| The small follicle ovulation is an inappropriate ovulation that the dominant follicle is not yet mature (average diameter< 18mm). Before the small follicle ovulated, it showes poor sound transmission and bad tension,while follicle average diameter≥18mm (mature follicle), sound transmission and tension are good, and chances of pregnancy will increase. In recent years, it is widely concerned by reproductive medicine specialists.The clinical manifestations of the small follicle ovulation are menstruation, infertility or spontaneous abortion,and so on. In the process of monitoring follicular development in infertility, found thatl 6.5%-29.6% of small follicle ovulation, and 65% in the patients with unexplained infertility, it was classified as a cause of unexplained infertility. The pathogenesis and etiology is still not clearly discussed. It was suggested that insufficient secretion of Gn or LH peak occurs early may is the main reason for the small follicle ovulation.Monitoring ovulation by transvaginal ultrasound combined with LH urine test strip, are the main diagnostic methods of diagnosis of small follicle ovulation. Western medicine are mainly for the treatment of follicular development,and ovulation induction, but for the patients with infertility, ovulation induction drugs are expensive, complex treatment methods, may lead to OHSS and multiple pregnancies, and other side effects, limits the clinical application of ovulation drugs.Chinese medicine does not have "follicular development" records, its Chinese medicine-clinical manifestations can be scattered "preceded menstrual cycle" and "hypomenorrhea" "infertility" and "tailou", "taidongbuan" "huatai" and other areas. On this basis, modern physicians according to different syndromes, developmenting the corresponding prescription therapies, in clinical practice achieved certain effects.This research under the guidance of the theory of TCM syndrome differentiation and treatment, doing a preliminary investigation about manifestations and the related factors of common TCM syndromes of 50 patients with small follicle ovulation,.Rresearch methods and the results are as follows;Objective:To study the related factors,clinical manifestations and TCM syndromes of small follicle ovulation.Method:Form a unified inquiry, including age, occupation, menstrual history, obstetrical history, gynecological examination, clinical symptoms, tongue, pulse, etc. Enter datas into the computer for statistical description.Conclusion:1) Risk Factors:This research shows that the pressure usually larger, more prone to mental stress in patients with small follicle ovulation; and small follicle ovulation occurred after the women in the 31-35 years old, accounting for about 80%.2) Clinical symptoms:This study shows that infertility in patients with small follicle ovulation accounted for 82%, and the average duration of infertility (3.0±1.69) years, which accounted for 63% of primary infertility, secondary infertility 37%; Luteal phase defect accounted for 42.1%; M Menstrual blood stasis knot, breast swelling before menstrual, Menstrual blood shows dark color, hypomenorrhea, dysmenorrheal is more common in the Menstrual manifestations, it is respectively accounted 62%,56%,52%,46% and 36%. By ultrasound monitoring, LH (+) at an average minimum diameter of follicles 14mm, a maximum of 17.5mm, average (15.7±0.1) mm.3)Syndrome distribution rules in patients with small follicle ovulation:The survey shows kidney qi deficiency, kidney yang deficiency, kidney qi deficiency combined liver qi stagnation, kidney yin, kidney-yang deficiency combined blood stasis are five more common syndromes. It shows that the performance of the kidney deficiency is the main symptom, especially kidney qi deficiency and kidney yang deficiency. deficiency are more common,while Qi stagnation and blood stasis as a standard. That the disease's illness marked sex-based virtual real.Kidney deficiency in which the center link, through disease has always been. |
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