I had some mean headaches after AF arrived last week. I don't usually get headaches and not for so many days. I ended up taking aspirin and it still didn't help. I took a tiny bit of vitex early on that last cycle, but weeks earlier, and then I also had taken a b-complex which was new for me. I'm wondering if it was all that extra b that did it to me.

I got calls from my acu and RE offices confirming my appts for tomorrow. I'm curious and a little anxious about what the RE will say.

I believe less than 10 days is considered a short LP. Your body needs at least that amount of time for the lining to be in the correct alignment for implantation.

I'm breastfeeding and TTC#2. Breastfeeding is all about the hormone prolactin, which suppresses estrogen and progesterone production, and increases FSH. It is common while breastfeeding to have delayed ovulation and a short LP.

One herbal treatment option is to use Vitex, which adjusts the amount of prolactin in your system.

I've read that too much stress can also elevate the prolactin level, as can too much sex (go figure). Trying to reduce the amount of stress on one's body is a multi-faceted endeavor - including significant diet and lifestyle changes.

Another approach is to try acupuncture/TCM, which can adjust your hormone levels, but TCM will also require diet and lifestyle changes.

Someone I know had short cycles and she opted to try Clomid and that worked for her. She made no lifestyle changes, but the she had a rough time while she was pg with hyperemesis gravidarum and the baby had intrauterine growth restriction and had to be born early by c/s. I wonder if she tried a different, more healing approach for her body if she wouldn't have had a better, healthier time during pg.

Live and Learn

I've been going through my posts from 2005, the time between my myo and TTC again and then my second miscarriage. In there I found a reference I made to having headaches in my luteal phase, and for some reason I made the connection to them being related to prolactin levels. The reason this seems so odd to me is that in the middle of my past luteal phase I also had a killer headache, and since I'm nursing prolactin is easily related, though I'm not sure. That was the cycle I tried Vitex and while a little helped a lot, more didn't help at all, it rather delayed my ovulation.

Now that I'm TTC while nursing my cycles are a little more unpredicatable. I was loosely charting the start of my period since I first got my first post-partum AF in September. I've just started using Ovusoft's Taking Charge of Your Fertility software again to track it in a little more finer detail. I'm just tracking symptoms but not yet have I delved into basel temp taking. I know my little guy would be fascinated by the beeping of the thermometer and want to take it out of my mouth so I don't know that it would be a practical thing to do while co-sleeping. I also pulled out my fertility monitor from the back of the closet and took a look at it again. It might come in handy though now my thought is of all those little plastic sticks and their foil envelopes and the impact on the environment.

I'm trying to be diligent about taking my prenatal vitamins as you are supposed to do while nursing. I try to eat a balanced diet, eating a good 3-4 meals a day plus snacks to keep my calorie count up for nursing. The baby is growing well and my energy level has been good so I think we are doing okay in that regard. My partner is back taking Acetyl-l-Carnetine and Arginine again, plus his daily vitamin. We held off on grape seed extract for now and we have talked about getting some more Preseed again, that's the really expensive lube that doesn't hurt the sperm. I think one of the cheapest places to get that is through Ovusoft

PMS Induced Mastalgia

Oh yeah, it's that time of the month -- time for sore breasts. My breasts have been killing me and I've been so freaking bloated during my LP that it is not even funny. I haven't been able to get to acu due to travelling out of town but I do have a massage scheduled for this Thursday afternoon. Yesterday morning I took a look back at my blog posts about PMS, estrogen and the like and came across my info about elevated estrogen, prolactin and then vitex to treat the same. I decided that I had to try something as I was just about to DIE or burst or something like that. I took 10 drops in a glass of water and by the time I got to work I was like crazy get-out-of-town peeing. It was like my body randomly decided to drop all that water -- well actually it felt more like the vitex coaxed it out of me. My breasts are still sore but not nearly as bad and my belly doesn't look like a balloon (though I swear my ankle are looking a little bloated still). I think I'm going to keep trying the vitex for a few days more to see if it takes my edge off.

So here's my question to you all, if I've had my prolactin checked and it has been fine then why does it seem like that might be the problem? I've also got that weird headache back, like right between my frontal lobes. I keep getting it during my LP, since January. What the heck is wrong with me and my stupid hormones! The problem is that I don't feel like any of my docs will really listen to me and if they give me a med it will likely be something really nasty. Grrrrr.

I have been feeling bit less painful today thankfully. Maybe I'm onto something.

Here are some links about breast pain, cyclic mastalgia specifically, that you might find interesting.

Cyclic Mastalgia

Painful Breasts

Severity of Mastalgia in Relation to Milk Duct Dilatation

Toremifen May Be Helpful for Mastalgia

Info about Vitex for PMS/mastalgia

You have no idea how surprised I am. I totally wasn't expecting that test to come up positive. I thought to myself that it was just going to be another blank test. Then I noticed a the test dye was activated and it just looked a little bit different. Then I walked away and came back and it looked like nothing but I picked it up and the dye was starting to lightly accumulate some on the test line as well as the control line.

