case hx

Question 1

period and ovulation

Answer 1

egg do we have egg..
is period regular
do we assume she is ovulating

Question 2

semen analysis

Answer 2

do we have sperm ?

get repeated if low

Question 3

Tubes tubal obstruction

ESG ?

Answer 3

are they getting together

if there is no pelvic infection …clamydia usually no sign ..women don;t know

Question 4

Tests

Answer 4

Hormonal env’t

Question 5

Blood test

Answer 5

Day 2-3
FSH, LH,,, OESTRADIORAL , Progestrone , testoreone , SHBG
DAY 21
progesterone

Question 6

Blood test

Answer 6

Day 2-3
FSH, LH,,, OESTRADIORAL , Progesterone , testosterone , SHBG
DAY 21
progesterone

Question 7

PAST medical hx

Answer 7

Day 1-3
FSH ..less than 9 good response
high..ovary not responding

tell us “ ovarian reserve” “ kidney Jing” how many eggs left..also k yin…

we should also look for heat sign ..esp women wz 40s…..k yin..nourish yin also and clear heat..otherwise the eggs popping out soon

sometimes..u might not see heat sx…may be the eggs r not poor quality ..
FSH has to be read with Estrogen and LH…

if FSH is low ..becareful ..should ask estrogen ..it can be a leaking estrogen that astrifically supressing the FSH.

Question 8

anatomical disorders

Answer 8

Uterine Cavity

Acquired

inflammation, infection, fibroids , hyperplasia, polyps, syechiae .. U can really work wz

congenital ..e.g sepatate uterus ..major deformity ..

Tuboperitoneal
Tubal damage…obstructive,( refer IVF) or mucosal
Pelvic adhesions..Massage is good
Endometroiosis