Good Girls don't....: A guide to true cultural sexual rebellion.

One of the defining moments of my life was when I was in the 5th grade. My mother had been mostly absent for years, my grandmother was my beacon of femininity, and my extended family was doing everything in their power to prevent me from slipping through the cracks (Thank God for them!)

I was 11 years old, and I was sitting in a rocking chair on the front porch of my great grandmother's house. I was on the phone with a friend. I said, "I want to be an obstetrician. They deliver babies and I want to deliver babies. I hear it's pretty complicated, but I think I can do it." At this point my well intentioned aunt (pronounced "aint") walked out to me and said, "Good girls don't talk about stuff like that." I remember giggling awkwardly and just telling my friend I had to go. Coincidentally, about a year prior to this I was terribly confused when I looked under that same aunt's bathroom counter and saw these flat wrapped objects, and I genuinely thought that menstrual pads were like rolling your own cigarettes. I was told then that I didn't need to worry with that stuff.

You know what this did? It led me down the rabbit hole. What else aren't we supposed to talk about? In retrospect my grandmother never called sex, "sex". She called it "Making Love" (to this day I hate that phrase). So, around this time AOL discs were a dime a dozen, or literally free at the local grocery store. I went through about 15 discs in 6 months; I think they were 500 minutes free? 1500 minutes free? Anyway, I looked up everything. I looked at always.com, I looked at kotex.com, I looked up informational pages about periods. I looked up books. I got books from the library. I wanted to know everything I could about sex, periods, and pregnancy. I read Judy Blume (not recommended), and other teen based books; often thick with "life lessons on the irresponsibility of sex out of marriage."

By the time I was 14, purity rings were a big deal. I see that they still are; the jury is out on that one. Needless to say, I was opposed to making promises I couldn't keep. I remember being in 3rd grade and refusing to sign the D.A.R.E. promise for the exact same reason. If you want to believe that indoctrination wasn't an issue while I was in school, I'll ask you to view my school record that shows me getting 1 referral in my life: because I refused to sign a piece of paper at 9 years old. PS, there is another referral unofficially on my record for skipping school; at least I'm honest.

In my household nothing was a big deal. Making mole hills out of mountains caused me to not be overly preoccupied with alcohol or sex. This is not to say that sexual curiosity didn't come on early for me, but I wasn't terribly concerned with having sex at an early age. Anywho, I went away to college, was put on birth control for a medical reason, met a boy, and the rest is completely.... deviant from the norm. :)

I moved to California when I was 22. I was put on birth control when I was 19, and around 24 when I stopped. I didn't stop because I wanted to get pregnant. I stopped because it was ruining my relationship. I stopped because my already "dry" emotional state became like a tin roof; nothing stuck. Nothing bothered me, but nothing made me happy. I was non-committal to everything. Plus, it wasn't getting rid of the symptoms it was supposed to. When I stopped taking birth control I was convinced for a year that I would get pregnant. And then I didn't; this is not a miracle or anything, we were using barrier method.

And then. And then. My old employer was a Catholic SAHM. She told me about NFP. And that part really is history. Through, what I can only identify as a rebellion, I've realized that how we speak and react to fertility is perpetuating an unnatural fear of sex. I love sex. I don't just love sex for me, I love sex for all consenting adults. I openly admit in my instruction that my goal as an instructor is to give a couple as many usable days as possible. Call it manipulative, call it unhealthy, but sex is a pretty savvy cure-many (notice it's not a cure all), for relationships. When two people are consenting and having a good time, let the good times roll! Whatever floats your boat, let it take you away. That part is no one else's business.

My goal is to help people be empowered in fertility. Fertility is not a barrier to sex. Fertility is the heartbeat of sex, one to be observed and listened to, like the heart pounding of a first kiss or the barely noticeable slow, patient, beat of a Sunday morning cuddle. You do not have to get pregnant while practicing fertility awareness. It is not a game of chance. It is not purely for Catholics and Muslims. You have been lied to, and I'm here to help.


Marquette efficacy:
https://www.ncbi.nlm.nih.gov/pubmed/18997569

Generic NFP research:
Frank-Herrmann P, Heil J, Gnoth C, et al. The effectiveness of a fertility awareness based method to avoid pregnancy in relation to a couple's sexual behaviour during the fertile time: a prospective longitudinal study. Hum Reprod. 2007;22(5):1310–1319....

