24:26)
Yeah, totally, totally. They're even coming up with a way to stop menopause.
Michelle (24:36)
wow. How?
Armando Hernandez-Rey MD (24:37)
which is extremely interesting. Believe it or not, recombinant antimullerian hormones.
Michelle (24:42)
How is that? Explain that.
Armando Hernandez-Rey MD (24:46)
So the way that antimullerine, the function of antimullerine hormone at the level of the ovary is that it stops follicular recruitment. That's why women with PCOS have higher AMHs and therefore they have higher egg counts and higher, they tend to go into menopause later on, et cetera. That's because they have high levels of antimullerine hormone. So by reproducing or creating it in the laboratory and then from an early stage,
This is in its infancy, by the way, okay? So this is, yeah, this company, I believe she's a Harvard scientist, biochemist or something, who's coming up. My point is that, listen, that it's all intertwined, aging and even in menopause, for God sakes. Now I've been doing this for so long that I now,
Michelle (25:18)
It's new.
Mm -hmm.
Armando Hernandez-Rey MD (25:39)
seeing menopausal patients who were like, you know, listen, you took care of my baby, you're a reproductive metachronologist, you understand the science, will you treat me? And, you know, like, and I realized, like, somewhere, some women got like, they got a some bad luck thrown their way because, you know, with the WHI results and the way they were interpreted, they made hormones bad. And somewhere along the way, someone said,
It's okay for women to suffer from menopause, just suck it up. Like it's not okay. That's not okay. That's not okay. And so if you start from very early on and, you know, and, and really practice what you preach, which is healthcare and not sick care, which is what we practice in the United States, you know, we're just very, we, we're not proactive. We're reactive to when a patient is sick instead of early intervention, early screening and all of that.
Michelle (26:25)
Yeah, absolutely.
Armando Hernandez-Rey MD (26:30)
And that goes for the infertility world and that goes for a woman's long reproductive life extending past menopause. I think we still have a lot of challenges to overcome, but I think that we're heading in the right direction. Sorry to digress a little bit. I went off on a tangent there for a second.
Michelle (26:43)
Yeah, for sure. no, it's okay. But you know what? I love the passion and I love that, that, you know, ultimately is great. It's important, very important, because it's true. And I agree a lot with what you just said, that we should be proactive when it comes to healthcare. I mean, really when it comes to so many things and something else that I...
that I read, it was an animal study. It was a study on, I believe it was like, I don't remember which kind of animal it was. I think it was like either sheep or cows or some form of those where they actually gave them oxytocin right before IUI. And that improved the chances of the conception rates, which I thought was very interesting because I think that that's one of the things with IUI that's missing because obviously you're taking away the connection.
that is usually there when you're just under natural circumstance. And I thought it was interesting because I was looking into it for something else to understand from a Chinese medicine perspective, because they have this heart -uterusconnection, that connection, the bonding. And so what I found was interesting too is that oxytocin increases around ovulation and after intercourse. And usually what they look at it as its role is usually for labor.
not so much conception. So I was just going to kind of like pick your brain on that. Any thoughts on that?
Armando Hernandez-Rey MD (28:13)
Well, I mean, oxytocin is secreted at the time of... I'm not sure of ovulation, I didn't know that. But definitely at the time of...
Michelle (28:21)
or it increases around that time, like right before ovulation in the cycle, a woman cycle.
Armando Hernandez-Rey MD (28:27)
What we know that it's involved is at the time of orgasm. And so this may promote uterine contractility, which is what is used for intrapartum, to promote contractility of the uterus, to promote descent and eventual delivery. And we know that it's intimately involved in orgasm, we're seeing.
Michelle (28:33)
Mm -hmm.
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (28:55)
during intercourse and orgasm and so with you know the projection of with the secretion of oxytocin and it causing uterine contractility obviously not at the same level that it does during labor but at smaller amounts then I can see how there could be a role for oxytocin in artificial insemination.
Michelle (29:18)
even in fertility in general and because it's got to be there for a reason why would the body produce it around that time?
Armando Hernandez-Rey MD (29:25)
Well, yeah, I guess, but it's either IUI or IVF and we definitely don't want oxytocin during the IVF cycle.
Michelle (29:33)
Right, because you don't want to contract, right?
Armando Hernandez-Rey MD (29:35)
Right, because we're transferring an embryo where there should not be any oxytocin. And you can have the most beautiful embryo, but if you screw up the embryo transfer, through no fault, just because it's a difficult transfer for a myriad of reasons, and you cause uterine contractility, then there's a high likelihood of pregnancy not occurring during that time.
Michelle (29:57)
Right. I think it would be an interesting thing to look into for IUI. There might be something to it, because if it works with animals, and the animals obviously have similar certain functions that we do, mammals, that seems like an interesting thing.
Armando Hernandez-Rey MD (30:10)
Yeah.
I think there's not going to be a lot of resources put into improving IUI, to be honest with you. IUI, I think it is what it is. And I mean, I think the majority of research is going to go to improving even more IVF rates, because I think ultimately patients are going to want to go more.
Michelle (30:22)
Mm -hmm. Yeah.