It's been a long time since we started on this TTC adventure. I was just saying on the Ovusoft boards on Saturday about how this would be a bad time to get pg since work is so busy right now with proposals and deals closing. Same as last year though, I was just starting to give up hope and then this. We conceived last May 24th (my ovulation date) so this must be a fertile time for us.

Of course the bathroom is still a mess and the kitchen remodel isn't underway. I still haven't finished renovating the office but now I need to stay away from paints and solvents -- even though we use low toxicity/water-based they still contain compounds which act on the endocrine system.

All it took...

Vasectomy reversal in 1998
Poor morphology 2000
Charting and TTC started 2002
Fibroid dx 2002
Start working with a naturopathic doctor 2002
Consult with a bunch of REs and Ob/gyns 2003
Get partner off of Paxil 2004
Get partner on MFI vitamin mix 2004
Acupuncture for me 2004-2005
Blighted ovum July 2004
Fibroid surgery 2004
Chinese herbs to help rebuild my system after surgery 2005
Fertility monitor Feb 2005
Lots of wonderful online buddies to help keep me sane when things were sure as heck not feeling that way.

Thanks to all who donated babydust to this BFP. I'm spreading a little back out at the rest of you who are needing it.

I forgot to mention that I used vitex as you may recall, for 6 days of this cycle. I think that it actually might have helped to recalibrate me a bit. Then I started using natural progesterone cream (Emerita) starting 8dpo and the combination of the two might have made my wooba more hospitible. I also used cinnamon to help counteract my post O fatigue which did help. I haven't posted my updated chart yet, I'll do that for Thursday morning, after I have the result from my second beta draw. Oh, and I also did what another TTC buddy did -- I went out shopping for new clothes last week.

My beta came back at 94, which is in that good range (around 100 ng/ml 14-16 dpo results in an 85% success rate at this point)

Can you even believe it?

My partner doesn't want me to tell anyone online yet though so it will just be you and I for a little while. I don't think I can hold it back though for long, already people are starting to ask questions about my chart.

I posted a message on Saturday to one of my buddy groups that went on about how lame my chart was this cycle and how it didn't even look a little like the example charts of pregnancy success and how it was a good thing I wasn't pregnant right now as work is so busy and that I just had to resign myself to the fact that we might not have kids since we don't want to do IVF. I almost took it down on Sunday morning but decided to leave it. Pretty amusing.

One of my chart-lurking buddies, said to discard the weird peak prior to O and then to move out my ovulation date ( it was only due to my override that it was on Sunday anyway) and my coverline would drop down indicating a larger thermal shift. When you look at it that way, the vitex does in fact look like it adjusted my hormones for the better compared to previous cycle and that it does in fact look like a better chart.

Ovulation, eventually.

I took vitex for about 5-6 days and it really did help stop my breasts from hurting. But then when it gave me a headache I stopped taking it. It took me an additional 5-6 days until my body ovulated this cycle which was on May 1 or 2, so no ovulation in April.

After I ovulated I was exhausted for a few days. Really, really exhausted. Like after a full nights sleep wanting to lay down in my office at work and nap. I wasn't on herbs or meds or anything. The second day of that I did go home in the afternoon and fell right asleep. I woke and went to a community meeting and then went back to bed for another 10 hours.

When I saw my acu for my weekly visit I asked him what was up. He said that my kidney yang was depleted, that is the warming energy that heats things up during the luteal phase. He did some moxa and other heated needle work on me and told me to have more cinnamon. That seemed funny to me too but it worked. I had a lot more energy on Thursday. Friday, well that was another story.

Friday I was dealing with a deadline and some really nasty horrible moody feelings. Kind of miserable really -- I can't be the only one who feels this way during their luteal phase. Saturday I was still a bit on a downer note but then in the afternoon I decided to kick my own a$$ and make myself do things that would make me feel better. I decided to cook dinner for our extended family and give some gifts. You know, it worked. Then I spent a good amount of time on Sunday exercising, washing the car, working on home improvement projects, and baking. I've been much better this whole week thank goodness.

My basel temps were awful though, not only that but they were tanking when they should have been at their peak for a non-pregnant cycle. I started using my natural progesterone cream Sunday night (it was part of my original plan for this cycle but I somehow didn't get around to it), and my temps have been up all week into a reasonable range. I think that this cycle is a total nogo but what the heck do I know. I'm on 10 dpo so technically I'm still in the reasonable range for implantation.

I'm tired of all the energy that I've put into TTC right now though. And with all the grief and healing that I had to do (physical and emotional) my work really bore the brunt and now we are all feeling it. I had to change my priorities, so for now I'm feeling a lot quieter.

Headaches and moving too much qi

My acu had me on a herb mix that contained bluplurum a while back. It gave me a headache so he put me on a different formula that contained dong quai which was bitter but I didn't get a headache. So, I know that headaches and herbs are related.

