Consult

Trying to Conceive: Is Your Lube Getting In Your Way?

When you’re trying to conceive (TTC) there are already so many things you’re told you can’t do. And things no one tells you that could be getting in your way. And then on top of that you’re not supposed to stress out about it!

If you’ve been diagnosed with unexplained infertility, you’re trying to figure out what you could do to improve your chances of conceiving. Whether you’re continuing to try naturally or as you add in assisted reproductive technologies like medicated cycles with Clomid or Letrozole, IUI, or IVF, make sure these simple tips are on your list:

Make sure you’re using a lubricant that doesn’t harm sperm.

Believe it or not, your lubricant could be a culprit in your fertility struggles. This is beyond frustrating when you’ve already had at least one sperm test and gone through the battery of blood tests, pelvic ultrasound, and HSG (hysterosalpingogram) and everything’s showing up normal. Some experts advise to forego lubricant, but as someone who still occasionally struggles with vestibulitis (a form of painful intercourse) myself, I find that wildly unrealistic.

What you want to look for as you evaluate lubricants are pH and osmolality.

You probably remember pH from science class.

A low pH is acidic (0 – below 7) and a high pH is basic (above 7 – 14). A pH of 7 is neutral. What you’re normally looking for in a lubricant is a pH that suits the vaginal environment (at or just below 4.5 according to the World Health Organization). This is what you should have on hand for general use, especially if you have a history of pelvic pain or other imbalances like yeast infections or UTIs.

However, for conception, healthy sperm has a pH around 7 (according to the World Health Organization). This matches the pH of our fertile cervical mucus as well. That’s a big shift! Aren’t our bodies amazing? So if you’re having challenges getting pregnant, you may find you have success by changing to a different lubricant with a neutral pH. Note that a lot of great lubricants advertise as “pH balanced neutral,” but find out (resource below) if that’s balanced neutral for the vaginal environment (pH around 4.5) or truly pH neutral (7).

Now what on earth is osmolality?

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“Osmolality refers to a substance’s ability to draw moisture out of tissues and cells. Exposure to a lubricant with a higher osmolality than normal vaginal secretions can result in vaginal tissue which literally shrivels up because the moisture in those cells is pulled out. This process leads to irritation and a breakdown of the mucous membrane barrier which protects the vagina from infection. Disrupted vaginal mucous membranes have been associated not only with irritation and discomfort but also with increased risks of sexually transmitted infections such as HIV.  Unfortunately, many currently marketed lubricants have high osmolalities which are detrimental to vaginal tissue.” https://www.womensvoices.org/lubricants-womens-health/

Clearly just choosing a lube with the right pH for your needs (whether trying to conceive or not) is only half the issue. Your lubricant shouldn’t be sucking the moisture out of your tissues to do its job (that’s cheating). You want one that’s adding more lubrication! So you want a lower osmolality (below 1200 mOsm/kg is the general recommendation).

What lube should I be using?

If you’ve been using drugstore lubricants, do yourself a favor and hop into a local Good Vibrations (not a sponsored mention, I just love them for how knowledgeable and supportive their staff is). They also have an online store if you can’t make it in person to one of their San Francisco locations.

Here’s a handy chart so you can check pH and osmolality for your current lubricant and get ideas for others that may suit you better. You’re looking for an osmolality below 1200 mOsm/kg and, for conception, a pH of 7.0 (a pH of 4.5 for general vaginal usage).

For a tested fertility lubricant that meets these criteria, one that I hear over and over is BabyDance (sold various places in stores and online from Walgreens to Amazon). It’s not the only one that could work for you, but it is fairly available. Slippery Stuff and Organic Sliquid are some of the other options that make the cut by the criteria above.

Of course plenty of people get pregnant using a wide variety of lubricants and research has not been conclusive, but if you’re having trouble conceiving, a pH 7 lube with low osmolality is one thing you can try adjusting and you may find you have more success!

What else can you do to improve your fertility?

Don’t give up exercise completely.