Predicting ovulation with at home urinalysis (not produced by Marquette)
https://www.ncbi.nlm.nih.gov/pubmed/23831784

Medical training on forms of natural family planning:
https://www.ncbi.nlm.nih.gov/pubmed/28620604

Ovulation correlation to cervical mucus production:
https://www.ncbi.nlm.nih.gov/pubmed/25724738

Secondary Infertility

It may surprise you to know that there are more than one type of infertility; and I don't mean male and female infertility. One of the lesser known types of infertility (or subfertility) is secondary infertility. This is described as the inability to conceive after birthing one (or more) children.

The causes of secondary infertility are along the same lines as primary infertility:

1. Sperm quality

2. reproductive organ damage

3. Scar tissue or complications from previous surgery/pregnancies

4. Risk factors like advanced age, obesity, and other health issues in both partners.

The reasons of secondary infertility are not all that shocking, however, when a couple decides to try to achieve pregnancy for the second, third, or fourth time, and they find themselves trying for a year or more, not attaining pregnancy can be a bit of a shock.

This is a huge benefit of charting cycles with FAM or NFP. Regardless as to how one approaches trying to conceive, knowledge of ovulation and symptoms that are (or are not) present can be a blinking red indicator of where the dysfunction lies.

Another concern for this issue is self-diagnosis. Often times I hear of couples who may have been surprised with their first pregnancy. And then a few years down the road, when it is time for baby number two they are discouraged when in the first month they do not conceive. I am in no way insinuating that secondary infertility doesn't exist, but I think it is very important that we stick within the diagnostic characteristics of the disorder at hand. 

In my opinion, secondary infertility can be just as harmful emotionally as primary infertility. To have the want and love for a baby you haven't met yet, and to month after month be disappointed is challenging enough, and then if you express sadness over secondary fertility often times the retort is that, "You already have one baby, some people don't even have that!" This goes back to that nasty old parent-guilt business that I talk about all the time. 

Below are some of my personal thoughts on the causes of secondary infertility:

1. Stress. I say this ALL the time in person, but let's say it here too! 

         If you go in to your kitchen and you see a kitchen fire, what is the first thing you are going to do? You probably wont start to fold laundry. You are going to try to put that fire out and save your house! Your body works similarly. There are natural cycles happening all over the place inside of you, and that's how its supposed to be; FSH, serotonin, insulin, TSH, even daily poops work on a schedule and cycle. So if your body perceives a greater threat, the focus will move away from those "activities of daily living" (think chores and errands) and hone in on the crisis at hand (think kitchen fire or basement flood). Managing family, friends, work, and toddler is pretty stressful. Take that natural stress and then impose upon it the rampant parent-guilt of modern culture, and stress levels easily become unmanageable. Then, on top of that, add the stresses of disappointment of not conceiving as quickly or as easily as a couple did the first time around, and you have a recipe for cortisol soup.

           To all of this I say: Chiropractic. Chiropractic is the methodology of helping the body adapt to stress. Often times people will say, "Oh, my shoulders are so tight! It's just stress though." I entirely disagree. Stress is common. Stress is everywhere and we all feel it in different ways and places and manifestations, but it's always there. However, you should be able to work with the stress in your life. When you fail to adapt, dysfunction becomes a major factor. This is most evident in people with knee pain; almost always, knee pain comes from hip or foot dysfunction. The most significant take away from that metaphor is that it is simply a metaphor; these mal-adaptations happen in our brains, in our lungs, in our visceral organs, in our nerves, and because our spinal cord is the main communication device between our brain and our cells and tissues, it plays a major part in how we adapt to stress. Long story short: get your nervous system checked.

2. LAM. Lactation Amenorrhea Method.

       This is actually a form of NFP, sort of kind of.... Basically, if a woman ecologically breastfeeds, as in, no schedule, and feeding baby whenever baby is hungry (including night time), she can and most likely will delay the return of her menses. I live in a community that has a higher than average age for first births. Some may think of this as a negative thing, but I think its pretty beautiful. We also have a higher than average single earner family rate. I also think this is beautiful. Families on the Central Coast tend to be pretty crunchy, and we have a much higher than average "prolonged breastfeeding" statistic. It is not impossible to achieve pregnancy while breastfeeding, and despite some old wives tales, it is not harmful to breastfeed throughout pregnancy. However, the return of menses is also accompanied by a shortened luteal phase. The stunted luteal phase means that while a woman may be ovulating, her body is not providing a nice soft endometrial pillow for the fertilized egg to implant upon. The luteal phase should be at least 12 days so that the egg has time to make the trip from the Fallopian tube to the uterus, implant, and begin the division processes that will lead to a viable pregnancy. If the luteal phase is too short, the egg will simply be disposed of during the period, like every other non-fertilized egg of her menstrual cycle's history.

