In Chinese medicine way,we divide into these types:
1.Kidney deficiency:
(1) Kidney Yang deficiency: can have disorder period, easy to feel tired, low energy,sensitive to cold,sore back,cold extremes,frequent urination.
Chinese herbs: Er Xian plus You Gui.
Acupuncture: Acupoints on Kidney meridian plus moxa.
(2) Kidney Yin deficiency: can have disorder period with dizziness,tinnitus,sore back,weakness of legs, hot flush, night sweat and so on.
Chinese herbs: Er Zhi plus Zuo Gui
Acupuncture: Acupoints on Kindey and Liver meridians
2. Qi and Blood deficiency:
can have pale lips and/or face,tiredness,low energy,light period.
Chinese herbs: Qiu Lin Zhu
Acupuncture: Acupoints on Spleen and Stomach meridians.
3. Liver Qi Stagnation:
Can have depress,like to sigh,blockage in the stomach,light period or period disorder,tender breast before or during period.
Chinese herbs: Kai Yu Zhong Zi Tang
Acupuncture: Acupoints on Liver and Spleen meridians.
4. Blood Stagnation:
Can have cramp during period, dark period with blood clots,purple colour in the tongue,
Chinese herbs:Ge Xia Zhuo Yu Tang
Acupuncture: Acupoints like He Gu,Xue Hai,San Yin Jiao.
5. Dampness:
Most people with dampness have big size,heavy body but meantime no energy.
Chinese herbs: Cang Fu Dao Tan Wan
Acupuncture: Acupoints on Spleen meridian.
Actually, in the clinic, a lot people have more complicated symptoms. It's most mixture of a few types. So that's why it's very important to consult a Chinese medicine doctor to have an acute diagnosis. The treatment course is depend on the cause,the condition of disease and individual reaction to the treatment. We do see some people even just have one time treatment,they get pregnant .Some people take one year or more than that. Average is around three period circles.
Wednesday, September 15, 2010
Infertility(2)
Here are woman's common reasons to cause infertility:
Ovulation Disorders
Absent or infrequent ovulation can be due to hormonal abnormalities,polycystic ovarian or previous cancer treatment.
Test: The doctor takes a history to find out if menstrual patterns have been atypical. Other tests include ultrasound to determine the number of follicles in the ovaries,hormone tests and a physical exam to identify the signs of hormonal disorders,such as weight gain or atypical hair growth.
Treatment: A heavy woman may be advised to lose weight. Other treatments entail oral drugs such as clomiphene ( Clomid) or hormone injections to jump-start ovulation. The next step might be IVF or in vitro maturation.
Bottom Line: Pregnancy rates are as high as 40 to 60% with IVF and 40% with ICSI.
Mechanical Problems
Blockages in the Fallopian tubes can prevent the egg from reaching the uterus for implantation. Sources of obstruction include endometriosis,which can cause blockages around the woman's reproductive organs and in the Fallopian tubes,where fertilization usually occurs and through which the eggs travel from the ovaries to the uterus.
Test: In a hysterosalpingogram,dye is injected into the uterus and observed on an X-ray to see if it flows easily through the Fallopian tubes. A similar test can be done with ultrasound .If other tests are not conclusive, the next step might be a laparoscopy, a look inside the pelvis with an imaging device containing a tiny camera.
Treatment: Microsurgery to clear the Fallopian tubes may help improve fertility,but success rates will be higher if IVF is also used.
Bottom Line:Pregnancy rates are high as 40 to 60% with IVF and 40% with ICSI.
Immunological Infertility
Again, a controversial and unproven area, but reseachers have speculated that a woman may develop antibodies to her partner's sperm,thereby immobilizing or killing them.
Test:In the past, women often underwent post-coital analysis, a test in which,several hours after intercourse,sperm removed from the woman's cervix are examined to see how many are alive and mobile. Blood tests might check for anti-sperm antibodies. Nowadays,when standard tests are normal,women are not usually tested for immunological infertility but treated as if they had unexplained fertility.
Treatment: Proceed IVF or ICSI as soon as possible.
Bottom Line:High pregnancy rates with IVF/ICSI/IUI, more than 60% in women under age 35.
Idiopathic(Unexplained) Infertility
There is a lot we still don't know about the complex combination of factors affecting fertility. For instance, women with endometriosis have lower rates of pregnancy even when their tubes are not blocked,and it's not understood why. And in other cases,for some unknown reason,perfectly normal-looking sperm can't penetrate the egg.
Test: The diagnosis is by exclusion. Standard tests come out normal.
Treatment: Any treatment that can help the sperm meet up with the egg: IUI,IVF or ICSI.