From a TCM standpoint he told me that bluplurum moves the liver qi, and I have stagnant liver qi, but the problem was that it was moving more liver qi than I had available to move.
I started taking vitex last week, which move the kidney yang and penetrates the liver. I was doing great until yesterday when I got another headache -- same as before, in the front of my forehead. I guess the vitex is moving too much qi as well so I will have to stop and figure out what to do next.

I found this page about headaches and TCM, it might be helpful to you in understanding why one gets headaches - Arterial Hypertension And Traditional Chinese Medicine In China

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Is anyone actually reading my blog? If you are can you please just do a little post so I know you are out there?

Vitex to the rescue

I was reading someone's post about B6 for PMS and decided to look up food sources of B6 and came up with this abbreviated list: "Vitamin B6 is found in beans, nuts, legumes, eggs, meats, fish, brewer's yeast, bananas, green leafy vegetables, wheat germ, wheat bran, milk, whole grains, and fortified breads and cereals."

I eat a good amount of B6 rich foods but I was still having similar problems -- lame LP, PMS, etc. I had my CD# bloodwork done again last week and my estradiol was high -- darn estrogen dominance anyway -- though it is totally part of the pattern that leads to fibroids. So I started looking up stuff about estrogen, and prolactin since having sore breasts for the past 3 weeks hasn't been any fun.

And then I did a search again and came across, of all things -- vitex and this:
quote:

Chaste berry (also spelled chasteberry) contains several different constituents, including flavonoids, iridoid glycosides, and terpenoids. Chaste berry (the fruit of a small Eurasian tree, also called Vitex agnus) does not contain hormones. The benefits of chaste berry stem from its actions upon the pituitary gland. Chaste berry keeps prolactin secretion in check. The ability to decrease mildly elevated prolactin levels may benefit some women with breast tenderness associated with PMS. Chaste berry may also be helpful in menopause and cyclic mastalgia. New research indicates that certain compounds in chasteberry may have activity similar to the brain chemical dopamine.
http://www.raysahelian.com/chasteberry.html

So I conferred with my acupuncturist and he said I could try it if I wanted to. I started yesterday morning and I was in a better mood than I had been in weeks and by evening my breast pain had dissipated. It had to be the vitex as drinking water, taking vitamins, exercise, low stress all had no affect. And it wasn't optimism either as there was the great news about my partner's sperm morphology (increase from 2% to 5% with supplements) and that didn't affect my mood for the better -- I still felt like growling at everyone in sight.

I looked up more about vitex and liver qi stagnation since that is my chronic diagnosis. I found a few things that mentioned it:

"Vitex (V. Agnus-castus) -- acrid, spicy, warm; goes to the Liver and Spleen. It contains essential oil, fatty oil, flavonoid casticin, iridoglyside and aucubin. It is used for menstrual irregularities and irregular symptoms associated with menopause. It stimulates progesterone production and regulates the menses. It effectively treats ovarian cysts and non-cancerous breast lumps. Dose: 3-9 gms"
http://www.planetherbs.com/articles/fivestag.html

"TCM Usage:regulates the Blood, nourishes the Kidney, moves Qi in the lower Jiao.
Contra Indications: Vitex is a bit hot, so use with this in mind (not for use in ovarian cysts?)."
http://www.rchm.co.uk/articles/western_herbs.html

In The Infertility Cure, Randine Lewis says that vitex is a kidney yang tonic, but since what happens in the kidneys affects the liver in chinese medicine it might make sense that it would help me out. Also my feet get really cold at night which is supposedly a sign of a kidney yang deficiency.

I'm just amazed! I know it doesn't work for everyone, evidently it isn't good to take if you have cysts, and even I haven't been psyched about how it worked when I took it previously but talk about a perfect fit for me right now.

Other than that, my acupuncturist told me that he still thinks I'm a bit blood deficient and that's why I'm craving chocolate, that and overthinking. Oh well.

Updated to add: it delayed my ovulation by as many days as I took it though I did end up getting pregnant again this same cycle. The delayed ovulation might have contributed to my subsequent miscarriage though that is entirely conjecture on the part of the NP at my RE's office.

Updated to add 4/6/06 -- it did help me with PMS and mastalgia during my LP

Vitex and herb form

After consultation with my acupuncturist, I am taking a liquid vitex (chase berry) extract from Herb Pharm, they are a reputable grower of medicinal herbs in Oregon. We aren't sure if it will work for me, my acupuncturist said it doesn't totally match my pattern in TCM but was okay with a trial.

I've heard that the less processed the herb or vitamins are the better, the best being cooked whole herbs, then liquid and then prepared capsules (unless they are custom prepared for you). I think that as long as they are high quality and agreeing with you though, so that you actually take them regularly is the most important thing.

I know that it is already working for me after less than one day (amazing but true as my breasts aren't hurting any longer) and I'm looking forward to even more benefits over the next few months if I don't get knocked up in the meantime.