Movement is so good for you! True, you may need to bring down the intensity a bit depending on the type of activity you’re doing and the challenges you’re having conceiving, but you absolutely don’t have to commit yourself to bedrest! When in doubt, go for walks in your neighborhood or a slow-paced hike in nature. Yin yoga is also wonderful, though you should skip the twists during the two week wait (earlier if you’re doing stimulated cycles to avoid ovarian torsion). There are a bunch of great videos on YouTube if you search for “yoga for conception” or “yoga two week wait.” We can also discuss customized qigong (gentle movement and breathing) exercises for you in your session. Which brings me to:

Come in for acupuncture!

Acupuncture is often recommended by gynecologists and fertility clinics because of its calming effects on the stress and anxiety that you feel while TTC. In addition, acupuncture, supplemented as needed with herbal medicine and moxibustion, has been shown to increase bloodflow to the uterus and ovaries, assisting in the development and release of healthy follicles, increasing the thickness and health of the endometrium, which provides a hospitable environment for implantation, and regulating the desired hormone levels in fertility cycles and early pregnancy. If sperm quality, motility, and/or quantity are concerns, acupuncture and herbal medicine are helpful for addressing those concerns as well.

Trying to conceive can be incredibly challenging and can feel lonely as it’s not an easy subject to discuss, sometimes even with close friends. Adding an acupuncturist to your team means you have a supportive ear and an expert in your corner.


ABOUT SHAWNA

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist whose areas of specialty include promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter St in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Photos from Unsplash

Can Acupuncture Treat ...?

It's a very common question: "Does acupuncture treat …?" The short answer is YES!, no matter the condition, because acupuncture is a complete medical system.

While it’s tempting to hear that as equivalent to a specific drug being touted as a panacea, it’s really like saying all of medicine can address a wide variety of ailments. We’re much more comfortable with that concept. Western or allopathic medicine can help with lots of things to varying degrees. It’s much the same with acupuncture. That’s one of the reasons it’s more accurately referred to as a complementary medicine, rather than alternative medicine.

Saying acupuncture can treat almost anything is more like saying all of medicine has a lot of answers than that one particular drug is a cure-all.
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Acupuncture and herbal medicine are toolkits based upon a complex theoretical model of the human body as a reflection of the natural world. Primary importance is placed on your symptoms and experience so this is truly a patient-centered approach. For example, it doesn't matter if the thermometer says you don't have a temperature. If you feel too hot, we might call that a fever (and one of a variety of fevers depending on the rest of what’s going on). The practice of this medicine includes asking lots of questions so I can understand as best as possible what's going on for you since I can't feel what you feel for you.

Primary importance is placed on your symptoms and experience so this is truly a patient-centered approach.

I then also "read" your body through palpation (gently touching your body - usually your legs, arms, and abdomen), taking your pulses, looking at your tongue (the only visible muscle in the body), and other diagnostic methods. This helps to clarify the pattern because lots of things can cause cramps, for example, or headaches. What's causing yours?

The goal is to get a complete picture of the pattern at play, as opposed to treating each symptom individually. Something's not in balance, so there are a variety of expressions of that imbalance. Address the issue at the root and multiple signals can fade back or disappear.

When I’m working to combine all your symptoms with your diagnostic readings to form the right acupuncture treatment in an efficient amount of time.

When I’m working to combine all your symptoms with your diagnostic readings to form the right acupuncture treatment in an efficient amount of time.

This is why it sometimes looks like I'm doing mental calculus while I'm working. There’s a lot to think about! This is also why becoming an acupuncturist takes 3.5 years of graduate school (that’s the shortest estimate at full time with no summer breaks), clinical hours (our version of a residency), and rigorous study for a comprehensive licensing exam that includes traditional medicine theory, knowledge of hundreds of acupuncture point locations and functions, medical safety measures along with medical ethics and local laws, plus Western terminology, anatomy, physiology, pharmacology, and standards of care for every major condition from depression to mastitis to stomach cancer, etc. plus mandatory continuing education. I confess I had no idea how qualified my acupuncturist was when I first started as an acupuncture patient!

Lots of things can cause cramps, for example, or headaches. What’s causing yours?

Because everything is placed within a pattern, we can get into all the stuff that you've lived with but never known how to describe or where to go to deal with it. I've heard everything from “I’m phlegmy, but only right after I eat” to "my legs feel like they're going to float away" to "I feel completely exhausted after my period" to "I have this reoccurring dream about a boat on fire and it makes me anxious about getting ready for bed."

