Infertility – Could it be Parasites?

By Sangita Pedro, ND

The digestive system is the foundation of human health. Digestion of food provides nutrients to build hormones, immunoglobulins, and neurotransmitters. It is also where the body rids itself of toxins, used hormones and excess cholesterol. 

Digestion requires more daily energy than any other system in the body, but it also absorbs the nutrients needed to keep the system running. It is a graceful, elegant system and when it is working well, we experience health and vitality. And when any part of the digestive system – stomach, intestines, liver, gallbladder or pancreas – becomes overburdened, we feel it, we just don’t always pay attention to it.

There are many ways in which our digestive system can become overburdened and many signs and symptoms that tell us what is happening. The most common burdens I see in my clinical practice are SIBO (small intestinal bacterial overgrowth) yeast overgrowth and intestinal parasites.  Sometimes alone and sometimes all together!

Some early symptoms of these conditions include heartburn or reflux, tightness in the chest, coughing, runny nose, sneezing or skin flushing after eating, abdominal bloating, gas, constipation, loose stools or diarrhea. You don’t have to experience these symptoms all the time for there to be a problem. 

SIBO and yeast overgrowth (ie. Candida) are fairly well-known diagnoses, especially among patients with overt gastrointestinal symptoms but parasites are regarded as rare and only really a problem in developing nations.

There are many myths about parasites but the three I come across most frequently are:

1.     Parasites cause diarrhea and I am constipated so I can’t have parasites.

2.     I have never been outside the US so I can’t have parasites.

3.     Parasites make you lose weight, and I can’t lose weight so I can’t have parasites.

All false! It is true that some acute parasitic infections, like Giardia, cause diarrhea and weight loss but chronic infections more commonly cause constipation and weight gain. And although travel outside the US along with history of food poisoning increases the likelihood of parasites it is by no means necessary. Food poisoning happens in the US all the time and outbreaks of Giardia and Cryptosporidium happen in municipal water supplies every year in the US. 

So how are parasites linked to infertility?

Parasites eat your food, cause inflammation in the intestinal lining and decrease absorption of nutrients. This depletes you slowly, over many years, of the nutrients you need to build hormones. Low hormones make it difficult to conceive and maintain a pregnancy. 

Parasites, especially worms, excrete estrogen-like substances that block receptors and confuse our hormonal system. The toxins they excrete also impair the body’s ability to get rid of used estrogens properly. Those used estrogens are accidentally recycled, creating further imbalance in our hormonal system. 

Another reason parasites are quickly disregarded is they are very difficult to find on stools tests. 

Parasites adhere very tightly to the gut lining and therefore are not scraped off easily during bowel movements. They also have life cycles; periods of relative quiet when they are reproducing and periods of greater activity or growth which means you have to get lucky and collect a sample in a more active, plentiful stage. And last but not least, parasites are smart. They have learned to keep their population below the threshold of our innate immune system response. If their numbers get too high and break that threshold, our immune system will see them and kill them. 

If you are experiencing unexplained infertility or have in the past, you might have some unwanted travelers in your gut sapping you of your nutrients. Find a practitioner who understands parasites so you can take back your vitality and fertility!

Intestinal Parasites: Tiny Bugs, Big Problem

Everyone is exposed to parasites through food and water, even in the U.S. and for some people those generally benign parasites, can stick around for decades and cause a multitude of health problems including infertility, hormonal imbalance, every type of gut issue including diarrhea and constipation, insomnia, brain fog and much more.

In this talk Dr. Pedro will cover symptoms of acute and chronic parasitic infections and how to get rid of them. She will also go over the other toxins and infections commonly associated with parasitic infection including yeast overgrowth and mycotoxin illness.

There will be time at the end for questions and the talk will be recorded so you can listen to it any time.

Wednesday, February 24th, 2021

6:45 - 8pm Pacific Time

Please email Dr. Pedro at drpedro@bewellnaturalmedicine.net if you would like to join this free talk. A Zoom link will be sent out the day before the event.

Bothered by bloating? Do probiotics make you feel worse? These could be signs of SIBO.

By Sangita Pedro, ND

Many of my patients tell me they wake up with a flat stomach and by late afternoon they look six months pregnant.  The bloating is sometimes accompanied by sharp, stabbing pains, but rarely gas or burping.  

Small Intestinal Bacterial Overgrowth, or SIBO, occurs when bacteria that should be in the large intestine find their way into the small intestine and set up shop.  A history of frequent antibiotic use, chronic constipation or diarrhea, and past intestinal infections such as traveler’s diarrhea or food poisoning can predispose a person to developing SIBO. A poor diet will help maintain the overgrowth once it is established. 

The standard Western diet with its high levels of sugar, salt, caffeine, alcohol, bad fats, and abundance of processed carbohydrates does little to support healthy microbial balance while feeding all types of intestinal overgrowth including SIBO. 

Once in the small intestine the bacteria take over, causing localized inflammation, leaky gut and various systemic symptoms such as skin rashes, rosacea, fatigue, allergies, difficulty regulating blood sugar, weight gain, nutrient deficiencies and fatigue. 

Bacteria in the small intestine ferment the food you eat, especially starches, fruit, sugar, fiber and alcohol, and produce hydrogen and methane gas as by-products. The build-up of gases causes excessive bloating and pain and dysregulates the muscular contraction of the small intestine

 ‘Good’ bacteria such as Lactobacillus and Bifidobacterium species can also overgrow in the small intestine, causing or worsening SIBO. The normal, rhythmic movement of the small intestine slows down or becomes irregular with SIBO. This causes everything, including probiotics, to linger in the small intestine where they can get ‘stuck’ and start to proliferate.  

Signs and symptoms of SIBO:

·      Constipation and/or diarrhea

·      Chronic reflux/heartburn

·      Abdominal bloating worse after eating (this can be excessive and painful)

·      Abdominal bloating, cramping and pain after taking probiotics

·      Excessive burping and/or gas after eating

·      Food allergies/sensitivities especially gluten, diary, lactose, fructose, and histamine intolerance.

·      Weight loss or weight gain (especially an increase in belly fat)

·      Fatigue

 

How is SIBO diagnosed?

The standard diagnostic test for SIBO is a lactulose breath test.  The test measures hydrogen and methane gas produced by the bacteria in the small intestine after they ingest and digest the lactulose. Breath samples are taken every 15 minutes for two hours.  

It is also helpful to look at standard lab values for select vitamins, minerals and total Immunoglobulins to get a sense of how well, or not well, the small intestine is breaking down and absorbing food.  

How do I treat SIBO?

There are five basic tenets of SIBO treatment that I follow in my practice:

·      Break down biofilms (protective coverings the bacteria use to hide from the immune system)

·      Decrease the number of bacteria by limiting their food supply

·      Kill the bacteria with antimicrobial herbs or pharmaceuticals

·      Detoxify the body

·      Reestablish a healthy digestive rhythm

 

If SIBO recurs after 3 months of diligent treatment, following these basic tenets, then further testing may be necessary to determine what is in the way of complete healing and recovery.