Women with mental stress may have more trouble conceiving than their unstressed peers, a new study shows. Among 274 English women, all trying to get pregnant, those with the highest levels of alpha-amylase -- a salivary biomarker for stress -- had an estimated 12% reduction in their chance of getting pregnant each menstrual cycle, compared to women with the lowest levels.
These new results come from researchers at the U.S. National Institutes of Health (NIH) and the University of Oxford. Although the precise mechanisms by which stress hormones interfere with reproductive-system hormones are not entirely known, there is evidence that, in extreme cases, mental stress can even lead to lack of menstruation -- missed periods. At least in this current study, however, there was no correlation between women's levels of cortisol, another more commonly measured stress hormone, and their chance of conception.
The researchers worry that, in a cruel twist, the inability to conceive may create a vicious cycle of stress for some women. “It has been suggested that stress may increase with the disappointment of several failed attempts at getting pregnant, setting off a cycle in which pregnancy becomes even more difficult to achieve," said study collaborator Buck Louis in a statement from NIH.

OBJECTIVE: To estimate the efficacy of acupuncture for depression during pregnancy in a randomized controlled trial.
METHODS: A total of 150 pregnant women who met Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria for major depressive disorder were randomized to receive either acupuncture specific for depression or one of two active controls: control acupuncture or massage. Treatments lasted 8 weeks (12 sessions). Junior acupuncturists, who were not told about treatment assignment, needled participants at points prescribed by senior acupuncturists. All treatments were standardized. The primary outcome was the Hamilton Rating Scale for Depression, administered by masked raters at baseline and after 4 and 8 weeks of treatment. Continuous data were analyzed using mixed effects models and by intent to treat.
RESULTS: Fifty-two women were randomized to acupuncture specific for depression, 49 to control acupuncture, and 49 to massage. Women who received acupuncture specific for depression experienced a greater rate of decrease in symptom severity (P<.05) compared with the combined controls (Cohen's d=0.39, 95% confidence interval [CI] 0.01–0.77) or control acupuncture alone (P<.05; Cohen's d=0.46, 95% CI 0.01–0.92). They also had significantly greater response rate (63.0%) than the combined controls (44.3%; P<.05; number needed to treat, 5.3; 95% CI 2.8–75.0) and control acupuncture alone (37.5%;P<.05: number needed to treat, 3.9; 95% CI 2.2–19.8). Symptom reduction and response rates did not differ significantly between controls (control acupuncture, 37.5%; massage, 50.0%).
CONCLUSION: The short acupuncture protocol demonstrated symptom reduction and a response rate comparable to those observed in standard depression treatments of similar length and could be a viable treatment option for depression during pregnancy.
CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov, www.clinicaltrials.gov, NCT00186654.
AUSTRALIAN hospitals are finally catching up with what the Chinese have long known –acupuncture is a great alternative form of pain relief.
Acupuncture is fast gaining acceptance in mainstream medicine right across the Western world. It’s already used routinely in several Australian emergency departments and is now undergoing a randomised, controlled trial in three Melbourne hospitals to alleviate pain from acute migraines, back pain and ankle sprain.
Researchers at the University of York and Hull York Medical School in the UK have just mapped acupuncture’s effect on the brain and have found that it changes specific neural structures, deactivating the areas in the brain associated with the processing of pain.
This is key, says Professor Marc Cohen, head of the trial and professor of complementary medicine at RMIT University.
by Sophie Anderson - July 25, 2010
Findings of a new study suggest that women who undergo radiotherapy for cancer treatment during childhood have an elevated risk of suffering a stillbirth or neonatal death.
The study conducted by researchers from Vanderbilt University brings to fore the unintended long-term adverse repercussions of cancer treatment on reproduction.
Radiation to the pelvis harmful
For the purpose of the study, researchers analyzed 4,946 pregnancies from the Childhood Cancer Survivor Study wherein a parent had survived childhood cancer.
All the participants of the study were less than 21 years of age when they were initially diagnosed with cancer.
The analysis revealed that high doses of radiation to the pelvis were responsible for the enhanced risk in pregnancy. Furthermore, the link appeared only in those patients who had received radiation treatment before puberty.
Of the total participants, only 28 women had been given high doses of radiation to their pelvis. Five such women reported stillbirths or early death.
The analysis revealed that high doses of radiation to the pelvis were responsible for the enhanced risk in pregnancy. Furthermore, the link appeared only in those patients who had received radiation treatment before puberty.
"We could not directly assess whether uterine damage (e.g., to the musculature, vasculature, or endometrium) or oocyte damage was the cause of the association with stillbirth or neonatal death, although we believe a uterine effect was most likely," Lisa Signorello of the International Epidemiology Institute in Rockville and lead author of the study said.
The study revealed that one out of the 100 women who did not have radiotherapy at all to their womb or ovaries had a baby who died soon after birth.
The risk rose to two in 100 with a low dose of radiation before puberty and increased further to 13 in 100 with higher doses of radiation.
