Miss Chen, a 37-year-old woman with endometriosis, had a chocolate cyst in her ovary and had a cyst resection. After marriage 1 year, due to delayed pregnancy, chocolate cyst of ovary was found with complex shape; A detailed examination of Mr. Wang's physical condition shows that he suffers from azoospermia. Because Miss Chen has had a chocolate cyst resection, it is not recommended to have another operation. In addition, Mr. Wu is azoospermia and it is difficult to conceive naturally. So director Wu suggested IVF treatment, and then they got pregnant and had children smoothly. Another case, Miss He, suffers from polycystic ovary syndrome. Her menstruation is obviously abnormal, and she even has seasonal menstruation. She only menstruates once every three months. Director Wu analyzed: "Usually, the first-line drugs for such patients are ovulation-promoting drugs, but about 30% of them are still ineffective. At this time, it will be suggested to inject ovulation needle, or accept ovarian cautery (or ovarian puncture), and cauterize the ovary through laparoscopic surgery to destroy the cell tissue that produces androgen and reduce the concentration of androgen. There is usually a 70-80% chance to resume ovulation. Because Miss He had no ovulation reaction after taking ovulation-promoting drugs, and both fallopian tubes adhered, she underwent ovarian cautery and fallopian tube dredging. After the operation, Miss He recovered well. Ovulation began about the second month after operation, and pregnancy was successful in the third month after operation. Director Wu Chengxuan pointed out: "Because polycystic ovary syndrome can't ovulate normally, if ovulation is restored through treatment, the fallopian tubes will be unobstructed, and in principle, the probability of pregnancy will be greatly improved. 」
Three keys to birth control: the condition of natural conception. Director Wu Chengxuan listed the following three keys. He pointed out: "Once one factor is abnormal, it may make it difficult to conceive." Key "healthy * * * and eggs If you want to get pregnant successfully, you must first have healthy * * * and eggs. As far as men are concerned, Director Wu Chengxuan pointed out: "Men will be normal, which does not mean that sperm is normal and healthy. As far as the above cases are concerned, if there is no sperm after the examination, it is "azoospermia". Generally speaking, azoospermia can be divided into two types: (1) congenital azoospermia. Although the testis has the ability to produce sperm, it cannot transport * * * sperm due to the lack of vas deferens. Patients can only be treated with IVF, and sperm can be taken directly from the accessory testis or from the testis to get pregnant smoothly. (2) Abnormal testis cannot produce sperm, so it is usually necessary to borrow sperm to have children. For women, even menstrual cramps do not mean normal ovulation, and it may be anovulatory menstruation. Director Wu said that the following methods can be used to check whether the patient ovulates normally: (1) Blood test: Check whether the hormone concentration is normal. If it is abnormal, it means that ovulation is not easy. (2) Measurement of basal body temperature: According to basal body temperature, it can be judged whether ovulation occurs or on which day. (3) Ultrasonic examination: check whether there are follicles and predict ovulation time. (4) Urine test ovulation reagent. The key is that sperm and eggs have a smooth combination channel, which has the basic conditions for health and eggs. Then, there should be a smooth combination channel between * * and eggs. Director Wu analyzed that after male * * * *, he must pass through the cervix, enter the bilateral fallopian tubes, and then combine with the eggs discharged from the ovary to become fertilized eggs, and then gradually return to the uterus along the fallopian tubes for implantation. If the channel is blocked, * * * and the egg cannot be successfully combined into a fertilized egg, and it is naturally impossible to get pregnant. Key "Healthy Endometrium Environment" When sperm and eggs combine into fertilized eggs, they must return to the endometrium from fallopian tubes for implantation. If the uterine environment has been injured, inflamed, there are fibroids or lymph nodes, or the uterus is sticky, it may make it difficult for fertilized eggs to implant in the endometrium, which may make it difficult to conceive. Chinese and western medicine work together to create seven obstacles to pregnancy, which diseases are the common causes of pregnancy difficulties? How to treat or improve it to increase the chance of pregnancy? 