"My husband and I have been pregnant for more than a year and have never been able to conceive a child. The acne on our face has been repeated and the weight has been rising, which is difficult to control. We realized that things are not that simple.
went to the hospital and found out that I had polycystic ovary syndrome ! The doctor who examined me told me that it was difficult to get pregnant after I got polycystic, and my mother-in-law was even more despicable to me after I knew it. Doctor, what should I do? Doctor, do you really have no hope of getting pregnant?"
or above is the case of a polycystic patient. In fact, there are many similar things in the outpatient clinic, because women have polycystics despised by their boyfriends and their future mother-in-law and forced to break up, and some have not gotten pregnant for three or four months after getting pregnant.
Every time I hear this, I feel very regretful and angry. In fact, polycystics is not a terminal illness. The treatment of polycystics is not very complicated. Many polycystic women can get pregnant after conditioning, but there are too many human hearsays. Some doctors are even misleading patients and directly saying that polycystics is not easy to conceive when the patient does not understand, so that their family and relationships are broken!
Today I will tell you about polycystics. Polycystics affect pregnancy but do not mean that you cannot get pregnant!
Why do polycystics affect pregnancy?
1. Nonovulation
Nonovulation is the biggest reason why polycystic women cannot get pregnant. Normally, a mature follicle should be discharged every month.
. There are multiple small follicles in the ovaries of polycystic patients, but none of them can develop and mature and ovulate. This not only causes infertility , but also the main reason for sparse menstruation.
2. Other reasons
Compared with other nonovulation diseases (hypothalamic-pituitary amenorrhea), after ovulation induction treatment, the ovulation rate in polycystic women is significantly lower, indicating that nonovulation is not the only cause of infertility.
As a "syndrome", the potential causes, clinical manifestations and pathogenic mechanisms of polycystic ovary syndrome are diverse and complex.
So after suffering from polycystics, if you want to get pregnant, you can try the following method:
① Weight loss
For fat polycystics, professional doctors will evaluate the weight of fat polycystics, so that obese patients will lose weight before starting ovulation induction treatment.
Studies have shown that even if you lose weight by only 5%-10%, it can improve the patient's metabolic status, reduce androgen levels, and help restore ovulation.
There are many fat and polycystic patients who lose 10-20 kilograms under my guidance, and then they became pregnant unknowingly. They thought they had irregular menstruation and came to me. I asked them to check and they got pregnant!
②Traditional medicine conditioning
From the perspective of traditional Chinese medicine, the common pathogenesis of polycystic ovary syndrome is kidney essence deficiency, liver depression and fire, and phlegm and dampness blockage, which mainly involve the kidney, spleen, and liver. In terms of treatment, the principle is to treat both the symptoms and the root causes, and to treat with the spleen and , benefit the kidney, relieve the liver, and soften the liver. It also treats it with clearing heat, resolving phlegm, removing dampness, and promoting blood circulation.
Share an outpatient case:
23-year-old Ms. Hong, who has been dysmenorrhea for many years, is prone to nervousness and anxiety in , and is fat in her body. When I visited the doctor, I complained that the menstrual cycle was irregular, the menstrual flow was small, blood clots were stuck, and the dysmenorrhea was severe. It is okay to sleep, and adjust the two bowel movements. The tongue is dark and red, the coating is thin and white, and the pulse is stringy and tight.
[First Diagnosis] Diagnosis: irregular menstruation (hepatic depression, qi stagnation, internal obstruction of dampness and blood stasis), Western medicine diagnosis: polycystic ovary syndrome.
Before prescribing Chinese medicine, actively communicate with the patient, explain the importance of lifestyle intervention in the treatment of this disease, and formulate "double-regulation" management standards with the patient: weight loss of 2-3 kg in January. Exercise outdoors, sweating is the best, and patients are encouraged to maintain a happy mood and cooperate with treatment, so that the disease can be cured faster.
prescription: Bupleurum , Mint , white peony , Peony bark , Curcuma zedo , Salvia miltiorrhiza, Safflower , Astragalus , Raw Rehmannia , Angelica , Yinchen , Coix seed , Licorice , decocted in water and taken, a total of 10 doses.
[Second diagnosis]: Follow-up visit after 1 month, irregular menstruation, dysmenorrhea is relieved compared with before, moderate menstruation, no blood clots, abdominal pain, dull pain, accompanied by low back pain, dark red tongue, thin white coating, stringy and tight pulse. Lose 2kg of weight.
Add Erzhi pills in front of Ligustrum , and ash lotus herb to nourish the liver and kidneys. A total of 10 doses. And give affirmation and encouragement to the effect of patients' lifestyle intervention, and urge them to maintain good lifestyle management.
[Three Diagnosis]: Menstruation has turned regular, dysmenorrhea, moderate menstrual flow, no blood clots, abdominal pain, dull pain, accompanied by low back pain, and yellow complexion. I tell you that I have no discomfort. The tongue is dark red, the coating is white, there are ecchymns, and the pulse is stringy and tight. Weight loss by 1kg. Reduce the amount of coix seed in the first prescription, add red peony , a total of 10 doses.
Because Ms. Hong is usually prone to tension and anxiety, liver depression and qi stagnation, blood circulation is not smooth, and blood stasis is blocked, so she has many dysmenorrhea and blood clots, and her menstrual cycle disorders.
Therefore, treating the core pathogenesis, uses the basic formula of liver-relieving and qi-regulating medicines: Bupleurum, mint, white peony, Danpi and blood-activating and stasis-removing medicines: Curcuma zedoaria, Salvia miltiorrhiza, safflower, and Angelica as the basic prescriptions. It is a product that strengthens the spleen, replenishes qi and removes dampness.
After the treatment of regulating the body's qi and blood, the Erzhi Wan, which is used to nourish the kidneys and nourish the yin, and adjust the menstrual cycle. Through the treatment of "Sequence-Guan", the patient's menstrual cycle is regular, the menstrual volume increases, and the dysmenorrhea improves.
Based on this treatment, patients actively implement reasonable lifestyle management, effective weight control and good mood maintenance also play a positive role in promoting the recovery of the disease.
Therefore, doctors and patients can cooperate with each other, integrate knowledge and action, and parallel management, which is the most effective solution for long-term management and treatment of polycystic ovary syndrome.
So, will polycystic patients be completely cured after pregnancy?
is not.
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Beware of postpartum complications caused by polycystics.
Studies have shown that the risk of cardiovascular and cerebrovascular complications ( pulmonary embolism , ecstasia , perinatal cardiomyopathy, hypertensive heart disease, cerebrovascular events, etc.) and psychiatric complications ( postpartum depression ) in patients with polycystic patients has increased. What can
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do to avoid these risks?
1) Usually, it is necessary to manage polycystics and polycystic-related complications throughout the pregnancy (such as blood sugar, blood lipids , and blood pressure monitoring).
2) Active follow-up after childbirth, pay more attention to your physical feelings and emotional changes, and seek more support from your family.
3) Control weight, follow doctor's instructions to review regularly, learn relevant knowledge, and learn to conduct self-examination.
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How to check yourself?
Menstrual sparseness, body hair worsens, facial acne, obesity, darkening of skin wrinkles, and difficulty getting pregnant when preparing for pregnancy [1]...
There are the above symptoms/or aggravation, so you should see a doctor in time and control the condition in time.
After reading the above sharing, are you more confident? Dear female friends who are polybaby, don’t be discouraged, you must also have confidence!
Learn more about relevant knowledge and actively cooperate with the treatment, and you will definitely be a mother!
