Patient's question:
Is it better to treat infertility with traditional Chinese medicine or Western medicine? Which one works faster? Is pulse-taking reliable? Can pulse-taking detect luteal phase deficiency?Doctor's answer:
Hello:It has advantages.
The treatment of infertility and subfertility should be carried out after comprehensive and systematic examinations and confirmations of both partners, targeting the cause, and adopting a combination of traditional Chinese and Western medicine treatments.
（1）Treatment for male infertility:
Abnormal semen: Such as azoospermia or oligospermia, the primary disease should be actively treated. Hormones, traditional Chinese medicine, and acupuncture can also be used. Sperm transport disorders: Such as vas deferens obstruction, urethral fistula (upper or lower), hydrocele of the spermatic cord, varicocele, etc., can be treated surgically; if caused by sexual dysfunction, symptomatic treatment should be administered.
（2）Treatment for female infertility:
Ovulation disorders: Medications are commonly used to promote ovulation. For example, clomiphene is taken once daily, 50mg each time, starting from the 5th day of the menstrual cycle, with 5 days constituting one course. It can be combined with diethylstilbestrol, taken orally 0.25mg per day from the 5th to the 14th day of the menstrual cycle. Alternatively, human chorionic gonadotropin can be administered via intramuscular injection. Traditional Chinese medicine can also be used for syndrome differentiation and treatment or phased adjustment of ovarian function.
Fertilization disorders: If fertilization is hindered, active treatment should be given for conditions such as vaginitis, cervicitis, tubal obstruction, or trichomoniasis. Surgical treatment may be required for certain abnormalities. Immunological factors: Some women may have anti-sperm antibodies that cause sperm agglutination, preventing them from penetrating cervical mucus. In such cases, condoms can be used for more than six months to temporarily prevent the woman's vagina from coming into contact with the man's semen, after which condoms can be discontinued, potentially leading to pregnancy.
（3）Treatment for infertility caused by factors affecting both partners: Such as infrequent sexual intercourse, which reduces the chance of conception; or overly frequent sexual intercourse,