3. Shortened luteal phase due to other circumstances.

     Unfortunately our culture is soy, and otherwise xeno-estrogen happy. Our government subsidizes the growth of soy beans, so much like wheat and corn, it is in everything. Hormonal birth control is also widely popular in our country. These are a few factors that contribute to the over all estrogen rich ecosystems that we walk around in daily. Estrogen dominance is not simply, "too much estrogen." Though, "too much estrogen" is absolutely an issue of its own. The greater issue is the amount of estrogen in relationship to the amount of progesterone in the body. For about half of the menstrual cycle, it is meant for estrogen to be the dominant hormone. Estrogen is responsible for the thickening of the endometrial lining; so it is safe to say that estrogen creates the pillow for the fertilized egg to implant upon. However progesterone is the luteal phase dominant hormone. This means that within 36 hours of ovulation, estrogen drops and progesterone starts to ramp up. Progesterone is the dominant hormone after ovulation and only when progesterone starts to wane, will the menses begin. If a woman's progesterone is low, then the woman is more likely to have a quicker onset of menses; so her period will start again quicker than if she had more progesterone. When the menses returns quicker, say, less than 12 days, the environment of her uterus becomes less friendly to conception, or rather, implantation.


In short, secondary infertility is a heartbreaking experience. The best thing you can do is be an advocate for your own health and chart your fertility. Note cervical mucus, LH spike, and how many days after ovulation your period comes. These factors alone can make a world of difference. You are not alone and you are not broken. You are not wrong for wanting another baby. Just because you have one baby doesn't mean you should be satisfied or accepting. Fertility is a natural cycle in our lives to be respected. Please don't feel selfish or arrogant for wanting another baby. And please reach out for help if you have feelings of depression and futility.

Cwikel J, Gidron Y, Sheiner E. Psychological interactions with infertility among women. Eur J Obstet Gynecol Reprod Biol 2004;117:126-31.

Ideal birth; an image

We've seen all seen it. In the age of social media dominance, you've seen that gorgeous mom with the high top messy bun, eyeliner on point, perfect manicured nails, in a deep squat or on her back with a doting scruffy faced husband with a furrowed brow or bulging eyes at his instantaneous conversion of seeing his wife the sex goddess become his wife....The Godess. She is 40 weeks to the day, maybe even a few days early, she gained 20 pounds exactly, and only in the past 3 weeks gave up her back squats. She delivers naturally; probably in a birthing center. She is only moments away from the perfect latch and perfect milk let down. She will be enchanted by her baby immediately and will step into motherhood with grace. Because of her authoritative physical presence, no one will ask her when she will start watching what she eats. No one will bat an eye when baby sleeps for 9 hours a night after the first week until the baby is 13 years old. The baby will never have a blow out, ear infection, and certainly will never cry every night between the hours of 4:30pm and 8:00pm. She will wait the appropriate 4 hours after birth and her husband will post an image of mother and baby on instagram, and he will say his wife is the strongest woman he's ever met and he is SO in love with his new baby.

Gah, these people are such jerks! Right!?!? Nope. They aren't. They aren't jerks. They are two people that decided to have sex during the fertile phase of the ovulatory cycle, and as a result, she had a baby. Even that is presumptuous. That baby could have been prayed for, for years. That baby could be a rainbow baby. The point is not how other people do pregnancy and birth. The point is that you don't have to do it that way. 

There are general markers of pregnancy; as a whole, consuming a bottle of wine a night is not the best idea. It's a good idea to have a birth leader; be that a midwife, an obstetrician, or your Aunt Lucy. They are way more attuned to the best practices of pregnancy, but the focus here is that you choose. 

When anyone tells me they are pregnant I send them to the same place. It is my favorite place to send people because it is a webpage that offers, "40 questions for your midwife." Most often I send people there and they immediately say something like, "I don't even know what half of those words mean." This isn't meant to overwhelm you or make you feel stupid. This is meant to call you to a higher level of thinking. The questions asked on that page are going to make you ask questions. Hopefully, when you ask those questions, you get answers that make sense and align with what you want. My goal in practice is to empower parents to be as present with their children as possible and in my mind, this starts right with that first pregnancy test, and probably even before. 