This theory helps direct us in our selection of channels and points and methods for stimulating them to change and action, including a variety of ways of needling, some involving insertion. There are also a host of other treatment modalities such as internal herbal medicine, topical herbal medicine, moxibustion, cupping, a variety of forms of massage, and beyond.

Under the umbrellas of women’s health and emotional health, my patients come to me with a wide variety of chief complaints – the big need that brings you in the door. We focus our attention on that main thing, but because acupuncture is a holistic medicine, from there we also keep in mind the whole picture of your health. We discuss how you sleep, your diet and digestion, any aches and pains, etc.

I always smile when I've just seen a patient with anxiety and a fertility patient comes in next and asks hesitantly if I think acupuncture might help for their anxious thoughts. And vice versa! Same thing happens when they mention a family member has shingles (I've seen acupuncture reduce the severity of the immediate flare and any post-herpetic neuralgia). The vast coverage of this medicine is one of the things that allows you to rely on me as a resource as your situation shifts and changes. Because changing is part of life!

So while there are some conditions that we'll definitely want you to either seek Western care for first or create an integrative approach, many health concerns could potentially be handled primarily with acupuncture and/or herbal medicine. Please talk to a licensed acupuncturist like myself to figure out the best way forward for you.

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About Shawna

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Header image: Death to the Stock Photo
Icons: 
Freepik and Anatoly from Flaticon

What Autumn Holds for You

Seasonal change isn’t instant. Especially here in the Bay Area, it’s gradual. 1 step forward, 2 steps back, until it isn’t. It takes a special focus to notice it as it shifts. We may yet get our warm Late Summer days that often show up in late September/ October, but Autumn has already been happening. There’s that chill in the air. A certain crispness. A lot of complaints of dry throats.

My favorite tree on the Vassar Farm (Oct 2003)

My favorite tree on the Vassar Farm (Oct 2003)

Eastern Medicine takes its cues from the natural world. As it is in nature, so is it in our bodies and emotional landscapes. Spring and Summer both have an energy of new growth and expansion. There’s a fullness and flourishing. In Autumn, we start to draw back into the interior.

There are five elements (sometimes also called Five Phases) in Eastern Medicine: Fire, Earth, Metal, Water, and Wood. The Five Elements have corresponding seasons, tastes, channels, energies, diseases, and so much more that there is an entire school of thought in Chinese Medicine defined by this focus.

Autumn is the Metal season. Metal cuts like a knife and holds like a copper cup, dividing and separating, creating boundaries. This season we ask, What do you need that you should keep hold of? What is not yours that you can release?

Classically in cultures around the world this is the season for harvesting. It’s a time to take stock of and appreciate the bounty the year has brought you. What have you accomplished? Be grateful and take pride.



The Metal meridians: Lung and Large Intestine

The emotion of the Lungs is Grief.
As we take stock in this season of our year and our lives, certain goals and accomplishments we may have set no longer serve us. They may be inaccessible or simply no longer appropriate. It’s ok to grieve that loss or change before moving forward. Once you’ve allowed yourself space to grieve, you can become clear and focused, paring back to the essentials to figure out what the new or important goals are and get them done. You can do it! There’s still time!

If you have lost someone or something this year or in this season, you may find that the grief feels larger or has resurfaced. That’s natural, but it doesn’t mean you have to feel it alone or that there isn’t a supportive therapy you can reach to, from speaking that grief with friends and family, to working with a trusted therapist, to seeking acupuncture to balance the emotions and meridians. Grief is a natural emotion, but it also shouldn’t be overwhelming forever. If it’s feeling unmanageable, please ask for help.

The corresponding emotion of the Large Intestine is Letting Go.
Don’t keep it in. Let that sh*t go!

Autumn’s climate is Dryness, which injures the Lungs.
There’s a danger of holding too much in, in that it can dry out and get stuck (sometimes literally, as constipation or dry phlegm). It’s important to keep your Lungs hydrated and strong as they govern your immune system. Lily bulb and pears are wonderful supporters of the Lungs.


