Last updated: February 16th, 2019 at 11:01 am
Author, Linda Ryan, BA, Lic. TCM, CH
The “Day 21 Bloods” is a test for the level of the hormone Progesterone.
Day 21 bloods is the common name for the Progesterone hormone test of a blood sample taken on the 21st day of your menstrual cycle.
Why test on day 21? The progesterone test is commonly performed on Day 21 because the 21st day of your menstrual cycle is supposed to be 7 days after ovulation. 7 days after ovulation your progesterone level should be high enough that it will indicate whether or not you have ovulated and when and if the level of progesterone is high enough to perform it’s intended purpose (read more on that below).
So, if you have a text book perfect period: your cycle will be exactly 28 days long with ovulation happening exactly on day 14, but if your cycle is not 28 days long and/or if you are ovulating earlier or later than day 14, then having the test on day 21 may provide information about the timing of your ovulation and what that means about the length of your cycle, etc..
Read on to discover when is the best day of your cycle to test your progesterone level, what the possible purposes of the day 21 bloods are and to find out just how important the role progesterone plays in reproduction.
You can have your progesterone level tested on other days than day 21 of your cycle. You start counting your Cycle Day 1 from the first day of full flow menstrual bleeding, not when spotting starts. The timing of reproductive blood hormone tests are important because each of the many reproductive hormones sets up the necessary stages of the menstrual cycle (thickening the womb lining, maturing eggs, triggering ovulation, maintaining a pregnancy so an embryo can continue to grow, etc.).
There can be variation of the actual day when the blood is drawn for the progesterone test because:
Hormones are messages that tell your body what to do and when to do it. The menstrual cycle is driven by very particular hormones. The purpose of testing this particular hormone Progesterone during the Luteal phase (The luteal phase is the time just after ovulation up until your period starts.) of the menstrual cycle is to determine:
The information of when you ovulated is important because if you ovulate too early, your eggs might not have matured enough. If you ovulate too late, that also may effect the quality of your eggs as well as not leaving enough time for an embryo to implant.
A drop in Progesterone is what signals your body to start your period, so if you are trying to get pregnant, having a high enough level of progesterone is key. And if you just want a normal length menstrual cycle, progesterone plays a significant role in when your period starts.
The timing of your body pumping out progesterone begins just after ovulation: the follicle that the egg matured in and is released from collapses just after ovulation and is renamed the “corpus luteum”. The corpeus luteum will continue to pump out progesterone in the 2 weeks after ovulation to help maintain a possible pregnancy. If conception does not happen, the progesterone level will fall and this falling level in progesterone will signal the body to start a period and menstruation occurs thus starting a new menstrual cycle over again.
If conception and implantation of an embryo does happen (pregnancy), then the collapsed follicle/corpus luteum continues to release progesterone through the first trimester while the placenta is being formed. At the end of the first trimester the placenta then takes over this function of releasing progestrone from the corpus luteum and it is the placenta that continually releases progesterone for the remainder of the pregnancy, thus helping to maintain a pregnancy to full term.
Interesting fact: Your body can convert Progesterone in to other hormones like cortisol as needed. This is commonly referred to as “the progesterone steal”.
When perimenopause/ menopause begins, the reproductive hormones begin to wane, the menstrual cycle changes: The cycle length can get shorter or longer and eventually it stops. Symptoms like mid-cycle spotting, insomnia and hot flashes may occur. This day 21 blood test as well as Day 3 Blood Tests can determine your hormone levels and if you are starting to enter menopause / peri menopause. Hormone levels usually start to change at around age 40, but some women may experience early onset menopause.
Remember, to have the progesterone you need, you first need that egg to come out out of the follicle (ovulation) so the follicle can then collapse and then start pumping out the progesterone. Other reproductive hormone blood tests that are extremely helpful in determining what is happening in the first part of your menstrual cycle before ovulation are referred to as Day 3 Bloods. The Day 3 bloods can help determine if the follicle with the egg in it is even growing, if your womb lining is thickening and more.