Chemotherapy drugs proved to be safe and appeared not to have a detrimental effect on pregnancies later in life.
"Careful management is warranted for pregnant women treated with high doses of pelvic irradiation before they have reached puberty," suggested the researchers.
Not true for men
The study also established that cancer radiation therapy does not damage the testes in men. As such, there is no increased risk of an unfavorable effect among the offspring of men treated for childhood cancer.
The researchers said that this revelation is “reassuring not only for male survivors of childhood cancer but also for men exposed to ionizing radiation in occupational or other settings."
Jessica Harris, of Cancer Research UK, hailed the study and said, "Studies like these are essential for us to understand the long-term effects of being treated for cancer."
http://www.themoneytimes.com/featured/20100725/radiation-pelvis-harmful-pregnancystudy-id-10121864.html
As more women seek drug-free treatment for the conditions of pregnancy, this ancient Chinese healing art has much to offer, says acupuncturist and midwife Valerie Hobbs, director of the Boulder, Colo., campus of Southwest Acupuncture College. With no contraindications, it can treat many conditions for which there is rarely another lasting or effective remedy.
Treatments are normally given once a month until the last month, when weekly sessions help prepare for labor, she says. An average session lasts 45 minutes, and women usually only feel a mild sensation such as a feeling of slight heaviness at the site of needle insertion.
While some treatments may cause a slight increase in fetal movements, no treatment, unless intended to start labor, should significantly increase uterine activity, Hobbs cautions. In most states except California, acupuncturists must be nationally certified as a diplomate of acupuncture. An additional national certification is available in Chinese herbology, says Hobbs, who holds both certifications.
Among the many benefits of acupuncture during pregnancy, a recent study has shown its particular effectiveness in relieving morning sickness or the potentially more dangerous hyperemesis gravidarum (severe vomiting during pregnancy). The Australian study published in the journal Birth reportes that of 593 women less than 14 weeks pregnant who participated, those who received traditional acupuncture reported having less frequent and shorter periods of nausea than the women who received no acupuncture. These improvements were felt immediately and lasted throughout the study's four-week duration. In the first trimester, acupuncture can also relieve fatigue, migraines and bleeding.
As it helps maintain balance during the second trimester, acupuncture can alleviate heartburn, hemorrhoids and stress. While acupuncture can also be used to treat edema, elevated blood pressure or excessive weight gain, the root cause of these may be deeper complications, says Hobbs. "Acupuncturists with adequate training in the care of pregnant women would recognize the potentially serious nature of these symptoms and only offer care concurrent with adequate Western medical care."
When you consider how detailed our understanding of the biological processes of the human body are, down to the DNA helicases which unzip the foundational blueprints for life, our understanding of the reproductive cycles of women seem fuzzy at best.
Physiological study of the processes and disorders that affect only women have historically been behind the times, but there is more to it then just that. Men are constantly producing sperm, so we investigate the exact processes surrounding this process basically anytime.

We can constantly see the immature sperm, known as spermatozoon, forming and growing within the seminiferous tubules. We have filmed this process, and we have thousands of close-up photos of sperm as they are swimming, and photos of the sperm bonding with the ovum.
One of the reasons that we have such amazing photos of sperm while they are swimming is because we can create a laboratory environment to keep the sperm alive and allow them to flourish. We can even film conception in a petri dish, taking away variables of time or physical constraints.
Ovulation, however, has always been a tricky little bugger. It has been assumed that ovulation in humans is quite similar to that which occurs in other animals, but most photos of human ovulation have been blurry and often only showed the follicle before it released the ovum.
NewScience just published an article announcing that Jacques Donnez, a Belgium scientist, accidentally captured the clearest detailed photos of human ovulation yet. He was performing a hysterectomy on a woman, and happened to capture the ovulation. The most interesting feature, apparently, was the amount of time that the ovulation took. It has been assumed that the actual process of ovulation took only seconds, but in this instance Donnez reported that it lasted at least fifteen minutes.

This is really exciting, if only because it means that we have cooler pictures for future editions of overpriced textbooks. For centuries our only understanding of the human body came from a limited number of autopsies which had been done in Alexandria, before the church had outlawed human dissection completely. When Rene Descartes finally explained to the church that the soul was located in the pineal gland, in the mid 17th century, they began to allow scientists to dissect human bodies.
Even after dissection was allowed, the female reproductive system was not well understood. Even the most basic anatomy of the female sexual organs was misunderstood. For instance, a Stanford science teacher says that our understanding of the uterus has changed greatly over the years:
"For centuries, its structure was thought to reveal the mysteries of the number and sex of its offspring. "It is hollow and villous within, smooth outside, divided into seven cells, and has two openings," wrote Master Nicolaus, reflecting the standard view that the womb had as many divisions as the days of the week and could yield a maximum of seven children at a time. Mondino de' Liuzzi affirmed this idea in 1316. Others divided the womb simply into two parts, arguing that males were born on the right side and females on the left. "Woman was endowed with two wombs," wrote Moses Maimonides in the late twelfth century, arguing that they corresponded to the number of breasts. Many insisted on a central cell in which hermaphrodites were born. Finally, anatomists argued for the presence of uterine horns, an error that arose from dissecting animals."Thankfully, most of these misunderstandings have been cleared up with time and further investigation. That is why science rocks. It is able to self-correct the false assumptions or confused conclusions of the previous thinkers.
