Endometriosis is a condition in which some tissues grow outside of the uterus that resembles those that line the uterus. It is a chronic, progressive condition that impacts women s’ physical as well as emotional and mental well-being. According to Endometriosis Australia, 1 in 10 women suffer from endometriosis in their lifetime often starting in teenage years. 
While the disease is most commonly seen in reproductive organs, it is also frequently found in the bowel and bladder. In some cases, it is known to affect muscle joints, the lungs and the brain. 
Some of the most common symptoms include menstrual pain, irregular bleeding, painful urination, infertility, fatigue and nausea. The cause of the disease is not entirely known, however researchers have found acupuncture to be a more effective treatment than hormone therapy.
Gestational diabetes is diabetes which affects a pregnant woman. It occurs during the second part of pregnancy and goes away once the baby is born.
Throughout our lives, one of the vital functions our body has is to produce insulin to maintain our blood glucose levels. When our blood glucose levels are too high i.e. when our body does not make enough insulin to bring down blood glucose levels, we become susceptible to being affected by diabetes.
During pregnancy, hormones are made in the placenta to help the baby develop and grow. During this time, these hormones produced in the placenta block the action of the mother’s insulin from working properly resulting in insulin resistance. This results in the mother’s body making even more insulin to ensure blood glucose levels are kept at the optimal level. The demand of insulin to keep blood glucose levels increases throughout pregnancy and if mother is unable to produce enough insulin to meet this demand, blood glucose levels rise and gestational diabetes develops.
Development of gestational diabetes can occur in anyone but is more prevalent in women who:
Management of gestational diabetes is important, because if uncontrolled, it may result in problems during birth as well as increasing the baby’s risk of being overweight (due to glucose crossing the placenta stimulating the baby’s pancreas to produce extra insulin) and developing type 2 diabetes later in life.
Management strategies include:
 Pregnancybirth&baby (2019, August) Gestational diabetes pregnancybirthbaby.org.au/gestational-diabetes
 Better Health Channel (2019, November) Diabetes – gestational betterhealth.vic.gov.au/health/conditionsandtreatments/diabetes-gestational
 The Royal Women’s Hospital. Gestational diabetes thewomens.org.au/health-information/pregnancy-and-birth/pregnancy-problems/pregnancy-problems-in-later-pregnancy/gestational-diabetes
Many factors contribute to how we feel before, during and after pregnancy. Professor Yoland Lim Health Care works in conjunction with fellow medical practitioners and specialists with a general medical holistic patient centered approach to help co-ordinate and integrate care of the patient, including, but not limited to, wellbeing, stress, and mental health.
Patients referred to Professor Yoland Lim Health Care by their Obstetrician and Gynaecologist may have had some challenges to becoming pregnant, and not being able to conceive with IVF. Even with many complicating medical conditions such as endometriosis, some have hormonal problems, and some also have partially blocked fallopian tubes.
We recommend your partner also be reviewed, as pregnancy involves (usually) both parties to be involved. Males may also have a problem such as a low sperm count, low motility, or reduced sperm quality, and will require treatment. Management may also be required for your partner- if a couple have been trying for pregnancy for a significant length of time, optimisation of his health for fertility is also important.
Professor Yoland Lim Health Care has a range of treatments which may complement your Obstetrician, GP, and midwife care.
Sexual intercourse is a time of intimate sharing that can be fun and exciting. It is an important part of a relationship. When this becomes less frequent than at least one party desires, or there is a reduction in the quality of the time spent together, this can lead to issues in the relationship.
Low libido (low sex drive) or libido loss is defined as a loss of interest in sex that is persistent and won’t go away outside of the normal fluctuations of your sexual desires. Loss or reduction of libido can be experienced at any age and can be caused by a range of factors, both physical and psychological.
Loss of interest in sex is a common occurrence in both males and females. Reduction in libido may be due to a range of factors both physiological and physical.
1. Physiological factors include:
2. Physical causes in females may be due to:
For men there may be:
In many cases, low sex drive may be due to your relationship. If you are unhappy in your relationship or the sex you are having is disappointing, it is likely your willingness to engage in sex will be reduced. There are many causes of libido loss, with varying strategies to manage and treat low libido. This can range from open communication with your partner, seeking couples counselling, hormone therapy (if appropriate), lifestyle changes, stress management and acupuncture.
As the desire for sex dramatically varies between individuals, there are multiple strategies to treat reduced libido. These can include professional counselling, hormone therapy, learning different sexual techniques, treatment for underlying illness (such as antipsychotics or antidepressants) and stress management.
 Health Direct (2017, October) Loss of male libido. racgp.org.au/ajgp/2019/april/insomnia-management
 Better Health Channel (2018, July) Libido. betterhealth.vic.gov.au/health/healthyliving/libido
 Royal Australian College of General Practitioners (2017, February) Let’s talk about sex. The joy of life Vol 46 (1) 14-18. racgp.org.au/afp/2017/januaryfebruary/lets-talk-about-sex/
The average age of Menopause in Australia is 51 years old. Some women are affected much earlier than this, while others a number of years after. You may have one or more symptoms consistent with the hormonal changes in your body, such as:
Regular western medicine may involve prescription HRT (Hormone Replacement Therapy), however it is important to understand potential risks and benefits with these. Please discuss with your medical practitioner prior to commencing these. The Royal Women's Hospital state that "Some women also benefit from acupuncture."
The commencement of menstruation (periods) (known as menarche) affects every woman with the typical onset between the ages of 11 to 14 years old. The menstrual cycle is controlled by a number of different glands and hormones controlled by a region in the brain known as the hypothalamus and consist of four main phases:
1. Menstruation (the elimination of the thickening lining of the uterus or endometrium from the vagina)
2. Follicular phase
4. Luteal phase
Although menstruation affects every woman, the experience can differ significantly. This may be due to factors such as duration, pain (dysmenorrhoea), lack of periods (amenorrhoea), menstrual bleeding and irregular periods. If any of these conditions persist over an extended period of time, it is recommended to visit a health care professional.
Common symptoms leading up to menstruation include:
Furthermore, as menstruation is heavily controlled by hormones, women may experience premenstrual syndrome (PMS) whereby a range of side effects can occur before a period such as headaches, irritability, fatigue, breast tenderness and fluid retention.
 Better Health Victoria (2018, August) Menstrual cycle betterhealth.vic.gov.au/health/conditionsandtreatments/menstrual-cycle
 ABC Health and Wellbeing (2013, August) Fact File: Period problems abc.net.au/health/library/stories/2006/10/11/1831478.htm
 Health Direct (2018, May) Menstruation (Periods) healthdirect.gov.au/menstruation
The ovaries are part of the female reproductive system responsible for producing eggs as well as the hormones estrogen and progesterone. During ovulation, ovarian cysts or fluid-filled sacs found in the ovaries can form.
There are various types of ovarian cysts which can form but the most common types are functional cysts (non cancerous). These include follicle cysts and corpus luteum cysts. Although formation of ovarian cysts are common in women with regular periods, women with hormonal problems, endometriosis, severe pelvic infections and who are pregnant are more susceptible to forming ovarian cysts.
Often, ovarian cysts do not cause any symptoms but sometimes symptoms may appear as the cyst grows. These symptoms include:
In many cases ovarian cysts may resolve on their own but in cases where they do not, review by your medical practitioner is required, and treatment discussed to shrink or remove the cyst.
 Office on women’s health (2019, April) Ovarian cysts womenshealth.gov/a-z-topics/ovarian-cysts
 Higuera (2017, July) Ovarian cysts healthline.com/health/ovarian-cysts
 Health Direct (2018, February) Ovarian cysts healthdirect.gov.au/ovarian-c
Labour (childbirth) can be a very satisfying experience, however for many there is usually significant discomfort involved. For women who are having their first baby, the experience and consequently the reaction to labour may be unpredictable or varied.
There are a multitude of options available for pain relief, both medical and non-medical. There are three main medical drug pain-relieving options for labour:
1. Nitrous oxide known as laughing gas
3. Epidural anaesthesia
Natural pain relief options include TENS, aromatherapy, relaxation techniques, water immersion and acupuncture. A medical study published in Cochrane medical journals investigated the effectiveness of acupuncture for pain management during labour and found acupuncture may increase satisfaction with pain management and reduce use of pharmacological pain relief. Another study confirmed these findings with acupuncture reducing the level of pain during labour.
Professor Yoland Lim was the first to give acupuncture to assist in the birth of a baby in the 1970’s in Australia.
 Better Health Channel (2014, August) Childbirth – pain relief options betterhealth.vic.gov.au/health/HealthyLiving/childbirth-pain-relief-options
 Health Direct (2020, January) Non-medical pain relief during labour pregnancybirthbaby.org.au/non-medical-pain-relief-during-labour
 Smith et al (2020, February) Acupuncture or acupressure for pain management during labour cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009232.pub2/full
 Lee (2004, November) Acupuncture for labor pain management: A systematic review ajog.org/article/S0002-9378(04)00510-1/pdf
Polycystic Ovarian Syndrome (PCOS) is a condition where multiple cysts are found in women’s ovaries along with other additional features.
It is a complex hormonal condition believed to be caused by high levels of ‘male’ hormones, insulin, or both. Although the exact cause of this condition is unknown, it is thought to be linked to insulin resistance in our body.
According to Royal Australian College of General Practitioners (RACGP), roughly 12- 21% of women of reproductive age are affected by PCOS in Australia. However, almost 70% of women remain undiagnosed.
Some of the most common symptoms of PCOS include:
Moreover, many women with PCOS experience difficulty getting pregnant. However as some people with PCOS believe they can’t get pregnant some mistakenly do not use contraception.
For your medical practitioner to make the diagnosis of polycystic ovary syndrome, two out of three of the following criteria are needed met:
excess facial or body hair growth
scalp hair loss
Different factors contribute to the severity and the type of symptoms which a female may experience.
It is important to note that PCOS may be a life-long condition in which long-term management is required.
Chronic health risks of PCOS may include:
Treatment varies depending on symptoms and whether or not the patient wants to get pregnant.
Polycystic ovaries is a common condition that may be confused with polycystic ovarian syndrome (PCOS). Polycystic ovaries is the presence of multiple cysts in the ovaries, whereas PCOS is the condition which not only includes the presence of multiple cysts in the ovaries, but also other symptoms, which determine then if PCOS is diagnosed by your medical practitioner.
The reason for the development of polycystic ovaries (ie multiple ovarian cysts) is unknown and in many cases may be asymptomatic.
Although similar in name, polycystic ovaries and PCOS are quite different in a number of ways.
1. Whilst PCOS affects roughly 12-21% of women of reproductive age, polycystic ovaries occurs with up to 1 in 4 women of reproductive age.
2. PCOS often is accompanied by symptoms whereas polycystic ovaries are generally asymptomatic and is typically discovered incidentally
3. PCOS is linked to a hormonal disorder whereas having polycystic ovaries is not and may be caused by a variety of factors.
 FertilitySA (2017, November) Polycystic Ovaries & PCOS fertilitysa.com.au/service-post/polycystic-ovaries-pcos/
Having a baby can be stressful with the adjustments in sleep, responsibilities, stress and lack of time for yourself. After giving birth, the majority of women experience mild depression and mood swings (termed ‘the baby blues’) as a direct consequence of hormonal changes. Typically this is a very normal response to childbirth but if these symptoms do not go away from a few weeks or get worse, you may be suffering from postpartum depression.
Like post partum blues, post partum depression shares many of the symptoms but at a more severe and extreme level. Symptoms may begin as early as during pregnancy or as late as a year after birth and include:
In regular medical general practice post partum depression is treated by prescription of antidepressants. However, more behavioural focused treatments are available to treat post partum depression such as talk therapy, group treatment and psychotherapy.
It is important to note that post partum depression does not just affect new mothers, but also new fathers. In some cases, fathers with depression struggle to support their partners and children and as a consequence increase the susceptibility of the mother’s risk of depression. Due to this any parent who has difficulty coping with the stress of parenting or experiences any symptoms of post partum depression should seek review by your medical practitioner.
 Help Guide. Postpartum Depression and the Baby Blues. helpguide.org/articles/depression/postpartum-depression-and-the-baby-blues.htm
 Mayo Clinic (2019, September) Postpartum depression mayoclinic.org/diseases-conditions/postpartum-depression/symptoms-causes/syc-20376617
 Womens Health (2017) Postpartum depression womenshealth.gov/mental-health/mental-health-conditions/postpartum-depression
 Healthy Children (2018, December) Depression During & After Pregnancy: You Are Not Alone healthychildren.org/English/ages-stages/prenatal/delivery-beyond/Pages/Understanding-Motherhood-and-Mood-Baby-Blues-and-Beyond.aspx
Labour is the process of giving birth and is divided into three stages:
Studies have identified the beneficial role acupuncture like Professor Yoland Lim’s Fong Yang therapy, can play in preparation and induction of labour. The effects of acupuncture during this period have shown to ripen the cervix, initiate labour, and reduce labour pain. Studies investigating the effectiveness of acupuncture in preparation of labour have shown this treatment is effective in inducing labour as it can increase the readiness of the cervix.
Furthermore, acupuncture treatment in pregnancies in women over the age of 40 has shown positive effects on pregnancy and delivery. As pregnant women over the age of 40 have higher risk factors for both the mother and baby, in these women, acupuncture prior to labour resulted in spontaneous natural vaginal births.
Professor Yoland Lim Health Care treats patients in conjunction with Obstetricians who are delivering babies.
 The Royal Womens Hospital. Stages of Labour thewomens.org.au/health-information/pregnancy-and-birth/labour-birth/stages-of-labour
 Lim et al (2009) Effect of acupuncture on induction of labor doi: 10.1089/acm.2009.0100
 Curtis et al (2006) Acupuncture for Birth Preparation and Delivery: How Investigating Mechanisms of Action Can Generate Research doi.org/10.1177/1533210106298060
 Smith and Armour (2017) Acupuncture or acupressure for induction of labour doi.org/10.1002/14651858.CD002962.pub4
 Handayani (2019)Pre-Labour Acupuncture for Delivery Prepation in Multiparous Women Past Age 40 doi: 10.1089/acu.2019.1357
Traditionally there has been a thought that after a caesarean delivery a woman should deliver all her next babies by the same method. However now with close monitoring females are now able to give birth via vaginal delivery, even if their previous baby was born via caesarean.
VBAC is like any other vaginal birth, except that your labour will be monitored more closely. You may require an intravenous canula (a ‘drip’) and more equipment will likely be required to check more frequently on baby prior to delivery. Your choice of hospital will also be important, because not all hospitals offer VBAC.
Each individual patients’ experience of both caesarean and vaginal deliveries are different. It is a very personal choice which is good to discuss with your medical practitioner your thoughts and understanding of what both these entail. Although friends and family may be good sources of some information especially about their previous experiences, ultimately you must feel comfortable with your health and what you choose, and that you are happy with your decision.
The benefits of a successful VBAC include:
Attempting vaginal birth after a previous caesarean section carries additional risks for mother and baby that include: