Challenges and Some Answers



What are the advantages of using acupuncture when treating a patient with PCOS?

PCOS is both an endocrinologic also as a disorder. The patient can present with polycystic ovaries, hyperandrogenism, hirsutism, and hyperinsulinemia. Furthermore, PCOS patients have a difficult time conceiving. one among the explanations is anovulation. Also, the egg quality is extremely often compromised as there's an excessive amount of testosterone within the follicle. This acts as an anti-estrogen and thus, the eggs lack proper nourishment. In fact, the PCOS population experiences miscarriage quite the non-PCOS population.

Acupuncture and herbal medicine are 'regulators. They reduce that which is in excess and supplement that which is diminished. Within the PCOS patient, we would like to scale back the testosterone milieu, increase the follicular estrogen, regulate the cycle and help facilitate conception. Acupuncture and herbs often accomplish this goal.

Another goal of the practitioner of traditional Chinese medicine is to council patients about life-style. If a PCOS patient is morbidly obese, she may face gestational diabetes, preeclampsia or eclampsia. this will cause serious health issues for mom and baby. Throughout lifestyle counseling, it's often possible to assist this sort of patient reduce.

Obesity also will elevate estrogen levels which may, over time, contribute to cancer also as contribute to infertility. The hormones must be balanced. an excessive amount of estrogen is as detrimental as not enough. Via the regulatory effects of acupuncture and herbs, weight are often lost, hormones are often rebalanced, menses can regulate, and conception may occur. i'm not suggesting that acupuncture and herbal medicine is that the holy-grail. It can help some people, sometimes; a bit like IVF.

What are the advantages of using acupuncture when treating a patient with endometriosis?

Endometriosis may be a pro-inflammatory cytokine disease. In other words, there are inflammatory factors causing havoc within the genital system.

Even though endometriosis may be a disease which occurs outside of the uterus, the inflammatory processes make their way into the cavity altering the liner and therefore the environment. This in and of itself is that the main biological factor of infertility. There are physical issues also. for instance, tubal adhesions can occur which makes conception via intercourse or IUI impossible.

IVF may be a must in those cases. Many patients with endometriosis even have activated Nk cells. These cells are meant to attack cancer cells within the uterus. But in endometriosis patients, these Nk cells often mistake the embryo for a neoplastic cell and attack and kill it.

Even after laparoscopic surgery, the patient can STILL have endometriosis. Here's why: endometriotic lesions have various colors; brown, red, purple, power-burn, etc. This tells the surgeon "this is endo - resect it". the matter is, some endometriosis tissue looks exactly like normal tissue. So, the surgeon can't even see this tissue, including remove it. In my mind, even after a laparoscopy, it should be assumed that the patient still may have endometriosis.

In endometriosis cases (after laparoscopy always!) Our aim is to undertake and reduce the inflammatory processes which will still be manifesting within the uterus and to undertake and regulate immune function. One protein that's a marker for poor fertility outcomes and is usually seen in endometriosis patients is BCL6. BCL6 in some medical circles is what's thought to cause infertility within the endometriosis patient. By regulation of immunological function and clearing inflammation, BCL6 could also be down-regulated and therefore the ability to conceive are going to be improved.

What are the advantages of using acupuncture when treating a patient with sperm anomalies?

A typical semen analysis looks at count, volume, concentration, morphology and motility and ph. all of them come normal and therefore the wife is 100% normal and she's 27 years old and that they can't conceive? Why not? One potential reason may be a 'hidden pathology' that's often not tested for. The pathology is sperm DNA fragmentation.

The common consensus amongst reproductive endocrinologists is that the sole barrier to fertilization caused by DNA fragmentation is that the sperm can't penetrate the egg. The patient is treated via ICSI (the sperm is injected directly into the egg to engender fertilization.) Often these cases find yourself in non-pregnancy or miscarriage. It is, in my opinion, not advisable to force a poor-quality sperm into an egg and expect an honest outcome. Interestingly, a number of these cases do find yourself with live births. But many don't.

Acupuncture can strongly improve hemodynamics to the testes, delivery oxygen, hormones, nutrient and electrolytes. Acupuncture also helps facilitate to excretion of debris or dead cells from the testes. this will improve testicular function and
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