Ms. Huang, 30 years old, found out she was pregnant after having sex for the first time with her husband (then boyfriend) three years ago, but they were not married at the time. After careful consideration, she decided to have a child later, so she had an abortion. Two years ago, after they got married, the parents of both sides had been urging them to have a child. However, since the last abortion, Ms. Huang, who had never taken any contraceptive measures, has been infertile. In addition, the urging of both parents has caused Ms. Huang to be very depressed recently, unhappy, with loss of appetite and irregular menstruation. She also has occasional dull pain in her lower abdomen, premenstrual breast swelling, and multi-colored yellow discharge with a fishy smell. After going to the hospital for examination, it was found that there was mild cervical erosion, adhesion of the left fallopian tube, and irregular biphasic basal body temperature. Traditional Chinese Medicine diagnosis: infertility due to uterine congestion. Western medicine diagnosis: infertility after abortion According to TCM diagnosis, the infertility is caused by uterine stasis and damp-heat. The treatment principle is to regulate qi and eliminate dampness, activate blood circulation and dredge collaterals. The prescription is Wuling Powder without cinnamon twig, and add Chinese toon bark and Akebia. Decoction in water, 10 doses per month after the end of menstruation. After taking it for 2 months, the gynecological examination showed that the left fallopian tube was unobstructed and the menstruation was normal. The doctor recommended nourishing the kidney and invigorating the governor vessel, regulating qi and unblocking the collaterals. The prescription used was Wenjing Daotan Decoction with Morinda officinalis and Leonurus japonicus. After 2 months of treatment, she became pregnant and gave birth to a baby boy at full term the following year. Tips--What is infertility after abortion? Women who have been pregnant but have not conceived after one year of abortion are considered to have post-abortion infertility. The number of artificial abortions worldwide has reached 50 to 100 million per year, and the age of abortions is tending to be younger. The number of complications and sequelae has also increased, among which post-abortion infertility is also a common clinical phenomenon. |
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