Clinical Information For the Treatment Of Infertility

What Is Infertility?

whatisinfertility?

Infertility - Basics

Infertility is the term used to describe a woman of normal childbearing age who has not become pregnant after at least one year of trying to conceive or a man who, after a year of trying, has not been able to impregnate a woman. The term can also be used for a woman who is able to become pregnant but is unsuccessful in carrying the pregnancy to birth. Possible causes of female infertility include: uterine fibroids, blocked fallopian tubes, certain genetic conditions, uterine wall problems, and certain lifestyle factors such as diet, smoking, age or stress. Possible causes of male infertility include: erectile dysfunction, exposure of testes to high temperatures, low sperm production, hormonal issues, and certain lifestyle factors.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Infertility.

What Patterns Are Related To Infertility?

whatpatternsarerelatedtoinfertility?

Infertility - Diagnostic Patterns

The Chinese Medicine treatment of infertility generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of infertility:

Blood StagnationKidney Jing DeficiencyKidney Yang DeficiencyKidney Yin DeficiencyLiver Qi StagnationSpleen Qi DeficiencyStomach Qi Deficiency

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Which Acupuncture Point Protocols May Be Applied For Infertility?

whichacupuncturepointprotocolsmaybeappliedforinfertility?

Infertility - Acupuncture Protocols

The treatment of conditions with acupuncture can be a complicated endeavor that should only be undertaken by individuals with a deep understanding of the underlying Chinese Medicine theory (and/or whatever system being used for treatment). There are many approaches, but generally speaking few viable approaches are involved on a point to condition basis. Rather using proper diagnostic procedures the patients diagnostic pattern is ascertained and that is what is treated. The protocols listed here exemplify some of these clinical approaches.

The following acupuncture treatment protocols may be used with infertility:

Which Tam Healing and Tongren Therapy Protocols Apply To Infertility?

whichtamhealingandtongrentherapyprotocolsapplytoinfertility?

Infertility - Tam Healing and Tongren Therapy Protocols

Tong Ren Therapy is the energy healing/medical qi gong aspect of the Tam Healing System. The areas of focus for infertility that we would use in Tong Ren techniques form the basis for our acupuncture treatments as well. Generally you would mix these primary points with points specific to the patients underlying TCM pattern and then our tuina (medical massage) would be largely focused on these points as well.

The following Tam healing and tong ren therapy protocols may be used with infertility:

12 Points Are Empirically Important For Infertility

4 TCM Herbs Are Potentially Used With Infertility

The Following (12)Formulas TCM Herbal Formulas May Be Useful For Infertility

Ba Zhen Wan (Eight Treasure Combination)

Clinical Usages

  • For recovery of qi and blood after acute trauma or accident
  • For frequent heavy menstrual cycles
  • Pale complexion, fatigue, dizziness from qi deficiency
  • Vertigo, palpitations, anxiety from blood deficiency

    Clinical Categorization

    Cautions

      • Do not confuse with Ba Zheng Wan - which is a clearing formula.

        Dang Gui Wan (Tangkuei Powder)

        Clinical Usages

        • For recovery of qi and blood after acute trauma or accident, similar in usage to ba zhen wan.
        • A range of menstrual issues when they arise from qi and blood deficiency - amenorrhea, menorrhagia, irregular cycles - also related fertility issues.
        • For pregnancy with the right diagnostic factors for habitual miscarriage, unstable pregnancy - as well as aiding with difficult labor and post-partum deficiencies such as weakness, anemia, and/or insufficient lactation.
        • Weakness and deficiencies from qi and blood deficiency generally - strong fatigue, orthostatic hypotension, anemia, floaters.
        • Any of the above issues may arise from malnutrition and/or eating disorder issues for which this formula may be supportive.
        • Vertigo/dizziness, possibly with anxiety and/or palpitations from blood deficiency.

          Clinical Categorization

          Er Xian Wan (Two Immortal Decoction)

          Clinical Usages

          • Kidney Yin and Kidney Yang deficiencies with Empty Heat - hormonal issues such as menopause (possibly w/hypertension), amenorrhea, hot flashes along with associated symptoms of fatigue, depression, insomnia, nervousness and more.
          • Infertility with appropriate underlying factors, particularly when arising with amenorrhea or irregular menstruation.
          • Aplastic anemia.

            Clinical Categorization

            Nuan Gong Yun Zi Wan (Warm Uterus & Conception Pills)

            Clinical Usages

            • Infertility, history of miscarriage due to blood deficiency and/or cold in the lower jiao from kidney yang deficiency.
            • Irregular menstruation.
            • Lower abdominal pain, lower back pain, uterine and/or ovarian pain.

              Clinical Categorization

              Cautions

                • Use with caution for pregnancy.