1 fallopian tube factor causes about 20 ~ 40% fertility disorder, and severe cases are bilateral fallopian tube obstruction. Director Wu explained that there are three main reasons for tubal obstruction: (1) suffering from endometriosis. Endometriosis is an inflammatory disease. Endometrium shed during menstruation flows back to abdominal cavity through fallopian tube with menstrual blood, and is planted in ovary, pelvic cavity and even outside uterus, which is easy to cause pelvic adhesion and fallopian tube adhesion, and even leads to fallopian tube obstruction in severe cases. (2) Tubal obstruction caused by pelvic inflammatory disease. The causes of pelvic inflammatory disease include poor hygiene during physiological period, unclean sex or sexually transmitted diseases. (3) surgery. If adhesion is caused after operation, tubal obstruction may be caused. If only one fallopian tube is blocked, there is still a chance of natural pregnancy; If both sides are blocked, it is difficult to get pregnant naturally. At this time, there are two treatment methods: (1) surgical treatment, dredging the blocked fallopian tube or removing the adhesion part. (2) If the patient does not consider surgery, it is recommended to treat IVF. 2 Ovulation disorder Ovulation disorder, that is, anovulation, accounts for 15 ~ 30% of fertility disorder. When patients do not ovulate, menstruation is irregular, but even if menstruation is regular, it does not mean ovulation. Polycystic ovary syndrome is the most common clinical anovulatory symptom. Usually, such patients look obese. Director Wu Chengxuan pointed out: "It is more appropriate to suggest that patients reduce 10 ~ 15% before pregnancy. About the diagnosis of polycystic ovary syndrome, there are three symptoms as follows: (1) Ultrasound examination shows that both ovaries are polycystic ovaries. (2) Abnormal ovulation and menstrual disorder. (3) The patient has high androgen and symptoms such as hirsutism. The above three symptoms are consistent with two of them, namely polycystic ovary syndrome. In terms of treatment, ovulation drugs will be used first, and about 70 ~ 80% can resume ovulation; If not, consider using ovulation needle or ovarian cauterization. The main symptoms of endometriosis are dysmenorrhea and pain, which makes it difficult to conceive. Director Wu Chengxuan explained: "Most of these patients were diagnosed with endometriosis because of dysmenorrhea or infertility. If a patient with this disease has a tumor, if the tumor is located in the ovary, it is an ovarian chocolate cyst; If it grows in the uterus, it is adenomyosis. In another case, the spot grows in the pelvic cavity, which may not be found by ultrasound and needs laparoscopic examination. If chocolate cyst of ovary is strongly suspected, surgical resection will be recommended. In principle, if both fallopian tubes are unblocked, you can try to conceive naturally; If it still doesn't work, consider artificial insemination or IVF treatment. However, Director Wu stressed that if it is a recurrent ovarian chocolate cyst, reoperation is not recommended, because surgery is also harmful to the ovary and may even lead to ovarian failure. In principle, if both fallopian tubes are unobstructed, it is suggested to improve the pregnancy rate through artificial insemination or directly treat IVF. Patients with luteal insufficiency, luteal dysfunction or lutein deficiency usually have a short period of high fever. Director Wu Chengxuan pointed out: "Luteal insufficiency should be suspected if the period of high fever is less than 12 days. Luteal insufficiency may make it difficult for embryos to implant, or it is easy to abort after implantation. Generally speaking, the treatment of luteal insufficiency is to let patients supplement enough lutein, which can improve the pregnancy rate. Patients with lutein deficiency usually have a short period of high temperature and delayed childbearing age. From a medical point of view, the ideal childbearing age for women is 20-30 years old. After the age of 35, the fertility rate will drop sharply. Older age will not only affect ovulation function and egg quality, but also cause poor embryo quality. In addition to increasing the probability of miscarriage, it will also increase the probability of chromosomal abnormalities. Therefore, it is recommended that older pregnant women do amniocentesis to check chromosomes. Therefore, if women over the age of 35 have maintained normal sexual life for half a year and are still not pregnant, it is recommended to check as soon as possible so as not to delay the golden period of childbirth. 6 Male factors The factors that lead to male fertility disorders are relatively simple. Generally speaking, this problem can be diagnosed by examining sperm. Director Wu Chengxuan pointed out: "If sperm is caused by poor quality, poor fluidity or insufficient quantity, then there is about a 1 chance that it is caused by varicocele, and surgery can be considered to improve it. If it is azoospermia, treat it as a test-tube baby or give birth to a child by sperm. The pregnancy rate of IVF is about 40 ~ 50%. If the number of sperm is small and the fluidity is poor, artificial insemination is recommended in principle. Director Wu Chengxuan explained that the so-called artificial insemination means taking out your husband's sperm, washing and concentrating it, and then putting it into your wife's uterus, so that the sperm can swim to the fallopian tube and combine with the egg. The pregnancy rate is about 15 ~ 20%. 