Armando Hernandez-Rey MD (30:40)
towards IBF, no matter how hard we try to say, hey, listen, there's this option or this option or this option. It's more become a more of an instant gratification society. Number one, number two, people are waiting longer. So therefore they're more pressed for time, if you will. And I think there will be less of a motivation to go down a treatment option that frankly,
Michelle (30:48)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (31:07)
You know, has a low pregnancy rate.
Michelle (31:09)
Right. And then my other question is, what are your, thoughts about a lower intensity cycle?
like lower amounts of hormones for older women. In some cases I've heard it might be a little better. you do? Yeah, yeah.
Armando Hernandez-Rey MD (31:24)
We use it all the time. Yeah, we use it all the time. I think it's...
a very successful option in cases with severely diminished ovarian reserve. I think that the senescent ovary does not do well with high impact medication or high doses of medication separately, but you know, jointly the medication costs are exorbitant and you end up having the same number of eggs that are mature, that get fertilized with a mini stent protocol as you do with
Michelle (31:38)
Okay.
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (31:59)
a high dose regimen.
Michelle (32:02)
Okay, so you've seen good success with that.
Armando Hernandez-Rey MD (32:06)
Well, I mean, not good success because generally these cases are, we've seen success. Let's call it that. Because the patients that you're treating with these medics, with this protocol are patients who are POI, you know, premature ovarian insufficiency, diminished ovarian reserve, poor egg quality, high rate maniploidy. So these are your poor responders essentially. And they're very...
Michelle (32:12)
Yeah, okay.
Mm -hmm. Mm -hmm.
Armando Hernandez-Rey MD (32:34)
specific factors that propel a woman to have success with this protocol compared to her twin sister with almost the same testing who doesn't do as well.
Michelle (32:47)
Got it. And then lastly, we talked about this in the pre -talk, let's talk about marijuana and sperm, data is showing. Yeah.
Armando Hernandez-Rey MD (32:55)
I don't do it myself, but I have no problem with people that do. What the data has shown that we're just becoming more and more familiar because the overwhelming number of people who are using cannabis and open about it, which is the second part, which was very difficult to conduct studies because it was so people were ostracized. They were looked at.
not the wrong way and seen as in the fringe. And now it's, you know, it's so mainstream. but so now we're, we're keenly aware, of patients were able to analyze them and what we know without a shadow of a doubt that the potency of the cannabis that's being produced these days is anywhere between eight to 12 times more potent than I think I use the joke of the guys at Woodstock back in the sixties, right?
Michelle (33:21)
Mm -hmm.
Mm -hmm.
Armando Hernandez-Rey MD (33:46)
where everybody was getting pregnant and everybody was high on life, all of those things. And then what we've also known, which I did mention, is that using the vape pens, whatever types of inhalers as opposed to the traditional joint, if you will, increase the potency of that by a factor of two to three. The cannabis that was already potent to begin with.
Michelle (34:08)
Yeah.
Right.
Armando Hernandez-Rey MD (34:14)
So what you're seeing in males in particular, and I'm not sure that the literature is so complete on the female aspects, are that we're seeing a high levels of fragmentation. And what fragmentation is, is imagine that sperm is like an Amazon box. And inside that box, there's a porcelain doll that's wrapped in these packing cubes. They're held very, very tight. And under...
Michelle (34:26)
Mm -hmm.
Armando Hernandez-Rey MD (34:40)
The best of circumstances, those packing cubes are wound so tight, packed so tight that nothing, if I kick the box off the Amazon truck, nothing is gonna happen to the porcelain doll. Well, as fragmentation occurs and it happens under natural conditions and old guys like me, you know, patients who, occupational hazards, firefighters, exposed to toxins, a lot of people who use fertilizers, et cetera, et cetera.
you see high levels of fragmentation. I'm talking about DNA fragmentation. And so what we're seeing is high levels of fragmentation at the level of the DNA of the sperm, which has significant effects on embryo quality, embryo development, and pregnancy rates, and high levels of aneuploidy, which is abnormal embryos. So,
Michelle (35:10)
So you're talking about DNA fragmentation. Yeah. Yeah.
Mm -hmm.
Armando Hernandez-Rey MD (35:33)
You know, I'm not here to like, you know, slap you on the wrist and say don't smoke weed, but really that's what you're facing. And we know that this happens in women with cigarette smoking. Like this is a well -known cause of an accelerated transition to perimenopause. You know, 65 % of women who smoked a pack a day for greater than 15 years will go into menopause before the age of 40, assuming they started before their 20s. That's a pretty...
Michelle (35:40)
Bye.
Mm -hmm.
Armando Hernandez-Rey MD (36:03)
ominous number, actually. Thankfully, not many women smoke these days, cigarettes anyway. So I guess the results of cannabis on females is yet to be elucidated, but we definitely have some pretty compelling evidence in terms of the male data that show that it can have detrimental or deleterious effects on sperm quality and not necessarily on numbers.
Michelle (36:04)
Yeah.
Mm -hmm.
right, which is what people look at usually when I mean, that's like the, the analysis is always on numbers shape and, numbers shape it. Yeah. And morphology and they won't necessarily look at the DNA fragmentation. That's actually not something that REIs usually initially look at.
