Treatment of infertility after abortion with oligomenorrhea

Two years ago, Ms. Zhu had an abortion at the age of 28. Since then, her menstruation has become irregular, delayed every month, and the amount of menstruation is much less than before. After going to the hospital for examination, no organic lesions were found, and the doctor suggested that she inject progesterone for treatment. But there was no improvement. Recently, the ultrasound showed polycystic changes in both ovaries. The angiography showed that both fallopian tubes were basically unobstructed. The sex hormone test showed that LH/FSH>3:1 luteinizing hormone/follicle stimulating hormone, and the basal body temperature was monophasic.

With the irregular menstruation, Ms. Zhu also felt that her weight was gradually increasing. Her originally standard body shape had become a little fatter. She also often suffered from lower back pain and excessive vaginal discharge.

Moreover, since last year, Ms. Zhu and her husband have discussed and decided to have a child, but after more than a year of using contraception, they still have no child. This is why Ms. Zhu is eager to see a doctor.

After understanding Ms. Zhu's condition, the doctor believed that her condition was caused by insufficient kidney qi and phlegm-dampness blocking the collaterals, and prepared to treat her with the method of warming the meridians and resolving phlegm, with a prescription of calcined purple quartz, angelica, chuanxiong, selaginella, processed atractylodes, chendanxing, processed cyperus, turmeric, xianlingpi, danshen, roasted pangolin slices, and tangerine peel. The medicine was decocted in water and taken once in the morning and evening, one dose per day.

After taking it for 7 days, the woman had a little less vaginal discharge, but her basal body temperature was still monophasic, her menstruation was delayed, she had backache, and her lower abdomen felt slightly cold, which were symptoms of cold uterus and cold uterus. So the treatment principle was changed to warm the kidney and strengthen the spleen, and the prescription composition was changed to antler slices, Morinda officinalis, stir-fried Atractylodes macrocephala, Poria cocos, Cistanche deserticola, Epimedium, Cuscuta australis, Angelica sinensis, Chuanxiong, processed Cyperus rotundus, Curcuma aromatica, Zedoariae, and Chinese rose. After using it for a month, her menstruation came naturally once, with a small amount, her basal body temperature was still monophasic, and her lower abdomen still felt cold, so she added cinnamon and aconite. After taking the medicine, her lower abdomen gradually felt warm, her basal body temperature began to be biphasic, and her menstruation changed from 3 to 4 months to 40 to 50 days.

Half a year later, the menstruation was 20 days late. The examination found that the basal body temperature had been high for 18 days and the urine pregnancy test was positive. So the method of keeping the fetus was used, and a baby boy was born naturally.