Episode 98

Fertility Yoga and Nervous System Regulation for a Healthy Internal Terrain

April 18, 20266 min read

April is National Infertility Awareness Month, a time dedicated to acknowledging the one in five individuals navigating fertility challenges. While medical interventions like IUI and IVF play an important role, this episode explores another powerful layer of support: fertility yoga and nervous system regulation.

Fertility is not isolated to the reproductive organs alone. It reflects the health of the entire system — hormonal balance, immune resilience, stress regulation, circulation, and emotional well-being. When we improve our whole health, we improve our reproductive health.

The Hormonal Bridge Across a Woman’s Life

Reproductive health exists on a continuum — from the onset of menstruation through pregnancy, postpartum, and into perimenopause.

Estrogen, progesterone, and testosterone rise and fall across these phases. Pregnancy brings very high estrogen levels, followed by a dramatic postpartum drop. If menstruation has not yet returned, a woman may temporarily exist in a menopausal-like hormonal state. Later, perimenopause introduces further fluctuations.

Supporting hormonal balance during fertility does more than help conception. It lays the groundwork for smoother postpartum recovery and a more supported transition into perimenopause.

Improving the internal terrain now benefits every future stage.

What Is Fertility Yoga?

Fertility yoga is not simply stretching or relaxation. It is a structured practice designed to:

  • Increase blood flow to reproductive organs

  • Create space within the pelvis

  • Support hormonal axis regulation

  • Calm and retrain the nervous system

  • Build stress resiliency

One foundational posture often used is Legs Up the Wall (Viparita Karani). Practiced for several minutes with one hand over the heart and one hand over the lower belly, this pose:

  • Enhances circulation to the pelvis

  • Reverses blood flow gently

  • Calms the central nervous system

  • Encourages the heart–womb connection

For those who have recently undergone egg retrieval, a gentler option such as Supta Baddha Konasana (reclined bound angle pose) may be more appropriate until the ovaries settle.

The intention is always to create safety, spaciousness, and nourishment..

The Nervous System and Fertility

Stress is often misunderstood in fertility conversations.

Cortisol and adrenaline are not inherently harmful. In fact, healthy morning cortisol (the cortisol awakening response) is necessary to rise and engage with the day. This is called hormetic stress or productive stress.

The challenge arises when stress remains elevated all day.

Modern stressors — emails, news alerts, constant notifications — activate the same fight-or-flight response that once protected us from physical danger. The body cannot distinguish between a perceived threat and a real one.

When stress remains high:

  • Blood flow shifts away from digestion and reproduction

  • Muscles tighten (psoas, pelvic floor, diaphragm)

  • The nervous system becomes dysregulated

  • Hormonal balance becomes harder to maintain

Fertility yoga works from the bottom up. Instead of trying to “think” our way out of stress, we:

  • Release tight muscles

  • Regulate breath

  • Improve vagal tone

  • Create physical signals of safety

When the body feels safe, healing and reproductive function are more accessible.

Breath, the Diaphragm, and Hormonal Support

The diaphragm plays a foundational role in fertility and immune health.

Every inhale and exhale:

  • Stimulates the vagus nerve

  • Massages the thoracic duct (critical for lymphatic drainage)

  • Supports detoxification

  • Helps regulate cortisol

  • Improves blood flow to reproductive organs

The diaphragm and pelvic floor work in synergy. When one is tight or dysregulated, the other is too. Chronic stress can cause gripping in the pelvic floor, reducing circulation and creating constriction..

Intentional diaphragmatic breathing supports hormone balance and improves the internal terrain, including that necessary for conception.

Rebuilding Trust in the Body

One of the most powerful themes in this episode is rebuilding trust.

When facing infertility or medical diagnoses, it is common to feel that the body has failed. This internal dialogue can create further tension and disconnection.

Yoga philosophy introduces the concept of ahimsa — nonviolence. Applied inwardly, this becomes nonviolent communication with ourselves.

Instead of:

“My body is betraying me.”

We shift toward:

“How can I support you?”

This subtle shift creates safety within the nervous system and fosters partnership with the body.

Community as Medicine

Infertility can feel isolating. Practicing within a supportive container offers something medicine alone cannot — shared experience and understanding.

Being in community reduces stress hormones, increases oxytocin, and creates emotional resilience. Whether in person or virtually, being witnessed by others on a similar path can profoundly impact mental and physiological well-being.

