I. Definition
Polycystic Ovarian Syndrome is defined physically as endocrinologic diseases caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries as resulting of enlarged ovaries, leading to hormone imbalance( excessive androgen), resulting in male pattern hair development, acne, irregular period or absence of period, weight gain and effecting fertility. It effects over 5% of women population or 1 in 20 women.
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II. Symptoms
While conventional medicine use synthetic medication to induce ovulation and assists it with artificial insemination if the medicine fail. Traditional Chinese medicine views polycystic ovarian syndrome in different approaches. Since TCM treat each woman according to the diagnosis through
Looking ( the patient physcial appearance, color, breathing, movement, tongue,etc. ), listening ( listen to patient about their emotion, physical symptoms, life style, etc.) and touching ( pulsee reading, heart beating,etc. ) before design a special treatment uniquely to each patient. Remember there are no one treatment for all in TCM. In treating the PCOs, the traditional Chinese view the program is caused by excess dampness, liver qi and blood stasis and deficiency of kidney yin, yang and spleen qi deficiency with the below symptoms.
1. Menstrual blood containing stringy issue and mucus
2. Irregular menstrual cycle
3. Acne, oily skin, or dandruff
4. Infrequent or no ovulation
5. Over weight
6. A wet and slimy tongue
7. yeast infection and vaginal itching
8. feeling tired and sluggish after a meal
9. Insulin sensitive
10.Etc.
III. Treatments
A. Diet change
1. Losing some weight
Since most women with PCOs are overweight, the first step is losing some weight, because fat cells store estrogen and too much estrogen interferes with LH phrase for women with PCOs.
2. Liver
Since liver is important in regulating spleen in insulin metabolism, adding vitamin B complex will help to restore liver normal function in insulin balancing.
3. Insulin resistance
Lower sugar intake by avoiding intake of simple sugar that helps to prevent further impaired glucose metabolism.
a) What to avoid
i) No refined sugar and simple sugar
ii) No refined carbohydrate and artificial sweeteners
iii) No soda, fruit juice and drink that raises the blood glucose rapidly
iv) No milk product which is considered as dampness exacerbation food.
b) What is needed
i) Complex carbohydrate such as whole grain, brown rice, etc.
ii) Increase fiber intake, by eating a lots of fresh vegetables
iii) Get some moderate exercise, prefer yoga, pilates, etc.
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B. Nutritional supplements
1. Chlorophyll
Because of diet change, some women may experience symptoms of low blood sugar. In fact some women may need a short time to just to this new type of diet. It is advice to supplement your diet with chlorophyll in avoiding the above symptoms without raising your blood pressure.
2. Others Nutritional supplements for insulin resistance
a) B Vitamin
b) Magnesium
c) Chromium
d) Fish oil
e) Alpha lipoic acid
f) Etc.
The above nutritional supplements help to increase the sensitive of insulin receptor sites in reducing the fluctuation of sugar levels.
IV. Herbs
1. Agnus castus (chastetree berry)
Agnus castus helps to normalize the function of the pituitary gland, by restoring the ratio of LH and FSH, since most women with PCOs are found to have high levels of LH in blood test.
2. Saw Palmetto (Serenoa repens)
Saw palmetto helps to reduce the excess levels of testosterone, thereby, reducing the symptoms of male like parttern for women with PCOs.
3. Milk Thistle (Silybum marianum)
It is said tht milk thistle helps to protect your liver cells against damage and to promote the healing of damaged cells, thereby increasing the liver function in carbohydrate metabolism and regulating spleen in production of insulin.
4. Gleditsia (zao jaoi ci)
It is considered as a herb for treating dampness, because it helps to dissolve the waxy stuff forming around the ovaries.
5. Leonurus seed ( chong wei zi)
It is used when a woman is diagnosis with blood stasis, because it helps to moves blood, regulate menstruation and clear the liver
V. Acupunture
A study at Goteborg University in Sweden showed that electroacupuncture may help 38% of women with PCOS women ovulate. In fact acupuncture helps to restore the ratio of LH and FSH, reduce the level of testosterone and beta-endorphin. Some studies show that acupuncture also helps to shrink of the weight of polycystic ovaries. In other word, it helps to restore the entire synpathic nervous system, leading to normalizing the hormone production in each menstrual phrases resulting in enhancing ovulation and egg implantation for a healthy baby.
You may also require to do some kinds of massage by your partner or yourself to increase blood flow to the pelvic region. Since each treatment is unique to only a woman, please do not apply them unless with the approval of your traditional Chinese medicine practitioner.
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