Armando Hernandez-Rey MD (36:33)
Exactly.
the thesis in morphology.
is done in a well not initially unless there's comorbid situations or things that raise your red flags. For example, advanced paternal age, we always do it. Particularly in egg donor cycles, right? Because patients will be like, well, I'm using an egg donor and why don't I have bad energy? Well, because your husband could be 70 or 60 and
Michelle (37:11)
Yeah.
Armando Hernandez-Rey MD (37:14)
And then their fragmentation is completely elevated and through the roof. So yeah. So, you know, firefighters, occupational hazards.
Michelle (37:18)
Right. So, yeah, it's important. It's important for people to hear this because they can go in and say, the semen analysis was perfect. But that, like what you just said, is not really checked. So they may not, in a healthy, like, younger guy.
Armando Hernandez-Rey MD (37:35)
It's not as nuanced as we once thought it was.
Michelle (37:38)
Yeah. Yeah. Interesting. It's, it's fun. It's always fun for me to talk to our, our ease, you know, just to get, to pick your brain and get your thoughts. and you're my neighbors. So it's pretty cool.
Armando Hernandez-Rey MD (37:50)
That's right. Thank you very much for the invitation. This was really fun. We spoke about a wide array of different topics here. So this was really nice to connect this way.
Michelle (37:53)
Yeah.
Yeah.
Yeah, for sure. And I know that a lot of people are going to be like, this is interesting information. Cause I know that what you just mentioned, a lot of it is not common knowledge. people don't know automatically hear about this or really know to think about asking about it. So, so I appreciate all your information, all your good, good data. And, for people who would like to work with you or in town, how can they find more about you?
Armando Hernandez-Rey MD (38:27)
Well, we are at Conceptions Florida. We have two offices in Merritt Park, Coral Gables and one in Miramar and hopefully soon also in Boca. And I'm there Armando Hernandez -Ray, MD I'm sure. Easy to find these days on Google, but I'm happy to help in any way that we can. We've been doing this for a long time, quite successfully, thankfully. And we take a lot of pride, humbly speaking, but probably also.
in having a good footprint in South Florida and the infertility world and trying to offer the best care possible.
Michelle (39:01)
Awesome. Well, this was such a pleasure and thank you so much for coming on today.
Armando Hernandez-Rey MD (39:05)
Thank you, Michelle.
EP 284 Defying the Odds: An Incredible Fertility Story of Hope
On tomorrow’s episode of The Wholesome Fertility Podcast, Alana McGlashan of @thenurturedwomban_ shares her personal fertility challenge story and experience with Asherman's syndrome. She discusses the complications she faced after a miscarriage and the diagnosis of severe Asherman's syndrome. Alana shares her journey of healing and preparing her body for conception, as well as her experiences with pregnancy and loss. She emphasizes the importance of connecting with the heart and womb, and the power of self-trust in the healing process. I was deeply moved by her story of hope and how she found strength to listen deeply to her soul’s calling and knowing that she was meant to have her children. Be sure to tune in!
Description:
Alana experienced miscarriage, Ashermans Syndrome & infertility on her journey to conceive. Navigating Asherman's Syndrome was one of the hardest times of her life as she was told due to the severity she may not be able to have children. Sending her on a healing journey that although may have taken 2 years, she now has 2 children later. The medicine she found on her journey she now shares with women in her 1:1 energetic womb explorations, helping women to rewrite the story they have been told on their own fertility journey & setting the foundations for profound healing. You can find her on Instagram @thenurturedwomban_
For more information about Michelle, visitwww.michelleoravitz.com
The Wholesome FertilityFacebook group is where you can find free resources and support:
https://www.facebook.com/groups/2149554308396504/
Instagram: @thewholesomelotusfertility
Facebook:https://www.facebook.com/thewholesomelotus/
Transcript:
[00:00:00]
Michelle: Welcome to the podcast, Alana.
Alana: Hi, how are you going?
Michelle: Good. So I'd love for you to share your story. I know that it's been a very personal fertility challenge story and definitely defied the odds from what you were told. And I love stories of hope. So I'm very excited to have you on and share your story and your experience with Asherman's syndrome, which I think a lot of people aren't really aware or may not even be aware that they actually have.
Alana: Yeah, absolutely. And at the time, you know, I had no idea what it was and it was something I was searching for in the hopes to hear hope, because I was just hearing a lot of stats and a lot of Let's say stories that I didn't, I didn't want to hear at the time. So I felt pregnant and lost that little baby at 10 weeks.
Alana: And I was a scientist working in Sydney, which is from [00:01:00] where I live, two hours travel away. And I went to the early early pregnancy. room, and they gave me all these options of what you can do next. And. At the time, everything, I would say I was heavily in my masculine energy. Like all just do the things, list out the steps and we will follow them to become parents.
Alana: And because I traveled so far away, I took the option of a DNC, which is a dilation and curette. I'm not sure if that's called anything else anywhere else. And it's just basically the surgical removal. Yeah. Okay, cool. And yeah, and I woke up to complications after that. And, you know, after being told like, it's so routine and I just thought, you know, it would be simple.
Alana: We do this and then I have a bleed and we can start trying again. And I woke up to, yes, as I said, complications. And [00:02:00] feeling really disorientated and I just felt really in my gut like wow what what just happened and they kind of just brushed me off and My doctor, then later, just was like, okay, well it's been six weeks, you haven't got your bleed back.
