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Infertility — can fasting succeed where medication has failed?

Sources: 7 · Article: 10 901 characters

Dr. Ewa Dąbrowska claims that a fruit-and-vegetable fast can support infertility treatment and restore fertility.

  • For PCOS, it is said to reduce insulin resistance and support weight loss.
  • For blocked fallopian tubes, it is said to trigger regenerative processes that, according to Dr. Dąbrowska, restore their openness and fertility.
  • When treatment fails and the illness persists, Dr. Dąbrowska encourages people to follow a fruit-and-vegetable diet.

What the authors write

Ewa Dąbrowska

A fruit-and-vegetable fast is said to support the restoration of fertility and, for PCOS, reduce insulin resistance and support weight loss.

„A fruit-and-vegetable fast may support the restoration of fertility. Compared with conventional infertility treatments—such as medication, surgery, or in vitro fertilization—a fruit-and-vegetable fast is a natural, non-invasive, and holistic alternative.”Post warzywno-owocowy może wspomagać przywrócenie płodności. W porównaniu z konwencjonalnymi metodami leczenia niepłodności – takimi jak farmakoterapia, chirurgia czy zapłodnienie in vitro – post warzywno-owocowy stanowi naturalną, nieinwazyjną i holistyczną alternatywę.
Ewa Dąbrowska

For blocked fallopian tubes, fasting is said to trigger regenerative processes that, according to Ewa Dąbrowska, restore their openness and fertility.

„Blocked fallopian tubes Blocked fallopian tubes account for up to 30% of infertility cases and are often an indication for in vitro fertilization. A fruit-and-vegetable fast activates the body’s natural regenerative mechanisms, such as phagocytosis (the removal of adhesions by scavenger cells) and autophagy (the elimination of damaged cell structures), restoring the openness of the fallopian tubes and fertility.”Niedrożność jajowodów Niedrożność jajowodów odpowiada nawet za 30% przypadków niepłodności i często jest wskazaniem do zapłodnienia in vitro. Post warzywno-owocowy aktywuje naturalne mechanizmy regeneracyjne organizmu, takie jak fagocytoza (usuwanie zrostów przez komórki żerne) oraz autofagia (eliminacja uszkodzonych struktur komórkowych), co przywraca drożność jajowodów i płodność.
Ewa Dąbrowska

Fasting may also support infertility treatment.

„Fasting may also support infertility treatment. One of its key effects is strengthening the immune system. Infections, colds, and tonsillitis then disappear, while sleep quality, concentration, and memory improve. Sometimes so-called mental clarity occurs, supporting personal development.”Post może również wspomagać leczenie niepłodności. Jednym z kluczowych efektów postu jest wzmocnienie układu odpornościowego, wtedy znikają infekcje, przeziębienia, anginy, poprawia się jakość snu, koncentracja, pamięć. Czasem pojawia się tzw. jasność umysłu, sprzyjająca rozwojowi osobistemu.
Ewa Dąbrowska

When treatment fails and the illness persists, Ewa Dąbrowska generally encourages people to follow a fruit-and-vegetable diet.

„However, if these treatments also fail and the illness persists, I encourage people to follow a fruit-and-vegetable diet as an effective, non-invasive method of prevention and treatment. Dr. Ewa Dąbrowska’s® diet is not just the fruit-and-vegetable fasting phase with which it is most commonly associated.”Jednakże, jeśli i one zawiodą, a choroba się przedłuża, zachęcam do stosowania diety warzywno-owocowej jako skutecznej i nieinwazyjnej metody profilaktyki i leczenia. Dieta dr Ewy Dąbrowskiej® to nie tylko etap postu warzywno-owocowego, z którym najbardziej jest kojarzona.

Research from PubMed · Europe PMC

We selected 5 studies with the best, positive results. This is a selection, not a full review of all research.

Total number of studies on this topic in PubMed: 698.

The review indicates that various dietary interventions in women with PCOS often improve body weight, insulin sensitivity, and some reproductive measures, but it does not prove the effectiveness of Dr. Dąbrowska’s fast.

Aim of the study: This systematic review aimed to synthesize current evidence on the effects of various dietary interventions on anthropometric, metabolic, hormonal, inflammatory, and oxidative stress parameters in women with polycystic ovary syndrome (PCOS).

Results: A total of 38 studies were included, covering interventions such as calorie-restricted diets, low-glycemic index/load diets, ketogenic diets, intermittent fasting, dietary approaches to stop hypertension, Mediterranean-style, and other diets. Most dietary interventions demonstrated beneficial effects on body weight, body mass index, and waist circumference, as well as improvements in insulin sensitivity, reproductive hormone regulation, and menstrual regularity. However, findings related to lipid metabolism, inflammatory markers, and oxidative stress outcomes were inconsistent. Current evidence indicates that dietary interventions are crucial in improving the management of metabolic, anthropometric, hormonal, and clinical outcomes in women with PCOS. Nevertheless, the heterogeneity of dietary approaches, study designs, and outcome measures highlights the need for long-term randomized controlled trials to establish more conclusive recommendations.