Last updated: February 14th, 2019 at 12:18 pm
*Current IVF treatment cost in Ireland: We endeavour to regularly check the prices listed on the clinic’s websites and update accordingly: the updated date of this article is usually the most recent date checked, but for up to the minute IVF costs, click through to each clinic’s IVF cost page, for your convenience, you can easily click on the IVF clinic name links we have at the end of this article, the links should take you straight to their current ivf costs page. Disclaimer: we are not responsible for any inaccurate information provided here, contact each clinic directly to obtain their current prices.
*please also read the section below on the “extra add on” costs of IVF that you will have to add to the price listed below. How much is IVF really? IVF treatment costs vary from IVF Clinic to Clinic and the procedures they include in the IVF Cost price that they list on their website varies as well. Listed below is their general starting price for IVF treatments.
|IVF Clinic Name & location||IVF – in vitro fertilization price||ICSI cost -intracytoplasmic sperm injection||Egg Donor IVF Cost|
|Beacon Care Fertility Dublin||€4500||€4,900 (4500+400)||Not listed on website|
|Galway Fertility Clinic||€4750||€4750||Not listed on website|
|Institut Marques, Clane||€4,960||€4,960||€8,850|
|Merrion Fertility Clinic, Dublin||€4,500||€4,900||Not listed on website|
|Rotunda, Dublin||€4,400||€4,900||Not listed on website|
|SIMS, Dublin & Cork||€4,600||€4,920||€7,700-€8,700|
|Waterstone Clinic Cork||€4,750||€5,250||€1,200-€8,000|
The IVF cost listed above does NOT include the cost of IVF medications that you will have to take.
IVF price listed above does not always include the initial bloodwork, scans, pap smears and consultant appointments, etc. that you must have done before even starting an IVF cycle. So if one IVF cost seems a lot lower than other clinics, they may have not listed the total cost of all procedures needed. And sometimes the clinic websites factor in what you might receive back from your insurance or a tax rebate and put up the reduced cost, but you still have to pay up front first and then hope you will get it back from insurance, tax claim, etc.
It is also important for you to know that there can be necessary additional costs when doing IVF that are not always included in the IVF price’s listed above. For example, if you have more embryo’s than you can transfer back to the womb, you may have to pay extra to freeze the extra embryos for use at a later date (after all you won’t say “oh just let those extra embryo’s die off”). Most people want to let their embryos progress and then freeze them for use at a later date. Embryo freezing can be another €700-€900. If you are having egg donation the price can greatly vary due to whether you choose a known or anonymous donor.
Some examples of additional IVF costs / charges are:
You can claim a portion of the cost of IVF against your tax credits. This used to be done by filing the Med 1 form, but this is no longer how to claim. On 11 Feb 2019, The Revenue website states:
“The Med 1 is no longer available. Health expenses are claimed through your tax return form. You can claim relief on health expenses after the year has ended. You should wait for your P60 statement to arrive before claiming. You must also wait for the P60 statement from your spouse or civil partner if you are jointly assessed. You can only claim for expenses that you have receipts for. You can claim relief on the last four year’s health expenses.”
So make sure you keep all your receipts.
BEACON CARE FERTILITY CLINIC: https://www.beaconcarefertility.ie/ivf-costs/
INSTITUT MARQUES: https://www.institutmarques.ie/treatments/treatment-costs-2/
MERRION FERTILITY CLINIC: https://merrionfertility.ie/patient-information/how-much-does-fertility-treatment-and-ivf-cost/
GALWAY FERTILITY CLINIC: https://www.fertilityclinic.ie/treatments-services-offered/pricing/
WATERSTONE CLINIC CORK: https://waterstoneclinic.ie/patient-information/our-price-list/
Last updated: February 14th, 2019 at 12:25 pm
Author, Linda Ryan, BA, Lic. TCM, CH
I discovered that just a few feng shui fertility tips can make all the difference when trying to get pregnant. I turned to Feng Shui because as a Fertility Acupuncturist I noticed that what happens to my fertility acupuncture patients in between their fertility acupuncture appointments can significantly help them to either get pregnant or continue to hinder them from getting pregnant. The environment that we live in on a daily basis has an effect on our health. We’ve all heard those stories of women who went away on vacation and got pregnant-their environment changed. Feng Shui to get pregnant has been used for quite some time to help fertility. Sometimes fertility Feng Shui tips are referred to as fertility feng shui cures. And there are simple, quick changes you can make to your living space right now.
