Irregular Menstruation: Insights from Traditional Chinese Medicine

Irregular menstruation..?

Hello Dr.
Wu: I would like to ask you about my irregular menstruation, which has been ongoing for 3-4 years.
I have seen Western doctors and undergone transvaginal ultrasound, blood tests, and urine tests, all of which came back normal.
Last month, my period started on May 17, but it hasn't come this month.
However, I am experiencing breast tenderness.
A pregnancy test came back negative.
Over the years, I have visited many hospitals, and the doctors have said it is due to insufficient progesterone.
I would like to know, Dr.
Wu, can Traditional Chinese Medicine treat this condition? How long would the treatment take? What could be the underlying causes? Will this affect my fertility?

A Zhen, 20~29 year old female. Ask Date: 2005/06/30

Dr. Wu Xuanzhang reply Traditional Chinese Medicine

Dear [Name],
The extension of the menstrual cycle is indeed largely influenced by hormonal factors, with insufficient progesterone being one of the causes.
Due to inadequate secretion of progesterone, the endometrium does not thicken properly, leading to a lack of shedding and resulting in irregular bleeding; thus, menstruation does not occur regularly.
Insufficient progesterone is generally associated with ovarian dysfunction.
Traditional Chinese medicine has its strengths in regulating ovarian function, and the typical treatment duration is around three months.
After proper regulation, if ovarian function is restored to normal, it is possible to conceive normally.

Reply Date: 2005/06/30

More Info

Understanding irregular menstruation is a complex issue that can be approached from various medical perspectives, including Traditional Chinese Medicine (TCM). In TCM, menstrual irregularities are often viewed through the lens of the body's overall balance of Qi (vital energy), Blood, Yin, and Yang.
Irregular menstruation can manifest in various forms, such as delayed periods, missed cycles, or changes in flow and duration. In your case, it seems you have been experiencing irregularities for several years, with medical evaluations showing normal results. This situation can be frustrating, especially when conventional treatments have not provided a solution.

From a TCM perspective, irregular menstruation may be attributed to several factors:
1. Qi and Blood Deficiency: In TCM, the proper flow of menstruation is dependent on the adequate supply of Qi and Blood. If either is deficient, it can lead to irregular cycles. Symptoms may include fatigue, pale complexion, and dizziness.

2. Liver Qi Stagnation: The liver plays a crucial role in regulating emotions and the smooth flow of Qi. Stress, emotional disturbances, or lifestyle factors can lead to liver Qi stagnation, which may cause irregular periods. Symptoms might include irritability, breast tenderness, and abdominal discomfort.

3. Kidney Deficiency: The kidneys are considered the source of Yin and Yang in TCM. A deficiency in kidney Yin or Yang can lead to hormonal imbalances, affecting the menstrual cycle. Symptoms may include lower back pain, night sweats, and fatigue.

4. Phlegm-Damp Accumulation: This condition can obstruct the flow of Qi and Blood, leading to irregular menstruation. Symptoms may include a feeling of heaviness, digestive issues, and weight gain.

In your case, the mention of "黄体素不足" (progesterone deficiency) aligns with TCM's view of a potential imbalance in the body's hormonal regulation. TCM practitioners often use herbal medicine, acupuncture, and dietary recommendations to restore balance.
Treatment Duration and Approach: The duration of treatment can vary widely depending on the individual’s condition, lifestyle, and adherence to the treatment plan. Generally, patients may start to see improvements within a few menstrual cycles, but a full course of treatment may take several months to a year.
Potential Impact on Fertility: Irregular menstruation can indeed affect fertility, as it may indicate underlying hormonal imbalances that could interfere with ovulation. TCM aims to restore regular cycles, which can enhance fertility prospects.
Recommendations: It is advisable to consult with a qualified TCM practitioner who can conduct a thorough assessment, including pulse and tongue diagnosis, to determine the underlying causes of your irregular menstruation. They can then tailor a treatment plan specific to your needs, which may include herbal formulas, acupuncture sessions, and lifestyle modifications.

In summary, TCM offers a holistic approach to understanding and treating irregular menstruation. By addressing the root causes of the imbalance, it aims to restore harmony within the body, potentially improving menstrual regularity and overall reproductive health. If you are considering TCM, ensure that you communicate your current medications and health status to your practitioner for a safe and effective treatment plan.

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