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The Difference Between Western and Chinese Reproductive Medicine

The Difference Between Western Reproductive Medicine And Traditional Chinese Medicine In Their Approach To The Treatment Of Infertility

Western reproductive medicine can do the following things: promote follicular development with certain drugs, promote ovulation with other drugs, perform intrauterine insemination and in vitro fertilization. Western reproductive surgeons can also perform often necessary surgeries to create a fertile environment where polyps, fibroids, uterine abnormalities and cervical abnormalities are present. Without these types of interventions many infertile women would never have children.

Traditional Chinese medicine can often regulate system dysfunction naturally. This means that TCM can contribute to helping the PCOS patient ovulate without Clomid or perhaps with a smaller amount of Clomid. In the morbidly obese PCOS patient, weight loss is critical to increasing the ability to conceive because excess fat stores androgens and converts androgens to estrogen thus creating a hormonal imbalance that is unlikely to enable conception. Acupuncture and herbal medicine along with exercise and lifestyle changes can enable weight loss and its accompanying health benefits.

In the endometriosis patient, acupuncture and herbal medicine cannot eradicate endometriosis but it can reduce the inflammatory environment associated with this disease. An interesting example of this is the patient with stage 1 endometriosis, who does not present a pelvic distortion but cannot conceive. Why not? Her husband’s sperm is good and apart from the endometriosis there are no contributing factors that contribute to the state of infertility. Even other autoimmune disorders have been ruled out as possible contributing factors. The infertility comes from an inflammatory intrauterine environment that either destroys the embryos or makes the uterine lining inhospitable to an embryo that tries to implant. Acupuncture and herbal medicine can often regulate this environment by reducing this inflammatory process.

Male factor. Many men have a low sperm count as a result of minor vericocele. Surgeons do not operate on minor vericoceles because the benefit does not outweigh this risk. The cause of vericocele is pooling and stagnation and overheating of blood in the pampiniform plexus. The pampiniform plexus is related to the veins in the testicles. The sperm-killing heat is caused by the pooling and stagnation of blood. Acupuncture and herbs can strongly move qi (energy, metabolism, circulation) and blood in the testicles. As a result of this, the blood is less congealed, the blood flow is more functional and the heat is reduced, contributing to an increased sperm count. Even in the face of a serious vericocele, the surgical results are successful 50% of the time. This means that even with surgery there is a 50% chance that the count will remain low. One of the reasons for this is that prolonged blood stagnation and heat in the testicles cause tissue necrosis (death) and sperm cannot be adequately produced.

The determination of success can be made only after the surgery. The recovery time after the surgery is six months. The reason this is the case is because the inflammation caused by the surgery takes so long to be reduced. Using acupuncture and herbal medicine after varicocelectomy shortens recovery time by about two months, making the total recovery time four months instead of six. Men with any sperm abnormality should refrain from taking hot baths, saunas or cycling for long periods of time because all these activities facilitate an increased testicular temperature.

What about the patient who wants to do IVF with her own eggs, but her FSH is 20 and her doctor states that a donor egg is the only option? The doctor is basically right. He or she views this patient as one who will either not respond to gonadotropin stimulation and therefore produce either no eggs or produce too few to justify continuing the IVF cycle. So the reproductive endocrinologist offers the donor egg option with full integrity and with the patient’s best interest in mind. But, this is what I have witnessed on more than a few occasions: I will treat the patient with acupuncture and herbal medicine and her numbers will regulate. Not necessarily to a “perfect” level, but to levels that will make it easier for the reproductive endocrinologist to have a “second look”. Later many IVF cycles were completed with many successful results and also many failures. But I choose not to focus too much importance on the failures. There are the breakthroughs that would never have happened if acupuncture and herbal medicine had not been used on the patient who was told that a donor egg was the only option. In other words, inclusion of TCM has only additional potential.

