Does Traditional Chinese Medicine Affect Egg and Sperm Quality for Pregnancy? - Obstetrics and Gynecology

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Does taking traditional Chinese medicine during the preparation for pregnancy affect the quality of eggs and sperm?


My questions are as follows: 1.
I have a six-year-old daughter, and due to pressure from family members, I am considering having a second child, preferably a boy.
Recently, I took my friend's advice and consulted a traditional Chinese medicine practitioner in Tainan to obtain herbal medicine to help regulate my body and shift my constitution to one that is more conducive to conceiving a boy.
I am supposed to take this medicine for three months, and my partner is also advised to take it during the third month.
My concern is whether this herbal medicine could have any adverse effects on the quality of my eggs or my partner's sperm.
2.
Three years ago, I was pregnant with my second child.
At 32 weeks, my water broke, and after being hospitalized for two days for observation, I delivered the baby, who unfortunately had no heartbeat at birth.
The baby had severe defects, including the absence of the left ear, a cleft lip and palate, and six toes.
Because of this, I chose not to pursue resuscitation.
I delivered the baby around 11 PM, and the following morning, the attending physician (who was also my prenatal care doctor) informed me that I could be discharged around 9 AM.
My question is, during the four-month prenatal check-up, this doctor clearly stated that the baby did not have a cleft lip and palate, so why did the baby have these issues? Additionally, regarding the ear and toe abnormalities, did this doctor have any responsibility for oversight? I was very heartbroken at the time and did not pursue the matter further, but the more I think about it, the more I feel something is wrong.
I believe I should have filed a complaint against him.
A significant amount of time has passed, and this has left a considerable emotional impact on me.
I want to clarify whether the doctor had any negligence at that time.
I apologize for the lengthy questions, but I would greatly appreciate a detailed response from the doctor.
Thank you very much.

Lori, 30~39 year old female. Ask Date: 2006/03/10

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


Hello, Lori:
Regarding the second question, the answer is definitely not to treat your physician as a god.
As an obstetrician-gynecologist, it is impossible to be completely error-free.
We can assess for conditions like a cleft lip, but sometimes it is not visible or clear.
When anxious couples press for information about the fetus's health, the inability to see a cleft lip may lead to a response of "no issues." I apologize, but physicians are not omnipotent.

As for the ears and six toes, these are also not easily detected during routine prenatal check-ups.
The ears are located on both sides of the fetal head and are often close to the uterine wall or the placenta, making them difficult to observe.
Regarding the number of fingers and toes, they may be too small or often curled (especially fingers, which tend to be in a fist position), making it hard to count them accurately.
Your obstetrician is a good doctor; he shares the burden of the unfortunate experience of a malformed fetus with you and your family.
Believe me, he is likely more upset than you are.
As for the first question regarding traditional Chinese medicine, I recommend consulting a qualified practitioner, as their expertise will be more professional than mine.
Regarding the use of medication to influence the sex of the baby, it is quite challenging.
Let me explain: during a single ejaculation, there are approximately hundreds of millions of sperm, half of which are X and half Y.
Only a few hundred sperm reach the vicinity of the mature egg, and only one will fertilize it.
Can you determine whether that one is X or Y?
Wishing you success in having a boy.

Reply Date: 2006/03/10

More Info


When considering the impact of Traditional Chinese Medicine (TCM) on fertility, particularly regarding egg and sperm quality, it is essential to approach the subject with a nuanced understanding of both the herbal components involved and the broader implications for reproductive health.

1. Impact of TCM on Egg and Sperm Quality: The use of TCM, including various herbal formulations, is common among individuals seeking to enhance their fertility. However, the effects of specific herbs on egg and sperm quality can vary significantly. Some herbs may have beneficial effects, while others could potentially have adverse effects. For instance, certain herbs that are known to promote blood circulation, such as *Chai Hu* (Bupleurum) and *Hong Hua* (Safflower), may be contraindicated during pregnancy or when trying to conceive, as they can stimulate uterine contractions or affect implantation.
In your case, if you are taking a herbal formula aimed at altering your body’s constitution to favor the conception of a male child, it is crucial to consult with a qualified TCM practitioner who can evaluate the specific herbs in your formula. They can provide insights into whether these herbs could negatively impact your egg or sperm quality. Generally, the quality of eggs and sperm can be influenced by various factors, including hormonal balance, nutritional status, and overall health, rather than solely by herbal supplements.

2. Concerns Regarding Previous Pregnancy Outcomes: Your experience with your second pregnancy raises significant concerns, particularly regarding the health of your child and the role of your healthcare provider. It is understandable to seek clarity on whether the physician may have missed critical signs during prenatal checks. While it is true that certain congenital anomalies may not be detectable via routine ultrasounds, the responsibility of the healthcare provider includes thorough communication about potential risks and limitations of prenatal diagnostics.

The presence of severe defects, such as cleft lip and palate, and the absence of an ear, may not always be visible during early scans, especially if the fetus is in a position that obscures these features. However, it is essential for healthcare providers to communicate openly about the limitations of their assessments and to provide appropriate follow-up care. If you feel that there was a lack of thoroughness or communication from your doctor, it is within your rights to seek a second opinion or to discuss your concerns with another healthcare professional.

3. Emotional and Psychological Impact: The emotional toll of losing a child and the subsequent feelings of uncertainty regarding medical care can be profound. It is important to acknowledge these feelings and consider seeking support from mental health professionals who specialize in grief and loss. They can provide a safe space to process your experiences and help you navigate the complexities of your emotions.

4. Recommendations for Future Pregnancies: As you prepare for a potential future pregnancy, it is advisable to adopt a holistic approach to your health. This includes maintaining a balanced diet, managing stress, and ensuring that any medications or herbal supplements are safe for use during conception and pregnancy. Consulting with both a qualified TCM practitioner and a reproductive health specialist can provide a comprehensive view of your health and fertility.

In conclusion, while TCM can play a role in fertility enhancement, it is vital to approach it with caution and informed guidance. Additionally, addressing past medical experiences with your healthcare provider can help you gain clarity and peace of mind as you move forward in your journey toward parenthood.

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