Alana: Sometimes women need a little bit longer. And I just knew in my gut things weren't right. And for me, I had no period. So 12 weeks, post that surgery. I still had no period. Yeah. And I think maybe around the eight weeks I, I was like, no, my gut's telling me something's not right. I'm going to book a specialist appointment and because they take so long to get into, I thought I'm just going to book it now.
Alana: And if I don't need it, then I can cancel it.
Michelle: Did you, did you know anything at the time? Did they say something was off or you just kind of felt
Alana: yeah, they, there was nothing ever mentioned of Ashman syndrome. The only thing that they mentioned, I mean, they obviously mentioned some risks that can happen and the risks, risks are a perforated uterus, but it's so [00:03:00]routine that if that was to happen, that was really negligence. And that was all that they had described as a potential risk.
Alana: So I hadn't even heard of Ashman's by this point, like, and so I followed my gut, made this appointment and it must have been around the four month mark after surgery and I told him my story thinking I was just going in there to get a tablet that would just help kickstart everything. Maybe I just needed some help to get things along.
Alana: And again, you know, I was, I was very naive at that time on, of my cycle and understanding my body. And I walked in and told him my story. And basically he said, we, there's something called Ashman syndrome, and I feel that this is, this is your situation. And. We need to get in and have a look like, cause he could do it via scans and then go in and do surgery, but he's like, due to the nature of how long you've already waited and the scar tissue that would be there if it was [00:04:00] confirmed.
Alana: We need to get this cleaned up ASAP basically.
Michelle: Before we continue on the details, I want people to know like, what is Asherman's syndrome?
Alana: So Ashman's syndrome is basically where scar tissue grows inside the uterus and reduces your fertility as a result from some form of surgery. So they might try and say just from DNC, but if you have a baby and maybe there's retained placenta and they clean it out that way, any sort of surgical intervention within your uterus, Could potentially scar.
Alana: And I think what's important for women to know right now is that any change in your period. Or if you're experiencing difficulties falling could be a sign. I have no women after, so the percentage is actually quite low. I forgot to look it up before we jumped on today of Ashermans. But The other women that I had sort [00:05:00] of searched for to bring awareness to our local hospital and their procedures, they had their period, but their periods just were different, a little bit lighter, maybe they didn't go as long, there was just a lot less.
Alana: small signs, which they quite easily then got fobbed off as just being paranoid in a sense. And then all turned out to have different stages of Ashman's, whereas I had none and my stage was quite high. Actually the highest he had seen in my local area. So that was not good news for me.
Michelle: Yeah.
Alana: yeah, so long story short, he said we need to operate and Confirm, and if so, it's a 20 minute procedure, I'll be in and I'll be out.
Alana: And, I thought, oh, I thought my legs were pulled out from me at that moment, but from that surgery I woke up and I felt really disorientated, as you do, and he's standing there waiting for me to wake up to tell me that, [00:06:00] yes, I've confirmed it's Ashman's Syndrome, however, it is so severe, I I've been in there for four hours and I can't see without risking damage to your uterus.
Alana: And I need to do some further tests before we continue. And I remember the first thought I thought of was, am I going to be able to have children? And he had this solemn look on his face and he goes, I have no idea what's possible right now. And I was just. Gutted. Absolutely gutted.
Michelle: Wow. That is so real. I mean to be in a situation like that and just thinking, okay, I'm going to go in and have the surgery and everything's going to be fine, it's going to be, what did he say? 20 minutes? And to actually see that it's really severe so what happened after that?
Alana: Yeah, so I then had to go you have to allow a little bit of [00:07:00] time for some healing and they put in, I think it depends for the surgeon, but I got a gel put in that just kind of tried to help what he did pull away with the scar tissue not to reform because there is a risk that as he opens it up, like the little spindles might.
Alana: touch and then start to pull together. So they put in this gel that lasts, I think, for four weeks. So I had to wait a month. And then he sent me for a we call it here a sonar histogram. So it's just a ultrasound where they insert water into your uterus. And then they can see like a good picture, the flow, if there's any blocks.
Alana: And I think for women that might have blocked fallopian tubes, sometimes they use this and it can either unblock or at least identify that the fallopian tubes are blocked. And, I'm just going to say that was the worst pain I had ever been in getting that. And again, no one warned me that it could be uncomfortable.
Alana: And I wouldn't say uncomfortable [00:08:00] was the word. And I was just so lucky. I had a girlfriend who came with me and just said, look, I can, I can sit here and hold your hand while they do this. And it probably turned out the reason why for me it was so painful, but I have now heard many other women describe it as quite excruciating.
Alana: Is that my, most of my uterus? was scarred to the point that it was nearly completely shut.
Michelle: Oh, wow.
Alana: And so they were trying to obviously shove water in it and like open it up when it could not. And so that again was like a really hard thing to take. And the specialist had said that he will have to do this with multiple surgeries. The good news is there is a side, there's a little part that is open and he believed if he could get to there, then he could. Remove the rest and it may take a few surgeries, but he just wanted to take his time.
Alana: He didn't want to [00:09:00] cause more damage. And so we had just resigned to the fact that this is a process that needs to be done and there's no rushing it. And the good news was the next surgery, he was able to remove all the scar tissue. And again, he inserted the gel so that the hopes that nothing would close back up.