My Fall recommendations:

  • Make sure your favorite sweater is within reach and put the kettle on

  • Always carry a scarf (aka make sure your neck is covered)

  • Stock up on pears (amazing just as they are or steamed, baked, or poached with ginger and honey)

  • Come in for acupuncture to address your emotional health and strengthen your immune system before you feel yourself coming down with a cold!


FOUND THIS INTERESTING? RELATED POSTS ON A CUPPA QI:

Treating Stress, Anxiety, and Depression with Acupuncture

Why is Chicken Soup Good for a Cold?

Stress Relief and the Pantone Color of the Year


ABOUT SHAWNA

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Header and Pear Images: Unsplash

Treating Stress, Anxiety, and Depression with Acupuncture

Forest of Feelings (Figure out what what you’re feeling)

Positive Vibes Only? Definitely not. Negative emotions are natural and can signal a need to change our relationships, environment, or behavior. It’s when negative emotions become chronic and feel like they arise without cause, that you turn to guiding practitioners like therapists and acupuncturists who can help you figure out what forest of feelings you've wandered into and how you can find your way back out again.

Whether your depression, anxiety, and stress are chronic or not, tamping down negative feelings or denying them in favor of only positive feelings is neither realistic nor helpful. What is helpful and what acupuncture helps facilitate is giving all your feelings a space and distance from yourself to be acknowledged, fully felt, and then allowed to pass. That can be an extended grieving period and or as short as a few minutes to recognize that you're getting frustrated and need to breathe deeper and take a walk.

Understanding what you're feeling, giving that feeling space, and then letting it go is essential in our modern world. With these skills, you can begin to move past the thicket of a bad stretch. And when you have one bad day, you'll realize that's part of being human, not a sign that you're broken.

Negative emotions are natural and can signal a need to change our relationships, environment, or behavior.

A First Step

Simply being aware of what it is that you're feeling is a good first step. Rather than putting a label on it (I have depression, I'm an angry person, that's just who I am), try, "What is this that I'm feeling? Am I angry right now? Is it sadness and frustration at the same time?" Then you can take a step back and say, "that sadness and frustration are not who I am. I am not a sad and frustrated person. I just feel those things right now and there's got to be a reason for it."

Next, ideally with the help of a guide, you can put on your detective hat and figure out why those feelings are coming up so the signal doesn't keep coming regularly while you don't understand what it's trying to tell you (a real recipe for frustration).

Acupuncture and Therapy Work Well Together

I am not a therapist. What I am is an acupuncturist and Japanese medicine practitioner.

I recommend that my patients who find themselves in these patterns for longer periods of time or with frequency see a good therapist. Many of you often are in therapy already when you seek my care. Acupuncture works really well in combination with therapy, especially talk (cognitive behavior therapy and other methods) and somatic therapies. The way I tend to explain it is that acupuncture helps you become more centered and clear – more aware of what it is that you're feeling so you can express it in therapy and to yourself.

What acupuncture helps facilitate is giving all your feelings a space and distance from yourself to be acknowledged, fully felt, and then allowed to pass.

Acupuncture also helps protect against those feelings settling in and becoming something more (pain, stiffness, adrenal fatigue, cardiopulmonary symptoms, etc). Plus, we can treat the already existing symptomatic expression of your anxiety, depression, and/or stress, whether physical (like headaches, insomnia, and palpitations) or mental/emotional (like a racing or foggy mental state).

Japanese and Chinese medicine look at our emotions as expressions of imbalance in the relationships of our different systems (sometimes called channels, meridians, or organs). So the questions above are the same sorts of diagnostic questions I ask in the office to figure out what channels are out of harmony. That information allows us to help them back into their proper relationship so you feel more centered, grounded, balanced, and clear. And this also gives you the opportunity to make small or large changes that might put you in a healthier space and thus treat that signal/feeling at the root of its expression.
 

What kind of treatments do you offer?

Acupuncture: Gentle correction of the relationships of your physical and energetic body. Using the traditional functions of the points and channels plus modern understandings of physiology, acupuncture helps to regulate the nervous system so that the parasympathetic (rest, digest, heal) outweighs the sympathetic (fight, flight, freeze). Patients report feeling more at ease, rested, calm, and grounded after treatment. Many patients fall asleep on the table during in-office treatment and often sleep better at home as well.

