Baby Longing:
Body, Heart, & Spirit

The Yoga of Fertility









by
Judith Hanson Lasater Ph.D, RYT
originally published in Yoga Journal, November 2001


Conventional medical treatments for fertility can cause a whole range of problems, including
painful side effects, financial strain, and emotional stress.  But many would-be parents are
turning to Yoga for a more natural, effective approach.

Nothing prepared Maria and Neil for the relief and joy they felt when the voice on the other
end of the phone gave them the news: They were pregnant. Maria, 37, a graphic designer,
and Neil, the owner of a small restaurant, had been attempting to conceive for five years,
trying everything from vitamins to keeping detailed records of Maria's periods and
temperature to figure out her ovulation schedule. "This went on for two and a half years,"
says Neil. "And the frustration just kept growing. Every month our hopes would go up, and
every month they were shattered." "It really ate at the core of our self-esteem," adds Maria.
"We had constant feelings of inadequacy and inferiority."

According to the authors of
Six Steps to Increased Fertility (Simon & Schuster, 2000), 20
percent of couples in the U.S. are estimated to have fertility difficulties—and those numbers
may be underreported. Not only is it an emotional drain; it's a financial one. Couples spend
billions of dollars in pursuit of pregnancy. In 1999, the newsletter HealthFacts reported that
the treatment of 'infertility' is a $2 billion a year industry.

Rather than looking for answers at the infertility clinic or sperm bank, however, couples like
Maria and Neil have found their search has ended on the Yoga mat. "One day my cousin
invited us to a Yoga class; she said we could use the relaxation," says Maria. "We loved it.
 
Yoga gave us a break from the stress and helped us focus on being healthy,
not just being pregnant
." Seven months later, Maria was pregnant.

The birth of their child is living proof that Yoga is fertile ground for transformation. Ironically,
Yoga poses were traditionally used to decrease the sexual energy of practitioners, following
the belief that one could transform sexual energy to make it more available for self-
realization. Today, however, pragmatic couples are using the practices to increase their
chances of pregnancy by lowering stress levels, allowing the energy centered in the pelvis to
flow freely, and opening up and softening the pelvic organs.














Soul Searching

Whatever the individual factors, on the whole, the infertility business  is on the rise: The
results of a May 2000 study published in Family Planning Perspectives (Vol. 32, Issue 13) reveal
that in 1986 approximately 41 clinics in the U.S. offered in vitro fertilization and fertility
drugs; by 1996, the number had increased to more than 300.

Beyond the statistics, however, lies the quiet suffering endured by women longing to start a
family. The disappointment, waiting, and what one woman called the "agony of hope" often
have devastating effects on a person's self-perception, mental health, and marriage. "One of
the worst things was how it affected our intimate relationship," says Jayne, a social worker
who was trying to get pregnant for four years. "There was a lot of soul searching: Why was
this happening to me? What had I done wrong?"

In addition to blaming themselves, couples are faced with a terrifying feeling of losing
control. "We have been in charge of our education, our careers, and our lives, and suddenly
we have no control," says Tom, a 37-year old attorney who had been trying to conceive. "It is
humbling, to say the least. We are really looking around for help."

The Science of Stress

According to Rahul Sachdev, M.D., a specialist in Reproductive Endocrinology and Infertility
at the Robert Wood Johnson Medical School in New Brunswick, New Jersey, incorporating
the health-enhancing benefits of Yoga with traditional and innovative medical intervention
can relieve the stress associated with a diagnosis of infertility, thus vastly increasing the
chances for conception. "Women who are diagnsed as infertile, especially in the long term,
are extremely stressed out," explains Sachdev. "One study has shown that the stress levels of
such a woman are actually similar to those of someone just told they have HIV." Dr. Sachdev
says he has no doubt that stress can lead to infertility. "What is controversial," he adds, "is
the question of whether or not stress relief creates fertility."

The answer to that question seems to be a resounding "yes" for couples who took part in a
program supervised by Sachdev at St. Peter's Medical Center in New Brunswick, New Jersey,
which was based on the ongoing programs at the Mind-Body Institute at Harvard University
created by Herbert Benson, M.D., researcher and author of
The Relaxation Response
(Wholecare, 2000). The program incorporated stress reduction practices like Yoga and
meditation, emotional support such as group discussions and sharing, and changes in diet,
including cutting down on caffeine, alcohol, fats, and sugar.