                  Ren Shen Yang Rong Wan (Ginseng Decoction to Nourish the Nutritive Qi)

                  Clinical Usages

                  • Tonifies both qi and blood and nourishes the heart and calms the spirit - generally used for weakness from longer term or deep diseases such as cancer and for a host of other conditions affecting a broad range of the body and psyche such as Chronic Fatigue Syndrome and autoimmune conditions such as Lupus, Scleroderma, MCTD.
                  • Anemia.
                  • May be used alone or in conjunction with a formula such as yu ping feng wan to enhance immunity - particularly in patients with frequent colds and flus.
                  • Raynaud's condition in addition to the other connective tissue issues listed above.
                  • Micturition syncope, nephritis, cancers of the genitourinary tract.
                  • Male infertility, possibly with Gui Zhi Fu Ling Wan, for sperm volume and motility issues.
                  • Along with other immune benefits, hepatitis C.
                  • Lung cancer.

                    Clinical Categorization

                    Cautions

                      • Use with caution or seek an alternative in deficiency cases with very pronounced sensations of coldness.  Part of this is due to the relatively neutral (i.e. non warming) aspects of this formula.

                        Shao Fu Zhu Yu Wan (Abdominal Stasis Relief Pills)

                        Clinical Usages

                        • Qi and blood stagnation in the lower jiao - lower abdominal masses, fibroids, ovarian cysts, endometriosis.
                        • Fertility issues in both men and women with the right underlying signs - amenorrhea, dysmenorrhea, irregular cycles, uterine bleeding.
                        • Can be used to dispel ectopic pregnancy.
                        • Ulcerative colitis, urinary stones.

                          Clinical Categorization

                          Cautions

                          • Avoid during pregnancy.
                          • Not generally applicable to heavy menstrual bleeding coming from deficiency.

                            Si Wu Tang Wan (Four Substances Pills)

                            Clinical Usages

                            • The primary base formula for tonifying the blood and regulating menstruation in Chinese Medicine terms - irregular cycles, amenorrhea or long cycles.
                            • Postpartum issues such as uterine bleeding when arising from blood deficiency.
                            • General blood deficiency symptoms - dry skin, dry eyes, dry hair, anemia, calf cramping.  Certain version of dermatitis, psoriasis and other skin conditions - diabetic ulcers, etc.
                            • With the right underlying factors threatened miscarriage, ectopic pregnancy.
                            • Fertility issues, endometriosis.

                              Clinical Categorization

                              Cautions

                                • Avoid during the early phases of a cold or flu.

                                  Wen Jing Wan (Warm the Menses Formula)

                                  Clinical Usages

                                  • Irregular menstruation, amenorrhea, excessive uterine bleeding or spotting between cycles. 
                                  • Infertility, history of miscarriage. 

                                    Clinical Categorization

                                    Cautions

                                      • Use with caution with patients that present with heat signs.

                                        Wu Zi Yang Zong Wan (Five Seeds to Bring Forth Offspring)

                                        Clinical Usages

                                        • Impotence, premature ejaculation, noctural emissions, low libedo from weakened kidney jing (essence).
                                        • Poor concentration and memory, listlessness, general fatigue and worsening eyesight also resulting from weakened jing.
                                        • Low back pain, possibly with weakness of the knees from weakness of the kidney system.
                                        • Infertility [male] with low sperm count or abnormal sperm morphology.

                                          Clinical Categorization

                                          Xiao Yao Wan (Free and Easy Wanderer)

                                          Clinical Usages

                                          • Depression, anxiety, loss of motivation - resulting from liver qi stagnation.
                                          • Fatigue, bloating, changes in appetite from the combination of spleen qi deficiency with liver qi stagnation.
                                          • PMS, breast distention, irregular menstruation and in some cases infertility.

                                            Clinical Categorization

                                            Cautions

                                              • Use with caution during pregnancy.

                                                You Gui Wan (Restore the Right Kidney Pill)

                                                Clinical Usages

                                                • Cold extremities, fatigue, weak/aching low back, knees, waist, aversion to cold, loose stools - due to kindney yang deficiency.
                                                • Impotence, infertility, low libedo, low sperm count, abnormal sperm morphology.
                                                • Incontinence or other urinary issues (frequent, difficult to restrain), enlarged prostate.

                                                  Clinical Categorization

                                                  Cautions

                                                    • Use with caution with patients that present with damp signs.

                                                      Zuo Gui Wan (Right Returning Pills)

                                                      Clinical Usages

                                                      • Infertility, low libedo, impotence due to kidney yin deficiency.
                                                      • Low sperm count, abnormal sperm morphology resulting from jing deficiency.
                                                      • Irregular menstruation, vaginal dryness.

                                                        Clinical Categorization

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