The word reply is written in black and white on a white background.

Here Are A Few Budget-friendly Ways To Support The New Mama In Your Life:

This past week, I had the privilege of training with some of the top fertility docs in the area, learning a new fertility awareness method from a pair of global experts from Germany. A lot of smart people, way smarter than me, but more importantly, they were all dedicated to more natural approaches to women’s reproductive health.


One report that stood out during the training was the story of a woman becoming pregnant and delivering a healthy baby at age 59. Isn’t the female body amazing? But hmmm, 59….good for her, but not an ideal age for motherhood, right?


Thus we begin our discussion of fertility awareness during the later years…


If you dread menopause, you’re not alone. Global pharmaceutical market analysis shows that peri- and post-menopausal women’s health continues to be a growing piece of the pie, with close to half (46%) of all women aged 45 to 60 being concerned with the effects of menopause on their health. Rightly so as declining estrogen may promote the development of heart disease and osteoporosis.



Arriving at menopause, defined as being without menstruation for a full 12 months, can take a long time and the peri-menopausal stage can make it feel even longer with unpredictable bleeding, hot flashes, mood changes and changes in libido.

How can the self-aware woman - who is into understanding her body, charting, and using as few drugs as possible - manage this inevitable life stage

Charting your biomarkers of fertility is critical during peri-menopause when you may go a few months without a period, or bleed every 3 weeks. As with the start of your cycles in your pre-teen or teenage years, ovulation is not occurring regularly but it’s important to know if and when you are ovulating. Most women who are peri-menopausal feel their family is complete and do not wish to conceive. However, at least according to my German teachers, libido does not decline but stays at a steady high from age 35 onwards.


The peri-menopausal woman is very busy with career, family, travel and household duties. She may also have developed chronic health problems like high blood pressure, poor blood sugar control, or even arthritis over the years. Aging gracefully is a key concern for her, when she’s not taking care of her own aging parents or making sure Johnny has clean laundry before he goes back to college.


Cycle charting is versatile and can be fit into this busy lifestyle using a phone app or a paper chart kept in the bedside drawer. Done once a day, charting is a few minutes of time to yourself and for yourself so that you can be aware of your times of fertility while gaining insight into the hormonal fluctuations that may be wreaking havoc on your relationships. It’s smart “me-time”.


How smart? Well, it’s definitely smarter than taking the Pill, which could mask and forestall the natural progression of menopause. Taking exogenous hormones at this stage of the game may also increase risk of breast cancer (did anyone in your family have breast cancer?) in addition to the aforementioned elevated heart risk.


Charting helps you understand your body and can help you gracefully pass through “the change” without increasing the chances of conception. By virtue of it not being the Pill, it may also may also improve your sex life by eliminating the risk of increased vaginal dryness.

What Might The Peri-menopausal Woman Learn From Her Chart?

  • Absence or presence of ovulation based on cervical fluid pattern or temperature shift (Keep in mind that ovulation is a sign of health and youth.)
  • Return of fertility based on presence of sperm-loving cervical fluid (marker of estrogen levels)
  • Length of post-ovulatory phase, or so called luteal phase (marker of progesterone levels)
  • Any “patterns” in irregular bleeding (You won’t know unless you chart!)
  • Any correlation of hot flashes with time in her cycle (i.e. Are they more frequent when estrogen is supposed to be rising?

If you are noting a correlation between phase of cycle and hot flashes, mental fogginess, mood swings, lethargy, low sex drive and other annoying symptoms of a natural process, here are some effective natural management tips that are recommended by both allopathic physicians as well as holistic practitioners because they have been shown to actually work.