7 Unexplained infertility: After examination, it was confirmed that both husband and wife were healthy and normal, but they still could not conceive naturally, accounting for 10%. Director Wu explained: "This kind of unexplained infertility should continue to wait or do further treatment according to the wife's age and infertility time. According to medical reports, unexplained infertility lasts for more than 3 years, and the probability of natural pregnancy is less than 10%. Therefore, it is usually recommended to actively treat unexplained infertility for more than 3 years. Chinese and western medicine work together to create a good pregnancy. Ms. Wang, 28, is fatter. In the past, her menstruation was often postponed, so she cooperated with Chinese medicine to regulate menstruation for many years. Married 1 year, trying to conceive naturally, no good news. So both husband and wife accepted western medicine examination and found that Miss Wang was a patient with polycystic ovary syndrome. As for her husband, the examination was normal. Miss Wang tried to take ovulation induction needle and lutein, but it didn't work, so she went to the outpatient clinic of Guo, the attending gynecologist of Chang Gung Hospital, and used Chinese medicine to help her get pregnant. Dr. Guo said that because the patient belongs to phlegm-dampness constitution, she should be treated with Rhizoma Atractylodis, Rhizoma Cyperi and Wendan Decoction combined with menstrual cycle therapy, and then taught to judge the ovulation date with normal menstruation. But after several months, I still couldn't get pregnant, so I asked my husband to come to see a doctor together and found that my husband was a little hot and dry. I advised him to drink more water, exercise moderately, sweat to reduce fever, go to bed early, and take clam essence, so my husband's physique gradually improved, and soon the couple succeeded in getting pregnant. Miss Lin, 38, has a history of miscarriage. In addition, she was diagnosed with 5.8 cm uterine fibroids and mild anemia. She has been married for two years and is still not pregnant. Western medicine salpingography found bilateral tubal obstruction, and western medicine suggested that she should be treated directly in vitro. Miss Lin went to visit Chen Wenjuan, director of obstetrics and gynecology at Changhua Christian Hospital. Director Chen used safflower, Lulutong and other traditional Chinese medicines with the effects of promoting blood circulation and removing blood stasis to help clear the blocked fallopian tubes. In addition, she also received acupuncture treatment of traditional Chinese medicine. After three or four cycles of acupuncture and traditional Chinese medicine conditioning, tubal obstruction was improved and she soon became pregnant successfully.
Five constitutions lead to pregnancy difficulties. If the syndrome types of infertility are classified according to the syndrome differentiation of zang-fu organs which are commonly used and easy to be combined with western medicine, they are mainly composed of "disease nature" and "disease location". Dr. Guo further explained that diseases can be divided into abnormal transportation caused by energy (yang and qi) or substances (body fluid, blood and yin) and pathological products (phlegm-dampness and blood stasis). The location of the disease is simply divided into three targets: the upper, middle and lower targets, such as heart, lung (viscera above diaphragm and above body), spleen and stomach (viscera from diaphragm to pelvic cavity) and liver and kidney (below pelvic cavity). Most female infertility sites are located in the middle and lower parts. In addition to analyzing the symptoms of patients and determining the current syndrome types, Chinese medicine must also find the cause and adjust the follow-up direction according to the patient's medication. As for the constitution that causes pregnancy difficulties, it can be roughly divided into the following types: 1 deficiency of kidney-qi or deficiency of kidney-yang. The reason why kidney-qi deficiency and kidney-yang deficiency are discussed together is because there are many similarities between the two symptoms. Dr. Guo pointed out: "People with kidney-qi deficiency are seriously ill and easily develop into kidney-yang deficiency. Its symptoms include infertility due to palace cold, low * * *, fatigue, chills, cold hands and feet, less menstrual flow or even amenorrhea, soreness of