1.Dysfunctional uterine bleeding
Heavy bleeding and severe anemia, hemoglobin 80g/l
Stopping bleeding: Tonic Jiale 4~6mg every 8 hours, reduce the dosage by 1/3 3 days after the bleeding stops, and then reduce the dosage by 1/3 every 3 days until the maintenance dosage is 1~2mg, and use the drug until about 20 days after the bleeding stops, and the hematocrit increases to more than 90g/l plus progestin. Guo Hongjun, Department of Obstetrics and Gynecology, First Affiliated Hospital of Zhengzhou University
Adjustment of cycle: Clomid 1 tablet/day for 21 days from the 5th day of menstruation, stopping for 7 days for one cycle, 3 consecutive cycles.
Not too much bleeding, only mild anemia
Stop bleeding: Da Ying 35 2~3 tablets/day, gradually reduce the dosage to 1 tablet/day after the bleeding has stopped for 1 week, and maintain for about 21 days.
Adjustment of cycle: Da Ying 35 1 tablet/day for 21 days from the 5th day of menstruation, stop for 7 days for one cycle, 3~6 cycles in a row.
2.Polycystic ovary syndrome (PCOS)
Anti-androgenic, menstrual regulation: Da Ying 35 1 tablet/day, starting from the 5th day of menstruation, for 21 days, stopping for 7 days, for one cycle, for 3~6 cycles.
3.Menopause and menopause related diseases
Perimenopausal syndrome
Cycle sequential method: Clomid 1 tablet/day, starting from the 5th day of menstruation, 21 days in a row, stopping for 7 days, for one cycle.
Premature Ovarian Failure
Cycle sequential method: Clomid 1 tablet/day for 21 days starting from the 5th day of menstruation and stopping for 7 days for one cycle.
Late menopausal sex hormone supplementation
For those with intact uterus (sequential combination method): Tocopherol 1~2mg/day, plus progesterone 2mg/day
After hysterectomy: Glivec 1~2mg/day
4.Low estrogenic amenorrhea
Cycle sequential method: Clomid 1 tablet/day from the 5th day of menstruation for 21 days, stop for 7 days for one cycle.
5.Assisted reproductive technology
Pre-embryo transfer progressive dose regimen: Tonicin 2mg once daily for 1~8 days, 4mg daily from day 9~11, 6mg daily from day 12 onwards (but the dose should be adjusted with reference to the endometrial thickness during actual application).
Constant dose regimen before embryo transfer: Tocopherol 3~4mg twice daily for 2~4 weeks, with additional progesterone the day before egg retrieval (but the dose should be adjusted with reference to the thickness of the endometrium when actually applied).
After embryo transfer: Tocopherol 3mg twice daily, together with progesterone, and gradually withdraw hormone therapy from 90 days of pregnancy (the dose should be adjusted with reference to estrogen level).
6.Other
Breastfeeding: Tocopherol 3mg 3 times daily for 5~7 days.
After endometriosis treatment, “reverse add-on” therapy (e.g. after GnRHa use): Glivec 1mg once daily and progestin added daily for 5~days.
Uterine adhesions, for stimulation of endometrial proliferation and prevention of re-adhesion (after IUD placement by hysteroscopy): Tegretol 3mg 3 times daily for 3 months or cycle sequential therapy (breast, liver and kidney functions should be checked before administration).
IUD removal >1 year after menopause: Tocopherol 3mg once daily for 7 days before IUD removal.
Indolent abortion: Tocopherol 5mg 3 times daily for 3 days; Mifepristone 150mg on an empty stomach after 1 day of oral Tocopherol and Misoprostol 600ug orally when 48 hours.
Pure natural progesterone capsules (Yimaxin)
Specification: 50mg×20 capsules Caution: Take orally before bedtime or 2 hours after meal
Conversion of measurement with traditional medicine: 100mg progesterone capsules = 10mg progesterone injection
50mg progesterone capsules = 2mg Amgen progesterone
Indications.
1.Menstruation: 3~4 capsules, Bid, po/day, 5 days a course (2 boxes)
2.I degree amenorrhea: 2 capsules, Bid, po/day, 10 days a course (2 boxes)
3, dysmenorrhea, premenstrual syndrome: 5 days before the onset of menstruation, start taking 2~3 capsules, Bid, po/day, take 5 days
4.HRT (hormone replacement therapy): combined with estrogen, for late HRT (starting on day 12), 2~3 capsules/day, while stopping the drug
5.Premature miscarriage: 2~3 capsules, Bid, po/day, at least 2 weeks, or until symptoms disappear
6, habitual miscarriage: have pregnancy aura that start taking, 2 capsules, Tid, po / day, after the diagnosis of conception continue to take until 3 months or after the month of previous miscarriage
7, IVF: progesterone injection 40mg/day, plus progesterone capsules 3, Tid, po/day
8.Artificial cycle: start taking it on the fifth day of the line, take a single estrogen for 21 days, start taking estrogen on the 12th day, and take progesterone capsules at the same time, 2~3 capsules, Bid, po/day, for a total of 10 days, stop taking it at the same time as estrogen (2 boxes)
9.Endometrial transformation dose: A 2~3 capsules, Bid, po/day; i.e. 200~300mg per day B 4200mg/cycle po
10.Ovulation inhibitor amount: 300mg/day, po (6 capsules)