The "stopper" of the decline in ovarian function

Nowadays, due to various reasons such as learning and work, the phenomenon of older pregnancy is becoming more and more common. When such people want or intend to prepare for pregnancy, their age is often over 35 years old. Older pregnancy is not only a big test of physical fitness, but women's "fertility" has also become the focus of attention. In this issue of famous interviews, the reporter interviewed Hou Lili, director of the Traditional Chinese Medicine Department of Nanjing Maternal and Child Health Hospital, and listened to the experts' impact of the decline in ovarian function on the elderly prepare for the elderly.

For a long time, the "fertility force" lights up "red light"

The function of ovarian reserve refers to the number and quality of follicles reserved in ovaries, reflecting women's fertility potential. If the amount of follicles reserved in the ovaries decreased and the quality of ovarian mother cells decreases, the fertility potential is reduced, which is called a decrease in ovarian reserve function (DOR). According to statistics, among women over 40 years old, ovarian reserve function has decreased more than 40%. For ordinary women, the probability of loss of ovarian reserve function is about 10%.

Ms. Xiao, 37, has been prepared to the schedule since the beginning of last year, but after nearly six months of the husband and wife, she has not ushered in good news. So she accompanied the family to Nanjing Maternal and Child Health Hospital. After inspection, Ms. Xiao's AMH value is only 0.15 (the higher the AMH value, the more the sinus ovaries are stored; the lower the value, the worse the ovarian reserve function, the normal value range is 2-6.8ng/ml). Although Ms. Xiao has ovulation, her follicles are not only small but also poor compared to ordinary people. The result of this diagnosis made her and her family difficult.

After consultation, they found Hou Lili. "When the patient comes, the situation is really not very good. The AMH value is almost at the level of a menopause." Director Hou told reporters that considering the patient's demand, Director Hou asked both husband and wife to improve the schedule. Objectives such as buried lines and acupuncture are performed for comprehensive treatment. Under such a treatment plan, Ms. Xiao also had a "sense of direction", and the couple's confidence doubled. After a period of regulation, Ms. Xiao's ovarian function gradually improved, and she was pregnant with her children smoothly. "Although Ms. Xiao experienced a miscarriage in the treatment, she was in a good direction after pregnancy after pregnancy." Hou Lili said.

Coincidentally, Ms. Qi, who was just 35 years old this year, has been working hard to prepare for her husband in recent years, but the result is always disappointing, and she has not been able to keep it several times. "It is also one of the manifestations of ovarian dysfunction when pregnancy is susceptible to pregnancy." Hou Lili recalled that Ms. Qi was inspected and found that the AMH value was only 0.65. After the comprehensive adjustment of Chinese medicine, the value gradually increased. Finally, the AMH value returned to 1.9, smoothly Pregnancy is to give birth.

Hou Lili said that patients with decreased ovarian reserve function need to be diagnosed and treated in a standardized treatment before pregnancy, early detection and early treatment. Whether in the process of preparing for pregnancy or fetal protection, it is necessary to comprehensively treat the syndrome differentiation according to the patient's own situation. A single Chinese medicine oral treatment is only a way to administer the gastrointestinal tract. The comprehensive treatment of traditional Chinese medicine and external treatment of lines and external application is more suitable. The conditioning of the whole body state, the improvement of the local environment of the pelvic cavity, and the dredging of the upper and lower meridians can make the state of ovarian dysfunction as soon as possible, and the problems of endocrine disorders and fertility are solved.

Move the window forward to improve the "fertility power"

Hou Lili introduced that traditional Chinese medicine pays attention to "prevailing without disease" and "cure without disease", and most of the diseases are accumulated over time. For women of childbearing age, only the problem of decreased ovarian reserves in advance can prevent premature ovarian failure.

The definition of premature ovarian failure is that the value of follicle hormone (FSH) of women aged less than 40 years older than 40 years is greater than equal to 25, which is a manifestation of premature ovarian function. For women who have a loss of ovarian reserve function, although their FSH is still in the normal range, the fertility ability has declined and belongs to the "reserve" of premature ovarian failure. Early aging window move forward.