Alana: And then I had another follow up, just normal ultrasound, because I said, I was too scarred to have that other ultrasound again and yeah. And then from there he's like, okay, this is great. You know, we've got, we've got rid of it. The uterus has opened back up. It's gone to normal shape again. Let's work on your lining.
Alana: So a. Do I call it a symptom afterwards? Is that Your lining may not become thick again. And he is also an IVF specialist. So he was really [00:10:00] wanting my lining to get to a certain thickness that he would put his, or would want his IVF patients to be on which just was not happening. And at first it was really disheartening.
Alana: And so he'd reached out to, there's a guru in Sydney, and then he went further. I think it was It was overseas and he just said, you know, like some of them don't come back, you know, any thicker. And that is, that is their lining. And so obviously being a scientist, I had read all the papers, read all the stats and nothing was looking great to have a baby.
Alana: Some women had not many in the severity that I had. And if they did have one that were high risks the risk was the placenta could attach to your uterus muscle. And just a whole heap of other things that you really don't want to hear when all you want to do is be a mom. [00:11:00] And yeah, so it was like, I just kept going to this place and this place just kept giving me the answers that did not agree with what was in my heart.
Alana: And I just thought this can't be my story. This can't be my only story. And I just had this feeling to expand where I was looking. And so I started to research other modalities. And I thought, you know what, if I can just help support my body, who knows what's possible. And I ended up finding a traditional Chinese medicine practitioner who specialized in fertility and I went there weekly for two years.
Alana: Yes. And I felt good. I felt like this was where I was meant to be, but it was really hard to hear the things that she[00:12:00] was saying. Like your body can be trusted. Your body can self heal. Everything's possible because at the time I was so, as I said, in my masculine energy of stats and facts that.
Michelle: hmm.
Alana: how, how, and it wasn't until obviously with the, with the acupuncture and the herbs, my mind started to heal, my heart started to heal, that then my womb had a chance to heal.
Alana: And of course it sent me on this huge journey, deep dive into energetics of the womb and its capacity, its ability. And I started to believe that, whoa, okay. She's a powerful organ, and not just organ, portal for creation. And,
Alana: Right? Tingles! Yeah!
Michelle: Yeah. When you said heart, that struck me. 'cause I know that the heart's connected to the uterus.
Alana: And, [00:13:00] it wasn't, it took me a long time to put two and two together. And, your emotional state. And like, the womb is the element of water, so your emotions. And it's the sister heart, right? So of course, our emotions are going to get stored in our uterus. And if she's too busy trying to hold our emotions that we're not processing, how was I giving her the space she needed to heal in the timeframe I wanted, you know?
Alana: And it was just, my world had opened up. I still had at that time stayed close to the medical system. There was still fears, you know. that if I had fallen pregnant what that then might look like, what that journey may look like. And we decided to focus not on a baby at the moment, just focus on healing, get married.
Alana: And I fell pregnant on my honeymoon or I found out on my honeymoon and we were so excited. But [00:14:00]again, I decided not to get a scan until a bit later, but that, that Bubby had decided only six weeks was it's time on this earth. And as, Sad as that was. It actually gave me the biggest sense of hope. And I realized the message was just give me time,
Michelle: Oh,
Alana: me time.
Michelle: wow.
Alana: And so I was like, okay, this is possible. That was without intervention. That was without any other, cause I had a lot of fear around anyone going in my uterus again, because of course I trusted someone to go in there and do their job. And I came out damaged and that really, and that like, not just you were hurt from that.
Alana: That changed the projection of my life completely. And so I had a lot of mistrust. I didn't want anyone to go near it if I could help it. So I really wanted that natural approach. And as I said, as that strength between [00:15:00] heart and womb grew, I knew that that was going to be possible and I just had to trust that you know, the divine timing of trusting and surrender is not the easiest thing to fall into or follow, but.
Alana: I just had to trust that my heart was guiding me on the path that, that then needed to be.
Alana: Sorry, that brings up lots of emotions thinking about back then.
Alana: And so, yeah, it was, it was actually quite interesting that the divine timing of the, that baby that I then lost the second time, my family suffered a significant loss in like my immediate family not long after. And. I believe that that baby also knew that it wasn't the time because I needed to be there for my little brother.
Alana: And it was, I was just, [00:16:00] you know, at the time you just think, wow, I'm cop and blow after blow. But when you had the little bit of space, you just thought, well, how would I have been able to grow a baby right now? Like I am in so much grief. It, it was insane. And then once He was better. I went on a Bali trip with a best friend and we just, she's like, you just need to, you know, live life a little bit.
Alana: And we went on this retreat and it was when we came back from that, we were like, okay, I feel like we're in a good place now. Like I'm in a good place. Let's just see what happens without the pressure and the timing and the scheduling. I didn't want conceiving to be a job. I really wanted it to be from the heart. And it was about, yeah, because I feel like when you're struggling, you really take the heart out of conceiving and conception.
Michelle: is, you are, every single thing is a quote. I'm like, this is amazing. This is really, I'm [00:17:00] feeling this.
Alana: Conception isn't just the creation between man and woman,
Michelle: Yes.
