Menstrual health 3 Flashcards
What is Basal body temperature (BBT)?
- BBT is a non-invasive ovulation predictor which may be useful for both contraception and people trying to conceive.
What are the thermal shifts in BBT?
- There should be a distinct thermal shift from 0.4 – o.6 degrees Celsius from pre-ovulation (follicular phase_ to post ovulation (luteal phase).
- Pre-ovulation: 35.6 – 36.6 degrees Celsius
- Post-ovulation (luteal phase) average range 36.1 – 37.2
What is a biphasic pattern?
Distinct thermal shift post ovulation (0.5 degrees Celsius) which demonstrates a clear hormonal change from oestrogen to progesterone.
What is monophasic?
- Monophasic: no thermal shift post ovulation.
- Demonstrates a lack of hormonal change with a predominance of estrogen and low progesterone levels.
- No distinct change from yin to yang
- Indicates anovulation: no ovulation resulting from a possible yang xu.
What does low body temperature indicate?
- Low temperature: basal body temo that is too low < 35.6 may indicate yang xu or hypothyroidism
What does high BBT indicate?
- High temperature: BBT that is too high > 37.2 degrees indicates internal heat (excess yang or yin xu), hyperthyroidism, endometriosis or possible pregnancy.
How can BBT be analysed?
Basal body temperature data can be analysed to understand:
1. Length of the entire menstrual cycle
2. Length of each menstrual cycle
3. Temperature range
4. Predominance of yin or yang
What are the hormone testing windows?
FSH, LH, E2, PRL day 2-3
P4 day 21
AMH anytime throughout the cycle
What are the normal levels of hormones?
FSH 3-9 IU/ml
LH 2-10 IU/ml
TSH 0.2-4.7 IU/ml
E2 27-161 pg/ml
P4 6-30 ng/ml
PRL 2-25 ng/ml
AMH 1-3 ng/ml
What acupuncture points can be used for Qi Xu? What herbal formula?
ST36, SP6, CV12, CV4, CV6
Gui Pi Tang
What acupuncture points and herbal formula can be used for Qi stagnation?
SP4 + PC6, LIV3, LIV14, GB34, BL18, CV6
Yue Ju Wan
What points and herbal formula can be used for Qi sinking?
LU7 + JI6, SP3. CV4, GV20
Bu Zhong Yi Qi Tang
What acupuncture points and herbal formula can be used for rebellious Qi?
ST19, KID21, CV14, CV13 + ST36
Li Zhong Wan
What are the s+s of Qi xu in menstrual conditions?
Long or early menstruation (pale blood), tiredness, anxiety, loose stools, pale complexion, weak voice, poor appetite, abdominal distension (better for pressure).
T: pale (thin)
P: deep/weak
What is the treatment principle of Qi Xu? in menstrual conditions?
Strengthen the spleen and stomach, raise qi, consolidate PV and CV.
What are the S+S of Qi stagnation? In menstrual conditions?
Amenorrhoea, irregular or delayed menstrual cycle, PMS (anger, frustration, resentment, breast tenderness, lower abdominal pain), sighing.
T: normal or slightly red on sides
P: wiry
What is the TP for Qi stagnation in menstrual conditions?
Eliminate stagnation, pacify Liver (stop pain if necessary)
What are the S+S in Qi Sinking? Menstrual conditions?
Uterine prolapse, sensation of heaviness in the abdomen, menses “flooding and trickling”, loose stools, frequent urination, tiredness
T: pale
P: deep-weak
What is the TP of Qi sinking in menstrual conditions?
Strengthen Spleen and raise Qi
What Tui Na treatment is applied to Qi sinking conditions in menstrual health disorders?
Abdomen routine (kneading CV12 x 30, CV8 x 30, CV6 x 30
What are the S+S of rebellious Qi in menstrual conditions?
Epigastric distension, hiccups, belching, borborygmus, morning sickness (nausea, vomiting of sour fluids).
T: pale or slightly red sides
P: weak or wiry
What is the TP of rebellious Qi in menstrual disorders?
Subdue rebellious Qi, stop vomiting
What Tui na can be applied to rebellious Qi?
Round rubbing hypochondriac area, vibrating technique (CV12, CV8, CV6)
