Patient: In early 2007, she had multiple fibroids on ultrasound, her fallopian tubes were open and she had menstrual pain. After laparoscopy, she had fibroids and a chocolate cyst on the left side removed and adhesions were released. After the follow-up examination, I found another chocolate cyst of 4CM×2CM on the right side, and I have a slight pain in the right abdomen. She has a low menstrual flow with a 28-day cycle, CA125 of 110 and a positive anti-endometrial test. The endometrial thickness is 5MM. I am 30 years old and I want to get pregnant, but now the doctor recommends surgery. Can I take Chinese medicine to get better? I am very distressed! Regularity of menstruation: relatively regular Age of first menstruation: 14 years old Number of days per period: 4 days Average number of days of menstrual cycle: 28 days, sometimes one or two days early Menstrual volume, color, abdominal pain: Date and condition of last menstruation: January 7, low volume with blood clots Age of marriage: 3 years Number of pregnancies: none Number of miscarriages: none Number of births: none
Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: This condition really requires surgery if pregnancy is the goal, although whether to use Western medicine after surgery should be carefully evaluated. If you don’t want to have children, it doesn’t matter if you have surgery or not. Regardless of that situation it is still beneficial to eat Chinese medicine.
Patient: Thank you very much Dr. Ye, you work on the fifth day of the New Year, I would like to consult you in person because I want to have a child very much and I hope I can get your help. I’m very interested in seeing what you can do for me because I know that western medicine has a lot of side effects, so I’d like to see what I can do about it. Again, thank you!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Ye Dunmin: Any medicine, including traditional Chinese medicine, has potential side effects, only that the benefits outweigh the disadvantages. Please bring all your previous information, including surgical information, with you.
Patient: Hello, Dr. Ye! I went to see Dr. Ye for the first time on the fifth day of the Lunar New Year, and Dr. Ye was very patient in reading my information and giving advice. I had a laparoscopic surgery in 2007 and now I have a coeliac cyst and endometriosis and am infertile. Now I want to ask two questions because Dr. Ye prescribed me 7 days of medicine to take 7 days before my period. 1) How long is this Chinese medicine usually boiled and is once a day enough. I forgot to ask at the time of prescribing. 2) My period is seriously early this month, and since Dr. Ye said I should take this medicine before my period, I would like to ask if I should continue taking it during my period or stop taking it immediately and go back to Dr. Ye after my period is over. Thank you very much Dr. Ye, and I hope that with Dr. Ye’s help, I can have a healthy and smart baby!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Dr. Ye Dunmin: 1. Boil the herbs for 30-40 minutes on slow fire, preferably with repeated decoction, and drink twice a day. 2. For herbs regulating reproduction, it is related to the menstrual cycle, so at what time you eat it, the herbs taken during the menstrual period of internal heterogeneity are completely different from other times. So the previous suspension.
Patient: Thank you, Dr. Ye. Then I won’t take the medicine before my period. Today is the second day of my period and I noticed that the flow is a bit heavier than before and there will be clots, is the medicine working? Since you are not working tomorrow, what should I take after I stop taking the medicine tomorrow? Is it too late to go back to you on Thursday? Thank you!
Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: You can see him on Thursday. Now you can take single flavor Tian Qi powder, 3g each time, 2 times a day with warm water.
Patient: Hello, Dr. Ye! Originally, I just finished your prescription today and will go to see you tomorrow for a new prescription, but it just so happens that the leader has arranged to travel tomorrow, so can I ask my mother to go tomorrow for me or wait until Monday? What do you suggest? Thank you!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Ye Dunmin: Both are possible.
Patient: I’ll ask my mom to go to you tomorrow to tell you about my condition, and you can prescribe some medicine for me first, and I’ll go back to you next week if I need to. Thank you, Dr. Ye.
Patient: Dr. Ye, I happen to have my period today, and I’ve finished my medication. I’m only 25 days early for my period, and I’m very distressed, and I have vague pain in my right abdomen.
Patient: Dr. Ye, since I haven’t had my period yet this month, I tried to test twice with a pregnancy test, and I got two lines, does that mean I might be pregnant? I’m so happy, do I need to go to you for a checkup right away? I’m worried because I traveled more this month, I flew a lot, and because I didn’t know, I was very careless about my rest and my body, and I also had two ultrasounds, will there be any problem?
Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: First of all, congratulations, it’s pregnancy. But there are still a lot of things to do 1. Prohibit sex, avoid too much walking, and see whether to hospitalize the baby according to the examination results. 2. We suggest you to take blood test for these three items: HCG quantification, progesterone and estradiol, on an empty stomach tomorrow morning at a large hospital near your home, to determine the embryo situation initially. 3. Now you can continue to take folic acid and if you have any “pregnancy pills” left, you can go to a pharmacy and buy Guangzhou’s “Kidney and Fetus Pills” to eat. 4. We will contact you again when the results of the blood test come out.
Patient: Thank you so much Dr. Ye, my confidence has been boosted since I went to see him. I’ve been pregnant for a year before, but I got pregnant after taking two months of medicine from Dr. Ye. I can’t thank you enough. I’m so happy to have met such a good doctor. I will go to see Dr. Ye when the results come out.
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Dr. Ye Dunmin: No need to thank you, that is God’s favor to you, thank God! Endometriosis is more likely to miscarry, so you can’t be careless.
Patient: Dr. Ye, I went to the hospital for a checkup and the HCG value was over 7000, is that normal? The progesterone didn’t have the result so soon, and the doctor at Zhongshan First Hospital said estradiol can’t be done alone, so I haven’t checked yet, is it necessary to check? Thank you very much Dr. Ye for replying to my letter in the middle of a busy day, really thanks!
Patient: I forgot to tell Dr. Ye that I had my period on the 27th of last month and today I had my blood drawn on the 30th. Thank you!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Dr. Ye Dunmin: Very well, if the progesterone is also high, it can be said that the embryo is developing well. We suggest you to come over this afternoon to prescribe Chinese medicine to calm the fetus and just stay at home to nurture the fetus from now on.
Patient: Dr. Ye, I got the progesterone result today and it is 25.2 (blood test on April 30), is it low? Do I need to pay attention to anything? Thank you, Dr. Ye.
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: People with endometriosis have low progesterone after pregnancy, which is why they are prone to miscarriage. It is recommended to start taking progesterone for fetus preservation now, different hospitals have different preparations, eat according to the doctor’s instructions. You can check HCG again tomorrow or the day after tomorrow (no need to check progesterone), as long as it can grow fast, there will be no problem.
Patient: Hello, Dr. Ye! Thank you for your timely reply to me. By the way, the progesterone test was 25.2ng/ml,the unit is ng/ml, (because there is another unit is nmol/L). I googled it and it says that 24.5±7.6ng/ml is normal at 7 weeks of pregnancy. I would like to ask Dr. Ye if this value of 25.2ng/ml is still low and I need to take progesterone according to my doctor’s instructions, right? Thank you very much. I am going to have my HCG checked again tomorrow.
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: It is equivalent to more than 70 nmol/L, which is still relatively good.
Patient: Hello, Dr. Ye! I went to the hospital today to have my HCG measured and it is 30541mIU/ml. The two measurements are as follows; last period is 3.27 4.30: 33 days pregnant HCG:7085mIU/ml Progesterone: 25.2ng/ml 5.8: 41 days pregnant HCG:30541mIU/ml Please ask Dr. Ye, does it mean that the baby is developing normally and I still need to continue to take medicine? Do I need to go to you to re-prescribe Chinese medicine?
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: Congratulations! We are getting closer to a normal intrauterine pregnancy. We can consider having an ultrasound next week. Continue to use Chinese and Western medicine for a while. Wait until you see the fetal heart on ultrasound before adjusting.
Patient: Hello, Dr. Ye! Last night I had some vague pain in my left abdomen that lasted until this morning, which made me very worried. Today I feel normal again at work, but I am still a bit uncomfortable. I’m 46 days pregnant now and would like to ask when do I need to have an ultrasound? Do I need to go to you for a new prescription of Chinese medicine? Thank you very much!
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: We can do the ultrasound at the weekend first, and continue to take Chinese medicine.
Patient: Thank you, Dr. Ye, for your advice. I will go for ultrasound at the weekend, and then go to you next week to readjust my Chinese medicine. I am very happy to be pregnant this time, but I am worried about this and that, so I would like to ask Dr. Ye, do I still need to do these tests? Thank you, Dr. Ye!