Implantation failure is responsible for a large amount of infertility. Almost every patient I have reports that her lining is “beautiful” according to her reproductive endocrinologist. The scientific truth, however, is that the morphology of the lining is not analogous to intraendometrial vascularization. This means that even though the lining may be thick, it does not mean that there is enough blood flow getting to the lining. Therefore sometimes even in the absence of any observable or diagnosable pathology, infertility manifests itself. Acupuncture and herbal medicine have been shown to increase endometrial vascularization and thus increase implantation potential.

The idiopathic patient. Idiopathy means ‘no known cause’. What ‘no known cause’ means is that the limited western medical diagnostic capabilities available today are only able to diagnose what they can, not what they cannot. In other words, there are many undiagnosed causes of infertility that have not yet been discovered and that, so far, have no remedies. Over time, this will change. This is in no way intended to be a mocking commentary on Western reproductive medicine. IVF has brought millions of children into the world and created many happy families. These successes would not have been possible in the “infertile population” before the arrival of this incredible technological breakthrough.

Traditional Chinese medicine, based on its method of diagnosis, does not have, as part of its medical vocabulary, a word that is analogous to “idiopathic”. In other words, all cases of infertility can be diagnosed and treated. There are no mysteries or impossible cases. Each and every case can be, analyzed, differentiated, diagnosed and treated.

TCM can often establish a treatment protocol where Western medicine has none to offer except a donor egg. TCM uses specific herbal formulas prescribed for a particular patient for a particular disease, taking into account the whole patient as well as their pathology. The whole person is treated, not just their disease. What does the “whole man” really mean? It means that if the patient has a bad marriage, has low libido, chronic headaches, arthritis, depression, anxiety, frustration, a history of operations, a history of psycho-emotional trauma, a job she hates, a dying mother, low self. -esteem, smoker, drinker, stress eater, etc, etc., these things can contribute to her infertility.

How? Because the mind, spirit and body are inextricably linked. Not convinced? Okay, so why is it that when you are very stressed, you get a headache or a stomach ache. Why is it that when you are very depressed, you have no energy? Why is it that when you pray you feel more empowered? Why is it that when you look better you feel better and when you feel better you have more energy and when you have more energy you are less likely to get sick and when you are not often sick you are not chronically depressed ?

Because the mind, spirit and body are inextricably linked. This is why TCM doctors treat the whole person; just treating the disease is like treating a cancer patient with analgesics for their pain.

Therefore, the best case in the treatment of reproductive disorders (as well as all disorders) is to integrate both methods of medical expertise. The TCM application will help the Western reproductive medicine protocol succeed in a shorter period of time. Or TCM can be the difference between success and failure in the western medical environment; remember, IVF has a 30% success rate, which means conversely that it has a 70% failure rate.

Herbs. Herbal medicine, when prescribed by a Board Certified herbalist is not only safe, but safer than western drugs. Can herbs “interfere” with western medicine in an IVF cycle? No. I have been giving herbs to patients while they are taking western medicine for thirteen years. There was only the production of babies. Can the western medical establishment be threatened by herbs or acupuncture? I’ll leave that for you to answer.

Here is a medical quiz. If you had a choice to do something that could improve your chances of conception, would it be:

1. Meditating

2. Praying

3. Yoga

4. Acupuncture

5. Herbal medicine

6. Change your diet

7. Reducing stress

You are right; all this will help. But can you identify the two things above that have a three-thousand-year history of successfully treating infertility? There are only two on the list.

What I find amazing is that every infertile couple does not include acupuncture and herbal medicine as part of their protocol to conceive. Some individuals say they “don’t believe in it.” How can you not believe in something that has been scientifically proven effective in countless Western scientific studies? There are, to my knowledge, very few studies done on herbal medicine and fertility outcomes but there have been many acupuncture studies completed.

I am a staunch supporter and firm believer in Western reproductive medicine. But, TCM has been successfully treating infertility for 2930 years longer than Western medicine. And I want equality. Not because of my ego or for the validation of the medicine that I so proudly practice, but because equality will enable true patient care; better patient care than we currently have; more successful results, more families given to those who should but cannot have them.

Based on the information I have provided here, it is my conclusion that not using Traditional Chinese Medicine as part of an assisted-reproductive-medicine-protocol is very short-sighted indeed.

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