waist and knees, frequent urination and heavy urination. When measuring basal body temperature, there will be abnormalities in the high temperature period, such as the overall body temperature is low, the temperature rise in the high temperature period is lower than 0.3℃, or the duration is less than 12 days. Western medicine diagnosis may have congenital uterine dysplasia and luteal insufficiency, which leads to difficulties in conception, such as embryo implantation and even abortion. According to clinical experience, Director Chen Wenjuan added: "Kidney-yang deficiency is more common in women over 35 years old, while young women tend to have kidney-yin deficiency. Dr. Guo, who is deficient in kidney-qi, further explained: "Kidney governs reproduction, and deficiency of kidney-qi refers to deficiency of kidney-qi and poor reproductive function (but it may not be shown by western medicine examination). Its symptoms are less menstrual flow, irregular menstruation, poor ovulation function, low rising slope of basal body temperature, weak waist and knees, dizziness and fatigue. Kidney-yang deficiency, commonly known as "cold bottom", mainly refers to kidney-yang deficiency syndrome. In fact, the symptoms of yang deficiency are similar to qi deficiency, both of which are low body energy and insufficient function, but the situation of yang deficiency is more serious than qi deficiency. Dr. Guo pointed out: "The biggest difference between the two is that' yang deficiency produces internal cold'. Kidney-yang deficiency syndrome is often manifested as cold hands and feet to elbows and knees. Because of poor water metabolism function, it causes symptoms such as nocturia and fear of cold. Even some women feel cold in summer without air conditioning. In addition, dysmenorrhea and stomach pain are more serious. However, he explained: "Cold hands and feet are not necessarily kidney-yang deficiency, but sometimes liver-qi stagnation syndrome, which needs to be judged in combination with other symptoms. If it is male infertility caused by kidney-yang deficiency, its symptoms are similar to those of women. In addition, the reproductive system may have premature ejaculation, low * * * and poor function of making * * *, so the number of * * * is small and its activity is poor. The way of conditioning, whether it is kidney yang deficiency or kidney qi deficiency, is energy deficiency. The principle of conditioning is "warming", and invigorating qi is helpful to functional recovery. Dr Guo pointed out: "Jisheng Shenqi Pill, Gui You Pill, Erxian Gum and Yulinzhu can be used as drugs for warming kidney and supporting yang. Director Chen Wenjuan added: "If it is primary deficiency of kidney-qi or yang-deficiency, and there are no problems such as polycystic ovary and endometriosis, it will take about three months as a course of treatment. If there are organic problems, the course of treatment will be extended to 6 months as appropriate. As for the maintenance in daily life, the principle is "temperature". Diet should be cold, avoid cold food, such as melons, cold drinks or lettuce salad. Eat more warm food, including hot food, and choose hot food or medicated diet, such as angelica, ginger mutton stove, longan jujube soup, litchi, durian, leek and walnut. Keep warm when wearing, and try to cover your shoulders, back, knees and stomach when it is cold; In addition, if the place where you live is wet and cold, it is recommended to use dehumidifiers and electric heaters, and at the same time keep proper outdoor exercise and get more sunshine. Usually, you can also use warm herbs such as ginger and wormwood leaves to boil water to soak your feet and soak the meridians of your feet to help your body circulation get better. Chinese and western medicine jointly create a good syndrome of phlegm-dampness blocking pregnancy qi 2, mainly due to the low function of spleen and stomach, which leads to gastrointestinal discomfort, poor water metabolism in the body and phlegm-dampness. Patients are usually obese, and a small number of patients are thin because of diarrhea and severe malnutrition. Dr. Guo further explained: "Obese patients are prone to accumulation due to poor gastrointestinal function and poor water metabolism; "On the other hand, thin patients have poor digestion and easy diarrhea, both of which are extreme. The symptoms of phlegm-dampness block syndrome are sallow complexion, dizziness and fatigue, heavy limbs due to water block, loss of appetite, abdominal distension and diarrhea. Women may also have more leucorrhea, and even some people need to use pads frequently because of the large amount. In addition, hairy limbs, even long beard and chest hair, menstrual disorders. The diagnosis of western medicine is usually polycystic ovary syndrome, and this type of male and female patients may also cause chronic metabolic problems of