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Research: Male and female infertility




Unexplained infertility

Measuring the effectiveness of Chinese herbal medicine in improving female fertility

A private practice specialising in treating infertility with Chinese herbal medicine designed a study that took place between November 2003 and December 2004, which investigated the usefulness of Chinese herbal medicine in fifty women with the Western medical diagnosis of unexplained infertility.

Results: Pregnancies in the sample group recorded 6 months after commencement of the last treatment were 28, with 11 live births and 7 miscarriages.

Conclusion: The study outcome demonstrates that using Chinese herbal medicine results in higher success rates of pregnancy, with no patient side-effects and a reduction in the category of patients conventionally classified as having unexplained infertility. The Register of Chinese herbal medicine web site provides more information on safety and other conditions that respond well to Chinese herbal medicine.

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Primary infertility
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Secondary infertility
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Male infertility

Male infertility and varicocele

Patients with male factor infertility and variocele were treated with a Chinese herbal medicine for three months. Following treatment, there was an 80% disappearance rate of the variocele. Sperm motility and count were increased following treatment as well. (Effects of guizhi-fuling-wan on male infertility with varicocele.

American Journal of Chinese Medicine. (1996) Vol 24(3-4):327-31.)

Male infertility and varicocele

Sixty patients with variocele following varicocelectomy were randomly divided into two groups. Thirty patients were treated with a Chinese herbal formula, and 30 patients in the control group were treated with intramuscular injection of human chronic gonadotropine (hCG). The pregnancy rate of patient's wives in the group treated with Chinese Medicine was 76.6%, while that in the control group was 40.0%.

(Clinical observation on effect of jingling oral liquid in treating infertile patients with varicocele after varicocelectomy. Zhongguo Zhong Xi Yi Jie He Za Zhi. (2004) Vol 24(3): 220-2.)

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IVF assistance

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High FSH
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Blocked Fallopian Tubes
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Ovulatory Dysfunction

Chinese herbal medicine and PCOS

The effectiveness of a Chinese formula called ‘Tian gui fang’ in comparison with metformin was tested on patients with polycystic ovarian syndrome [PCOS]. The patients were divided into two groups and either Tian gui fang or metformin was administered for three months. After treatment, 4 out of the 8 patients on metformin had restoration of menstrual cyclicity, and two of them had a double phase BBT.

The testosterone levels had decreased. No other measures changed. In the group that received the Chinese medicine, 6 patients out of 8 had a restored cycle as well as a double phase BBT. Testosterone and the body mass index (BMI) decreased significantly. The authors conclude that both therapies can induce ovulation but that Chinese herbal medicine has a higher efficacy in restoring ovulation and normal BBT measures.

Hou J, Yu J, Wei M. ‘[Study on treatment of hyperandrogenism and hyperinsulinism in polycystic ovary syndrome with chinese herbal formula ‘tian gui fang]’. Zhongguo Zhong Xi Jie he Za Zhi. 2000; 20 (8):589.

Chinese herbal medicine and PCOS


The effectiveness of a Chinese herbal formulary was tested on patients with high LH levels due to polycystic ovary syndrome. Eight weeks of treatment with Chinese herbal medicine significantly reduced plasma LH.

Ushiroyama T, Ikeda A, Sakai M, Hosotani T, Suzuki Y, Tsubokura S, Ueki M. ‘Effects of unkei-to, an herbal medicine, on endocrine function and ovulation in women with high basal levels of luteinizing hormone secretion.’ J Reprod Med. 2001 May; 46(5):451-6.

Chinese herbal medicine and PCOS


In Japan, a Chinese herbal formulary was tested on patients with polycystic ovarian disease [PCOD] to find an effective treatment without side effects that could be used instead of clomiphene citrate or gonadotropin therapy. After a course of treatment, the FSH/ LH ratio had significantly decreased, and the ovulatory rate was 70.6%. Serum testosterone did not change during treatment. The authors conclude that the Chinese formula may be useful for the treatment of anovulation in PCOS patients.

Sakai A, Kondo Z, Kamei K, Izumi S, Sumi K. ‘Induction of ovulation by Sairei-to for polycystic ovary syndrome patients.’ Endocr J. 1999 Feb; 46(1):217-20.

Premature ovarian failure using Chinese herbal medicine


A case study from Taiwan discusses the effective treatment of premature ovarian failure using Chinese herbal medicine. Clomiphene citrate therapy over 8 months had not changed the FSH and LH levels from the post menopausal range. A course of 4 months treatment with Chinese herbal medicine based on Zuo gui wan induced an ovulation, and the patient fell pregnant. The authors conclude that Chinese herbal medicine can restore ovarian function effectively and promptly and offers another option for treating infertility in patients with premature ovarian failure.

