Menstrual irregularity infertility

　　Internal injury to the seven emotions, external attack by the six pathogenic factors, or excess of Qi and blood, and the multiplication of Yin and Yang can lead to irregular menstrual flow, irregular menstrual periods, and infertility.

　　1. Ovulatory disorders:Disorders of various endocrine functions can directly lead to infertility caused by ovulatory disorders.

　　2, Congenital sexual differentiation abnormality:主要包括雄激素过多，雄激素缺乏，雄激素功能异常等疾病。

　　3, Polycystic ovary syndrome:It has menstrual disorder, amenorrhea, anovulation, hirsutism, obesity, infertility, and bilateral ovarian enlargement呈多囊改变.

　　4, Amenorrhea caused by endocrine factors:Amenorrhea is an extreme form of menstrual稀少. It can be divided into primary amenorrhea and secondary amenorrhea. Primary amenorrhea refers to women who have not had a menstrual period after 18 years of age; secondary amenorrhea refers to women who have had regular menstrual periods but have stopped menstruating for 3 months or more due to some reason.

　　Accompanied by adnexitis, ovarian mass, incomplete uterine development, endometritis, etc.

　　Adnexitis is a common disease caused by pathogenic microorganisms invading the reproductive organs, causing fallopian tube and ovary infection. This disease can occur in both unmarried and married women, and is often accompanied by pelvic inflammatory disease in clinical practice. Adnexitis can cause tubal occlusion, leading to infertility, and can induce inflammation and other complications.

　　Women with long-term menstrual disorder, couples living together for more than 3 years without pregnancy. The menstrual period may be before or after, or once every few months, or several times a month, or even amenorrhea. The amount of menstrual blood may be more or less, the color of menstrual blood may be light or purple, or there may be pain during menstruation, or there may be abdominal pain before and after menstruation. May be accompanied by adnexitis, ovarian mass, incomplete uterine development, endometritis, etc.

　　Since the first menstrual period, it should be learned and understood some health knowledge, have a correct understanding of the physiological phenomenon of menstrual period, eliminate fear and tension, can prevent the primary dysmenorrhea or increase the pain threshold to reduce the pain degree. Pay attention to the hygiene of menstruation and sexual life, prevent ascending infection during menstruation and childbirth, actively prevent and treat diseases that may cause menstrual blood stasis.

　　During the menstrual period, attention should be paid to keeping warm, avoiding cold, cool, raw and cold stimulation, preventing the invasion of cold evil; pay attention to rest, reduce fatigue, strengthen nutrition, enhance physical fitness; try to control severe emotional fluctuations, avoid strong mental stimulation, keep a pleasant mood; in daily life, prevent overexertion, and absolutely prohibit sexual life during the menstrual period.

　　During the menstrual period, attention should be paid to diet adjustment, and cold and cool foods should be avoided before and during the menstrual period to prevent cold blood stasis and exacerbation of dysmenorrhea and increased menstrual blood volume. People who are not suitable for eating spicy and pungent things should avoid them to prevent heat from forcing blood flow and further increase bleeding. And pay attention not to overuse medicine, according to the cause of dysmenorrhea, treat according to the syndrome.

　　One, Ovarian function examination

　　1, Endometrial biopsy.

　　2, Vaginal squamous cell examination.

　　3, Cervical mucus crystalline examination.

　　4, Serum E2, P measurement.

　　5, Basal body temperature measurement.

　　Two, Pituitary function examination

　　1, Directly measure blood LH, FSH levels and PRL levels.

　　2, Pituitary stimulation test.

　　Three, Sella turcica CT examination:Understand whether there is a pituitary adenoma.

　　Four, Chromosome examination.

　　Five, Ultrasound examination:Understand whether there are polycystic changes in the ovary.

　　Laparoscopic examination:Understand the state of the gonads, whether there are changes such as underdevelopment, polycystic ovaries, and early ovarian failure.

　　Seven, Magnetic Resonance Imaging (MRI):Exclude pituitary adenoma.

　　1, Dazao 20, motherwort 10 grams, brown sugar 10 grams, decoct and drink the soup, twice a day in the morning and evening. Suitable for delayed menstruation and less amount due to cold in the period.

　　2, Eggs 2, motherwort 30 grams, wash the eggs and cook with motherwort in water, remove the shell after the eggs are cooked, and boil for another 20 minutes, eat the eggs and drink the soup. Suitable for menstrual irregularities due to blood stasis.

　　3, Hong高粱hua, brown sugar in appropriate amounts, decocted and taken in two servings. Suitable for early menstruation, more amount, and bright red menstrual blood.

　　4, Danggui, Shengjiang each 10 grams, lamb slices 100 grams, cook together with water, add salt after boiling, drink the soup and eat the meat. Suitable for delayed menstruation, less amount, and cold pain in the abdomen.

　　5, Rice vinegar 200 grams, tofu 250 grams, cook together, eat before meals, and finish it in one go. Suitable for robust women with short menstrual periods, deep red blood color, and more amount of blood.

　　6, Sheng Shanzha meat 50 grams, brown sugar 40 grams. Boil the Shanzha and remove the dregs, pour in the brown sugar and drink while hot. Suitable for delayed menstruation.

　　7, Longyan meat 50 grams, egg 1, first boil the Longyan, then add the egg after 30 minutes, and cook together until done, take one each time in the morning and evening, and take for 10 days consecutively. Suitable for menstrual irregularities due to deficiency.