hyperlipidemia. Phlegm dampness can lead to pregnancy difficulties, mainly because menstruation is delayed or even not, ovulation dysfunction; In addition, a small number of patients occasionally have mild menstrual pain symptoms, but not as serious as blood stasis uterus type. As for the method of regulating phlegm-dampness, Director Chen Wenjuan pointed out: "Erchen Decoction and Wendan Decoction are usually used, but if kidney deficiency or liver stagnation is added, it should be adjusted according to the situation. Because most of these patients are spleen-stomach qi deficiency or spleen-kidney qi deficiency, Dr. Guo said: "The principle of conditioning is to" replenish qi ",improve the function of viscera, and then pay attention to eliminating dampness. In daily life, the diet should be cold, because cold food is easy to hurt the yang of the spleen and stomach. It is suggested to eat more foods that can strengthen the spleen, replenish qi and eliminate dampness, such as Shen Si soup, red bean soup, boiled corn and wax gourd (with shredded ginger). Or eat spicy food, such as onions, ginger, garlic, peppers and so on. Proper, and help the body to expel moisture with sweat through sweating. In addition, we should pay attention to keep warm and keep proper outdoor exercise. However, Dr. Guo reminded that such patients are deficient in qi and can exercise quickly until they are slightly sweaty. Try not to do strenuous exercise until they are sweating all over. Excessive exercise will aggravate qi deficiency, cause fatigue and poor cold resistance. When sweating, it is easy to catch a cold when the wind blows. Try not to exercise at night. In addition, this kind of female patients are prone to foot edema before menstruation, which can be combined with warm therapy such as foot bath to improve the water circulation in the body. 3 Kidney yin deficiency can nourish the body and make it calm and cool. Dr. Guo pointed out: "In a nutshell, Yin is the heat resistance of the human body. If the body's yin is insufficient, it is easy to generate heat. The so-called yin deficiency produces internal heat, which is commonly known as "virtual fire" and "dry heat". Heat mostly flows to the upper part of the body, which is easy to cause symptoms of the upper part of the body (above the diaphragm). As for patients with kidney-yin deficiency, they are usually thin, red and hot, and their menstrual cycle is shortened, which may be 14 ~ 2 1 day earlier, with less menstrual flow, red color and less blood clots. They usually have no dysmenorrhea symptoms or are not too serious, and they are prone to bleeding during ovulation. In addition, the palms and soles of the feet are often red and hot, and the mood is irritable. Insomnia is difficult to fall asleep or light sleep is easy to wake up, and it is easy to dry mouth, dizziness, tinnitus, palpitations and constipation. During the high temperature period, the basal body temperature is high, and it often shows sawtooth oscillation. Western medicine ultrasound examination may find that the endometrium is very thin. Male infertility caused by kidney yin deficiency is prone to hyperactivity of reproductive system, premature ejaculation, less or high abnormal rate. Dr. Guo explained: "Because people with yin deficiency often have high body temperature, it may lead to abnormality." Yin deficiency syndrome is often treated by nourishing yin and enriching blood. Director Chen Wenjuan pointed out: "Gui Shao Di Huang Tang, Zuo Gui Wan, Yang Jing Zhi Yu Tang, etc. Generally speaking, aftercare focuses on "cool and moist". Because of the serious internal heat, such patients especially like to eat cold drinks, but eating too much is easy to damage the body's yang, which is not conducive to pregnancy. Therefore, Dr. Guo reminded: "When you really want to eat cold food, eat less and slowly put it in your mouth, which is not harmful to your health. In addition, you can eat more nourishing food. Foods that nourish yin are sticky and slippery, such as okra, towel gourd, tremella, black fungus, bird's nest, clam essence, black sesame and so on. In addition, you can eat more fruits and vegetables or honey, and eat cold food moderately, such as bitter gourd and wax gourd. You should avoid eating too much fried and spicy food to avoid constipation. In addition, although these patients are prone to dry mouth, they don't like drinking water because they think drinking water can't quench their thirst or boiled water has no taste. Dr. Guo suggested, "You might as well add some lemon juice to boiled water to nourish yin." In principle, such patients drink enough water and sweat with exercise, which makes it easier for the body's heat to dissipate. In addition, clothing should also be loose and breathable, and avoid too much sun exposure during outdoor sports to avoid heatstroke. The liver is the regulating system of the body.