Bottom Line:In women younger than 35,the success rate is more than 60% per treatment,even if the couple my never know what caused their inferlity.
Ovulation Disorders
Absent or infrequent ovulation can be due to hormonal abnormalities,polycystic ovarian or previous cancer treatment.
Test: The doctor takes a history to find out if menstrual patterns have been atypical. Other tests include ultrasound to determine the number of follicles in the ovaries,hormone tests and a physical exam to identify the signs of hormonal disorders,such as weight gain or atypical hair growth.
Treatment: A heavy woman may be advised to lose weight. Other treatments entail oral drugs such as clomiphene ( Clomid) or hormone injections to jump-start ovulation. The next step might be IVF or in vitro maturation.
Bottom Line: Pregnancy rates are as high as 40 to 60% with IVF and 40% with ICSI.
Mechanical Problems
Blockages in the Fallopian tubes can prevent the egg from reaching the uterus for implantation. Sources of obstruction include endometriosis,which can cause blockages around the woman's reproductive organs and in the Fallopian tubes,where fertilization usually occurs and through which the eggs travel from the ovaries to the uterus.
Test: In a hysterosalpingogram,dye is injected into the uterus and observed on an X-ray to see if it flows easily through the Fallopian tubes. A similar test can be done with ultrasound .If other tests are not conclusive, the next step might be a laparoscopy, a look inside the pelvis with an imaging device containing a tiny camera.
Treatment: Microsurgery to clear the Fallopian tubes may help improve fertility,but success rates will be higher if IVF is also used.
Bottom Line:Pregnancy rates are high as 40 to 60% with IVF and 40% with ICSI.
Immunological Infertility
Again, a controversial and unproven area, but reseachers have speculated that a woman may develop antibodies to her partner's sperm,thereby immobilizing or killing them.
Test:In the past, women often underwent post-coital analysis, a test in which,several hours after intercourse,sperm removed from the woman's cervix are examined to see how many are alive and mobile. Blood tests might check for anti-sperm antibodies. Nowadays,when standard tests are normal,women are not usually tested for immunological infertility but treated as if they had unexplained fertility.
Treatment: Proceed IVF or ICSI as soon as possible.
Bottom Line:High pregnancy rates with IVF/ICSI/IUI, more than 60% in women under age 35.
Idiopathic(Unexplained) Infertility
There is a lot we still don't know about the complex combination of factors affecting fertility. For instance, women with endometriosis have lower rates of pregnancy even when their tubes are not blocked,and it's not understood why. And in other cases,for some unknown reason,perfectly normal-looking sperm can't penetrate the egg.
Test: The diagnosis is by exclusion. Standard tests come out normal.
Treatment: Any treatment that can help the sperm meet up with the egg: IUI,IVF or ICSI.
Bottom Line:In women younger than 35,the success rate is more than 60% per treatment,even if the couple my never know what caused their inferlity.
Infertility(1)
These days,more and more infertility couple are
looking for alternative treatment to help. There are many reasons to cause infertility. Around 20% of the underlying causes can be identified with the man. Around 30% with the woman. And about 30% with both partners.
In the rest 20% or so,is unexplained and has no identifiable root cause.
Men's part:
Poor Sperm Quality
The sperm are simply not up to the job- either from some known but non-correctable cause or for an unknown reason.
Test : A semen analysis measures the count,quality and motility of the sperm.
Treatment: Various assisted-reproduction technologies can help a man with poor sperm increase his chances that one of his sperm cells will fertilize an egg. These include IVF(in vitro fertilization),sperm washing and IUI (intrauterine insemination).The newest technique is ICSI (intra-cytoplasmic sperm injection),which all you need is one viable sperm for success.
Bottom Line: Depending on the woman's age,Canadian fertility clinics claim a 40-60% pregnancy rate for IVF and a 40% success rate for ICSI.
Varicocele
A clump of enlarged and dilated veins inside the scrotum,a varicocele is the most common surgically correctable cause of infertility in men. Think of it as a varicose vein in a very sensitive area. There are several theories as to why a varicocele can put a damper on fertility,but it's generally thought to act like a miniature radiator to increase the temperature in the testicle. The excess heat decreases sperm production and motility.
Test: Most of the time, a varicocele can be felt during a physical exam. If the exam is inconclusive, an ultrasound of the scrotum may be required.
Treatment: Varicoceles can be corrected with surgery to tie them off and divert blood to normal vessels or with embolization,in which tiny coils are injecte through a catheter to block blood flow to the dilated veins.
Bottom Line: Varicoceles can be fixed,but that doesn't always translate into a pregnancy. The conception rate after treatment is 30 to 50%.
Obstruction
Congenital defects or obstructions that develop later---such as scarring from sexually transmitted infections,biopsies or hernia repairs---can block the sperms' passage anywhere along their journey through the male reproductive system.