Your ideal birth doesn't have here or there, or up or down, or right or wrong. It must be one where mama is comfortable. In my social circles, if I said, "You know, I really want to deliver in a hospital with an epidural." I would be harshly judged. That judgement would come from a place of education and statistically likely outcomes... but it's judgement nonetheless. I'm sure there are social groups that would faint at the idea of an unassisted childbirth; it would appear that the politicians making the rules on all of our births are in that crowd.

As a newb entrepreneur, I've been attending a lot of personal growth/mindset meetings in my community. 75% of them are amazing and worthy of your time, by the way. In those meetings the final, obnoxiously esoteric and yet also applicable recommendation, is to envision your dream. I don't see why birth should be any different.

When you think of birth, what are your first thoughts? I suspect that a solid 1/3 of the people reading this immediately thought of the financial burden. Ok, so let's take that and place it aside. What next? What do you see? I think, because I saw it right when it occurred to me that I might one day go through birth, I think of Katherine Heigl in Knocked Up; again...maybe not the best image.

Who is in the room? Who holds your hand? Does your hand need holding? Are you quiet and still? or panting and dancing and wild? What do the eyes look like of everyone in the room? Are they old and crinkled into anticipatory smiles? Are they wide open to take in every velvety moment? Are you on a bed? Or are you on the floor? Are there medical masks? What are you wearing? Are you wearing a hospital gown? Are you wearing a cute piece of lingerie, like women wear when they need an extra "oomph" of confidence? Are you wearing your spouse's old shirt? Are there windows in the room? What's the weather like outside? Are you inside or outside? When you give that last push, what is the first thing you want your baby to feel? Will a doctor catch your baby in nitrile gloves? Will your baby go from one aquatic environment to another? Will you pull him to the outside world yourself? And then what? Will there be shrills and screams of pleasure and excitement? Or will everything melt down into liquid serenity. Will anyone else exist in those precious moments?

I've been told a million times, "I thought I wanted to sit on the ball: I didn't want to sit on the ball". "I thought I would want my husband to rub my back: If anyone touched me I threw up." It's ok for things to change. It's ok to want to wear something special and then it gets poop or pee or some other bodily function on it and have to change. It's ok to start at home and end up not at home. It's ok to have a birth plan that goes out the window. But that doesn't make the birth plan any less significant. Have someone, or a team of someones with you to help you. If you don't want pitocin, and you are offered pitocin...that's not ok. If you don't want an epidural and you are offered an epidural, that's not ok! If you don't want your husband's sister's mailman in the room, guess what? THEY DON'T COME IN. You are delivering your baby into the world. Anyone else in the room is merely an observer or an accomplice in miracle work. Make sure your company is worthy of the experience; because birth is nothing short of miraculous. 

Resistance is futile...

Resistance. So, I've been reading The War of Art, and yes, I wrote it correctly. The main point of the book is that there is a force acting against our best intentions that keeps us from achieving our greatness. These barriers to success are usually some variation of rationalization and can best be visualized with the stereotypical frayed hair and twitchy fingers of "writer's block". These are what keep us in bed instead of going for a run. These are the reasons we don't firmly stick out a hand to our heroes and introduce ourselves. And frankly, these are the reasons that Chiropractors never have a community that understands what they do. 

I am a big fan of  knowing your enemy. Resistance is my enemy. It, for me, is the "Don't go to that event, you're so tired." or "Life is hard right now, go watch netflix."We combat resistance by doing what we are afraid to do or what would make us less comfortable. Why are you not getting out of bed to go on that run? What about 30 minutes of sleep (let's be real, facebook), is better than running around the block? 

I'm going to touch a very sensitive subject; one that I have rolled my eyes over for literally decades now. Have you ever known someone with an ok job, or a crappy job and one day that person tells you they are going on a crazy trip to Indonesia? Or that same person comes up to tell you they are going to Europe for a month? And immediately, you think something like, "Where did they get the money to do that?" We must delegate what we value; time and money are easily the most valuable things to most people. Ironically, those two things seem pretty inversely proportional but at the end of the day those two things are what make the world go 'round. So, many situations leave us exchanging money for time, or time for money. And that is the balance right? That's simply how it works. If you know how to get me more of both of these things, PLEASE do not hesitate to contact me :). However, what we need to squash right now is that you don't have time and you don't have money. Neither of those is true. If my super young, super optimistic, go get 'em friend can work a part time job waiting tables for 10 months and then take a month long trip to India, we all need to think about our "resistance" or our "values". 

