Week 5

Question 1

Female infertility

_ in 4 couples experience fertility problems

Answer 1

1

Question 2

Most couples technically have ___ fertility

Answer 2

Sub

Question 3

True infertility is the complete absence of ______ and ______ production

Answer 3

Absence of sperm and eggs

Question 4

TCM categories of sub fertility 
\_\_\_\_\_\_ xu
\_\_\_\_\_ & \_\_\_\_\_ qi stagnation
\_\_\_\_\_ stagnation
\_\_\_\_\_\_ - \_\_\_\_ accumulation

Answer 4

Kidney xu
Heart and Liver qi stagnation
Blood stagnation
phlegm damp accumulation

Typically categories 2 & 4 do not appear without the background of Kidney xu

Question 5

Problems with ovulation
We know ovulation is functional if :
There are no _______
There are very _________ periods
There is no clear biphasic pattern on the ___ chart
Blood tests show an irregularity with _________ and ____________ levels

Answer 5

No periods
Irregular periods
BBT chat
Estrogen / progesterone levels

Question 6

Poor ovulation
We know that ovulation is happening, but poorly or incompletely if :
BBT only shows a small ____ in temp
The temp ____ is only very short lived
Blood tests mid cycle show low ____________
There is spotting in the ______ phase

Answer 6

Small rise
The temp rises only for a short time
Low progesterone
Luteal phase

Question 7

All problems with ovulation = ______ yin xu + ______ qi stagnation

Answer 7

Kidney Yin and Heart qi stagnation

Question 8

These patterns could occur collectively, they maybe further complicated by _____ qi stagnation, PD accumulation or _____ stagnation

Answer 8

Liver qi stagnation
PD accumulation
Blood stagnation

Question 9

The release of an egg requires ______ qi

Answer 9

Liver qi

Question 10

Implantation

It is fair to suspect problems with implantation if :
There is poor ____________
There are ________ barriers (fibroid)
The uterine lining is inadequate ie : Very scanty, ____ or _______ periods
Everything else has been eliminated but _________ still is not happening

Answer 10

Ovulation
Physical barriers
Inadequate uterine lining, scanty clotty periods
pregnancy still isnt happening

Question 11

If embryos arent implanting were dealing more with ______ syndromes

Answer 11

Blood

Question 12

If the ___ isnt in its best form ( takes too long ) it will harden, not being able to implant. The ___ needs energy to bounce around looking for the right spot to implant itself

Answer 12

Egg

Egg

Question 13

Uterine lining needs fresh _____ flow

Answer 13

Fresh

Question 14

Embryo implantation problems reflect _______ yang XU

Answer 14

Kidney

Question 15

This maybe further complicated by _____ qi stagnation
Phlegm damp accumulation
or _____ stagnation

Answer 15

Liver qi

blood

Question 16

It is important to remember that most women have a __________ of multiple patterns, and symptoms of all may not be initially obvious

Answer 16

Combination

Question 17

With ______ Yang XU and implantation, its like we’ve made the cake, turned on the oven but nothing happens

Answer 17

Kidney yang xu

Question 18

No mingmen fire = ______ wont move = Stagnation

Answer 18

Blood

Question 19

Ideally ask patients to wait _ months before trying to conceive

Answer 19

3

Question 20

_______ xu is the most common cause of infertility

Answer 20

Kidney xu

Question 21

Kidney xu is the ____ cause or co exists with other syndromes

Answer 21

Root

Question 22

Typical \_\_\_\_\_\_ patterns will be present 
Poor stamina 
low energy
LBP/ weak knees 
Difficulty urinating
slight incontinence 
dark circles under eyes

Answer 22

Kidney

Question 23

Some couples are __________ incompatible

Answer 23

Chemically

Question 24

Kidney Jing xu

Developmental disorders

ie
Having only one _______ or ________

Answer 24

Breast or testicle

Question 25

Kidney jing disorders can also be under functioning _______, even if they look normal sometimes the only way to diagnose reduced function is the inability to respond to infertility drugs

Answer 25

Ovaries

Question 26

We know someone is not ovulating due to LQS, there will be pain ___ cycle. Ovulation should not be painful. If there is pain mid cycle then the egg is obstructed There will be a lot of _____ and irregular period The fertilized egg implants between days 2-7

Answer 26

Mid cycle | Mucus

Question 27

With Kidney Jing xu ___ charts arent usually done because the period is so erratic or completely absent

Answer 27

BBT

Question 28

Fertile ______ is rarely seen

Answer 28

MUcus

Question 29

T and P with Kidney xu

Answer 29

T pale | P weak and thready

Question 30

If we nourish blood we are nourishing Yin | but if we are nourishing Yin we are not nourishing blood ****

Question 31

Kidney Yin xu is more common now with women waiting until they are _____ to conceive

Answer 31

Older

Question 32

Kidney yin xu symptoms

Answer 32

``` Anxiety poor sleep flushed thirst dry skin and hair thin and wiry complexion ```

Question 33

Yin xu will often manifest as ______ xu = scanty periods

Answer 33

Blood

Question 34

Yin xu may also present as ____. Yin xu heat = Bright red periods

Answer 34

Heat

Question 35

Kidney yin xu = Unstable __________ phase

Answer 35

Follicular

Question 36

Typically longer than usual | 13 or 14 days before __________

Answer 36

Ovulation

Question 37

Yin xu Heat however may cause _____ ovulation of an immature egg and this will shorten the follicular phase

Answer 37

Early

Question 38

with Kidney yin xu there will be significant vaginal _______ and _____ production will be scanty

Answer 38

Dryness | mucus

Question 39

Fertile mucus that is present will be too ______ for any sperm to survive

Answer 39

Acidic

Question 40

T and P with Kidney yin xu

Answer 40

T dry, often small and peeled, red P weak especially on deep level, may give the impression of floating due to emptiness at the deep levels False heat = rapid

Question 41

If a woman ovulates too early the egg isn't mature enough and wont be able to be fertilized T/F

Answer 41

T

Question 42

Kidney Yang xu, non constitutional causes include | Injury by cold, over strain, long term yin deficiency, long term qi xu, long term heart or liver qi stagnation

Question 43

Kidney yang xu = Metabolism slows down = hard to loose _______

Answer 43

Weight

Question 44

Fluids are not distributed = ______

Answer 44

Oedema

Question 45

Typical Kidney yang xu symptoms

Answer 45

``` Puffiness over weight lethargy low libido low motivation LBP especially in cold weather ```