Chinese and western medicine work together to create a good pregnancy. 4 stagnation of liver qi and stagnation of liver qi is the regulatory system of the body. Whether physically or psychologically, it is necessary to start the regulation of the liver system when the body changes. As for the stagnation of liver qi, it is mainly due to the imbalance of "stress" and "emotion". When such patients change their lives, such as taking exams and changing jobs, their symptoms often get worse, with abdominal pain and diarrhea, delayed menstruation, chest tightness and difficulty falling asleep. In addition, it is also prone to premenstrual syndrome, premenstrual bloating, migraine, bad temper, acne, insomnia and dreaminess. When encountering stress, menstrual period is disordered and uncertain, and there are blood clots, menstrual pain, abdominal pain or lower abdominal pain during ovulation. The way of conditioning is usually soothing the liver and calming the nerves. Director Chen Wenjuan pointed out: "Jiawei Xiaoyao Powder is the most commonly used medicine in clinic. In addition, Dr. Guo added: "Sometimes I will cooperate with Qiju Dihuang Pill or Siwu Decoction to nourish yin and replenish blood. The key point of aftercare lies in soothing the liver and relieving depression. When the mood is well regulated, menstruation will come more smoothly. In terms of diet, eat more green leafy vegetables or aromatic foods, such as mint, perilla plum, rose tea, chrysanthemum and so on. Shugan; In addition, you can eat more Chinese wolfberry, carrots, purple cabbage, apples, grapes, cherries, mulberries and other foods. It has the effect of nourishing the liver and enriching the blood. Because these patients are prone to nervousness, anxiety and shortness of breath, Dr. Guo suggested doing more exercises such as deep breathing, yoga, Tai Ji Chuan or brisk walking to relieve stress and relax. In addition, the shoulder and back muscles of such patients are often tight and easy to ache. It can be combined with lavender, rose and other aromatic essential oils to help them relax. In addition, hot compress on the lower abdomen and soaking feet before menstrual cramps, combined with acupoints such as Sanyinjiao or Taichong on the foot, can reduce acne and irregular menstruation. 5 Uterine stagnation "stagnation of blood stasis" refers to slow blood flow, which does not necessarily lead to congestion, thrombosis and blood clots. However, most female patients with blood stasis syndrome will have severe dysmenorrhea, irregular menstruation, more blood clots and other symptoms, and usually need to take painkillers when menstruation comes. In addition, due to poor blood circulation at the ends of hands and feet, pain and numbness often occur. However, such patients have dark complexion and lips, and are prone to pain during sexual intercourse, accompanied by backache and abdominal distension. If the congestion below the pelvic cavity is serious, sometimes the varicose veins of the lower limbs will be very serious. It is usually diagnosed as hysteromyoma, endometriosis and chronic pelvic inflammatory disease by western medicine. In addition, patients with repeated induced abortion are also prone to fall into this type of syndrome. However, Director Chen Wenjuan also added that in addition to observing whether there is blood stasis in clinic, we should also pay attention to whether the patient has ever suffered a fall. For example, when a woman was young, she accidentally hit her coccyx by riding a bicycle, which may also cause uterine blood stasis. The principle of conditioning is to promote blood circulation and remove blood stasis, and Chinese medicines such as Xuefu Zhuyu Decoction, Shaofu Zhuyu Decoction, or Gexia Zhuyu Decoction will be used clinically. Dr. Guo explained: "Usually, this syndrome has poor pelvic blood circulation and is prone to dysmenorrhea. A small amount of traditional Chinese medicine for promoting blood circulation and removing blood stasis can promote blood circulation and help pregnancy. However, drugs for promoting blood circulation and removing blood stasis are often taboo during pregnancy. If a more powerful prescription for promoting blood circulation and removing blood stasis is to be prescribed, patients are sometimes required to avoid contraception 1 and 2 months to avoid the risk of miscarriage caused by unplanned pregnancy. The principle of keeping in good health at ordinary times is "activating blood". In terms of diet, you can eat more foods such as hawthorn and black fungus that promote blood circulation and remove blood stasis; You can also drink the decoction of promoting blood circulation and removing blood stasis or biochemical decoction during the physiological period to improve dysmenorrhea. In terms of clothes, be careful not to let your limbs catch cold. Dr. Guo pointed out: "If the blood circulation of hands, feet and limbs is poor, the blood circulation of pelvic cavity will be worse and dysmenorrhea will be more serious. In other words, if you soak your feet with hot water a few days before menstruation to the day when the menstrual flow is the largest, you can let menstruation come smoothly and slightly improve dysmenorrhea. As for exercise, it is recommended to take a regular and moderate-intensity walk or run, which is helpful for blood circulation.