I implore you to stop saying that! On the other hand, saying "I don't value it" is one of the most powerful things you could ever say. This says to people "I value my time and my money more than I value what you are offering me." And THAT is a game changer because it is a) the truth b) not propagating negative thoughts into the universe c) giving the presenter the opportunity to hear, "hey, what you just said, doesn't make me care any more about what you are doing. So... change it up. Come back later. Make me want it more," How useful is that? My entrepreneurial spirit is swooning at that type of constructive criticism. 

Now, let's tie it all together. I made the photos above, but I certainly didn't write them. Some of you may know that, some of you may have never heard of them before. This weekend I turned 30 years old, and on Saturday morning I attended a women's conference. Fact: moms don't do women's conferences. It's like they're busy or something? :) This conference rubbed me the wrong way. It was offensive, and kinda sorta in conflict with some major teachings of the organization, all that to be said, this was the blessing at the beginning of the meeting. I didn't want to go to this conference, and after I went I wasn't any more pleased but I defied resistance by attending. These commandments, another version of which hung at Mother Theresa's clinic in Calcutta, are my favorite thing. I think they are God, or the Universe's way of saying "Keep going." 

Despite my love of Star Trek, especially Jean Luc Picard (swoon again), resistance isn't futile. Maybe my fist-to-cuffs opposition of resistance is saying through gritted teeth, "Resistance! You are futile"... but really it serves a purpose. It is there to let us know that when we feel most resistant that is when we are meant to push back harder. 

So don't tell people you don't have time. Don't tell them that you don't have the money. You do. If you wanted to, you could. There are a million ways to scrape time and cash together. Tell them flat out that you don't value what they have. Be mindful to the resistance; do you not value it? Or are you afraid that it might actually make you a better person? 

NFP vs. Fertility Awareness: Change your language to change the world.

I recently had the honor of speaking with a group of women that all brought different experiences and input on fertility and womanhood. Coming from a higher learning perspective on health and fertility, I was amazed at what I learned. Below are some of the high light take away points:

1. Just because you have said the same thing a million times does not mean that it should not be said a million and one times. My goals in practice are not to have women exclusively home birthing, breast feeding for 5 years, and having baby only touch fair trade organic grown and washed diapers. That's a nice dream, but that isn't reality. A woman delivers her baby, a woman (and partner) makes the decisions concerning the birth and parenting of her child. A woman needs to know what she wants and surround herself with people who will support those wants and desires. Sometimes that means a C-section. Sometimes that means 'sposies. It is not my goal to tell them how wrong they are; it is my goal to empower them to know that what they want is what they are capable of. 

2 . If you want to change the world, change your language. I didn't learn this at this event, but I said it. I wasnt the first person to say this, but it is my mantra concerning Chiropractic and up until this point it never occurred to me that NFP needs a language change. Let's break it down: Natural Family Planning. So, fertility is purely for families? And purely for families looking to manage the number of children they have? OH! No, no no. Fertility, as I have said before is the 7th vital sign! Women, and men for that matter, are fertile outside of marriage. For women, the menstrual cycle is an amazing insight to health. NFP (henceforth known as fertility awareness on this page) is something to be aware of years before sex is even an option. So, despite my beautiful business cards that tout my certification as an NFP instructor, I am a fertility awareness teacher, focusing on Marquette Method. 

3. Pea Salad is WAY tastier than it sounds :) 

I implore you to consider the ramifications of your words. The words we use today will impact how our children and future generations speak on these topics. Speak to your children about their bodies, and use the terms that you want them to use as adults. Teach them early that menstruation is more than just the sloughing of endometrial lining of their uterus. Don't let your children learn about fertility the same way you did. Fertility does not imply sexuality. Sexuality is a different conversation, possibly for a different time. 

What is the purpose of the Adjustment?

The vertebral subluxation is the result of emotional, chemical or physical trauma on the body. Our body has the amazing ability to heal. When you fall and scrape a knee, you do not bleed out and die. When you burn your tongue on dinner, the burn does not scar the same way the scrape on your knee may scar. In the womb, we start as a "morula", which looks much like a blackberry. From those cells we derive a stomach, a brain, and a toe nail. Those tissues differentiate by signals. Similarly our brains send signals throughout our bodies to achieve necessary tasks; like enzyme release for digestion, the feeling that you need to use the bathroom, all the way to conception of your children. The vertebral subluxation is when that signal from the brain to the body, or the body to the brain is altered. Most often, we have a little interference and that leads to the brain sending too much of a signal. This leads to problems like anxiety, difficulty digesting food, or even headaches. So, we know what the brain needs to do, we know what the body needs to do, and we know that the body and the brain need to communicate. If a vertebral subluxation alters the communication, we should find out what the cause of vertebral subluxation is, how it happens, and how chiropractic affects brain-body communication.