BERKELEY — Pregnant women with higher blood levels of a common flame retardant had altered thyroid hormone levels, a result that could have implications for fetal health, according to a new study led by researchers at the University of California, Berkeley.
A new study shows that PBDE flame retardants alter thyroid function in pregnant women."This is the first study with a sufficient sample size to evaluate the association between PBDE flame retardants and thyroid function in pregnant women," said the study’s lead author, Jonathan Chevrier, a UC Berkeley researcher in epidemiology and in environmental health sciences. "Normal maternal thyroid hormone levels are essential for normal fetal growth and brain development, so our findings could have significant public health implications. These results suggest that a closer examination between PBDEs and these outcomes is needed."
PBDEs, or polybrominated diphenyl ethers, are a class of organobromine compounds found in common household items such as carpets, textiles, foam furnishings, electronics and plastics. U.S. fire safety standards implemented in the 1970s led to increased use of PBDEs, which can leach out into the environment and accumulate in human fat cells.
Studies suggest that PBDEs can be found in the blood of up to 97 percent of U.S. residents, and at levels 20 times higher than those of people in Europe. Because of California's flammability laws, residents in this state have some of the highest exposures to PBDEs in the world.
"Despite the prevalence of these flame retardants, there are few studies that have examined their impact on human health," said the study’s principal investigator, Brenda Eskenazi, UC Berkeley professor of epidemiology and of maternal and child health. "Our results suggest that exposure to PBDE flame retardants may have unanticipated human health risks."
The new study, to be published June 21 in the journal Environmental Health Perspectives, is the second study to come out this year from Eskenazi's research group linking PBDEs to human health effects. Eskenazi was the principal investigator on the earlier study that found that women with higher exposures to flame retardants took longer to get pregnant.
In the new study, the researchers analyzed blood samples from 270 women taken around the end of their second trimester of pregnancy. The women in the study were part of a larger longitudinal study from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) that examines environmental exposures and reproductive health.
The researchers measured concentrations of 10 PBDE chemicals, two types of thyroxine (T4) and thyroid-stimulating hormone (TSH). They controlled for such factors as maternal smoking, alcohol and drug use, and exposure to lead and pesticides.
Analysis focused on the five PBDE chemicals that were detected most frequently and are components of a mixture called pentaBDE. The researchers found that a 10-fold increase in each of the PBDE chemicals was associated with decreases in TSH ranging from 10.9 percent to 18.7 percent. When the five PBDEs were analyzed together, a tenfold increase was linked to a 16.8 percent decrease in TSH.
The study did not find a statistically significant effect of PBDE concentrations on levels of T4. With one exception, all the women in the study with low TSH levels had normal free T4 levels, which corresponds to the definition of subclinical hyperthyroidism. The study found that odds of subclinical hyperthyroidism were increased 1.9 times for each tenfold increase in PBDE concentrations.
"Low TSH and normal T4 levels are an indication of subclinical hyperthyroidism, which is often the first step leading toward clinical hyperthyroidism," said Chevrier. "Though the health effect of subclinical hyperthyroidism during pregnancy is not well understood, maternal clinical hyperthyroidism is linked to altered fetal neurodevelopment, increased risk of miscarriage, premature birth and intrauterine growth retardation."Exactly how flame retardants influence TSH levels is unclear, the researchers said, but animal studies have shown that certain PBDEs can mimic thyroid hormones.
In addition to the commercial mixture pentaBDE, octaBDE and decaBDE have been developed for use as commercial flame retardants. PentaBDE and octaBDE have both been banned for use by the Stockholm Convention on Persistent Organic Pollutants, the European Union and eight U.S. states, including California, but they are still present in products made before 2004.
The production of decaBDE by major manufacturers is scheduled to be phased out in the United States by 2013. However, pentaBDE and decaBDE are being replaced by new brominated and chlorinated compounds whose impact on human health is not yet clear, the researchers noted.
Other co-authors of the study are Kim Harley and Asa Bradman, associate directors at the Center for Children's Environmental Health Research at UC Berkeley's School of Public Health; Myriam Gharbi, a doctoral student at the Pasteur Institute in France; and Andreas Sjödin, chief of the Combustion Products and Persistent Pollutants Laboratory at the Centers for Disease Control and Prevention.
The U.S. Environmental Protection Agency, the National Institute for Environmental Health Sciences and the University of California Institute for Mexico and the United States provided support for this research.
http://www.berkeley.edu/news/media/releases/2010/06/21_pbde.shtml