Test: A semen analysis may show a very low sperm count and a low volume of seminal fluid. A physical examination or a transrectal ultrasound can also locate an obstruction.
Treatment: Often the blockage can be bypassed with microsurgery, allowing the sperm to flow freely again.
Bottom Line: Success depends on where the obstruction is. The closer the blockage is the testicle,the more complex the fix and the lower the success rate. Pregnancy rates range from 40-60%.
Hormonal Imbalances
Caused by glandular disorders,these imbalances impair sperm production and quality and can reduce a man's sexual desire. They include high levels of prolactin, a hormone that is elevated in nursing moms and suppresses male hormones.
Test: Semen and blood tests.
Treatment: Sperm production is sometimes restored with hormone therapy or drugs that stimulate production of the brain chemical dopamine,which blocks prolactin.
Bottom Line: Sperm can be restored in about 60% of men, and the pregnacy rate is about 40%.
Immunological Infertility
Although this is a controversial area,it is thought that some men produce autoantibodies to their own sperm,because of prior infections in,or blows to,the testicles. These may cause sperm to stick together and reduce their ability to reach and penetrate the egg.
Test:Semen and blood tests.
Treatment: Sperm can be washed in the lab to remove the interfering antibodies,then injected into the woman's uterus.
Bottom Line: The pregnancy rate falls in the 15 to 20% range.
looking for alternative treatment to help. There are many reasons to cause infertility. Around 20% of the underlying causes can be identified with the man. Around 30% with the woman. And about 30% with both partners.
In the rest 20% or so,is unexplained and has no identifiable root cause.
Men's part:
Poor Sperm Quality
The sperm are simply not up to the job- either from some known but non-correctable cause or for an unknown reason.
Test : A semen analysis measures the count,quality and motility of the sperm.
Treatment: Various assisted-reproduction technologies can help a man with poor sperm increase his chances that one of his sperm cells will fertilize an egg. These include IVF(in vitro fertilization),sperm washing and IUI (intrauterine insemination).The newest technique is ICSI (intra-cytoplasmic sperm injection),which all you need is one viable sperm for success.
Bottom Line: Depending on the woman's age,Canadian fertility clinics claim a 40-60% pregnancy rate for IVF and a 40% success rate for ICSI.
Varicocele
A clump of enlarged and dilated veins inside the scrotum,a varicocele is the most common surgically correctable cause of infertility in men. Think of it as a varicose vein in a very sensitive area. There are several theories as to why a varicocele can put a damper on fertility,but it's generally thought to act like a miniature radiator to increase the temperature in the testicle. The excess heat decreases sperm production and motility.
Test: Most of the time, a varicocele can be felt during a physical exam. If the exam is inconclusive, an ultrasound of the scrotum may be required.
Treatment: Varicoceles can be corrected with surgery to tie them off and divert blood to normal vessels or with embolization,in which tiny coils are injecte through a catheter to block blood flow to the dilated veins.
Bottom Line: Varicoceles can be fixed,but that doesn't always translate into a pregnancy. The conception rate after treatment is 30 to 50%.
Obstruction
Congenital defects or obstructions that develop later---such as scarring from sexually transmitted infections,biopsies or hernia repairs---can block the sperms' passage anywhere along their journey through the male reproductive system.
Test: A semen analysis may show a very low sperm count and a low volume of seminal fluid. A physical examination or a transrectal ultrasound can also locate an obstruction.
Treatment: Often the blockage can be bypassed with microsurgery, allowing the sperm to flow freely again.
Bottom Line: Success depends on where the obstruction is. The closer the blockage is the testicle,the more complex the fix and the lower the success rate. Pregnancy rates range from 40-60%.
Hormonal Imbalances
Caused by glandular disorders,these imbalances impair sperm production and quality and can reduce a man's sexual desire. They include high levels of prolactin, a hormone that is elevated in nursing moms and suppresses male hormones.
Test: Semen and blood tests.
Treatment: Sperm production is sometimes restored with hormone therapy or drugs that stimulate production of the brain chemical dopamine,which blocks prolactin.
Bottom Line: Sperm can be restored in about 60% of men, and the pregnacy rate is about 40%.
Immunological Infertility
Although this is a controversial area,it is thought that some men produce autoantibodies to their own sperm,because of prior infections in,or blows to,the testicles. These may cause sperm to stick together and reduce their ability to reach and penetrate the egg.
Test:Semen and blood tests.
Treatment: Sperm can be washed in the lab to remove the interfering antibodies,then injected into the woman's uterus.
Bottom Line: The pregnancy rate falls in the 15 to 20% range.
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