Alana: It's a co creation with the spirit of that baby and what it, what fuses that love, you know? And. I wanted the next baby to be strong, strong enough to like, whatever we needed to go through, we had each other. And.
Michelle: Like the stuff that you're telling, like it's making me emotional. Just so you know, like I'm really feeling every word that you're saying, not to interrupt, but continue.
Alana: I probably needed that pause for a second. Yeah. And so then we found out in February I was pregnant and you know what? I knew, I knew instantly this was the baby, that this baby was going nowhere, that they were here and. My dreams had come true. There were still fears around the placenta attaching to my uterus and what that could mean.
Alana: And at the end of the [00:18:00] day, I have resided to the fact that if this was going to be my only baby, so be it because I wanted this baby. And. Yeah, I was in, I was, I had an OB because if things did start to go south, we wanted to be on that early. But anyways, I had a beautiful pregnancy. No complications.
Alana: The placenta was in a great spot. And it even got to the point, because most, the stats had suggested that women with Ashmans have. a caesarean. And again, that fear of do not go near that part of my body. I don't want you there. I really didn't want it if I didn't have to. And I said, can I, can I try, can I try and go natural?
Alana: Like everything is going well. There is no indication of anything wrong. And it was looking good and she thought possibly, but then my son decided to stay in the breech position and [00:19:00] I was not in the place that I am in now where I would continue with a vaginal birth. I mean, I was born a breech baby vaginally.
Alana: And so I found it really hard that the quote I was told was that we have lost the art to birth a breech baby or the skills, not the art. And I was like, Oh, okay. And then today I think, I'm sorry, who's birthing the baby?
Michelle: Mm hmm.
Alana: The mom,
Michelle: Right?
Alana: the mom is birthing the baby. Not you. Yes, you're assisting, but yeah, so, You know, my views today would have changed on that.
Alana: But at the time, again, as I had mentioned, I, we just wanted the baby. And she did give me options to do that, like manipulation, my traditional Chinese medicine practitioner, she was doing all the things to create the space. Yeah. Everything. I had everything going. I had it at home on my toes. I was doing the [00:20:00] upside down poses, which mind you made me feel absolutely terrible.
Alana: And so I just said to my husband, I can't do this. Like. This feels wrong. And and I have to resign to the fact that. He found his position and he was not moving and that's where he wanted to be. And then it was my choice to decide how then that, that became our birth together. And so we had a cesarean beautiful little boy, everything great.
Alana: It all went great. And so afterwards, because of the scarring and that fear that I had around my uterus, I didn't want to fall back in a place of like dissociation and detachment from it. Like I had. Started to rebuild this relationship with my womb. And now they've just. Also added another scar. And I was like, well, I've had one baby who's to say I can't have another like, and so I went on another deeper journey again.
Alana: And with my practitioner of healing this scar tissue and softening it before it has the chance to [00:21:00] really harden in preparation for the next baby. And.
Michelle: And this was acupuncture or another
Alana: Acupuncture at the beginning. And then it was probably for the first six months I did acupuncture and she showed me how to self massage my scar tissue. And what else did we do? There was just a lot of hands on touch. And I think her focus was to remind me that you can still have loving touch on your body.
Alana: After everything I had gone through. And after six months, It got a little bit hard with a little baby cause she was in Sydney where I had found it cause it was close to where it was really hard to get up to her. And now that he was starting to move and be mobile, it was a lot harder to have a session on my own.
Alana: And so then I started looking at other modalities. I thought, well, okay, I've done all the acupuncture. Let's see what else there is. And I come across a lady who did Yoni steaming and she did energetic [00:22:00] support. Consultations beforehand. And it became just a really beautiful practice where I could turn within and I could nourish myself and just steam and just visualize the blood flow going back to my uterus and everything being soft and really in that feminine essence, that feminine energy to allow that nurturing to happen to my womb.
Alana: And I went weekly. Until my bleed came back, which was 14 months post as I was a breastfeeding mom postpartum. And, you know, we were kind of on this urgency, let's, let's fall pregnant straight away because of everything we had. We didn't expect it to take two years to get our son. And I'm already in my thirties.
Alana: So there was like that time pressure to, all right, if we want more children, cause you know, we had always talked about having four and we're like, Oh gosh, I don't know if four is going to happen now, but if we can get. You know, on the roll, we'll see what happens. And so I had to reduce my breastfeeds to get my bleed [00:23:00] back so that we could fall pregnant.
Alana: And when we decided to start consciously conceiving, so I think it was just the month of that I ended up with my bleed. I started to feel this essence, this person, this spirit around me. And it was the first time I had really started to attune into these senses. And. I just could feel this girl, this pink.
Alana: I could see pink around me when when she'd just show up. And it was really interesting because the month I fell pregnant. So obviously that two week wait, I couldn't feel her. I didn't know where she was. And I was like, Oh, I feel like she's here. And I was pregnant and I didn't tell anyone apart from the lady that I went to Yoni steaming, because we'd always talk about, you know what, what do I feel like a baby might be?
Alana: And I was like, to be honest, I can actually sense this female around me. And I just get these glimpses of[00:24:00] pink like a pink orb and yeah. And then it turned out I had a daughter and what was beautiful about that pregnancy, I mean, we didn't find out. I like to just wait till birth to find out what the gender of our babies are.
