gyno REVIEW Flashcards
regular cycle: day 1 - ovulation
yin, move and build blood
dominant hormones = Estrogen, FSH
regular cycle: ovulation - day before period
yang, nourish blood, warm and elevate qi
dominant hormone = progesterone
regular cycle: fertile window
3-5 days before ovulation when cervical mucus changes to clear and stretchy to allow sperm in
indicates health of yin
dominant hormone = lutenising hormone
yin phase can
vary in length depending on how long follicle takes to mature
yang phase should not
vary between 14 and 16 days, indicates progesterone xu if it does
patterns of infertility - kidney yin xu
follicle development issues
patterns of infertility - kidney yang xu
warming uterus issues, qi sinking, spotting
patterns of infertility - liver and heart qi stag
significant PMS, emotional trauma
patterns of infertility - jing xu
chronic illness, genetic issues, prolonged hormone meds
patterns of infertility - blood stasis
endometriosis, mental irregularities, miscarriage history
patterns of infertility - phlegm damp accumulation
PCOS, blocked fallopian tubes
irregular cycle
fluctuate between early and late, each month is different
full condition - liver and kidney stag
caused by liver qi stag obstructing ren and chong
qi stasis leads to blood stasis = uterus not filling up
kidney qi (yin & yang) xu not governing rhythmic ebb and flow of hormones
early cycle
repeatedly onset earlier than 27 days after last period
early cycle - excess type
heart fire - early and heavy, palpitations and insomnia
liver qi stag equalling blood heat - early, dark colour and dark clots, premenstrual breast distension, irritability
liver blood heat - early, bright or dark red, anxiety, mental restlessness
early cycle - empty type
kidney qi xu - pale, watery, lower back pain, feeling cold
spleen qi xu - early, watery, fatigue
liver and kidney yin xu false heat - early, scanty or heavy, yin xu symptoms
late cycle
consistently longer than 30 day cycle (40-50 days)
always determined by activity in the first half of the cycle
post ovulation has no influence other than pregnancy
late cycle - empty type
blood xu - late, scanty volume, pale consistency, blurred vision, dizziness, palpitations, tongue pale - open ren vessel lg7 + kd6
empty cold in uterus - late, scanty with small stringy clots, painful periods better for heat and pressure, tongue pale
kidney yang xu - late, scanty flow and pale colour, sore back, night urination, pale urination, tongue pale
late cycle - full type
full cold in uterus - late, scanty flow, dark colour and clots, abdominal menstrual pain better for heat, worse for pressure, abdomen feels taut to palpate
liver qi stag - late, scanty, clotted floe, irritability, significant and prolonged PMS
primary amenorrhea
periods have never stared by age 18
secondary amenorrhea
period dosent return after 3 months, following absence caused by medication or childbirth
amenorrhea
period stops suddenly without cause and dosent return
there can be ovulation with no menstrual cycle
if there is no ovulation there will be no menstrual cycle
amenorrhea - empty type
liver and kidney xu - empty ren and chong vessel, either never started or gradually stopped after declining in volume, mental tiredness, lower back pain, depression
blood xu - stop after gradually declining over months, dizziness, tingling, poor memory, palpitations, insomnia, dry skin and eyes, alopecia, may also have spleen qi xu symptoms
spleen and kidney xu - complete absence of periods, feels cold, loose stool, poor appetite, cold feet, abdominal distension, frequent and pale urination
amenorrhea - empty type continued
liver and kidney yin xu - dizziness, dry eyes, insomnia, night sweats, lower back pain
lung yin and blood xu - root of sadness, worry or grief, dry cough with bloody sputum
heart and kidney yin xu - heart and uterus need to be connected for healthy menstrual cycle, heart yang flows down to connect to kidney yin. palpations, insomnia, depression, anxiety, nightsweats, emotional history of sadness, grief or guilt
heart and spleen blood xu - palpitations, depression, anxiety, tiredness, loose stool, spleen not making blood to nourish heart
amenorrhea - full type
qi and blood stag - always secondary amenorrhea, significant PMS, depression, tongue purple, pulse wiry due to liver root of syndrome
damp phlegm in lower jiao - always secondary amenorrhea, possible history of STD, prolonged cycle leading to absence, significant leukorrhea, obesity, heaviness typical in PCOS
dysmenorrhea
painful periods, not necessarily irregular
pain that is accompanied with consistently late periods with clots indicates blood stasis
pain may appear before, during, (full condition) or after (xu condition
always from stagnation, even in xu patterns
pain better for passing clots
blood stasis
pain pronounced feeling of distension
qi stag
burning pain
blood heat
cramping pain
cold in uterus
stabbing pain
blood stasis
pulling pain
blood stasis
bearing down pain before period
blood stasis
bearing down pain after period
kidney xu
dysmenorrhea - full type
Qi Stagnation - pain (liver & uterus affected) 1-2 days
prior to or during menses, abdo & breast distension,
hesitant start to period, significant PMS, dark flow but
no clots
Blood stasis - intense & stabbing pain prior to period,
dark & clotted flow, pain relived for passing clots
Cold stagnation - central lower abdo pain before or
after menses, better for heat, scanty red flow with
small clots
Damp heat - lower abdo pain before menses, may refer
to sacrum, occasional pain mid cycle due to follicle
growth obstructed by damp, menses red with small
clots, leukorrhea, thirst
Liver Qi Stagnation Fire - abdominal pain prior to or
during period, dark and heavy flow, irritability, anger
outbursts, thirst, dry stool
dysmenorrhea - empty type
Qi & Blood Xu - dull pain towards end of menses, dragging
pain lower abdo better for pressure and massage, scanty
bleeding, tiredness, dizzy
Yang & Blood Xu - dull abdominal pain after period, scanty
pale flow with no clots, pain better for heat & pressure, dull headache, blurred vision, feeling cold, depression
Kidney & Liver Yin Xu - dull central lower abdo pain at end
or after period, pain better for massage & pressure, sore back, dizziness, scanty bleeding, exhaustion
metrorrhagia
Bleeding in-between periods
May be a couple of days of light spotting, or longer
Typically happens mid cycle and accompanies ovulation
This is due to ovulation being the fluctuation between
kidney yin & yang and controlled by Ren and Chong vessels
Therefore underlying cause of metrorrhagia is always
kidney xu, accompanied with secondary causes
metrorrhagia patterns
Liver & Kidney Yin Xu - Empty heat symptoms, night
sweats, peeled C, scanty bleeding midcycle, scarlet red with no clots, no pain, dizziness, backache, dark urine
Damp heat - sticky, viscous blood, variable heavy / scanty midcycle bleeding, no clots, chest oppression, achey joints, poor appetite, leukorrhea
Blood Stasis - either scanty or profuse mid cycle bleeding,
dark colour and clotted, bilateral abdominal pain (liver
channel)
Spleen & Kidney Yang Xu - red blood without clots, scanty
or profuse flow, abdominal pain, dizziness, feeling cold, loose stool, frequent urination, tiredness, depression, backache
