The Two Week Wait (2WW)

Ah Yes, the dreaded 2 week wait, or 2ww if you’re a forum junkie.

So what is the 2ww anyway?

Well for starters, it actually feels like a lifetime, 2 weeks has never felt this long!

It is the end part of your cycle from ovulation and your period starting.  Basically, your egg dropped down from your fallopian tube and either it was fertilized and implanted during this 2 week time frame OR it was not, your progesterone and estrogen levels drop and the thick womb lining that has been built up starts to break down, and your body sheds the lining (menstruation) and you begin a new cycle again.

As women who have struggled, we try and make sure that the conditions are perfect during these 2 weeks.  Here is an outline of what to do during the 2ww; each supplement will be explained in a bit more detail at the end of this article if you want to read more of the technical info.

What I must say is, DONT STRESS, i know that sounds impossible and your mind will be thinking of it constantly but what I mean when I say dont stress is; take it easy, relax, go lay in the sun, read a book, watch as many comedies as your husband will allow, just lay on your bed alone and picture your eggs being fertilized and implanted into your lining.  Just take it easy.

2WW

The details:

AVOID:

Gluten, please just give the article on this site about Gluten a read and decide for yourself whether you’d like to include it in your 2WW.

Red Meat;  Unless you are O-Type blood group, I would stay clear of the red meat.

Eating fish or poultry two times a week lowers risk of miscarriage by 15%

A study of thousands of pregnant women revealed that products such as fish and white meat were  linked with a reduced risk of miscarriage. Twice-weekly meals of white meat or fish reduced risk by around 15%.
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2006.01193.x/full

High protein diet before and just after conception increases risk of miscarriage, lowers uterine pH

The effects of supplemented protein level during the periconceptional period and their interaction with body condition were evaluated in sheep. Multiparous ewes received two protein levels during a 30-day pre-mating and 15-day post-mating period: low (24%) protein and high (44%) protein. While ovulation rate did not differ between treatments, a lower fertility rate, a decreased embryo number and a reduced uterine pH was observed in the high protein group. Luteal tissue weight, volume and progesterone secretion did not differ among treatments. Current study indicates that high protein diets during the periconceptional period in sheep modify uterine and embryonic relationships, increasing miscarriage and inducing embryo growth retardation. Surviving embryos were affected by weight reductions, which could compromise later foetal growth and birth weight. Results evidence the key role of a balanced diet in reproductive success and indicate that the quality and nutrient composition of the maternal diet are essential for an adequate establishment of pregnancy, having paramount effects on the interplay of the embryo and the uterus.
http://www.ncbi.nlm.nih.gov/pubmed/19220796

5 yoga poses for fertility

Legs up the wall, my personal favourite! Massive blood flow to the uterus!

BODY & MIND:

Do Yoga – Please just be mindful and don’t go doing crazy poses that restrict blood flow to your uterus, this is meant to be a calming and soothing flow yoga experience really.

Did you know that laying with your legs up the wall is actually a yoga pose!

Meditate;  a few of my friends look at me like I should go and hug a tree in the woods somewhere when I tell them this but don’t underestimate the power of the mind! and like my mom says; you don’t have to believe in it, just do it!

Lay there in a quiet space just for 10 minutes or even as you’re about to fall asleep each night and close your eyes… relax your toes, feet, ankles, calves, knees, quads, hips, fingers, hands, lower tummy, ribs, biceps, chest, shoulders, neck, head, cheeks, tongue, eyelids… now picture your egg dropping down your fallopian tube and being fertilized and laying onto your soft pillowy uterine wall and implanting itself into it nice and comfortably.  See, was that so hard?

SUPPLEMENTS:

ZINC

Assists with implantation and helps to prevent miscarriage.

 

NAC

N-acetyl cysteine boosts ovulation, progesterone and endometrial thickness in PCOS women

Patients had clomiphene citrate tablets alone or with N-acetyl cysteine 1,200 mg/day orally for 5 days starting on day 3 of the menstrual cycle. RESULTS: Ovulation rate improved significantly after the addition of N-acetyl cysteine (17.9% versus 52.1%). Although the number of mature follicles was more in the N-acetyl cysteine group (2.1 versus 3.2), the difference was not statistically significant. The mean estrogen levels at the time of human chorionic gonadotropine injection, serum progesterone levels on days 21-23 of the cycle, and the endometrial thickness were significantly improved in the N-acetyl cysteine group. CONCLUSION: N-Acetyl cysteine is proved effective in inducing or augmenting ovulation in polycystic ovary patients.
http://www.ncbi.nlm.nih.gov/pubmed/17364286

 

L-ARGININE

It increases the blood flow to your uterus and helps thicken your lining, both great for implantation!

6 grams l-arginine improved thin endometrium in 67% of patients

To examine whether thin endometria can be improved by increasing uterine radial artery blood flow. PATIENT(S):Sixty-one patients with a thin endometrium (endometrial thickness <8 mm) and high radial artery-resistance index of uRA (>or=0.81). INTERVENTION(S): Vitamin E (600 mg/day) or l-arginine (6 g/day) was given. RESULT(S):Vitamin E improved radial artery-resistance index in 72% of patients and endometrial thickness in 52% of patients. L-arginine improved radial artery-resistance index in 89% of patients and endometrial thickness in 67% of patients. In the control group, who received no medication to increase uRA-blood flow, only one (10%) patient improved in uterine radial artery blood flow and endometrial thickness. CONCLUSION(S): Vitamin E or l-arginine treatment improves uterine radial artery blood flow and endometrial thickness and may be useful for the patients with a thin endometrium.

http://www.ncbi.nlm.nih.gov/pubmed/19200982

 

OMEGA 3’s

Helps to reduce stress (lowers cortisol), improve uterine blood flow & prevent miscarriage

4g omega-3 improves uterine blood flow, although not as well as low dose aspirin

20 patients received a daily dose of 100 mg of aspirin; 20 patients were treated with omega-3 fatty acids, 4 g daily; and 20 patients received 100 mg of aspirin plus 4 g omega-3 fatty acids. All therapeutic regimens induced an improvement in uterine perfusion with a significant reduction of uterine artery pulsality index values. Low dose aspirin alone or in combination with omega-3 was found to achieve the highest improvement of uterine blood flow. Omega-3 supplementation was less effective, as reflected by the lower uterine artery pulsatility index values. Low dose aspirin and omega-3 are effective in improving uterine artery blood flow velocity in women with recurrent miscarriage due to abnormal uterine perfusion. Further studies are needed to determine whether the improvement of uterine perfusion may lead to a better pregnancy outcome.
http://www.ncbi.nlm.nih.gov/pubmed/18692841