Alana: And. I did not want to go back to the hospital system. I didn't want to be put in a place where they would just see my history and then start to implement things that then of course would lead to other interventions that I didn't want. I didn't want to be supported in that way. I knew the capability of my body.
Alana: I, like my pregnancy was again, a really gentle, easy pregnancy. I mean, I was very sick, but overall easy. And. I decided to home birth. And again, that was like a huge thing. Like in my immediate community, you know, no one does that. And so I didn't want to tell anyone cause I didn't need anyone's opinion [00:25:00] to discourage me from this because I had, I think it was just before I tested on a stick and I only tested on the stick to show my husband, like I didn't, I already knew I was pregnant.
Alana: I had this vision that the birth would be at home. And so I really just wanted to trust that That was again, where I needed to go and I needed to trust. And that took a lot of self confidence to be able to say, no, this is, this is what I want to do and why. And yeah, I had my daughter at home and now I always knew that like my journey was.
Alana: A lesson to be learned. It was a, because if I continued on the path I had continued, I would not be the woman I am today. I wouldn't be the mother I am today. I wouldn't be making the choices I've been making for myself and my family today. And it was like a realignment, but also a [00:26:00] gift for medicine for me to be able to share with women.
Alana: And, you know, I want my story to be heard, but I've also then set up my own business so that I can still be at home with my babes because I want to raise my children. And I want to help women who feel like their story is just hurdle after hurdle. And what I've learned in this, this journey is like what we see in our physical body is only the tip of the iceberg.
Michelle: Oh, yes.
Alana: Yeah, and like when we're looking and talking about our womb, the energetic womb, there is so much she holds and there's so much healing that needs to start there. And the first thing I like to check with women is that connection between heart and womb, is there coherence and resonance? How are they emotionally feeling?
Michelle: my language.
Alana: right. And, [00:27:00] and that's why I, I love listening to your podcast because I just was like, you get this.
Michelle: I feel the same way about you, by the way.
Alana: And now I, I want women to like know how important it is to care for your womb and what we're seeing as manifestations on the physical side, the root cause. The reason that you may not be seeing change is not in the physical. It's in your energetics. Yeah.
Michelle: 100 percent Oh my God. I mean, I'm telling you, like, I'm so moved by your story, but also it just fascinates me like beyond fascinates me. When you were saying that you're a scientist, like from somebody who came from a science perspective and background, and yet, even though you were still there, you still had your inner voice.
Michelle: Letting know something was off, like the doctors didn't tell you anything was off. Nobody came to you after[00:28:00] the surgery and said, you know, something looks off. You figured it out. You knew it from the inside out. The wisdom within your body spoke to you
Alana: Absolutely.
Michelle: heard it.
Alana: Yeah. And I think sometimes for women, if you allow that external noise to be too loud, you're going to feel it in your heart. You're going to feel it as grief, as sadness, as like, why is this happening? But that noise is too loud.
Michelle: Mm
Alana: And. You know, if, if all you take away from my story is that deep knowing it's okay to know that your path could be different and maybe that's your sign to go searching elsewhere
Michelle: I mean, yeah, it's incredible. First of all, it takes a lot of courage. Oh, I mean, it takes a [00:29:00] lot of courage to hear something from an authority figure, especially if it's like people you're relying on and in the medical community and I'm just FYI, I'm not saying not to listen to your doctors but for your specific journey, your journey Had twists and turns and part of it did rely on you listening to your own gut and, and really getting to the bottom of it.
Michelle: And you remind me a lot of a patient who came on the podcast, her name was Amy and she was in her forties. And she also was told she couldn't get pregnant with her own eggs and that she was approaching menopause. And she ended up having two babies afterwards, healthy babies. And she had this determination in her.
Michelle: She was just, there was this. Kind of strength. And her voice was so loud, like her inner voice and not her voice. Her inner voice was so loud in telling her, no, no, no, no, no, you gotta, and she had this [00:30:00] determination within her that I see in you. And it's not something that is easy for everybody to answer that call.
Michelle: Like it's not an easy call to answer
Alana: No. And it's, it's a fire within, but it doesn't mean it's an easy path. And it's like, you have to have the courage to continue to choose, to continue to choose what you know to be true. And I had many challenges. There was many times where I was like, well, I feel like the universe sometimes goes, are you sure?
Alana: Because you can choose here if you want to, because we were given choice on this, on this earth. Right. And you can choose to go this way because maybe you believe this is easier. Or keep going as a reminder, you know, just to, to, to choose and yeah, that fire and that courage, like there was a lot of times where I felt like, I don't know, [00:31:00] you know, because you don't know, there's so much unknown and the world really like thrives on structure because that brings safety and that brings knowing and this path can be so unknown and all, all you can do is put one foot.
Alana: In front of the other and trust yourself, just trust in yourself, because then the pieces will start to fall and they will start to come. Yes, you may need to choose yourself, but keep choosing yourself and your baby. Because if you desire a baby, that desire is meant for you. Can you trust that?
Michelle: You know what they say, there's that Rumi quote, it says, what you seek is seeking you.
Alana: Yeah. Because otherwise, why would we? Why would we have that desire to do so?