Patient: I have another question for Dr. Ye, because I have O blood type and my husband has B blood type, I read that the baby may have ABO hemolysis, do we need to do any tests? Thanks again!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Dr. Ye Dunmin: You can have blood tests for chromosomes and teratogens, or you can wait until the maternity checkup. The blood type is also a matter of waiting for the mid-term before checking and evaluating.
Patient: Hello, Dr. Ye. I went to Zhongshan Hospital for a checkup last week, and the ultrasound appointment was scheduled for June 1. It will be 9 weeks at that time. Do I need to take more vitamin tablets from Codeine after taking Silien, and do I need to drink the maternal formula now? Thank you very much!
The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Ye Dunmin: It’s okay to do ultrasound early or late. It is also helpful to take some multivitamins intermittently. If the gastrointestinal function is normal, it is recommended to drink fresh milk.
Patient: Hello, Dr. Ye. It’s been a long time since I’ve been in touch with you. I just had my first ultrasound + NT today, and I’m already 12 weeks pregnant. NT 1.1mm is not too small, right? Heart rate is 145 beats per minute. Everything else is normal. The ovarian cyst on the right side has also changed from 3.6cm x 2.8cm in early April to 2.8cm x 2.5cm. Will the endometriosis slowly get better with pregnancy? I’m already taking only multivitamin tablets, but my stools are a little thin and my weight hasn’t changed, is that normal? Do I still need to go to you for some herbal medicine? I had an ultrasound today and am much more relieved. I think the most thankful person is Dr. Ye, who helped me at the most painful time and gave me unlimited courage to finally get pregnant with a baby, thank you so much!
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: Congratulations, you finally got through the first 3 months, but continue to be careful in the future. It is the best way to deal with endometriosis, maybe after 10 months of pregnancy, the coeliacs may disappear on their own. Now you can take some calcium tablets and nothing else. I wish you well!
Patient: Hello, Dr. Ye! I had my second ultrasound yesterday and everything is normal, the baby is 22+5 weeks. The ultrasound showed that my placenta was attached to the posterior wall of my uterus, with a placenta maturity level of 0, thickness of 25MM and placenta forward covering the cervical opening by 27MM, suggesting placenta previa. I was very worried about this problem, and I was in a happy mood, but all of a sudden I became very worried. Is there any chance for the placenta to grow up in this situation and what should I do? Moreover, the baby is in breech position and I keep feeling that the baby is moving under my belly. Dr. Ye knows that it is not easy for us to have a baby, so I hope I can get Dr. Ye’s help again. Thank you so much!
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine: Is it not clear that “the placenta is forward covering the cervical opening by 27mm”? Is the placenta 27mm away from the internal os or is it covering it? This is very critical. If it is 27mm from the opening of the uterus, as long as you pay attention to your daily activities and avoid obvious physical activities, you can usually pass through it safely. If it is covered, then it is more serious. A detailed consultation with the obstetrician is recommended.
Patient: Thank you Dr. Ye for your reply. It should be covering the cervical opening by 27mm. At that time, the doctor said that it was easy to bleed heavily, and since I didn’t know much about it, I found out the seriousness of the problem only after I went home and went online. And I would like to ask, how wide is the cervical opening, does covering the cervical opening by 27mm mean it’s all covered or partially covered, and is it possible to use the method of elevating the breech position by sleeping at night to let the placenta grow upwards naturally by gravity? The doctor suggested to go for a review after 28 weeks to see if it has grown upwards. Thanks again Dr. Ye! Whenever I have a difficult time, I would like to get your help the most. Thank you!
The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Traditional Chinese Medicine and Gynecology, Dr. Ye Dunmin: This seems to be some potential danger, so we suggest not to go to work now, and to reduce activities, avoid coughing and constipation. You can get more details with your obstetrician.
Patient: Thank you very much for your advice, I will definitely pay more attention!
Patient: Dr. Ye, I have successfully delivered a lovely baby by cesarean section, and I am most grateful to Dr. Ye. Thinking about my painful pregnancy experience, I am most fortunate to have met Dr. Ye, because of your careful management, I got pregnant! I haven’t been on the internet for a long time because I’ve been taking care of my baby lately, so I’m here today to say thank you to Dr. Ye. Thank you so much! I sincerely wish Dr. Ye a healthy and happy new year, and bring more sisters good pregnancies! Dr. Ye must take care of your health!
Dr. Ye Dunmin, Department of Traditional Chinese Medicine and Gynecology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine: Congratulations! Blessings!