Vertebral subluxations are caused by trauma to the body. This can present in emotional, chemical or physical trauma. Emotional subluxations are often times repetitive in nature. For instance, lets say a child is told they are stupid at a very early age and over time poor grades are a reflection of the child's "stupidity". At a certain point rationality begs the question, is the child actually delayed? Or is the child propagating what was placed on them years before. These are subluxations in that they prevent the child from reaching their highest level of function. Chemical subluxations don't necessarily mean chemicals under the kitchen sink. Keep in mind that water is considered the most corrosive chemical on the planet. Chemical subluxations can be from subclinical allergies as well. Finally, physical trauma is the easiest connection to make to vertebral subluxation. There are two types of physical trauma; macro and micro. Macro trauma is the traditional means that brought a patient to the chiropractic waiting room; the car accident, the fall on the pavement, the major accident that led to immediate pain and discomfort. Micro trauma is the general wear and tear of every day life; the poor posture of someone who works in a chair all day, the long term effects of a runner who ran on sidewalks with driveways super imposed upon them. 

Regardless as to the initial cause, there is one key factor of all subluxation and that is inflammation. Inflammation is very popular right now in the context of nutrition. People as a whole are becoming more and more aware of inflammatory foods in their diet and now science is catching up, and letting us know what the long term effects of inflammatory foods. For centuries opera singers have been told to avoid milk before singing, and to sip lemon juice to clear the vocal cords before a performance. We now know that milk is a mucus stimulating food. On top of that, many people have milk allergies that not only increases mucus in the oral pharynx area of the body but also the mucosal cells of the lower digestive tract. When the body perceives a foreign body the body will attempt to one of 3 things; the body will attempt to flush it out (diarrhea, mucus, vomitting), the body will attempt to isolate the object (the body will round up the substance, and attack it with immune cells), or the body accepts it (this is rare without immune compromising medications: this is why people have to take immune suppressing drugs when they have an organ transplant.) 

The final note is that previously I've said, "when the body perceives...". This is significant because, while inflammation in digestion and in trauma is a fairly easy topic to understand, emotional trauma/stress is more difficult to grasp. The dominant hormone of emotional trauma is cortisol. This is our body's hormone that "keeps things rolling", as in, when your brain is trying to run away from a lion, cortisol is what gives you that boost of energy (adrenaline) to run away (feelings of fear, stress, anxiety increase the production of cortisol). Cortisol makes our body more sensitive to inflammation in the long term. Thus, the every day wear and tear on our bodies receives a similar inflammation response as a major accident. This "over response" leads to chronic inflammation which leads to dysfunction and ailment. The adjustment helps reduce inflammation, and stimulate hormone production that combats cortisol secretion. 

 

InCONCEIVABLE!!!!

Little known fact: I became an NFP instructor because I enjoy discussing sex.

**note: I am going to make every effort to make this post as professional as possible. There is a chance that some of the information shared here may not be appropriate for immature audiences.

Sex is weird. It's sort of like sleep; in that 1/3 of our lives is spent unconscious and no one bats an eye. Sex is this weird act where people like each other and penetration occurs. Obviously it's a pretty easy act to achieve, however as our relationships and culture change "with the times" it becomes less and less acceptable to connect with each other on an intimate level. Sex is inherently intimate, but with enough effort and disillusionment, it can be as mindless and heartless as you desire. 

Also, with medical advancements in the past 75 years there's been huge cultural shifts on sexual liberty in the form of hormonal birth control, condom availability, and more invasive/permanent contraceptive methodologies. These advancements all have benefits and drawbacks. I came to NFP because none of them were an option for me. 

So, what is NFP?

NFP stands for natural family planning. Natural family planning is a methodology of avoiding or attempting conception. NFP is sort of an umbrella term, in which there are approximately 13 methods available. If you are familiar with NFP, at this point you are probably thinking of the rhythm method, which is when you look at a calendar, and add 14 days to the first day of your menses, and abstain for 5 days before and one day after (this is a very rough summary). Today, there are many methods aside from the rhythm method. The cervical mucus methods were my gateway drug. I started there, and then a good friend recommended Marquette Method. I am a doctorate student, and I really, REALLY didn't want to have a baby in school. I needed some assurance if I was going to engage in sexual activity, that the likelihood of conception would be comparable to the methods mentioned above (birth control pills/condom usage). 