The results were remarkable: Couples had a 50 percent fertility rate within one year of
finishing the program. What made the results even more astounding is that regardless of the
cause of the woman's inability to conceive, whether it was unexplained infertility or low
sperm counts, participants were helped in encouragingly high numbers.

Other recent evidence echoes the positive effects of Yoga for women's fertililty. In 2000,
Harvard Medical School researcher Alice Domar, Ph.D., published the results of a study in
Fertility and Sterility (Vol. 73, No. 4) that showed women who participated in her program,
which included relaxation and Yoga, were almost three times more likely to get pregnant than
women who didn't. In Domar's 10-week mind-body workshop, 184 infertile women who had
been trying to get pregnant for one to two years were put into a cognitive behavioral group.
This group received methods for emotional expression, nutrition and exercise information,
and relaxation training—including Yoga, meditation, muscle relaxation, and imagery.

Interestingly, the group also learned cognitive restructuring, identifying
recurrent negative thoughts, such as "I will never have a baby" and changing that thought to
"I am doing everything I can to get pregnant." The results: 55 percent of the women in the
group using Yoga and other techniques got pregnant within a year, in contrast with 20
percent of the women in the control group who conceived in that same time period.

Stress has physiological effects that will alter the balance of hormones in the body—especially
relating to fertility. "
Recent research supports the theory that psychological
distress can have effects on multiple systems, including inhibition of
hypothalamic GnRH, activation of the hypothalamic-pituitary-adrenal axis, and
alterations of the immune systems,
" concludes Domar's study. "The impact of these
perturbations by psychological stress and depression could then in turn adversely affect
ovulation, fertilization, tubal function, or implantation."

According to Roger Cole, Ph.D., physiologist and Yoga teacher, stressful emotions activate
the sympathetic nervous system, causing the adrenal glands to release epinephrine into the
bloodstream.
Many strong emotions like fear and anger, which are actually
other names for stress, can cause the body to produce more cortisol and
fewer sex hormones.
All of these changes are part of the "fight or flight" response, which
prepares the body for emergency action but also interferes with its ability to repair itself and
digest and assimilate food, and increases the chances of infertility.

One of the most powerful effects of epinephrine is that it constricts blood vessels. Dr.
Sachdev says this constriction may also occur in the uterus, thus interfering with
conception. This coincides with the yogic idea of apana, the downward moving prana, or
energy, which for women is centered in the pelvis. Allowing apana to flow freely could be the
key for reproduction to occur, as well as to increase micro-circulation in the reproductive
tract.

Ellen Saltonstall, a Manhattan-based Yoga teacher trained in the Iyengar method and certified
in Anusara Yoga, was the yoga teacher for Dr. Sachdev's program for four years. "I focused on
poses which open the pelvis and hip joints," explains Saltonstall. "I used restorative poses
which I felt allowed the apana to increase. I also gave the students mild inversions to relax
them."

In addition to allowing apana to move more freely, certain asanas help to soften and "make
space" in the pelvis and let go of tension in the abdomen. Women in Salamba Baddha
Konasana (Supported Bound Angle Pose) and Savasana (Corpse Pose) should pay special
attention to the belly and pelvic region. On the inhalation, they can imagine that the belly is
soft and infused with energy; on the exhalation, they can imagine that all impediments to
conception are leaving with the breath.

The Whole Package

Alice Domar recommends Yoga to the participants in her study not only to relax but also to
establish a more loving connection with a body they may feel angry at for failing them. Domar
also recommends partner Yoga because it allows a couple to be physical together in a
nonsexual way, since sex often becomes emotionally charged and linked with failure.













The good news is that improving the general health of the whole person, such as getting
proper nutrition, sleeping more, cultivating healthy relationships, and keeping a positive
body image will greatly increase the chances of fertility.
The better news is that
couples who successfully use these Yoga  tools to bring new life into the
world often find a whole new lifestyle emerging—one that not only helps them
have a baby but that also helps them become less stressed and more patient
parents.
"I don't know if Yoga is the reason I got pregnant, but it helped us let go of our
tension and frustration so much," Maria says. "We are really grateful we found it." Maria has
also continued her practice after the birth of her child. "It helps my feelings of stress and of
being overwhelmed by being a part-time mom and trying to work part-time at home. I can't
imagine my life without it now."