Some women blindly believe that a large amount of estrogen supplementation can cure premature ovarian failure, but I am here to tell you that this is wrong. 1. Supplemental estrogen can only improve the symptoms, not the function of the ovaries; 2. Long-term supplemental estrogen will bring certain side effects to the body: (1) Excessive estrogen causes the endometrium to grow continuously, resulting in thickening of the endometrium and abnormal bleeding from the uterus, manifested as irregular menstruation, short menstrual cycle, high volume and long periods; in the distant future, it greatly increases the risk of uterine fibroids, endometrial cancer and other diseases. The risk is greatly increased. (2) Excessive estrogen may cause abnormal ovulation in the ovaries, which may affect conception. (3) The brain of women with excessive estrogen is easily stressed, resulting in headaches and other symptoms that affect daily work life. (5) The ovaries become “dependent” – when the drug is stopped, their own estrogen production becomes even more insufficient, which may even lead to further ovarian dysfunction. Hormone replacement therapy is an important treatment for premature ovarian failure, but it is important to exclude contraindications to its use and to use it under medical supervision. In addition to amenorrhea, a few patients with premature ovarian failure may experience symptoms similar to menopausal syndrome, such as decreased vaginal discharge, painful intercourse, hot flashes, night sweats, and osteoporosis. Premature ovarian failure is not necessarily irreversible and should be treated actively, especially for patients who expect to have children. 1. Artificial cycle: Take ethylene estradiol 0.25-1mg/day from day 5 of menstrual cycle for 20 days, and add dydrogesterone 10 mg/day or medroxyprogesterone acetate 6-10mg/day on day 16-20 of the cycle, stop taking the drug and wait for the onset of menstruation and repeat the next cycle of treatment on day 5 of the next menstruation. Also, give some health supplements such as trace elements, calcium and vitamin D. 2.Gonadotropins: In patients with premature ovarian failure, there may be low FSH and LH. Treatment with large amounts of gonadotropins can induce follicle development and ovulation to achieve the goal of pregnancy. 3. Immunosuppressants: especially for those with combined adrenal hypofunction, treatment with cortisol such as dexamethasone can be added. Chinese medicine (1) Chinese medicine advocates that “treatment must be based on the root of the disease”; (2) Chinese medicine believes that the pathogenesis of premature ovarian failure is due to deficiency of kidney water and hyperactivity of liver yang. (2) According to TCM, the pathogenesis of premature ovarian failure is due to deficiency of kidney water and hyperactive liver yang. Yin deficiency often leads to hyperactivity. Kidney water cannot contain liver wood, leading to hyperactivity of liver yang; (3) Chinese medicine dialectical therapy uses drugs in stages according to different changes in the endometrium and ovaries during the menstrual cycle, combining Chinese medicine’s identification with Western medicine’s identification of disease, and personalized treatment with Chinese medicine as the main treatment. It takes into account the cyclical changes of the ovaries and uterus during the menstrual cycle, and also responds to the cyclical changes of Yin and Yang in the body, preserving the characteristics of TCM’s inherent evidence-based diagnosis and treatment and overall adjustment, and achieving overall improvement. Three main features of TCM treatment for premature ovarian failure 1. Overall adjustment, tend to balance: Using TCM for comprehensive adjustment, through toning the internal organs, yin and yang, qi and blood, improving the function of the punching and uterus, so that the kidney essence – tiankui – punching and uterus reproductive axis works normally, gradually restoring the female endocrine balance; 2. 2. Dialectical treatment, from the inside out: using the characteristics of Chinese medicine to treat the root of the problem and regulate it from the source. For symptoms such as chloasma, irregular menstruation, amenorrhea, hot flashes and night sweats caused by premature ovarian failure, dialectical treatment is carried out; 3. Chinese medicine guidance, flexible treatment: patients are given life aspects, such as diet, exercise, spiritual conditioning, etc., to help them maintain an optimistic ideology and develop a good routine. Prevention tips (a) physical recreation Adhere to the exercise, enhance physical fitness, is the most important way to maintain the vitality of women, advocate brisk walking, jogging, swimming, yoga and other aerobic exercise. Maintain a positive state of mind, optimistic and open-minded, so that “body and mind as one, the form and spirit of unity”. Once there is excessive tension, stress and other negative emotions, and actively take effective ways to deal with, good from the family and friends around to get comfort and encouragement. A sex life is equivalent to jogging, which can burn calories and keep you in shape. At the same time, the brain will secrete endorphins, can relieve body pain, and help sleep. (B) food regimen Pay attention to a reasonable diet and ensure adequate daily intake of water and nutrients to maintain the necessary nutrients for the reproductive system. Eat more high-quality protein, vitamins and minerals in appropriate amounts, and keep the diet light, not too greasy, too salty and too sweet. Ensure daily vitamin intake, increase the amount of folic acid-rich foods, ensure daily intake of calcium and other mineral trace elements, and eat less fried and deep-fried foods. Eat regularly, eat on time and refuse to overeat.