Michelle: I really believe that. That, thank you for saying that because I really, really believe that to be true. And I think a lot of people. learn from so many different opinions and so much of that noise, outside [00:32:00] noise, it dilutes their faith in that being true. Just because we don't have proof for something doesn't mean it's not true.
Alana: Yeah. And you get to, you get to decide what's true for you. And I think that's when you come back to the medical system and your doctors is just having a place of discernment. Is this really true for you? And you know, if you can come from a place of self-trust and that self-trust guided you to go there, absolutely listen to that.
Alana: Like my message is, listen and guide from within.
Michelle: And when you talk about that heart, well, like there's this heart brain coherence, but the heart has. An energy field that's stronger than any other organ in our body. And people think it's all in the brain, but the heart actually has a way larger magnetic field. It has such an important role on our mind and it has such an important role on our uterus, [00:33:00]which is life giving and love gives life, breathes life.
Michelle: So talk about that resonance and that coherence and what you've learned about it. When it comes to the heart and the uterus.
Alana: so I want to start with a quote from Joe Dispenza that I had just recently heard, and it kind of just put the words to place of what I was feeling, and it, he says, We only accept, believe, and surrender to the thoughts that are equal to our emotional state. We only accept, believe, and surrender to the thoughts that are equal to our emotional state.
Alana: And I was like, they're the words that I'm kind of searching for. Right. Because a lot of my sensations that come through me are feelings. So I knew the heart needed to heal and healing the heart allows for the womb to heal and this relationship, this agreement between the two, like the womb holding on temporarily to [00:34:00] emotions, to.
Alana: then return to the heart so the heart can process and leave our body. And so there was a lot of practices that I have incorporated and I still do them daily where I will do a little visualization and my intention is always love. And You can still have love and gratitude, even if you're feeling deep sadness.
Alana: And it's not about, I don't want to be sad anymore. Let's reject that. This is grief is one of the deepest emotions you can have that has profound healing when you allow it to run its course.
Michelle: Yes.
Alana: And I think for women who are trying to conceive, when you're struggling, the thoughts that start to come up why me? Why is my womb not working? I can't, I [00:35:00] can't fall pregnant. I can't do this. You know there is anger, there is a disconnection and disassociation from your womb and really. In this society, we are already starting from a place of disconnection from our first bleed and reconnecting, honing in. And sometimes it's as simple as 30 seconds, close down your eyes, put your hand on your womb.
Alana: You take a deep belly breath,
Alana: visualizing your hands that are warm. That mama hug that you just love to feel. Wrapping around your womb.
Alana: And then telling it, I love you. Thank you for everything you are doing. [00:36:00] I know you want this too.
Alana: And then bringing your hand back to your heart space.
Alana: Feel that heartbeat.
Alana: Your own rhythm. beating in your womb
Alana: and feel the love between the two.
Alana: Maybe you like to envision a rope, a golden cord, connecting, vibrating,
Alana: sending out this beautiful white light. That's so strong and so pure.[00:37:00]
Alana: Feel it wrap around your body,
Alana: feel it encapsulate you.
Alana: And then on your next inhale, breathe it all back in, breathe it into your cells, every inch of your being, physical, emotional mental and spiritual
Alana: and opening your eyes and practicing a simple visualization I found daily was strengthening this reconnection. It allowed my inner voice to be heard. It built trust and surrender to the process because pregnancy, birth, motherhood, it is all setting you up. It is not something that you can plan out.
Alana: The key is surrender.
Michelle: hmm. Oh, [00:38:00] yeah.
Alana: I get reminded of that every day.
Michelle: Yeah, I think we all do, even though we've been on the path for a long time, the spiritual path really, that is in the path of truth and alignment. It doesn't matter. We get reminded every single day and I can literally talk to you for hours. I mean, There's just so much, so much information, so many things, so many ahas that I felt talking to you and I really truly think that you are so aligned in, I mean, I literally think that you're channeling wisdom.
Michelle: You're very much connected to that. I can feel it. I could feel the truth in your words. I can feel the alignment I feel the awareness and the knowing and the true knowing of thyself. I think know thyself that's like the key and the only way to do that is to get quiet and To connect with your inner wisdom and to hear what your body is telling you because the more you hear it The more your connection with it gets stronger.
Michelle: And of [00:39:00] course I can talk to you for hours, but we don't have as much as I wish, but, but I would love for you to share how people can find you and how people can work with you.
Alana: Yeah, absolutely.
Michelle: are inspired, which I know they are from your story.
Alana: So you can find me on Instagram at the nurtured woman. Womb, W O M B A N and currently the way to work with me is through my one on one sessions and they're energetic womb explorations for one hour where we can just dive into your current state, your desire, and really start honing into this connection between heart and womb with then obviously the opportunity to extend.
Alana: But That is the point of contact.
Michelle: Awesome. Well, I definitely feel you are connected to that womb. wisdom and I know that womb wisdom does actually speak to us. So Alana, [00:40:00] thank you so much for coming on here today. Sharing your incredible story, like really incredible. Like I felt it on every level of my being. It got me emotional listening to your story.
Michelle: And I thank you so much for coming on today.
Alana: you so much for having me. It was such a pleasure.