I could absolutely come at this topic from a place of fear, but intimacy (consenting) is not to be feared. So, yes, Marquette method is over 98% effective at avoiding or attaining conception, and that's great! But that's not the focus here.

Marquette method utilizes either the Clear Blue Easy Fertility monitor, or test strips (Wondfo) to detect luteinizing hormone.  Believe it or not, women are not constantly fertile! Most men are fertile constantly. Women are truly fertile for about 36 hours. When you combine the statistics that sperm can live in the reproductive organs of a woman for approximately 5 days,  a woman and man have a combined fertility window of 10 days (5 days before, 1 day of ovulation, and 24-36 hours after ovulation).

I am an avid fan of Marquette method, but I'm an avid fan of drinking water, why did I pursue the certification to teach other people about NFP? I should have mentioned this in my original post, but my goal as a Chiropractor (I am not a current licensed Chiropractor, I am an intern) is to empower women to make the best decisions for their health; specifically in the context of fertility, pregnancy, birth, and parenthood. The simple facts are: our bodies are ever changing, and ever accommodating to our environment (at least an unsubluxated one ;)). Blood analysis, or any lab work for that matter, is a snap shot in time. It is a single moment. Further more, I can't speak for what is being taught currently in schools, but when I was in school (and most of my clients), we were taught, "You can get pregnant at any time! So, you better not!" And now, we have an entire generation of women who either think or are being told by their medical professional that they are infertile. How many women do you know right now who have at some point in their lives have either thought or been told they were infertile? It is an epidemic! That thought process is literally the first step of disempowerment in parenthood. It perpetuates the idea that we are dependent on an outside redeemer to save us from our broken little bodies. One thing I appreciated about the Marquette method is that in their teachings they only refer to infertile couples when one or both partners has had a sterilizing procedure; everyone else is "sub-fertile", which implies that fertility is attainable. Obviously, it is necessary to point out that there are people who cannot conceive. However, estrogen dominance and the related diseases are NOT a deathwish for baby dreams.

Intimacy:

I won't even try to lie, I am absolutely tee-totally addicted to social media. It's not even the pretty kind where I post informative things and talk to beloved relatives that are far away. I scroll, sometimes for hours, and nothingness. One of my favorite phrases is, "It is common but not normal." That phrase definitely applies here. I doubt I am alone in my addiction, but it doesn't make it ok. Matter of fact aside from the current research on the implications of backlit electronic devices, the distraction of looking at the phone instead of the vast eyes of my husband is arguably a waste of time. 

Yet again, I think this is a cultural epidemic. So, how does my social media addiction relate to Marquette method? Easy: As mentioned above you do not have to have intimacy to have sex, but if you want to have sex and not get pregnant (or get pregnant), a certain amount of communication or cooperation is necessary. When I am instructing clients, I tell them that charting is not enough. I could sit with you and show you what each symbol and color means until we are both blue in the face, but the fact of the matter is, in the heat of the moment... You are going to need a sign. I recommend visual cues. I tell clients to buy a calendar, and as you chart (the paper/electronic charting is massively beneficial not only for correlating signs of fertility, but also for medical history), you should also mark the days on a wall sized calendar. Make it your own! Make symbols for "safe" days, and symbols for "unsafe" days. And then, there's no reading glasses or confusion, when you see the calendar with a giant [insert personalized symbol here] you know that you are good to go! Also, if you are using test strips or the monitor, the male partner can easily help interpret or read for you while you chart. It might take 20 seconds, but at the end of the day you are on the same page. These activities inherently bring consciousness to fertility, and as Dr. Fehring says, the 7th vital sign. 

If you have any questions feel free to contact me via the Google+ home page. I encourage conversation on this topic as one that is close to my heart and my purpose. 

Next up:  

Ketosis and Fertility; a marriage made in the blood stream

Some research for your viewing pleasure: 

1. Efficacy of Marquette method with correct and incorrect use
2. Getting started with Marquette Method

Proper Introductions

Hi! I am Sam. I am a Chiropractor in Santa Maria, CA. I realized over the past several months that I've been getting repeated questions, that have pretty complex answers. I should note here that I don't have all the answers. I am a huge supporter of specialization. Therefore, my research is specific to my specialization. With my previous statement it shouldn't come as a surprise that I am a supporter of research. Everything I write on will be something I have actively participated in, or something I have research articles available for you to read upon request. Now that I've got you on the edge of your proverbial seat, my specialization is fertility, pregnancy, and post-partum. I am a certified Marquette method NFP instructor, and am available for one on one instruction as well as group style classes.

