Case Study- Management of diminished DOR/POI with TCM

INFERTILITY

Diminished Ovarian Reserve (DOR) is one of the main causes of female infertility and is common in women under of 40s. The definition and diagnosis are pragmatic and the treatment in mainstream medicine is not promising as many of the sufferers have to choose IVF as the last resort. DOR could be the reduced ability of producing quality egg or the poor quality of eggs produced. Premature Ovarian Insufficiency (POI) belongs to its aggravate stage. Traditional Chinese medicine has long been employed in treating female infertility, and a large proportion of the cases in the records now could be classified as DOR or POI. Some clinical reports have demonstrated great potential in treating DOR & POI. The authors have treated many cases of DOR and POI, and great achievements have been recorded. The protocol used in the treatment is a whole system approach which combines acupuncture, Chinese herbal medicine and lifestyle advice into an organic composition to maximize the effects. The cases reported here are of good details and could demonstrate the application of the TCM diagnosis of syndrome pattern which logically leads to the whole-system treatment implementation.

Case1: the lady with POI is naturally conceived with TCM preparation (Figure 1) Mrs J W, 32 years old, a medical researcher. She has irregular menstruation for all of her life. She has to take oestrogen pills to makes her period regular. After her marriage, they plan to get pregnancy. But when she stopped oestrogen pill to prepare for pregnancy, her period disappeared for more than two years. Her test results showed that her oestrogen level was low (< 50) at a menopause level. So, she was diagnosed as Premature Ovarian Failure (POF in an old name) by her specialist gynaecologist. When she made her first visits in Dan’s (first author) clinic, what she wanted was to get relaxed from her anxiety.

Due to information she received on traditional Chinese herbal medicine, she refused taking TCM herbs, receiving acupuncture only. As times goes and her mental status relaxed, she then decided to explore further with TCM pills which was eventually proven to be safe to her. She then decided to take the individualised herbal prescription along with acupuncture. The treatment course was planned for a calenda year (12 months). At the end of 11months, she has her menstrual circles several times and they are regular. At that points, both the practitioner and the patient consider she could conceive naturally. Then natural pregnancy was reported to the practitioner soon after. At the full term, she got her healthy baby girl. After that her regular menstrual circles was established again without treatment. Within two years, she informed the practitioner that another natural pregnancy and health child.

Resource & References:

  1. Jiang D and Meng F. Cases study on the management of Diminished Ovarian Reserve (DOR) and Premature Ovarian Insufficiency (POI) with Traditional Chinese Medicine (TCM) (2022) J Obesity and Diabetes 5: 3-7.

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