　　Traditional Chinese Medicine Treatment Methods for Dysfunctional Uterine Infertility

　　First, Early Menstruation

　　1, Actual Heat Type:Symptoms include early menstruation, more amount, deep red or purple color, sticky and thick quality, accompanied by irritability, dry mouth, red face, yellow urine, dry stools, red tongue body, and yellow coating. Treatment can be with Hemostasis Tablets.

　　2, Deficient Heat Type:Symptoms include early menstruation, less amount, red color, thick quality, accompanied by heat in the palms and soles, red cheeks, and red tongue with little coating. Treatment can be with Zhipei Dihuang pills.

　　3, Liver Qi Stagnation and Heat Type:Symptoms include early menstruation, varying amounts, red or purple color, or with clots, accompanied by chest, rib, and abdominal distension, irritability, bitter taste, and thin yellow coating. Treatment can be with Jiawei Xiaoyao pills.

　　4, Qi Deficiency Type:Symptoms include early menstruation, more amount, pale color, thin quality, accompanied by fatigue, palpitations, shortness of breath, poor appetite, loose stools, pale tongue, and thin coating. Treatment should be with Renshen Guipu pills.

　　Second, Menstrual Delay

　　1, Actual Cold Type:Symptoms include delayed menstruation, dark color and less amount, accompanied by cold pain in the lower abdomen, pain reduced with hot compress, aversion to cold, and pale complexion. Treatment can be chosen with Qizhi Xiangfu pills or Stomachache pills.

　　2, Deficient Cold Type:Symptoms include delayed menstruation, less amount, thin quality, intermittent pain in the lower abdomen, preference for warmth and pressure, accompanied by lumbago and weakness, clear urine, and loose stools. Treatment can be with AiFu NuanGong pills.

　　3, Blood Deficiency Type:Symptoms include delayed menstruation, less amount, pale color, thin quality, accompanied by dizziness, blurred vision, palpitations, insomnia, pale or sallow complexion, and numbness in hands and feet. Treatment can be chosen with Danggui pills, Bajian Yimu pills, Danggui Red Date Granules, etc.

　　4, Qi Stagnation Type:Symptoms include delayed menstruation, less amount, dark color with clots, accompanied by abdominal distension and pain, and swelling in the chest, ribs, and breasts. Treatment can be chosen with Qizhi Xiangfu pills or Yuanhugu Pain Relieving Tablets.

　　Three, Irregular Menstrual Periods

　　1. Liver Depression Type:Symptoms include menstrual onset or advance or delay, varying amounts of menstrual blood, unsmooth menstrual flow, accompanied by chest, breast, and abdominal pain, belching, decreased appetite, melancholy. Treatment can choose Jiawei Xiaoyao Wan.

　　2. Kidney Deficiency Type:Symptoms include menstrual onset or early or late, light color, accompanied by dizziness, tinnitus, lumbar and leg weakness, heel pain, frequent urination at night. Treatment should choose Wuji Bai Feng Wan and Liuwei Dihuang Wan.

　　Four, Extended Menstruation

　　1. Qi Deficiency Type:Symptoms include persistent, light menstrual bleeding, thin and pale color, accompanied by fatigue, palpitations, insomnia, decreased appetite, loose stools, pale tongue. Treatment should choose Renshen Guipi Pill.

　　2. Blood Heat Type:Symptoms include prolonged menstrual bleeding, light red color, accompanied by heat in the palms and soles, dry mouth and throat, red cheeks, red tongue, thin fur. Treatment can use Hemostatic Tablets and Zhipei Dihuang Pill.

　　Five, Menstrual Blood Excess

　　1. Qi Deficiency Type:Symptoms include heavy menstrual flow, pale color, thin and watery, accompanied by yellowish complexion, palpitations, shortness of breath, lack of speech, weakness of the limbs, pale tongue. Treatment can choose Wuji Bai Feng Wan and Renshen Guipi Pill.

　　2. Blood Heat Type:Symptoms include heavy menstrual flow, deep red or purple color, thick or with clots, accompanied by restlessness, thirst, abdominal and lumbar pain, jaundice, dry stools, red tongue with yellow fur. Treatment should choose Hemostatic Tablets.

　　Six, Menstrual Blood Deficiency

　　1. Blood Deficiency Type:Symptoms include light menstrual flow and pale color, or it stops quickly, accompanied by empty abdominal pain, dizziness, dizziness, palpitations, yellowish complexion, pale tongue. Treatment should choose Danggui Hongzao Granules, Fukangbao Oral Liquid, or Siwu Mixture.

　　2. Kidney Deficiency Type:Symptoms include light menstrual flow, accompanied by lumbar and knee weakness, heel pain, dizziness, tinnitus, pale tongue. Treatment should choose Wuji Bai Feng Wan and Liuwei Dihuang Wan.

　　3. Blood Stasis Type:Symptoms include light menstrual flow, purple and black blood clots, abdominal distension and pain that is resistant to palpation, pain decreases with the expulsion of blood clots, purple and dark tongue with ecchymosis. Treatment should choose Qizhi Xiangfu Pill, Fuke Desheng Pill, and Yimucao Paste. The above drugs should be taken under the guidance of a doctor. Menstrual irregularity infertility is one of the pathophysiological bases of menstrual diseases and one of the causes of infertility, which is an urgent problem to be solved by many patients. Some patients may have ovulation but insufficient luteal function, which can also cause infertility. Different ovulation-inducing drugs should be chosen according to the patient's condition to improve the function of the ovary or replace part of the function of the pituitary and hypothalamus.