My intentions for this blog are to share articles and information on my experiences with Chiropractic care, natural family planning, and the ketogenic diet. Don't worry, I will cover these topics in later submissions. 

Most of my articles will not be personal, so I would like to take a moment to explain how I came to those three topics. Please keep in mind that I am a human being, and I have not been perfect in any of my pursuits, but thankfully that is not a goal of mine. I welcome questions and comments at any time. Comment below, or feel free to contact me through the contact information also provided on my google+ page. 

1. Chiropractic: 

 This may shock you, but I didn't go to the Chiropractor for the first time because I was in a car accident or in pain. I was 19 years old and my allergies were becoming a problem. I was sick every month with allergies and I felt like I was going through 2 packs of medication a month: 1 non-drowsy tablet in the morning, and 1 tablet at night. Around this time my aunt developed a tumor on her kidney, and thankfully it wasn't malignant, but it was a wake up call that I needed to be aware of the stress I was putting my kidneys under. I googled "allergy home remedy" and kept hearing about Chiropractic. I hesitated for a few months, went in for an exam, didn't go back for another month or two, then finally I went in and got adjusted. I stopped having allergy issues. Then fast forward 4 years, my boyfriend (now husband ☺️) dislocated his knee and required surgery. He was a poor college student and didn't have health coverage at the time of the accident, and I was working for a Chiropractor as a Nanny. She was really surprised when I told her of his predicament and immediately told me to have him come in. My first reaction was, "What can you do for his knee?" But then, he went in and began care. Two months later he was walking around without any help. My favorite part of her interaction with him is that she offered him HOPE. She said, "We can help your body perform at it's best." Telling a healthy, obnoxiously active man that he has to have surgery and probably can't do all of the things he loves anymore is the opposite of hope. About a year later she recommended that we check out Chiropractic school. We did, we loved it, and here we are. 

2. NFP (Marquette Method): 

Like many women, when I was 18, I was told I had a hormone related menstrual disorder that required a hysterectomy or birth control (what? like...is that traumatic or something?). So, like a good patient I began taking oral birth control. During my intake from the above mentioned Chiropractor, she asked, "What condition are you taking the birth control pills for?" When I told her, she responded, "Does it help?" And I thought about it and realized that it didn't. It was supposed to make my menses shorter, or lighter, or more regular....and it really didn't. So, I went to my MD, again, like a good patient, and told him I was planning to stop. In hindsight he was incredibly understanding and supportive. I dabbled for a few years and then a wonderful friend introduced me to the Marquette method (MM). As a doctorate student who really didn't want to conceive while still in school, it's efficacy and objectivity was a huge reason why I chose it. It is AS effective as barrier method (approximately 98%). 😍 

3. Ketogenic Diet:

I was 25 years old the first time it occurred to me that out of 40+ family members, I was one of the few without a thyroid medication prescription. At the time I was overweight, but I wouldn't consider myself obese at that point. I did some research on candida and chronic systemic issues, which led me to Ketosis (Keto). I did it for a month, loved it, but stopped. I did it the next year for a month, and stopped. I did it the following year for 4 months, and stopped. And now, I'm doing it for a year with the intention of keeping it going. I am very goal driven. If I was a puppy, I would be all about those treats as positive reinforcement! So every time I've started the Keto diet, I have met my goal of longevity. However, what I've noticed is that my body responds well to this eating style; and as a product I don't have plans of stopping. The ketogenic diet is described as a low carb, high fat diet. This way of eating (WOE) is based on the methodology by which your body makes/stores/uses glucose. If we consume carbohydrates, our bodies can directly use them for glucose. If we consume a low carbohydrate diet, our bodies can convert fat in our body (or if you are at a healthy weight, fat from our diets) to convert into ketones, which research dictates as a more efficient glucose producer. If you are geeking out right now, and are displeased with my usage of the term "efficient", please know that I do not mean efficient in terms of abudance, or ease of conversion, but long term sustained glucose sourcing (i.e., no sugar crashing/3pm low energy). But there will be plenty more on this topic later! The basics for now: 5% net carbohydrates, 75% fat, 20% protein. I recommend if you are interested to go to the link below to calculate exactly what that means for your daily intake, and download myfitnesspal to start tracking your carbohydrate intake. Also, those suggested macro percentages are only appropriate in certain circumstances. Please find someone you trust (or email me and I can help) to help you determine what your macros should look like.

A keto calculator resource


ketogains calculator