Money for the studycompany together with others · Marmara University, Scientific and Technological Research Council of Türkiye (TÜBİTAK)
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?NO
Type of studyreview of many studies

“Not stated” does not mean nobody paid — the database does not always record it.

The review describes possible benefits of some fasting regimens for hormones and menstrual regularity, but stresses that the evidence does not allow firm conclusions about their effect on fertility.

Aim of the study: Intermittent fasting has gained significant attention, yet a comprehensive understanding of its impact on female reproductive health is lacking. This review aims to fill this gap by examining various intermittent fasting regimens and their effects on female reproductive function, along with potential mechanisms.

Results: In healthy non-overweight/obese or pregnant animal models, alternate-day fasting (ADF) and an 8-h time-restricted feeding (TRF) window may have adverse effects on reproductive function. However, these regimens show potential to mitigate negative consequences induced by a high-fat diet (HFD) or environmental exposure. A 10-h TRF demonstrates benefits in improving fertility in both normal-weight and HFD-fed animal models. In women with overweight/obesity or polycystic ovary syndrome (PCOS), the 5:2 diet and TRF significantly reduce the free androgen index while elevating sex hormone binding globulin, promising improvements in menstrual regulation. For pregnant Muslim women, available data do not strongly indicate adverse effects of Ramadan fasting on preterm delivery, but potential downsides to maternal weight gain, neonatal birthweight, and long-term offspring health need consideration.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

In a study of women with PCOS, time-restricted fasting did not significantly improve menstrual or hormonal outcomes more than a calorie-restricted diet.

Aim of the study: To assess the impact of intermittent fasting, with or without probiotic supplementation, versus a calorie-restricted diet on anthropometric measures, metabolic status and gonadal variables in women with polycystic ovary syndrome (PCOS).

Results: A total of 90 individuals were included in the study, with a mean body weight of 81.4 kg, and a mean age of 30 years. Mean (standard deviation) weight loss was not different between the groups at week 8 (TRE + probiotic: -2.2 [1.6] kg vs. TRE + placebo: -2.9 [2.7] kg vs. DCR: -2.5 [1.7] kg). Results revealed that, while all three regimes led to reductions in body weight, body mass index, vascular risk indicators, hirsutism and acne scores, there were no statistically significant differences between the eTRE groups and the control group in terms of weight loss, or improvements in metabolic, menstrual and gonadal variables (P > .05). Additionally, combining probiotics with eTRE did not benefit hormonal and cardiometabolic factors (P > .05). The eTRE alone or eTRE plus probiotics did not result in significantly greater weight loss or improvements in metabolic, menstrual and gonadal variables compared with the standard three-meal DCR diet.

Money for the studyuniversity or foundation · School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran University of Medical Sciences and Health Services
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studystudy with random allocation to groups (RCT)
Participants90

“Not stated” does not mean nobody paid — the database does not always record it.

In a small retrospective study of women with PCOS who had previously experienced unsuccessful IVF, a ketogenic diet was associated with higher implantation and clinical pregnancy rates, but did not change the number of oocytes or embryos; Dr. Dąbrowska’s fast was not studied.

Aim of the study: Patients with polycystic ovary syndrome (PCOS) on a high-carbohydrate diet intrinsically suffer from exacerbated glucotoxicity, insulin resistance (IR), and infertility. Lowering the carbohydrate content has improved fertility in patients with IR and PCOS; however, the effects of a well-controlled ketogenic diet on IR and fertility in PCOS patients undergoing in vitro fertilization (IVF) have not been reported.

Results: 0 %), and ongoing pregnancy/live birth rates (66.7 vs. 0 %). Here, restriction in carbohydrate consumption in PCOS patients induced ketosis, improved key metabolic parameters, and decreased IR. Even though this did not affect oocyte or embryo quality or quantity, the subsequent IVF cycle significantly improved embryo implantation and pregnancy rates.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyobservation of people

“Not stated” does not mean nobody paid — the database does not always record it.

In women with PCOS, both short-term low-calorie diets resulted in weight loss, with no significant difference between the high-protein and high-carbohydrate diets.

Aim of the study: We performed this study as a pilot experiment to investigate the short term effects of two diets of varying composition on weight loss as the primary outcome in obese women with polycystic ovary syndrome (PCOS) seeking fertility.

Money for the studygovernment, public institutions · National Institutes of Health, Pennsylvania State University, NICHD NIH HHS
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studystudy with random allocation to groups (RCT)

“Not stated” does not mean nobody paid — the database does not always record it.

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