Chao SL, Huang LW, Yen HR. ‘Pregnancy in premature ovarianfailure after therapy using Chinese herbal medicine. A case study.’Chang Gung Medical Journal 2003 Jun; 26(6): 449-52.

Chinese herbs in the treatment of hyperinsulinemia and hyperandrogenism anovulatory dysfunction


At Shanghai medical university, the effectiveness of Chinese medical herbs from the category of yin supplementing were tested on 35 patients with polycystic anovulation. The patients were treated for three months, and a variety of tests were carried out before and after the course of treatment. Testosterone levels lowered significantly. In 59.7% of patients and a regular cycle was re established. 41.2% of women became pregnant. The authors conclude that Kidney Yin nourishing herbs could provide a good microcircumstance for ovarian follicular growth, which results in ovulation and pregnancy.

Zhou LR, Yu J. [Clinical observation on treatment of hyperinsulinemia and hyperandrogenism anovulatory patient with replenishing kidney-yin drugs] Zhongguo Zhong Xi Yi Jie He Za Zhi. 1996Sep; 16(9): 515-8.

Chinese medicine and pituitary adenoma


Hachimijiogan, a Chinese herbal formulary (Liu wei dihuang wan + rou gui, yin yang huo, huang qi), was shown in one study to benefit female infertility due to pituitary dysfunction. Two infertile women (one with and one without a pituitary adenoma) who were resistant to medical treatment, were given Hachimijiogan which subsequently reduced the serum prolactin level, and resulted in a normal ovulatory cycle and pregnancy, without side effects.

Usuki S; Kubota S; Usuki Y. Treatment with hachimijiogan, anon-ergot Chinese herbal medicine, in two hyperprolactinemic infertilewomen’. Acta Obstet Gynecol Scand 1989, 68 (5) p475-8.

Pituitary dysfunction causing infertility

In another study looking at pituitary dysfunction causing infertility, 27 women were given the same formulae as discussed above.6 of the women had amenorrhea. In 15 patients, the prolactin levelsdropped to a healthy range, and remained low 6 months after the courseof treatment. Four patients with amenorrhea ovulated. Eleven patientsconceived and delivered a healthy baby. In three women, the prolactinlevel did not lower. The authors conclude that a modification of Liuwei di huang wan can be a safe and effective treatment for hyperprolactinemic women.

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Luteal Phase Defect
Chinese herbal medicine corrects luteal phase defects

In the treatment of female infertility in patients with luteal phase defects Wen Jing Tang reduced LH, increased progesterone mid phase, and significantly helped dominant follicle and endometrium growth. An impressive 79.6% correction to luteal phase deficits were seen in patients, together with 49.5% wanted pregnancies.

(Unkei-to for correcting luteal phase defects. J Reprod Med (2003) Vol 48 (9): 729-34.)

Chinese herbal medicine treats hyper and hypo functing luteal dysfunction in women with no periods

This study found that they achieved a 61.3% success rate in hyper and hypo functioning women with amenorrhea by giving a Chinese herbal formula called wen jing tang. Wen Jing Tang has been studied extensively (1988 – 2007) mainly by Japanese investigators, and has been shown to be effective for menstrual disorders, abnormal uterine bleeding and infertility due to its ability to regulate (by stimulation or suppression) the pituitary-ovarian endocrine axis in humans (Effects of Unkei-to on FSH, LH and estradiol in anovulatory young women with hyper – or hypo-functioning conditions.

American Journal of Chinese Medicine (2003). Vol 31 (5): 763-71.)

Wen Jing Tang Chinese herbal formula promotes ovulation in luteal phase disorder

A study conducted in 1995 reported a 62.2% successful ovulation rate in first and second grade amenorrhea in 75 patients who took wen Jing Tang Chinese herbal formula.  It has been shown to be effective for menstrual disorders, and infertility due to its ability to regulate (by stimulation or suppression) the pituitary-ovarian endocrine axis in humans thereby aiding ovulatory disorders. (The effect of unkei-to on pituitary gonodotrophin secretion and ovulation in anovulatory cycles of young women.

American Journal of Chinese Medicine (1995) Vol 23 (3-4): 223-30.)

Chinese herbal formula shows early promise in the treatment of luteal phase defects

An early study back in 1988 investigated 25 women suffering with amenorrhea, anovulatory cycle or luteal phase dysfunction. They were given wen jing tang Chinese herbal formula, resulting in a significant success rate of around 50%. (Effect of Japanese Kampo medicine on hypothalamic-pituitary-ovarian function in women with ovarian insufficiency.

American Journal of Chinese Medicine (1988) Vol 16 (1-2): 47-55.)

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