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Gynae > Week 5 > Flashcards

Week 5 Flashcards

1
Q

Female infertility

_ in 4 couples experience fertility problems

A

1

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2
Q

Most couples technically have ___ fertility

A

Sub

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3
Q

True infertility is the complete absence of ______ and ______ production

A

Absence of sperm and eggs

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4
Q 
TCM categories of sub fertility 
\_\_\_\_\_\_ xu
\_\_\_\_\_ & \_\_\_\_\_ qi stagnation
\_\_\_\_\_ stagnation
\_\_\_\_\_\_ - \_\_\_\_ accumulation
A

Kidney xu
Heart and Liver qi stagnation
Blood stagnation
phlegm damp accumulation

Typically categories 2 & 4 do not appear without the background of Kidney xu

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5
Q

Problems with ovulation
We know ovulation is functional if :
There are no _______
There are very _________ periods
There is no clear biphasic pattern on the ___ chart
Blood tests show an irregularity with _________ and ____________ levels

A

No periods
Irregular periods
BBT chat
Estrogen / progesterone levels

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6
Q

Poor ovulation
We know that ovulation is happening, but poorly or incompletely if :
BBT only shows a small ____ in temp
The temp ____ is only very short lived
Blood tests mid cycle show low ____________
There is spotting in the ______ phase

A

Small rise
The temp rises only for a short time
Low progesterone
Luteal phase

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7
Q

All problems with ovulation = ______ yin xu + ______ qi stagnation

A

Kidney Yin and Heart qi stagnation

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8
Q

These patterns could occur collectively, they maybe further complicated by _____ qi stagnation, PD accumulation or _____ stagnation

A

Liver qi stagnation
PD accumulation
Blood stagnation

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9
Q

The release of an egg requires ______ qi

A

Liver qi

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10
Q

Implantation

It is fair to suspect problems with implantation if :
There is poor ____________
There are ________ barriers (fibroid)
The uterine lining is inadequate ie : Very scanty, ____ or _______ periods
Everything else has been eliminated but _________ still is not happening

A

Ovulation
Physical barriers
Inadequate uterine lining, scanty clotty periods
pregnancy still isnt happening

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11
Q

If embryos arent implanting were dealing more with ______ syndromes

A

Blood

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12
Q

If the ___ isnt in its best form ( takes too long ) it will harden, not being able to implant. The ___ needs energy to bounce around looking for the right spot to implant itself

A

Egg

Egg

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13
Q

Uterine lining needs fresh _____ flow

A

Fresh

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14
Q

Embryo implantation problems reflect _______ yang XU

A

Kidney

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15
Q

This maybe further complicated by _____ qi stagnation
Phlegm damp accumulation
or _____ stagnation

A

Liver qi

blood

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16
Q

It is important to remember that most women have a __________ of multiple patterns, and symptoms of all may not be initially obvious

A

Combination

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17
Q

With ______ Yang XU and implantation, its like we’ve made the cake, turned on the oven but nothing happens

A

Kidney yang xu

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18
Q

No mingmen fire = ______ wont move = Stagnation

A

Blood

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19
Q

Ideally ask patients to wait _ months before trying to conceive

A

3

20
Q

_______ xu is the most common cause of infertility

A

Kidney xu

21
Q

Kidney xu is the ____ cause or co exists with other syndromes

A

Root

22
Q 
Typical \_\_\_\_\_\_ patterns will be present 
Poor stamina 
low energy
LBP/ weak knees 
Difficulty urinating
slight incontinence 
dark circles under eyes
A

Kidney

23
Q

Some couples are __________ incompatible

A

Chemically

24
Q

Kidney Jing xu

Developmental disorders

ie
Having only one _______ or ________

A

Breast or testicle

25
Q

Kidney jing disorders can also be under functioning _______, even if they look normal sometimes the only way to diagnose reduced function is the inability to respond to infertility drugs

A

Ovaries

26
Q

We know someone is not ovulating due to LQS, there will be pain ___ cycle. Ovulation should not be painful. If there is pain mid cycle then the egg is obstructed
There will be a lot of _____ and irregular period
The fertilized egg implants between days 2-7

A

Mid cycle

Mucus

27
Q

With Kidney Jing xu ___ charts arent usually done because the period is so erratic or completely absent

A

BBT

28
Q

Fertile ______ is rarely seen

A

MUcus

29
Q

T and P with Kidney xu

A

T pale

P weak and thready

30
Q

If we nourish blood we are nourishing Yin

but if we are nourishing Yin we are not nourishing blood **

A
31
Q

Kidney Yin xu is more common now with women waiting until they are _____ to conceive

A

Older

32
Q

Kidney yin xu symptoms

A 
Anxiety
poor sleep
flushed
thirst
dry skin and hair
thin and wiry complexion
33
Q

Yin xu will often manifest as ______ xu = scanty periods

A

Blood

34
Q

Yin xu may also present as ____. Yin xu heat = Bright red periods

A

Heat

35
Q

Kidney yin xu = Unstable __________ phase

A

Follicular

36
Q

Typically longer than usual

13 or 14 days before __________

A

Ovulation

37
Q

Yin xu Heat however may cause _____ ovulation of an immature egg and this will shorten the follicular phase

A

Early

38
Q

with Kidney yin xu there will be significant vaginal _______ and _____ production will be scanty

A

Dryness

mucus

39
Q

Fertile mucus that is present will be too ______ for any sperm to survive

A

Acidic

40
Q

T and P with Kidney yin xu

A

T dry, often small and peeled, red
P weak especially on deep level, may give the impression of floating due to emptiness at the deep levels
False heat = rapid

41
Q

If a woman ovulates too early the egg isn’t mature enough and wont be able to be fertilized
T/F

A

T

42
Q

Kidney Yang xu, non constitutional causes include

Injury by cold, over strain, long term yin deficiency, long term qi xu, long term heart or liver qi stagnation

A
43
Q

Kidney yang xu = Metabolism slows down = hard to loose _______

A

Weight

44
Q

Fluids are not distributed = ______

A

Oedema

45
Q

Typical Kidney yang xu symptoms

A 
Puffiness
over weight
lethargy
low libido
low motivation
LBP especially in cold weather

Gynae (5 decks)

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