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Premature Ovarian Failure in TCM
32 -year-old Mina (pseudonym) has long-term high-level stress and an irregular lifestyle. In recent years, her menstruation only comes once every two to three months, and the amount of menstrual blood has also become less and less. Mina was not getting pregnant despite having unprotected sex for one year. She goes to see the provider to determine the cause. Premature ovarian failure (AMH: 0.3 ng/mL) was unexpectedly found on examination.
What is Premature Ovarian Failure?
Premature ovarian failure, also known as premature ovarian insufficiency (POI), refers to the ovaries stopping functioning as they should before the age of 40 in women. This condition often leads to infertility. The symptoms include decreased libido, hot flashes, sweating, vaginal dryness, and other signs of estrogen deficiency.
How Can Acupuncture and Herbal Medicine Help?
The kidney (in traditional Chinese medicine theory) stores vital essence and promotes growth, development, reproduction, and urinary function. So the treatment of premature ovarian failure is mainly based on tonify the kidney.
Chinese Herbal Medicine
According to the constitution and basal body temperature, it combines treatment principles such as soothing the liver and regulating qi, fortifying the spleen to sweep phlegm, activating blood and resolving stasis, clearing heat and draining dampness.
Acupuncture
In clinical practice, treatment is combined with acupuncture and Chinese herbal medicine. Acupuncture treatment plan main points in the bladder meridian, conception vessel, and spleen meridian stream point. Patients should also cooperate with improving their diet patterns, such as reducing stress, avoiding staying late, and taking unidentified healthy food or herbal medicine without practitioner recommendations.
Treatment Plan
The general course of treatment is about six menstrual cycles, and the improvement of the AMH index is tracked every 3 to 6 months.
Reference:
Li HF, Shen QH, Chen WJ, Chen WM, Feng ZF, Yu LY. Efficacy of Traditional Chinese Medicine Tonifying Kidney (Bushen) and Activating Blood (Huoxue) Prescription for Premature Ovarian Insufficiency: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2020 Apr 21;2020:1789304. doi: 10.1155/2020/1789304. PMID: 32382277; PMCID: PMC7191427.
Kou MJ, Ding XF, Chen JX, Liu Y, Liu YY. TRADITIONAL CHINESE MEDICINE COMBINED WITH HORMONE THERAPY TO TREAT PREMATURE OVARIAN FAILURE: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Afr J Tradit Complement Altern Med. 2016 Aug 12;13(5):160-169. doi: 10.21010/ajtcam.v13i5.21. PMID: 28487907; PMCID: PMC5416635.
Jiang XL, Tai H, Kuang JS, Zhang JY, Cui SC, Lu YX, Qi SB, Zhang SY, Li SM, Chen JP, Meng XS. Jian-Pi-Yi-Shen decoction inhibits mitochondria-dependent granulosa cell apoptosis in a rat model of POF. Aging (Albany NY). 2022 Oct 27;14(20):8321-8345. doi: 10.18632/aging.204320. Epub 2022 Oct 27. PMID: 36309912; PMCID: PMC9648799.
Ju S, He J, Wang H, Yang L, Guo A, Guo Y, Qi M, Wang H, Ai L. Potential therapeutic drug targets and pathways prediction for premature ovarian insufficiency -Based on network pharmacologic method. J Ethnopharmacol. 2023 Mar 25;304:116054. doi: 10.1016/j.jep.2022.116054. Epub 2022 Dec 13. PMID: 36526095.
Cai L, Zong DK, Tong GQ, Li L. Apoptotic mechanism of premature ovarian failure and rescue effect of Traditional Chinese Medicine: a review. J Tradit Chin Med. 2021 Jun;41(3):492-498. doi: 10.19852/j.cnki.jtcm.2021.03.017. PMID: 34114409.
Li M, Xiao YB, Wei L, Liu Q, Liu PY, Yao JF. Beneficial Effects of Traditional Chinese Medicine in the Treatment of Premature Ovarian Failure. Evid Based Complement Alternat Med. 2022 Nov 26;2022:5413504. doi: 10.1155/2022/5413504. PMID: 36471694; PMCID: PMC9719426.
MedlinePlus about Primary Ovarian Insufficiency
