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中药治疗后卵巢早衰患者的妊娠情况

Pregnancy in premature ovarian failure after therapy using Chinese herbal medicine.

作者信息

Chao Shiouh-Lirng, Huang Lee-Wen, Yen Hung-Rong

机构信息

Department of Gynecology and Pediatrics, Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan.

出版信息

Chang Gung Med J. 2003 Jun;26(6):449-52.

Abstract

We present ovulation that occurred after the administration of traditional Chinese herbal medicine for 3 months in a woman with premature ovarian failure (POF) and secondary amenorrhea for 8 years. Traditional Chinese medicine concentrated herbal extracts of cooked rehmannia, Chinese yam, wolfberry fruit, dogwood fruit, cyathula root, dodder seed, antler glue, tortoise-plastron glue, epimedium and morinda root were prescribed, which were a modification of the herbal formula Zuo-gui-wan. When the patient discontinued the Chinese herbal medicine treatment and tried therapy with clomiphene citrate, neither ovulation nor conception occurred. Eight months after beginning clomiphene citrate therapy, the concentrations of follicle stimulating hormone and luteinizing hormone were still in the postmenopausal range. The modified formula of Zuo-gui-wan was prescribed again and the patient conceived 1 month after taking Zuo-gui-wan. Thus, we suggested that Chinese herbal medicine restored ovarian function effectively and promptly, and offers another option for treating infertility in patients with POF.

摘要

我们报告了一名卵巢早衰(POF)且继发性闭经8年的女性,在服用中药3个月后出现排卵的情况。所开的中药为熟地黄、山药、枸杞子、山茱萸、牛膝、菟丝子、鹿角胶、龟板胶、淫羊藿和巴戟天的浓缩草药提取物,这是对中药方剂左归丸的改良。当患者停止中药治疗并尝试使用枸橼酸氯米芬治疗时,既未发生排卵也未受孕。在开始枸橼酸氯米芬治疗8个月后,促卵泡生成素和促黄体生成素的浓度仍处于绝经后范围。再次开了改良的左归丸方剂,患者在服用左归丸1个月后受孕。因此,我们认为中药能有效且迅速地恢复卵巢功能,并为治疗POF患者的不孕症提供了另一种选择。

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