TCM syndrome differentiation to solve fertility problems

2018-11-21 Beijing morning post

Infertility is a major problem for many couples. It will not only reduce family happiness, but also affect family harmony. Liu zhaoyang, director of the dongcheng hospital of traditional Chinese medicine, the management center of Beijing zhongyan hospital, said current research shows that in couples with infertility, women account for 60 percent of infertility, men account for 30 percent, and both men and women account for 10 percent. Bearing is the common responsibility of both men and women, treatment infertility, must find the cause of disease, so targeted treatment, targeted, can be less detour.

Couples are subject to scientific examination

Currently, the medical definition of infertility is that couples who do not have two years of pregnancy without contraception are infertile. Once the diagnosis of infertility, must first find the cause of infertility. Liu zhaoyang, director of the causes of infertility is very complex, therefore, the need for both men and women to participate in the common search for "disease root." He recommends couples who are infertile should first complete various tests associated with pregnancy to understand a woman's ovarian function. Liu zhaoyang, for example, said sex hormones six are women of childbearing age familiar with blood tests, usually on the second to fourth day of menstruation. Sex hormone 6 this examination data can reveal a lot of problems: for example, androgen, prolactin level is too high, go against the follicle development, "do not have mature egg to eduction, will not be pregnant naturally." Some women with premature ovarian failure have low levels of estrogen, which is not good for pregnancy.

There are a lot of older women to pursue second child now, "had better check ovarian function beforehand." Liu suggested that women who are not pregnant can be monitored for ovulation. To be specific, you can do a color ultrasound in the hospital to monitor ovulation, and the morphology and quality of eggs can be seen under the ultrasound, which can guide the time of conception according to the development level of eggs. In addition, ovulation can also be monitored by means of ovulation paper or recording basic body temperature. The fallopian tube plays a role in determining a woman's pregnancy. "it doesn't make sense to have a good egg if the fallopian tube isn't working," she said. Therefore must maintain fallopian tube unobstructed, the woman can go to the hospital to do fallopian tube radiography examination to understand the condition of the fallopian tube. If there is no problem with women's tests, men are advised to complete the tests.

Couples with infertility can find problems more accurately and treat them with high efficiency. Director of liu zhaoyang expresses, actually now quite a few infertile patient are relative infertile, absolutely infertile very few. Therefore, most patients can solve the problem through treatment, even if the drug treatment can not be pregnant, and "ivf" can be the path, patients need not be too nervous. Traditional Chinese medicine has unique advantages in treating infertility. Traditional Chinese medicine believes that infertility is mainly due to kidney deficiency, liver depression, qi stagnation, blood stasis and other types of symptoms.

Polycystic ovary syndrome is one of the leading causes of infertility in women

Polycystic ovary syndrome (pcos) is one of the leading causes of infertility in women. Liu zhaoyang, director of the infertility women, about more than 10 percent are due to polycystic ovary syndrome. "When a normal woman ovulates, one follicle develops to a diameter of 18 to 25 millimeters per month. Women with polycystic ovary syndrome, by contrast, have immature follicles less than 10 millimeters in diameter. Follicles are not mature enough to be excreted, and these small follicles are closed, resulting in increased nest-eggs, as a result of the inability to ovulate resulting in infertility.

Patients with polycystic ovary syndrome are mainly aged from 20 to 40 years. Liu zhaoyang, director of the treatment of polycystic ovary syndrome, at present, western medicine mainly USES oral contraceptives to adjust menstrual cycle, to have fertility desire to give treatment such as pro-ovulation, but these therapies have certain limitations, instability and other side effects. Polycystic ovary syndrome is related to renal, spleen and liver dysfunction. First of all, kidney is the basis, because the development and maturation of kidney essence, main reproduction and follicle require the replenishment of kidney essence and the promotion of kidney gas. However, these patients often cause the follicular dysplasia due to congenital kidney gas deficiency, acquired spleen and stomach dysfunction, or fatigue, tension and systemic diseases. Even occasional conception is prone to spontaneous abortion. Secondly, "polycystic" is related to spleen loss and health. Accordingly, treat polycystic ovary syndrome, fill kidney fill essence, invigorate spleen and enrich qi, clearing damp removes phlegm, dredge liver to manage qi is basic principle.

At the same time, director liu zhaoyang reminded that the treatment of polycystic ovary syndrome is a relatively long process, which generally takes 3 to 6 months. Therefore, it is suggested that "polycystic" patients should be prepared, recuperated and treated early. One side recuperate, one side color ultra undertakes oviposit monitoring, be helpful for raising pregnant rate. In addition, weight control and excessive sugar intake are also important measures for the treatment and prevention of polycystic ovary complications. Many infertile women, through the TCM gynecology system recuperation treatment, can successfully conceive, become a mother.

Chronic pelvic inflammatory disease may cause infertility

Pelvic inflammatory disease is also very important in gynecological diseases causing infertility. Liu Zhaoyang director said, chronic pelvic inflammatory disease is a common gynecopathy, happens in young and middle-aged women, the reasons are many, such as uterine cavity operation, all kinds of artificial abortion operation, put a loop or loop operation, oviduct through liquid, salpingography, endometrial polyps enucleation or submucosal uterine fibroids enucleation, if disinfection not strictly or original reproductive system have chronic inflammation, which may cause postoperative infection. Some patients do not pay attention to personal hygiene after surgery, or do not follow medical advice after surgery, can also cause bacteria uplink infection, cause pelvic infection. Second, if you do not pay attention to hygiene during menstruation, using sanitary pads or toilet paper that do not meet hygiene standards will give bacteria the opportunity to retrograde infection leading to pelvic infection. The inflammation spread of adjacent organs can also cause disease, the most common is when occurrence appendicitis, peritonitis, inflammation can spread directly, when suffering from chronic cervicitis, also can cause pelvic inflammation through lymphatic circulation. As a result of long-term chronic inflammation on the tubal mucosa destruction, may lead to fallopian tube patency or impassability and cause ectopic pregnancy, infertility.

Chronic pelvic inflammatory disease symptoms are usually not obvious, so often overlooked by patients, Liu Zhaoyang director said, sometimes can have low thermal patients with chronic pelvic inflammatory disease, susceptible to fatigue, longer duration of some patients can have neurasthenia symptoms, chronic inflammation of the formation of scar adhesion and pelvic congestion, can cause abdominal pain belly, and lumbar di ministry ache, often in overworked, before and after menstruation, etc. Patients may have increased menstrual cycle, menstrual disorders.

There are advantages in TCM recuperation and syndrome differentiation

According to the theory of traditional Chinese medicine, "kidney Tibetan classics, main reproduction", director liu zhaoyang said that kidney deficiency is the main cause of functional infertility, and the causes of kidney deficiency include vegetative kidney deficiency, insufficient endowment, chronic diseases and kidney injury. And the female is given priority to with blood, blood is via, the foundation of pregnant, if blood runs not free, silt blood at inside, can produce all sorts of department of gynaecology disease, the common ovary function is low in infertile disease, oviduct function peristalsis is differential, one of main reasons is qi blood meridian viscera function is out of balance. The spleen is the postnatal origin, the source of blood and biochemistry, and the deficiency of spleen is the cause of infertility. Women are also born with liver, which is the source of blood storage, main regulation and drainage function. Abnormal liver function can also lead to infertility. Therefore, the loss of coordination of liver, spleen and kidney function is also an important cause of infertility. Accordingly, liu zhaoyang director expresses, when treating infertility, should combine the body condition of the patient, the person differs, seek accurate cause of disease, differentiate syndrome to treat.