Is traditional Chinese medicine or Western medicine better for treating follicular dysplasia

The selection of traditional Chinese medicine or Western medicine for follicular dysplasia should be based on individual conditions. Traditional Chinese medicine focuses on overall regulation, while Western medicine excels in precise intervention, each with its own advantages.

1. Advantages of Traditional Chinese Medicine:

Traditional Chinese Medicine believes that follicular dysplasia is related to insufficient kidney essence, liver depression and qi stagnation, and deficiency of both qi and blood. Treatment based on syndrome differentiation can improve physical fitness. Common prescriptions include Guipi Tang for tonifying qi and blood, Wuzhi Yanzong Wan for nourishing kidney essence, and Xiaoyao San for soothing the liver and relieving depression. Acupuncture and moxibustion selects Guanyuan, Sanyinjiao and other acupoints to promote the movement of qi and blood, and warm and nourish the uterus with moxibustion. Traditional Chinese medicine cycle therapy is used in stages, with nourishing the kidneys and replenishing essence in the later stages, and promoting blood circulation and unblocking collaterals during ovulation.

2. Advantages of Western Medicine:

Western medicine identifies the type of follicular development disorder through hormone testing and ultrasound monitoring, and uses clomiphene to induce ovulation, letrozole to inhibit androgens, and FSH injections to directly stimulate follicular growth. For patients with polycystic ovary syndrome, laparoscopic ovarian drilling may be used, and in severe cases, assisted reproductive technologies such as in vitro fertilization may be required. The treatment cycle of Western medicine is clear, and the effect can be quantitatively evaluated.

3. Combination therapy:

The combination of traditional Chinese and Western medicine can complement each other's advantages. For example, during the ovulation promotion stage, Western medicine can be combined with traditional Chinese medicine to improve ovarian responsiveness, and after egg retrieval, traditional Chinese medicine can be used to regulate the endometrium. Clinical studies have shown that supplementing with kidney nourishing and blood activating traditional Chinese medicine can improve the ovulation induction pregnancy rate. Acupuncture and moxibustion combined with hormone therapy can reduce the dose of western medicine and reduce the risk of ovarian hyperstimulation.

4. Individualized selection:

For young patients with ovarian reserve, traditional Chinese medicine conditioning should be prioritized for 3-6 months. For those over 35 years old or with low AMH, it is recommended to combine Western medicine intervention as soon as possible. Secondary amenorrhea requires screening for organic lesions such as pituitary tumors, and Western medicine is mainly used after diagnosis. Repeated failed attempts to promote ovulation can be referred to traditional Chinese medicine to improve egg quality, while those with thin endometrium can be treated with moxibustion to warm the uterus.

5. Precautions:

Regardless of the method chosen, it is necessary to continuously monitor basal body temperature and ovulation status. To avoid premature ovarian failure caused by excessive stimulation, avoid eating raw and cold foods during traditional Chinese medicine conditioning. Excessive mental stress affects hypothalamic function and requires psychological counseling. If there is no improvement after 3 months of treatment, the plan should be re evaluated.

Daily diet should include more kidney tonifying ingredients such as black beans, goji berries, and yam. Aerobic exercise three times a week can improve pelvic blood circulation. Soaking feet in warm water before bedtime can stimulate the Yongquan acupoint. Avoid staying up late and disrupting your biological clock, and maintain a BMI between 18.5-23.9. During the period of traditional Chinese medicine regulation, liver and kidney function should be rechecked monthly, and ovulation induction treatment should strictly follow the doctor's advice to control the medication time. For organic problems such as fallopian tube obstruction and chromosomal abnormalities, they should be promptly referred to a reproductive medicine specialist for treatment.