Author: Dr. Richard Zeng
Background
A 38-year-old woman came to our clinic after being diagnosed with premature ovarian failure (POF). Her doctors had advised her that IVF with a donor egg was her only option to get pregnant. This was heartbreaking, as she wanted to conceive using her own eggs.
Determined to find another way, she turned to us. I created a personalised treatment plan that included regular acupuncture sessions, Traditional Chinese Medicine (TCM), and dietary changes. The goal was to nourish her body, reduce anxiety, regulate her menstrual cycle, and improve her reproductive health naturally.
Over several months, I closely monitored her progress. Her menstrual cycle became more regular, and her hormone levels improved significantly. To her joy, she conceived naturally and carried a healthy pregnancy to term. This case shows how integrative approaches can support reproductive health, even when conventional medicine offers limited options.
Case Overview
A 28-year-old woman came to us with very high Follicle Stimulating Hormone (FSH) levels (135 IU/L) and low Anti-Müllerian Hormone (AMH), no antral follicles in ovaries, signalling a very low ovarian reserve. She hadn’t tried to conceive yet but wanted to prepare her body for fertility. She was under extreme stress due to her father’s battle with tongue cancer, which she believed contributed to her hormonal imbalance.
Medical History
- Menstrual History: The patient had regular periods while on contraceptive pills for 10 years. After stopping the pills two years ago, it took several months for her periods to normalise. In June 2016, she experienced mid-cycle bleeding, and her periods stopped altogether from July 2016.
- Symptoms: Despite her high FSH levels, she didn’t have typical menopausal symptoms like hot flashes. She felt mildly anxious and emotionally sensitive but was generally happy and stable. Her digestion was good, though she had some trouble falling asleep.
- Ultrasound Findings: No antral follicles were visible in either ovary, indicating inactive ovaries.
Initial Treatment
I treated her with a combination of acupuncture and TCM, tailored to her condition. Her initial herbal prescription included herbs like Dang Gui, Bai Shao, Shan Yao, and Shu Di. The goal was to nourish her blood, regulate her liver, strengthen her kidneys, and reduce stress.
Treatment Progress
- August 2016: After starting treatment, she felt more energetic and less stressed. Her sleep improved slightly, and she noticed mild abdominal twinges, possibly indicating ovarian activity. A blood test showed her FSH levels had dropped to 28 IU/L, and her estrogen levels rose to 1000 pmol/L, indicating positive progress.
- September 2016: She continued to feel well, though her periods hadn’t returned yet. Her Basal Body Temperature (BBT) showed some fluctuations, suggesting possible ovulation. We slightly adjusted her herbal prescription to keep supporting her hormonal balance.
- October 2016: She felt tired from work but otherwise well. Her BBT suggested she might have ovulated, and she noticed egg-white cervical mucus, a sign of fertility. We made minor adjustments to her treatment.
- November 2016: She tested positive for pregnancy. Ultrasounds confirmed the embryo was developing well in her uterus. We shifted focus to supporting her early pregnancy, using acupuncture to maintain the pregnancy and ease any discomfort.
- December 2016: At 9 weeks, a scan showed her baby was growing well. She reported a slight sinus headache but no other major issues. We continued acupuncture to support her overall well-being during pregnancy.
Conclusion
Through acupuncture and TCM, this patient, who initially had very high FSH and inactive ovaries, conceived naturally. The treatment regulated her hormones, reduced stress, and supported her fertility. This case shows the potential of Traditional Chinese Medicine in addressing complex fertility issues, especially for women with low ovarian reserve.
Note: This case study is for educational purposes and reflects the treatment of one individual. Results may vary, and it is essential to consult with a healthcare professional for personalised medical advice.