How does Chinese medicine assist western medicine to regulate the body? 1 when treating polycystic ovary in traditional Chinese medicine, patients with fixed menstrual cycle are mainly adjusted according to the law of their cycle; For patients who do not ovulate or have a fixed menstrual cycle, Dr. Guo pointed out: "Eliminating dampness, invigorating the spleen, tonifying the kidney and regulating the cycle." Most of the symptoms of polycystic ovary are anovulation or delayed menstruation, and Chinese medicine will give priority to ovulation when conditioning. Director Chen Wenjuan further explained: "In ovulation treatment, the main emphasis is on tonifying kidney, resolving phlegm and eliminating dampness, promoting blood circulation and removing blood stasis, and helping patients to restore normal and regular menstruation. In addition, due to phlegm-dampness constitution such as polycystic ovary, water-liquid metabolism is usually poor, and ovarian syndrome sometimes occurs during artificial reproduction. If the metabolism of water and liquid can be properly adjusted, it will also help to relieve symptoms. The clinical treatment of endometriosis is the same as hysteromyoma. Director Chen said: "The fundamental problem lies in blood stasis, so the treatment will focus on promoting blood circulation and removing blood stasis. If it is kidney deficiency and blood stasis, use Chinese medicine for tonifying kidney and removing blood stasis. If blood stasis is caused by phlegm-dampness, we should use traditional Chinese medicine for resolving phlegm and removing blood stasis. As for the paste, in traditional Chinese medicine, it means that the liver qi is not smooth, qi stagnation and blood stasis will be adjusted in the direction of regulating qi and promoting blood circulation. Dr. Guo also added that patients with mild endometriosis or those unwilling to undergo surgery can adjust qi stagnation and blood stasis, improve pelvic blood circulation and reduce the degree and frequency of dysmenorrhea through Guizhi Fuling Pill, He Ju Pill and other traditional Chinese medicines for promoting blood circulation and removing blood stasis, and can also be treated with western medicine painkillers and menstruation-regulating drugs. However, if bilateral fallopian tubes are severely adhered, it is recommended to cooperate with western medicine surgery or artificial reproduction. Dr. Guo pointed out: "Otherwise, simply taking Chinese medicine for conditioning may still have no chance of natural pregnancy. 3 Treatment of hysteromyoma The common symptom of hysteromyoma is menorrhagia or back pain during menstruation. If the myoma is very big, you can sometimes feel the lump. Dr. Guo pointed out: "Chinese medicine treatment mainly considers two syndrome types: qi stagnation and blood stasis and phlegm-dampness block. Symptomatic treatment is needed to control fibroids and avoid enlargement. However, if the myoma is larger than 5 cm or interferes with embryo implantation, it is suggested to consider cooperating with western medicine for resection and cooperating with Chinese medicine for conditioning after operation. 4 Improve the success rate of test-tube therapy If the patient intends to undergo test-tube therapy, Chinese medicine can use drugs that tonify kidney and nourish blood to improve the quality of eggs and increase the thickness of endometrium, such as Guishao Dihuang Decoction; After the fertilized embryo is implanted into the uterus, Shoutai Pill can be given to help the fetus to be safe and increase the implantation ability. Director Chen Wenjuan pointed out, "This can also make the pregnancy situation more stable. Six secrets of Chinese and Western medicine to create a good pregnancy 1 Mastering the changes of basal body temperature and measuring basal body temperature will help to understand the time of menstrual period and ovulation. Director Chen Wenjuan said: "This way, we can master the appropriate date of sexual intercourse, so that couples can get pregnant smoothly. Dr. Guo added that before measuring the basal body temperature, you should prepare a basal thermometer with two decimal places, get enough sleep (at least 5 hours), and measure the sublingual temperature before getting up and turning over the quilt. Only in this way can it be accurate. If you can't sleep for 5 hours because of shifts or insomnia, your basal body temperature may be inaccurate. It is suggested to use ovulation test paper instead. 