Patient's question:
1. I started checking for anti-endometrial antibodies on October 10th and have now been taking medication for three months. The medications I am taking are Qilin Pills, Menstrual Regulation and Fertility Promotion Pills, and VE Softgels (Natural Type). After taking the medication for the first month, my period was delayed by 5 days, and after the second month, it was delayed by 6 days. Could you please ask the doctor if this is normal for the menstrual cycle? Is this treatment effective?2. In the third month, which is this month, the doctor added 5 grains of Clomiphene and 7 tablets of Premarin. I will measure the follicles on the 13th day of my period. Could you please ask the doctor if this treatment is effective? I had measured the follicles in July and September before, so is it still necessary to do so this time?
Doctor's answer:
The endometrium is the site where the embryo implants and grows, but under pathological conditions, such as endometritis, endometriosis, and adenomyosis, it can transform into antigens or haptens, stimulating the body to produce corresponding antibodies. Additionally, during a therapeutic abortion, the blastocyst may also act as an antigen, stimulating the body to produce antibodies. Once anti-endometrial antibodies exist in a woman's body, they can lead to infertility, recurrent miscarriage, or spontaneous abortion. Many women who have undergone an abortion during their first pregnancy are unable to conceive again, and most of these patients with secondary infertility are due to the presence of anti-endometrial antibodies. If anti-endometrial antibodies are positive, the cause should be identified, and it is unrelated to the treatment medication. Currently, a combination of Chinese and Western medicine is used for treatment to achieve a curative effect that addresses both the symptoms and the root cause.