Things To Decrease

  1. Xenoestrogens – These are industrial compounds that bind to the same receptors as human estrogens, but disrupt natural reproductive functioning by acting as false messengers. They are also known to increase breast cancer growth. Xenoestrogens are found in: 4-MBC sunscreen lotions, BHA food preservative, FD&C Red No. 3, parabens in lotions and shampoos, along with the birth control pill.
  2. Caffeine, alcohol, refined sugar and refined grains, spicy or greasy foods – all of these promote inflammation (you don’t need more heat!) and can increase stress, which is a trigger for hot flashes.
  3. Red meat – Stick to 2-4 ounces of grass fed, hormone-free beef or bison every week.
By Carolyn Plican February 21, 2025
Reply Fertility Urges Restorative Reproductive Medicine for All Patients Facing Infertility
July 3, 2024
“After over a year of trying and a miscarriage, it just felt like there was no hope and no way out of this situation. It seemed like there was no solution, that I would always be sick, and that we would never get to hold any of our children in this life.”
By Deborah Colloton April 30, 2024
Two things struck me during reflections surrounding 2024 “National Infertility Awareness Week”:
August 24, 2023
Why don’t more couples know about restorative reproductive medicine? By Amanda Naramore, APRN Most women have never heard the words Restorative Reproductive Medicine but many of the 13% of women struggling with infertility(1) do often ask themselves very important questions: Why hasn’t my doctor offered natural way to achieve pregnancy that cooperates with my reproductive system? or Why aren't my doctors working to explain my "unexplained infertility?" These are appropriate questions, but unfortunately they are not answered because most medical providers have never heard of RRM or fertility awareness charting.(2) Restorative reproductive medicine is a growing practice that has helped countless women restore their reproductive health. The International Institute of Reproductive Medicine defines RRM as a “medical discipline that identifies and treats the root cause of reproductive problems, aiming to treat, optimize and restore the patient’s health"(4). Most medical schools offering OBGYN residency programs do not teach students about RRM or even introduce them to the possibility of its existence (2). As a graduate of a women’s health nurse practitioner program, I was never exposed to the notion of health restoration. The curriculum identified the female medical abnormalities and went directly to treatment with birth control or in the case of infertility, referral to artificial reproductive technology (ART). There were no natural alternatives to treatment discussed or suggested. In fact, infertility is often referred to as a disease state instead of a symptom of a bigger problem. The lack of exposure a medical student or OB/GYN resident receives to RRM and fertility awareness charting will directly affect their ability to offer a positive alternative to ART. Providers simply do not know there is an entire medical community devoted to a unique fertility restoration approach. This knowledge deficit leaves many women frustrated with their options to improve their fertility and even suspicious of the medical community. Medical providers can also become discouraged. It seems like such a glaring inadequacy in medicine, yet the answer has been available for over 20 years. Here at Reply, we utilize RRM not only to repair the couple’s overall health and optimize their fertility but also to teach them about the female’s reproductive system by utilizing fertility awareness charting. This practice is backed by years of medical research and evidence-based medicine. RRM has excellent success rates in achieving pregnancy, especially in cases where IVF has failed, and women were of advanced reproductive age.(3) Another reassuring fact is that the RRM success rates for pregnancy are comparable to ART, excluding the use of donor eggs.(4) Our Reply team is working to educate couples about a healthier and more natural alternative to ART. We feel this approach respects the couple, as it helps them optimize their health while trying to conceive a healthy pregnancy.
By Samantha Ratcliffe, CNM, WHNP-BC February 22, 2022
”Not until I found Reply, did I feel confident that I would ever have a child of my own.” Watch to learn how the Reply Fertility “Finding and Fixing” Program helped Pamela to address her PCOS, to conceive, and to have a happy and healthy pregnancy.
By Samantha Ratcliffe, CNM October 21, 2020
In the case of breast cancer, there are some risk factors that cannot be changed such as your first period occurring before age 11, menopause arriving late, or the presence of particular genetic mutations. However, there are a number of breast cancer risk factors that you can control, many of which can be discussed at your preventative annual well-woman visit!
By By Samantha Ratcliffe, CNM August 7, 2020
How To Pick An Ob/gyn When You're Pregnant
By Q&A with Dr. Rachel Urrutia June 10, 2020
1. Are there signs or symptoms of male infertility?
By By Samantha Ratcliffe, CNM, WHNP-BC June 9, 2020
For women who experience chronic or acute migraine, changes associated with pregnancy and postpartum can present new challenges to a difficult diagnosis. Variations in sleep, infant behavior such as crying or feeding schedules, and maternal hormone fluctuations can feel like unavoidable migraine triggers. For migraineurs, facing the thought of migraine headache without a plan can be scary. Let’s parse through fact and fiction about migraines and childbearing to determine how to prepare well for conception, pregnancy, and postpartum in a healthy and confident way.
More Posts

Call 919.230.2100 to schedule your free consultation

Share by: