Authored by Dr. Q

Authored by Dr. Pharis

If you’re not familiar with castor oil you’re likely wondering what this oil is, and why it is so beneficial. Castor oil is derived from the plant Ricinus communis (castor seed). These seeds contain very high concentrations of the fatty acid ricinoleic acid, which has been shown to exert analgesic (pain reducing) and anti-inflammatory effects.(1) Additionally, studies have shown it has similar pharmacological properties to that of capsaicin, an anti-inflammatory compound from in chili peppers.(2)  In observational studies looking at the anti-inflammatory properties of ricinoleic acid, it recognized as a new capsaicin-like, non-pungent anti-inflammatory agent suitable for topical application.(2)
 
Through my years in practice, I have seen the use of topical castor oil demonstrate significant benefit in reducing a variety of symptoms. Common conditions for considering its application include:

• Joint pain and swelling
  
• Inflammation
  
• Gas, bloating, abdominal cramping
  
• Constipation
  
• Uterine fibroids & non-malignant ovarian cysts
  
• Menstrual cramps
  
• Gallbladder and liver conditions
  
• Detoxification
  

 
Utilized since the ancient Egyptian times, castor oil is not a new therapy. Castor beans were found in ancient Egyptian tombs dating back to 4000 B.C., and according to the Ebers Papyrus (an Egyptian medical text from 1500 B.C.) it was utilized to protect the eyes from irritation.(3) Using castor oil for medicinal purposes in the United States dates back to the 18th and 19th century pioneers, at which time it was labeled as a heroic cure for the treatment of everything from constipation to heartburn to inducing labor. With the primary function of castor oil traditionally being viewed as an oral cathartic and laxative, modern use has a stronger focus on its topical applications.
 
A 2011 study published in Complementary Therapies in Clinical Practice examined the effect of topical castor oil pack administrations on constipation in the elderly. This 14-day study involved 80% of study subjects who had been experiencing constipation for 10 years or longer. Results revealed “castor oil pack administration did not have an effect on the number of bowel movements or amount of feces, but decreased the feces consistency score, straining during defecation, and feeling of complete evacuation after a bowel movements, thus decreasing symptoms of constipation.”(4) While the mechanism of action is not fully understood, the benefits are becoming more and more clear.
 
In addition to practitioners of naturopathic and alternative medicine utilizing castor oil packs, several hospitals are starting to include this treatment as integrative therapy. The North Broward Hospital District, one of the ten largest hospital systems in the US and the largest in Florida, utilizes castor oil pack therapy for lung cancer patients to decrease the side effects of chemotherapy and aid detoxification in the lungs. Other institutions recommending castor oil packs for various treatments include the University of Maryland Medical Center as an integrative approach to pelvic inflammatory disease, irritable bowel syndrome, low back pain, kidney stones, and lung cancer; the Mercy Medical Center for the use of gallbladder disease and congestive heart failure; Allina Hospitals and Clinics for the use of pelvic inflammatory disease; and the Baltimore Washington Medical Center for the use of ulcerative colitis and pertussis.(5)
 
Castor oil packs are an affordable and easy option for the management of many health conditions, and best of all, they can be performed in the comfort of your home. If you are interested in utilizing this therapy but are uncertain if they are a good option for you, please consult your doctor.


Castor Oil Pack Instructions
 
Materials:

• Piece of cloth (flannel, wool, or cotton), double layered, and cut to the size of the are of application
  
• Plastic wrap or ace bandage to secure wrap in place and protect clothing from staining
  
• Glass dish (to heat castor oil pack in)
  
• Heating source (hot water bottle, heating pad)
  
• Castor oil
  
• Container with lid (for storage of castor oil pack)
  

Directions:

1. Fold the piece of cloth so it is 2 layers thick
   
2. Pour oil onto cloth until it is well moistened (this is your “castor oil pack”)
   
3. Heat castor oil pack in glass dish in oven or microwave to a comfortable temperature
   
4. Place castor oil pack directly over the targeted area while relaxing comfortably. Cover the pack with plastic wrap or an ace bandage to secure and to provide a protective barrier (note that the oil may stain clothing or bedding)
   
5. Apply external heat source to keep the pack warm for the duration of its application (suggested time: 30 minutes)
   
6. After removing the pack, cleanse the area with a dilute solution of water and baking soda (3 tbsp baking soda/quart of water)
   
7. Store the pack in a covered container in the refrigerator between use, or up to several months. Each pack may be reused up to 20-25 times
   

* Castor oil packs should not be used over open wounds or ulcers, during heavy menstrual bleeding, during pregnancy, or over areas of malignancy or neuropathies.

** The above information is for informational and educational purposes only, and is not intended as a substitute for medical professional help, advice, diagnosis, or treatment. Please consult with your doctor to learn if castor oil packs are appropriate for you.

References:

1. Vieira C, Fetzer S, Sauer S K, et al. Pro- and anti-inflammatory actions of ricinoleic acid: similarities and differences with capsaicin. Naunyn Schmiedebergs Arch Pharmacol. 2001;364(2):87-95.
   
2. Vieira C, Evangelista S, Cirillo R, et al. Effect of ricinoleic acid in acute and subchronic experimental models of inflammation. Mediators Inflamm. 2000;9(5):223-228.
   
3. Sims, Judith; Frey, Rebecca Gale. Castor Oil. Encyclopedia of Alternative Medicine, 2005 The Gale Group, Inc. http://www.encyclopedia.com/topic/castor_oil.aspx
   
4. Arslan G G, Eser I. An examination of the effect of castor oil packs on constipation in the elderly. Complement Ther Clin Pract. 2011;17(1):58-62.
5. Mein E A, Richards D G, McMillin D L, Nelson C D. Transdermal absorption of castor oil. Evid Based Integrative Med. 2005;2(4):239-244.
   

Authored by Dr. Hulsing

Are you thinking about starting or growing your family in the future? Perhaps you wonder if you are doing everything you can to enhance your fertility and increase the chances of a healthy pregnancy and baby. Even if you have never considered the health of your eggs or sperm don’t feel bad. Many times we only consider our health when we don’t feel good or things aren’t working. This is especially true around fertility but there are so many things you can do to prevent problems in pregnancy, optimize the health of your future children, and increase the likelihood of getting pregnant by following a pre-conception health plan.

Preconception health is the health of men and women prior to conceiving. So a pre-conception health plan is a protocol to improve health with the goal of healthy eggs/sperm, a healthy pregnancy and healthy baby.

Pop Quiz Time! Who should be following a pre-conception health plan?
A)  Women over 35 trying to conceive 
B)  All Women trying to conceive 
C)  All Men trying to conceive 
D)  Men/Women who have been diagnosed with unexplained infertility or suboptimal fertility 
E)  Women/Couples undergoing fertility treatments including IVF and IUI 
F)  ALL of the above
The answer is F—all of the above. Are you surprised? If you chose answer “A” you aren’t alone. Many people think only women over age 35 trying to conceive should follow a pre-conception health plan. While age is one factor relating to egg health and fertility, it is certainly not the only factor and all women will benefit from improved fertility as well as healthy pregnancies and babies. Perhaps you knew this and chose answer B—which leads me to my next point.

Yes, all women should be following pre-conception health plans, but what about the men? Men are often forgotten about when it comes to fertility but ALL men trying to conceive should be following a pre-conception health protocol. The lack of knowledge and interest about all the ways men can improve the health of their sperm is absurd because sperm make up 50% of the equation and provide half of the genetics of the baby. Pre-conception health plans specific to sperm health can mean getting pregnant more easily and with fewer complications. Healthy sperm = healthy baby.

Perhaps you assumed that a preconception health plan would be too simple or basic to help men and women with unexplained infertility or suboptimal fertility but that couldn’t be farther from the truth. A pre-conception health plan that addresses the root cause could solve the unexplained infertility cases that make up 1/3 of the total cases of infertility. Comprehensive pre-conception plans that address healthy weight, toxicant exposure, adrenal hormone dysfunction, hormonal imbalance, endometriosis, autoimmunity, inflammation, nutrient deficiencies, nutrigenomics, and egg/sperm health at a cellular or even DNA level can often solve unexplained and suboptimal fertility issues.

In my experience, the previously listed items may not show up on conventional screening labs or perhaps are not addressed due to lack of familiarity by other health care providers. For example, there was research published in the journal Reproductive BioMedicine Online which showed 80% of the “unexplained fertility” cases in the study involved sperm DNA damage (This won’t show up on a basic semen analysis so it would be missed). A pre-conception health plan which addressed the health of the sperm at a DNA level by improving antioxidant status could be extremely beneficial in these situations and treat the underlying issue without resorting to more expensive and invasive treatments.

Another area which is often overlooked is the importance of incorporating a pre-conception health plan as part of fertility treatments such as Intrauterine Insemination (IUI) and In Vitro Insemination (IVF). Preparing for pregnancy and optimizing the health of the egg and sperm utilized in fertility treatments leads to more successful pregnancies. You just need to make sure you are woking with someone who is knowledgeable about combining natural and conventional therapies so you are enhancing and not interfering with fertility treatments. Integrative fertility treatment (combining conventional and natural therapies) is quickly growing in popularity because of better outcomes and there is a growing body of research published in peer-reviewed medical journals showing the efficacy of many botanical, hormone, nutrient therapies and lifestyle changes used alone and in conjunction with conventional fertility treatments. I am always happy to share these studies during appointments upon request.

Now that you know how important it is for all men and women trying to conceive to follow a pre-conception health plan, you may be wondering how far in advance you should schedule an appointment to create an individualized pre-conception health plan. This will depend on individual factors but the MINIMUM amount of time is 3 months. This is based on the amount of time it takes for the egg and sperm to complete a cycle. (It takes about 74 days for the sperm to complete a cycle and about 90 days for the egg.) It is pretty amazing that you can create healthier sperm and eggs in only 3 months. If you have known health issues or if health issues are diagnosed with basic screening tests it can take longer than 3 months so it is never too soon to schedule an appointment to create a pre-conception health plan.

Because the pre-conception health protocol is individualized to each person after considering health history, lab workup, age, lifestyle, fertility history, and goals, it is beyond the scope of this article to go into detailed treatment plans. Scheduling an appointment with Dr. Hulsing or another Naturopathic Doctor who specializes in fertility is the next step if you are interested in getting personalized and detailed recommendations to optimize fertility and achieve your goal of a healthy pregnancy and baby.