A Simple Daily Fertility Practice

If you take one practice from this episode, let it be this:

Legs Up the Wall with Heart–Womb Connection

  • Lie on your back with legs extended up a wall

  • Place one hand over your heart and one over your lower abdomen

  • Relax the jaw and pelvic floor

  • Take slow diaphragmatic breaths for 2–5 minutes

  • Cultivate feelings of safety, abundance, and gratitude

If legs up the wall is not appropriate, a reclined bound angle pose offers a gentle alternative.

Integrating Western and Complementary Care

Medical interventions and holistic practices are not mutually exclusive. Fertility yoga can help make medical treatments more effective.

We can - and should - pursue IVF, IUI, or other treatments while simultaneously:

  • Support the nervous system

  • Enhance circulation

  • Regulate stress hormones

  • Strengthen immune resilience

  • Cultivate internal safety

Whole-person care improves outcomes across the fertility journey and beyond.

Fertile health requires tuning the entire symphony of the body — nervous system, hormones, immune function, emotional regulation, and emotional wellness. When we create safety within, we create space for life to flourish.

If this conversation resonated, share it with someone navigating fertility. With one in five individuals affected, awareness and support matter.

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Ashley’s work follows a philosophy of “Meet yourself exactly as you are.” She came to yoga as a former competitive gymnast, initially drawn to the physical challenge. Across all her work, her approach is grounded in nervous system support, stress regulation, rebuild trust in their bodies, and move through life’s transitions with greater ease.

Ashley is the Director of Metta Mama, where she teaches fertility, prenatal, and postnatal yoga classes and labor support workshops. Her work centers the lived experience of motherhood, holding space for the physical, emotional, and identity shifts that come with conceiving, carrying, and raising children.

She also teaches oncology yoga and yoga for healing. After navigating her own breast cancer diagnosis and 14 months of treatment, Ashley experienced firsthand how practices like breathwork, movement, and mindfulness can support healing on every level.

This deepened her commitment to creating space in people’s lives to build stress resiliency through her coaching and her work with But You Are So Healthy.



Website: https://www.mettayogastudio.com/


 

Medical Disclaimer:

By listening to the Health Youniversity podcast, you agree not to use this podcast as medical advice to treat any medical condition for yourself or others. Consult your healthcare provider for any medical issues you may have. This entire disclaimer also pertains to any guests or contributors to any Health Youniversity podcast.

 

I am a women’s health expert with a specialty in working with women and couples navigating fertility challenges for more than 20 years. I look forward to helping you realize your dream of family. I’m also a mother, a sister, a friend.  I live in beautiful Northern California, where the nature of Mt. Tamalpais, the Pacific Ocean and San Francisco Bay are my backyard.

Traditional Chinese Medicine discovered me in 1978, when I was struggling with digestive complaints that flummoxed medical doctors. It wasn’t until I received my first acupuncture treatment and herbal prescription that I connected my medical condition to grief over loss of a loved one; that the stress of holding in such huge emotions was literally tying me up in knots, and I was finally able to heal.

Discovering the powerful links between the physical, the mental, the emotional, the spiritual, and the environmental shifted my understanding of health and wellness forever. 

For more than 20 years, I’ve had the privilege of learning and implementing Whole Systems Traditional Chinese Medicine to understand the root causes of health conditions and realize optimal health and well-being.

I am a strong believer in the importance of health education, for knowledge is power when you have the tools for effective self care.

Dr. Susan Fox

I am a women’s health expert with a specialty in working with women and couples navigating fertility challenges for more than 20 years. I look forward to helping you realize your dream of family. I’m also a mother, a sister, a friend. I live in beautiful Northern California, where the nature of Mt. Tamalpais, the Pacific Ocean and San Francisco Bay are my backyard. Traditional Chinese Medicine discovered me in 1978, when I was struggling with digestive complaints that flummoxed medical doctors. It wasn’t until I received my first acupuncture treatment and herbal prescription that I connected my medical condition to grief over loss of a loved one; that the stress of holding in such huge emotions was literally tying me up in knots, and I was finally able to heal. Discovering the powerful links between the physical, the mental, the emotional, the spiritual, and the environmental shifted my understanding of health and wellness forever. For more than 20 years, I’ve had the privilege of learning and implementing Whole Systems Traditional Chinese Medicine to understand the root causes of health conditions and realize optimal health and well-being. I am a strong believer in the importance of health education, for knowledge is power when you have the tools for effective self care.

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