The basic fertility feng shui formula is to-
Basically Feng Shui is a method of using the flow of energy in your home or work space to attract the things you want & to deter what is unwanted. Fertility Feng Shui is specifically for helping pregnancy to happen & to deter infertility. The same as you would look after the health of your body, with fertility feng shui, you are looking after the health of your home. You want to set up the conditions in your body that allow pregnancy to happen to bring a new life in, you also want to do this with the energy flow in your home. Fertility Acupuncture can help set up the conditions in your body & fertility feng shui can help set up the conditions in your living space. Feng Shui is more than just de-cluttering, but de-cluttering is the best place to start. De-cluttering your space leads to a de-cluttering of your mind & body. When you de-clutter your home, it’s amazing how you immediately feel it in your mind & then that feeling flows over to your body, you feel stress go away. And when stress goes away that has an effect on the physiology of your body.
How do you do this with Fertility Feng Shui? The following are some very basic fertility feng shui tips for you to follow. You could also employ a feng shui expert to come to your home and give you very specific personal feng shui advice, but if you want to start “fertility feng shui-ing” your home right now, then the following tips are a great place to start & quite often I see these tips making all the difference & my fertility acupuncture patients become pregnant.
The very first thing is to make space. This is the best, most effective fertility feng shui upgrade to your life that you can make. You need to create new space (physically & mentally) for new life. And this is more than just organising the stuff you have & moving it around so it looks nicer, you don’t want to find a place for everything you currently have or just box it up & store it in the attic. This is going through your home & getting rid of stuff, making space. De-clutter to make space for something new. Fertility feng shui de-cluttering is more than just clearing off your counter tops and storing your stuff someplace out of sight in your home. It’s about getting rid of stuff-stuff that is just taking up space, weighing you down. Fertility feng shui can also involve moving things around, possibly furniture & wall hangings, etc. to create more space or to enhance your space & make your space feel better. Sometimes a picture or plant feels better when moved to a new location in your home. But first start with the de-cluttering, t’ often quick & easy to get rid of the clutter.
Fertility feng shui is about keeping only what you really really love & what you really use. If you want a great & easy method for doing just this, I highly recommend Marie Kondo’s best selling book called “The life changing magic of tidying, A simple, effective way to banish clutter forever”: you can check it out on Amazon.com & Amazon.co.uk
Article update 14th January 2019: Netflix has a new series with Marie Kondo called “Tidying up with Marie Kondo”. Apparently people are loving it!
If just the thought of decluttering, getting rid of stuff & rearranging things in your home seems like a daunting task, well, then the energy flow probably is stuck & you would benefit from making space, but you can start small with specific locations that will help with fertility. The fertility feng shui direction for children (west) & for your health (east) in your home & specifically your bedroom, is where you should start to declutter & get rid of stuff, see below. Some great websites are bemorewithless.com and theminimalists.com
The general direction that can help boost fertility is the West for children. The West area of your home & in each room of your home represents children & should be kept clutter free & garbage free. You can locate the West direction in each of the rooms in your home. iphones have a compass app you can use that comes for free on your phone, You can use that to locate the West area of your home & for each room. Open the compass & stand in the middle of each room, then hold it up to your heart & move around until the compass denotes West. Once the West area of your home & the rooms within your home has been decluttered, you can also then enhance the West area. If you discover that your bathroom is in the West just keep it clean & keep the toilet seat down, no need to enhance the area.
The West is a good fertility feng shui location to enhance by placing feng shui fertility elephants-see below. You can also place other fertility symbols such as a figurine of Buddha with children, images or figures of baby animals, a small indoor water fountain, hollow bamboo or pomegranates. There are your personal feng shui directions that can be determined by a professional if needed, but try the general direction as this can be enough to make a difference. Declutter, clean & place a symbol that resonates with you & see what happens.