"A loss of ovarian reserves in addition to being reflected in the inspection value, it is also possible to find itself in terms of physical condition." Chinese medicine ancient books have a cloud "old age, and the water is broken first." Menstruation has been less or scarce menstruation, and a considerable part of them are people with "fertility power" and have decreased ovarian reserve function. Hou Lili told reporters that most of the ovarian reserve function will have changes in menstrual cycle or menstrual flow. If the previous menstrual cycle is about 28 days, it is now advanced to 23 days or shorter, or the menstrual flow suddenly decreases by 1/3-1/ 2. It is necessary to cause vigilance; secondly, insomnia and dreams, sleep quality decreased, sleeping for less than 5 hours a day; in the end, women over 35 years old have no audio for more than half a year of pregnancy. Although the FSH value is in the normal range, AMH Those with less than 1.1 also need to be paid attention to. Not only that, with the decline of ovarian reserve capacity, the quality of eggs decreases, and fetal malformation rates will also rise, so remember to perform strict prenatal screening.

Staying up late is the "killer" of ovarian function

What should I do for age? Hou Lili explained that the husband and wife should first check and then prepare for pregnancy, strictly and meticulously do a good job of preparation before pregnancy, and find out their "fertility power". When problems occur, try to treat Chinese medicine as soon as possible and comprehensively condition. You can use Chinese medicine, tea, and Chinese medicine to improve your physical fitness, acupuncture, etc., improve your physique, clear the meridians to delay the trend and speed of decreased ovarian reserve function. Perhaps in the process of regulating Surprise. In addition, in daily life, you need to pay attention to the following aspects:

First, fertility in time. "The Yellow Emperor's Canon" records "Women's Three Seven, with average kidney qi, so real teeth are born with the long poles; It means: women are around 28 years old, and they are strong in their bodies, full kidney qi, and peaks of fertility. If you miss this best childbirth age, at the age of 35, then "May 7th, Yangming pulse decline, starting to focus, and falling" body began to go downhill, gradually renal qi failure, the sky is exhausted, the authenticity is not available, and you cannot conceive. Therefore, women of childbearing age should be pregnant in a timely manner. From the perspective of modern medicine, women's "best fertility age" is generally considered to be between 25 and 34 years old. Once more than 35 years old, the surrogacy ability decreases significantly and the risk of fertility has increased significantly. It is also necessary to remind women who have fertility requirements. If the diagnosis is discovered, the ovarian reserve function is reduced, and they should intervene as soon as possible and get pregnant as soon as possible.

Second, regular work, do not stay up late. Staying up late is the most common and important "killer" of ovarian function. The "not staying up late" in Chinese medicine refers to falling asleep before 11 pm. According to the theory of "Ziwu Liu", the child (23:00 to 1 o'clock the next day) is the time period of the bile running operation. The bile meridian is "the official of the Zhongzheng" in traditional Chinese medicine. If it is not smooth, the human body's metabolic ability decreases and the immune function is damaged. When the ugly (1 o'clock to 3 o'clock) is when the liver is running, the liver hides blood, and the blood of people lying back to the liver. At the same time, the liver's qi and blood of the whole body are very important. Anxiety is irritable, but the liver meridian is lost in the tide, manifested as the front of the mammal, chest tightness and chest swelling, breast hyperplasia, etc. long -term staying up late leads to insufficient liver blood.

Third, relax the mentality. During the pregnancy or treatment, a good mentality can produce great help. Sometimes the more anxious the mentality, the less ideal, the illness is like a mountain, the disease is like pumping, and the treatment and healing of the disease have their objective laws. The treatment of traditional Chinese medicine is the holographic care of the body and psychology. Only by letting the nerves relax and actively cooperate with the treatment, while maintaining an optimistic mentality, can treatment be more effective.

Correspondent Wang Ningyan intern Wang Yuran

Nanjing Morning Post/Love Nanjing reporter Sun Sujing

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