Acupressure: Earseeds and self-massage as coping mechanisms between treatments and as regular care for treatment and prevention of symptoms. These methods are often subtle enough to be performed in the workplace or social gatherings without attracting attention.

Qigong: Breathing exercises and gentle movements. Ranging from short and sweet visualizations and meditative practices to healing sounds and simple movements that target the organ systems and channels that are out of balance. Most of the movements can be done while seated or standing and we can adapt them for your body's range of motion.

Herbal Medicine: Personalized prescriptions for herbal formulas and supplements for symptomatic and deep cause treatment. Protect your system against physical effects of emotions on the body (adrenal fatigue, shortness of breath, palpitations) and amplify the benefits of treatment. Taking a herbal formula regularly can decrease the frequency of recommended in-office visits.

Moxa/ Moxibustion: Depending on the causes and symptoms of your emotional patterns, this herbal heat therapy can be very helpful to increase motivation, combat fatigue, and reawaken interest in activities. Patients have described it as feeling like painful or tight spots are melting or unwinding, that they can breathe deeper, and that they feel more awake. If applicable, I instruct my patients on how to do moxibustion safely at home as well as perform moxibustion in the clinic with you.

Essential Oils: Recommendations for home care to combine with acupressure points. Especially helpful for travel and nighttime symptoms.

How long does treatment take? When will I be better?

My treatment plans are personalized for each patient. I see people at various stages of their emotional journeys. Some people come in soon after a crisis (important to note that I am not a substitute for emergency services such as hotlines or the ER - please see information below if you are in crisis). But the short and honest answer is it depends on you - where you are in your relationship to your emotional health and how much farther you have to go to come to terms with what balance is going to look like for you.

Acupuncture is not here to "fix" you. It's medicine, not magic. I often tell patients when they praise my touch that I'm just getting stuff out of the way so your body can do the work it is already trying to do. Our bodies want to get back to homeostasis. Balance.

You are doing the work and the work can take some time. But it's a lot easier when you surround yourself with experts who can guide and support you, and that's where I see myself on your team.

If you are in crisis

National Hopeline Network: 1-800-SUICIDE (784-2433)

If your depression is leading to suicidal thoughts, please call the National Hopeline to connect with a treatment center in your area. Includes live chat feature for anyone who doesn't want to or is unable to call. This hotline can dispatch emergency services to you if needed.

National Suicide Prevention Lifeline: 1-800-273-TALK (8255)

Another resource for anyone dealing with suicidal or other harmful thoughts is the National Suicide Prevention Lifeline. They also offer a chat service1-800-799-4889.

Acupuncture is not an emergency service. When you need the tools I can provide and a new member of your cheering squad, please be in touch. You are worthwhile and cared for.

Additional resources

About Shawna

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Photo: Death to the Stock Photo

Joyful Movement

I had to contend with the question of how to get enough exercise only in the last few years (Photo: Stephen Texeira for LINES Dance Center)

For most of my life if you asked me to describe myself some of the first words out of my mouth would be, "I'm a dancer." I danced consistently from age 7 into my 30s, first jazz, then contemporary. As much as possible I arranged my work and graduate school schedules around dance. I joined a local company and performed to a paying audience. Then suddenly I couldn't anymore. Or not the way I had, anyway. Thanks to incorrect repetitive movements and a loss in the genetic lottery now sometimes dancing hurts (honestly, sometimes walking hurts too). And even though I've learned to adapt with better body mechanics and supportive footwear, even though most of the time it doesn't hurt anymore because of those changes (and of course regular acupuncture and moxibustion), I feel as though I'm always having to evaluate how I'm doing. I'm in my head instead of my body, thinking, "Is today an okay day? Should I be doing this step this way?" I can't just let go and move the way I used to.

The point of all of this is to say that I had to contend with the challenge of how to get enough exercise only in the last few years. And after trying a wide variety of activities I finally found my new movement obsession that I can complement with occasional yoga, dance, or weights: choreographed lightsaber combat.

Learning reverse grip combat with Saber Guild (Photo: Bianca Hernandez / KQED)

Yes, for those of you who don't yet know me well, I am a big giant nerd, which serves me well in collecting and reading a ton of relevant medical literature as well as adoring Star Wars maybe more than is healthy sometimes. I have been obsessed with the galaxy far, far away since I was assigned homework by my seventh grade science teacher to watch at least two of the original trilogy (what were then the only) films over the Halloween weekend. All three movies were on repeat on a TV channel all weekend and right away I was hooked. Thus a love affair with Star Wars, but also with astronomy and physics took hold. My awe and excitement in my teacher's follow-up lesson on binary star systems was just the beginning; it was one of the main reasons I took a summer trading off between mission control and space flight simulations at the Advanced Space Academy (the high school version of Space Camp) and why I wanted desperately to be an astronaut. Though that's unlikely now, I still maintain it's possible (NASA, call me. We need to study the beneficial effects of acupuncture in space)!

But back to exercise.

Enter an offhand comment this summer by a friend mentioning that there are Jedi exercise classes in San Francisco and my immediate decision to sign up. I was nervous to join a new community, but found them very welcoming and equally passionate. Finally a new form of choreographed exercise that builds on my love of dance, the acting, costumes, and character work I was missing from my days as a drama kid, exploring martial arts (something I'd always thought I would enjoy but never got around to), and of course getting to play around with a big glowing sword. And all this with that element I'd been missing at the gym and local yoga classes - a community. Having people who will be happy to see me when I arrive (light and fun, friendship) and bug me if I don't show up to practice (accountability) is essential. A major bonus has been getting to perform for audiences again as well! Perhaps you saw me as Finn at the California Academy of Sciences in December. My 2018 goal is to perform as Rey!

So why am I talking about this here? How does this relate to medicine and wellness?

Back in the day I had long hair and danced every chance I got. (photo: Paula Chang)

Our qi is vital energy. When our qi stagnates (gets stuck), that's when we get pain. At first it might be a dull pain and we feel just a bit tight, but eventually it sets in further and that's what we want to prevent with daily movement. Many of my active patients feel terrible when they haven't had their regular level of exercise. That dragging feeling is early stage qi stagnation. To make matters worse, stress also stagnates the qi. So when we're so busy we don't have time to exercise, you're in double trouble. All the more excuse to have a spontaneous dance party at your desk or at least do a few gentle breathing qigong exercises, which I can teach you.

My suggestion is to do something you love that happens to be good for you rather than forcing yourself to do what you think you’re “supposed” to do.

Finding the right form of exercise can be hard. My suggestion is to do something you love that happens to be good for you rather than forcing yourself to do what you think you're "supposed" to do. If you love going to gym and lifting weights because of how it makes you feel and also you get to listen to a pump up the jams mix on your phone go for it! But if you loathe it and can barely get yourself out of bed on gym days, it's time to find something else. Go for a long walk with a friend and use it as catch up time. Bonus if it's in a beautiful green location where the color of spring leaves can help soothe your Liver and promote the free-flow of qi. Walk the long way around your block to drop off a package, giving yourself more time with your favorite podcast. Find a YouTube yoga channel with a personality and pace that suits you. Throw on your favorite song and air guitar and jump around for 2 minutes. Save your knees and punch the air in as many directions as your range of motion allows. Maybe do those arm exercises your trainer gave you years ago, but skip the weights if it's too much (or use cans). My point is simply that you have to figure out what level of activity is sustainable, enjoyable, and effective for meeting the goals you have set for yourself. Think outside the box because exercise can and should be fun.

After you make movement a regular habit, then you'll find you want to slowly increase the difficulty, duration, and intensity. The most important part is doing something active regularly and having it become a seamless part of your lifestyle. So if getting more exercise is on your list of resolutions, think about what brings you joy, breathe, and let it move you. Every step toward better health counts.

Curious about joining a class?

Shawna is featured in a recent KQED news article about lightsaber choreography groups in the Bay Area. From Fitness to Fencing: Fans Learn How to Fight Star Wars Style

Lightsaber photos courtesy of Bianca Hernandez / KQED.

ABOUT SHAWNA

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.