"Just relax and it will happen." If you're dealing with infertility, this is the least helpful advice that you hear time and time again. If it were only that easy, right?
That said, yoga is a relaxing activity. And there are some researched benefits regarding yoga, infertility, and the exercise's ability to help couples release mental stress and physical tension.
Here's how you can reap the rewards of a regular yoga practice while trying to conceive (TTC).
In the United States, 1 in 8 couples experience infertility. Generally speaking about one-third of cases are due to a women's fertility issue, another one-third are caused by a male issue, and the rest are a combo of the two or occur for unknown reasons.
Yoga shows some promise as a lifestyle change that may help promote healthy reproduction in both men and women.
Strengthens the bodyHaving extra weight is a factor for infertility in both men and women. Along with healthy eating, exercise is an important part of any weight loss program.
If you're just starting out with workouts, yoga is a gentle way to ease your body into more regular movement. And while the poses don't necessarily tax the joints, you'll certainly feel a burn in your muscles and increased flexibility.
Eases stress, depression, and anxietyStudies have shown that up to 40 percent of women undergoing infertility treatment deal with some level of anxiety, depression, or both. (One 2016 study puts that percentage even higher, among both women and men.) Simply being told to "relax" can have a negative effect and lead to a vicious cycle of self-blame.
Incorporating yoga and mindfulness exercises (deep breathing, for example) into your routine may help lower your body's serum markers of stress and, in turn, improve immune system function.
In one small 2015 study, 55 people undergoing infertility treatments performed yoga and attended a discussion group weekly for 6 weeks. Their self-described anxiety decreased by 20 percent.
Balances hormonesA 2012 article explores the idea that when stress is controlled, hormone levels follow. The body and mind, breath and balance — it's all connected. Regular yoga practice may help improve the interaction between the brain and hormones (neuroendocrine axes), meaning that hormones are better balanced overall.
Again, this goes for both women and men. And with better hormone balance often comes increased sexual desire and reproductive function.
Supports sperm productionLow sperm counts in men across the globe is an increasingly common issue. In many cases, the low counts can be attributed to lifestyle or environmental factors, such as having obesity, smoking, or exposure to chemicals. A 2013 study showed that incorporating yoga into daily life may help lower stress and anxiety, regulate body function, and support sperm production.
While more focus in this area is needed, the researchers ultimately concluded that yoga can improve male reproductive health and may help prevent infertility.
Increases ART success ratesIf you're currently undergoing IVF or trying other assisted reproductive technology (ART), yoga may increase the chances that you'll get pregnant. A 2018 study explains that yoga helps to boost both men's and women's physiological and psychological states.
Researchers examined 87 previous studies of couples engaging in ART and yoga practice. They determined that the breathing, meditation, and poses (asanas) may ease stress, depression, and anxiety and reduce pain levels — all things that seem to make achieving pregnancy more likely.
Related: A look at your fertility timeline
Yoga for fertility can be completely safe, even if you're new to the practice. The key is to start slow and resist going too far into poses. Focus instead on your breathing and what feels comfortable. Going too deep into a pose without proper alignment can put you at risk for injury.
Beyond that, you may want to ask your doctor if there are any reasons you should steer clear of yoga. For example, ask your doctor what guidelines you should follow if you're doing ovarian stimulation as part of IVF. With vigorous exercise, you may be at an increased risk of a medical emergency called ovarian torsion.
Many yoga poses are gentle and can be completed at your own pace, but your doctor can clarify any major do's and don'ts for you.
And you may want to skip hot yoga — at least until after your pregnancy. While there aren't many studies regarding TTC, research does show that yoga in artificially heated environments may be dangerous during pregnancy.
Related: The best prenatal yoga videos to try
Yoga is a broad term to describe a multitude of specific types. Each different type of yoga comes with either a specific sequence, environment, or focus. Some types are more appropriate than others if you're trying to conceive or if you're a beginner.
The following types of yoga tend to be more gentle:
The following types of yoga tend to be more vigorous:
You may want to begin with more gentle types while trying to conceive. If you've been doing a more vigorous type of yoga for years, check in with your instructor and your doctor for specific guidance on continuing your practice.
Related: A complete guide to the different types of yoga
Boston-based yoga instructor Kristen Feig shares that the following yoga poses are appropriate and safe for couples to practice while they're trying to conceive.
Reclining Bound AngleThis pose is also known as Supta Baddha Konasana. According to Feig, it "helps release tension and stress in the hips/groin where women often hold trauma and stress."
How to:
The Shoulderstand in an inversion pose that "increases blood flow to the hips and heart," says Feig. It also "helps regulate the thyroid and decreases stress and anxiety." And you don't need to do this pose unsupported — try it with your legs up a wall.
How to:
This powerful position "builds strength in the hips/thighs/abdominals," says Feig. And more importantly, it helps to "release negative energy through the hips."
How to:
Feig explains that "similar to Warrior II, this position releases tension in the hips and opens the heart center."
"Most people hold tension in their shoulders," says Feig. Puppy Pose is a mix between Child's Pose and Downward Facing Dog. This position helps "open the shoulders and releases stress. It also relaxes hips and gets the hips over the heart for increased blood flow throughout the body."
It may feel funny at first, but bridge pose "opens heart and hips," says Feig. It also "releases tension in the lower abdomen and strengthens glutes to support hip health." Can't do a full bridge? Try a supported bridge.
And don't skip the final meditation in your practice. Feig shares that Savasana "helps reduce anxiety and control stress." Beyond that, it also "calms the body and mind and increases overall mental health."
If you're new to yoga or would like guidance on specific positioning, seek out a local instructor, consider searching YouTube for beginning yoga videos, or find a class online.
Whatever you choose, remember to breathe. While "just relaxing" may not automatically result in a baby, the lessons you take away from yoga can foster wellness in many areas of your life.
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