In feng shui, certain objects, elements & symbols can help to attract that which you desire to manifest in your life. When it comes to fertility feng shui elephants are the symbol! It’s very important to note that the fertility elephant’s trunk is facing down, not up. An elephant’s trunk downward symbolises pushing through something with great strength & determination. For those facing fertility issues or IVF, having great strength & determination to push through something is exactly what is needed. The fertility elephant represents the power to accumulate energy & strength & then store energy.
The general feng shui direction for health is East. It is especially helpful for those with specific infertility diagnoses (such as PCOS, endometriosis, low amh, high FSH, etc. or any fertility issue) to clear up the health direction. Get your compass again & find the East part of your entire home & the East part of each room and follow the 3 steps to declutter, get rid of stuff & then enhance it. You can use live plants or flowers or objects that are green or brown in the East area. A small water fountain placed in the East is also beneficial as well(Amazon sells small indoor water fountains too). If you discover that your bathroom is in the East just keep it clean & keep the toilet seat down, no need to enhance the area.
If your living space starts to feel good, then the energy is probably flowing better.
Last updated: November 12th, 2018 at 02:21 pm
Institut Marques Clane IVF Clinic free open evening event for prospective patients. Considering IVF can be a daunting experience. These events are great opportunities to meet the people who wok there, you can great a great feel for the people and the place and thus feel more comfortable about the whole IVF process, which is always a benefit.
Institut Marques asks & states:
“Have you been through various failed IVF treatments?
Are you giving up hope on becoming a mother?
Let’s talk about solutions”
Where: Westgrove Hotel and Conference Center. Clane (Abbeylands, Naas, Co. Kildare)
Date: 10th of July 2018
Hour: 6.30 p.m.
Institut Marques states that “the goal of the day is to help future patients, providing them with the necessary information about all available treatments and solving in a personalised way the doubts that may arise. Therefore, specialists in Assisted Reproduction, together with embryologists and members of the Management, will present the treatment options available for both male and female patients to overcome their fertility problems and the latest scientific breakthroughs that maximise the chances of having a healthy baby. Moreover, all attendees will get the chance to book a first consultation with one of the Institut Marques fertility experts free of charge.”
If you are interested in attending the Institut Marques Clane IVF Clinic free open evening, click here to visit the Institut Marques Clane website and fill in their form to request a place at the free open evening.
Last updated: November 12th, 2018 at 01:47 pm
Sharon Corr has said she feels “very honoured” to have performed for developing IVF embryos at a fertility clinic in Barcelona.
Sharon Corr played alongside Spanish personality, Alex Ubago, for hundreds of embryos growing in the clinic’s incubators. The live performance was also streamed to embryos which were being fertilised inside incubators at Institut Marques clinic in Clane, Co Kildare and Villa Salaria in Rome.
Speaking about the performance the singer said: “It’s great to think that we could possibly be a part of the future and we could make a change, It’s just beautiful to make music.
“I’m so amazed at the whole process and how it works and yet I’m not surprised that music really helps the embryos to form because music is the greatest therapy in the world”
Institut Marques states they have proven through research that musical vibrations increase the fertilisation rate by 5% and so all incubators in the Clane IVF clinic, where embryos develop, have a built-in music system. The incubators, within Institut Marques fertility centre, are exposed to micro musical vibrations 24 hours a day, from three musical styles, pop, heavy metal and classical.
Another study will analyse whether music can also improve the rate of embryo implantation. So far, it has shown that using Babypod just after embryo transfer and during the days until the pregnancy test, patients have found it has reduced their anxiety levels.
Institute Marques also discovered, in a scientific study, carried out in more than 1,000 patients, that foetuses can hear from week 16 as long as the sound reaches them through the mother´s vagina. This is achieved by using a ‘Babypod’, a vaginal device that helps to communicate with the foetus.
Institut Marqués is continuing to research the benefits of music, comparing the reactions of foetuses to different types of music, and to the voice of the mother or other relatives.