For cases with dysmenorrhea, it is important to use an appropriate formula starting either a day or so before cramping begins, or at least once cramping begins, and until cramping and clot expulsion is finished. Then, a fertility blood tonic would be used at the end of menses until ovulation, or continued until the period starts. A formula like Jia Wei Xiao Yao San is quite adequate. In cases with liver stagnation (irregularity, PMS), management requires addressing qi stagnation during the pre-menstrual phase, from ovulation until the first day of bleeding. Chinese herbs cannot strengthen the life-force or integrity of the egg.įor fertility, the formulas described here boost blood and kidney qi. After the age of 39, however, the viability of the woman's eggs come into question, and is a common reason for first-trimester miscarriage in older women. The best way to determine progesterone levels is by lab testing. Some women with frequent miscarriage will benefit by combining Chinese herbal formulas with bioidentical progesterone. The Chinese blood and kidney builders suggested here can boost progesterone levels. Irregular periods or premenstrual syndrome (irritability, breast distension, abdominal distension) indicate qi stagnation dysmenorrhea indicates blood stasis or exogenous cold into the uterus amenorrhea or light, scanty periods confirm blood deficiency and obesity involves stagnation of phlegm and dampness.įrequent miscarriage often accompanies infertility, and in modern medicine is correlated with low levels of progesterone. In evaluating for patterns, paying close attention to the menstrual history offers the best clues. Further pattern differentiation can be made for deficiency of kidney yang, yin or jing liver qi stagnation, blood stasis, or accumulation of phlegm and dampness. At its core, tonification of blood and kidney qi is necessary in most cases. Chinese medicine delineates several patterns in infertility.
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