Low Ovarian Reserve (high FSH & low AMH) means the ability of the ovaries to produce eggs weakened, oocyte quality declined. Clinical definition usually means before the age of 40, menstrual cycle reduce; the amount menses reduced; mense missing one or two cycles, and eventually infertility with menopausal symptoms such as hot flashes and sweating. The Low Ovarian Reserve (LOR) is also called Diminished Ovarian Reserve, or Primary Ovarian Insufficiency (POI) or Premature Ovarian Failure (POF) condition. About 5-10% of women with POI will ovulate every once in a while.
For diminished ovarian reserve condition, use of hormone replacement therapy “IVF” technology is the major approach to help conceive. But the success rate is very low, long-term efficacy is poor. For ovarian hyper-stimulation patients, this often aggravates the decline of functional reserve. And this method has limitation on patients with hepatobiliary disease, thromboembolism and other contraindications. Also might cause bleeding, weight gain and other side effects.
Low ovarian reserve belongs to conditions of TCM’s “amenorrhea”, “menstruation”, “late period”, “infertility” and other disease areas. For Chinese medicine, Kidney is the innate, the main essence Qi, is essential for growth, development and reproduction. According to Yellow Empror Classic, Women’s grows to a certain age, Kidney strong, the Tian Gui mature, Chong and Ren meridiam prosper, menstruation starts and birth then be possible, if the Kidney is deficiency, Chong and Ren does not function well, diseases will follow. Therefore, treatment of the Kidney in addition of Spleen, Liver Qi is major one.
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Note:
I have treated many patients with the condition. The recent one is a lady with FSH in 30s, Estrogen in 30s and AMH .16. After 3 month treatment, her FSH reduces to 12. Estrogen goes to 60s. and AMH 0.5.
June 2021: patient with FSH=85 and AMH=0.01 came for treatment. Her period has stopped coming for three months. After one month of acupuncture, herbal support, her hormone test FSH=6, AMH=006. her cycle is about to start. T.I
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