2 Avoid excessive drinking Director Wu Chengxuan pointed out: "Medical research has confirmed that long-term excessive drinking and excessive drinking will lead to a decline in the quality of * * *. If you must drink alcohol when socializing, it is recommended to drink alcohol in moderation to avoid excessive drinking or long-term alcoholism. 3 patients who eat less cold fruits and vegetables should eat less cold fruits and vegetables to avoid the deterioration of body metabolism. Dr. Guo explained: "Cold, in addition to low temperature, also includes cold and cool foods, such as tea. For people with warm constitution, moderate intake of fruits and vegetables helps to clear away heat and relieve constipation in the body. In addition, you can also drink some tea or eat some iced drinks during the day. However, taste it slowly in your mouth until it is almost the same as your body temperature, and then swallow it. The key is to look at your physique and time, not too much. 4 Moderate exercise and weight control According to medical research reports, obesity is one of the causes of infertility. Director Wu Chengxuan said: "As far as PCOS is concerned, there are many symptoms, such as obesity, scanty menstruation and infertility. It is generally recommended to lose weight by 10 ~ 15% to increase the chances of ovulation and the pregnancy rate. Director Chen Wenjuan added, "Actually, you don't have to do strenuous exercise. Walking is an exercise. In addition, modern people live under great pressure, and exercise can relieve stress, help to relax, promote blood circulation and make uterus qi and blood better. 5 avoid staying up late. Couples planning to get pregnant should try to avoid staying up late, and it is best to go to bed before 1 1 in the evening. Director Chen said, "This will help the recovery of uterine blood gas. 6 Relax and be a man. In addition, Dr. Guo reminded that sex life should not be carried out as work or homework. It is suggested that both husband and wife take a bath, chat and have sex before having sex, so as to relax and "enjoy life" instead of working seriously. It is easy to get pregnant after having sex. From the point of view of TCM, relaxation is very important, because body and mind interact with each other. In terms of diet, we should try our best to master the principle of "raw coarse grains" and should not eat too much refined and processed food. In addition, Dr. Guo pointed out: "If you have plans to have children, I suggest starting as soon as possible. If you have normal sex for more than one year, you are still not pregnant; Or over 35 years old, with normal sexual life for more than half a year, but no news. Director Wu Chengxuan reminded: "Especially over 35 years old, the fertility rate has dropped rapidly, so we should seek help as soon as possible. In addition, infertile couples need to understand each other, communicate well, support each other and solve problems together while seeking treatment.
Education in Wu Chengxuan: Department of Medicine, Kaohsiung Medical College, Institute of Medicine, Evergreen University, and Institute of Medicine, Sun Yat-sen Medical University. Candidate's experience: Director of Obstetrics and Gynecology of Changhua Christian Hospital, attending physician of Obstetrics and Gynecology of Taipei MacKay Hospital, and Director of Infertility Department of Tainan National General Hospital. Current position: Director of Reproductive Medicine Center of Obstetrics and Gynecology, Changhua Christian Hospital.
Chen Wenjuan Education: Bachelor of Chinese Medicine, Institute of Statistical Information, Changhua Normal University Experience: Physician of Chinese Medicine, Affiliated Hospital of China Medical University Current position: Director of Gynecology and Pediatrics, Changhua Christian Hospital.
Guo Education: Department of Traditional Chinese Medicine, Department of Psychology, Taiwan Province Provincial University, Institute of Physiology, Taiwan Province Provincial University, and Institute of Clinical Medicine, Chang Gung University. Doctoral class experience: chief physician of gynecology in Chang Gung Memorial Hospital, resident of gynecology in Chang Gung Memorial Hospital. Present position: Attending physician of gynecology of traditional Chinese medicine in Chang Gung Hospital.