Is Your Structure a Factor in Fertility? Five Things Your Osteopath Will Consider

In allopathic medicine, structural problems that may lead to infertility include uterine fibroids, polyps, scarring (from previous injuries or surgeries) or an unusually shaped uterus. As an osteopathic manual practitioner, I consider all the structures of the body and how their ability to move effectively and efficiently affects reproductive health.

How can your physical structure affect your reproductive health and fertility? Everything in your body needs to be in the right place and moving properly for optimal health. Position and mobility of your bony framework (including skull, spine and pelvis) and your internal organs affects the function of other body’s systems – neurological, circulatory, hormonal and more.

Bony Alignment

Both the sympathetic “fight or flight” and the parasympathetic “rest and digest” or in this case “feed and breed”divisions of the autonomic nervous system affect reproductive function. The sympathetic nerves exit the spine at the lower thoracic and upper lumbar region; the parasympathetic exit at the sacrum. Misalignment of the spine, sacrum or lower ribs can upset the balance between the two systems. Low back and hip pain is indicative of altered alignment and mechanics, often a result of postural habits or earlier trauma such as falls on the tailbone. Most often, the sympathetic system dominates and inhibits the parasympathetic – it’s a built-in survival mechanism.

A heightened stress response alters the flow of both blood and lymphatic fluid resulting in congestion and stagnation. Restricted flow impedes delivery of essential reproductive hormones and removal of waste products.

Muscle Tension

Hormonal control of reproductive function is under the control of the hypothalamus and pituitary gland, housed deep within the cranium. Altered muscle and connective tissue tension in the neck and thorax, as well as within the skull itself, restrict blood supply and drainage altering hormonal communication to the end organs. Headaches, neck and shoulder pain, and “foggy brain” are common complaints. Head trauma, including whiplash injuries, “forward head posture” and altered breathing patterns predispose to dysfunction at this level.

Organ Position

Looking inside the bony container, position, mobility and motility of the organs is important for optimal function. Each organ needs to be in its’ correct position and “mobile”, free to slide and shift in relation to its surrounding structures. Motility is the subtle inherent rhythmical motion of each organ, essential for vitality and optimal function.

Ligaments attach the uterus to the pelvic bones and maintain its ideal position. If your pelvis is twisted or rotated your uterus may be pulled slightly off centre. The broad ligament, on either side of the uterus, is connected to the ovaries and fallopian tubes which affect their position too. Altered position will affect fluid flow, tissue health and hormonal effectiveness.

Scar Tissue

Scar tissue, both internal and external, is another frequent contributor to altered reproductive function. Adhesions, bands of scar tissue that cause internal structures to stick together, alter organ position, mobility and motility. Surgical procedures (even laparoscopic), infections, endometriosis or trauma can lead to adhesion formation. Symptoms of adhesions include chronic abdominal or pelvic pain, discomfort with certain movements or positions and difficulty with bowel movements.

Pressure Problems

Pressure from other abdominal and pelvic organs also impacts reproductive organs and their corresponding arteries and veins. An example is chronic constipation causing compression from the colon. Abnormal tensions in the diaphragm and pelvic floor muscles, often due to stress and poor alignment, increase pressure in the abdomino-pelvic cavity altering organ position. Bloating, reflux and increased urgency or frequency of urination are symptomatic of pressure problems. As with a nervous system imbalance these changes compromise blood flow and lymphatic drainage.

Everything’s Connected

Alterations in structure anywhere in the body can affect the function elsewhere. Even foot or ankle problems may affect reproductive health via the effect on other structures from altered gait mechanics and alignment.

The osteopathic perspective on health, including fertility, considers the whole person – body, mind and spirit – and views disease as the inability to further adapt to stressors. Rather than focus on the symptoms, we look for the underlying causes of dysfunction – physical injury, poor posture, emotional stress…

Osteopathic treatment combines an extensive knowledge of anatomy, physiology, and biomechanics to restore structural freedom in the tissues, enhance fluid flow throughout the body, and create the optimal environment for healing.

By: Janet Walker, D.O.M.P.

An Osteopathic Manual Practitioner and Restorative Exercise™ Specialist, Janet Walker combines osteopathic treatment and movement education to help you feel and function better. She is a graduate of The Canadian College of Osteopathy with additional expertise in perinatal and infant care and has nearly 20 years of hands-on experience. You can reach Janet Walker at 


Please note that the content on is for educational and informational purposes only, and is not intended as medical advice. The information contained here is not intended to provide medical advice, diagnosis or treatment. The purpose of this website is to inspire readers to make informed decisions about their health and fertility, in collaboration with a qualified health professional. Readers should always consult with a qualified health professional prior to making any health changes, especially when related to any specific diagnosis or condition.