This article is excerpted from Dr. Ip Dun Min's office story
Since 2002, I have been "dancing with wolves" alone, and I have always worked with some women naked in the wolves to break through. Now I have a group of partners as helpers, and we have trained the "Lone Nine Swords" of gynecological reproduction in our long-term "dance with wolves"!
We are not special soldiers, there is no superb fighting technology, no high-tech tall equipment, our "reproductive lonely nine swords" mental method is generally "humanization, individualization, specialization and no god in the world, don't be self-contained!" ”
First of all, to introduce to you, the "wolf pack" is the culprit that causes infertility - the endologic family, including the "wolf king" - adenomyosis, the "wolf queen" - ovarian chocolate cyst, the "lone wolf" - peritoneal endometriosis and the old wolf wolf. "Wolf King" makes you suffer from menstruation to the point of pain; "Wolf Queen", let you sometimes feel so painful that you doubt whether the earth rotates, sometimes make you feel nothing; "lone wolf", never let you hurt, but quietly let you get pregnant, the ability to give birth is more difficult!
The characteristics of "wolf pack" are: let you not get pregnant, can not get into bed; let you not give birth, pregnant is always stopped, always fall off!
We are all people who dance with the wolves with everyone and try to lead everyone out of the wolf pack, and then share with you two stories of us who led patients to break through the "wolf pack".
Breakout Case 1
Ms. D, 37 years old, infertile for 5 years, severe dysmenorrhea and anemia, with adenomyosis ("Wolf King"), abnormal uterine bleeding and secondary anemia. I have done IVF 2 times and failed 4 times, but the ovarian reserve function can be (this is the "treasure" indicator in fertility), and the drugs have been used countless times in various injections, all of which are ineffective. When she came to Dr. Ye Dunmin's office, she said that she gave up the hope of childbirth and only hoped to solve the problem of dysmenorrhea and bleeding.
Ask how difficult it is to have children in the world, remove the innate factors to count the adenoid muscles; ask how painful the world's body pain is, in addition to male gout, the number of adenomarcles plus heartache) (I have had a gout, I have been unforgettable, and I am determined not to have another attack. ）
After communication, I found that in fact, she still did not give up childbearing in her heart, her lover was a modern laboratory doctor, at first she did not believe in Chinese medicine, and felt that the medical methods on the tall were ineffective, so she opposed to seeing Chinese medicine, but after he learned that Brother Hua was also a regular doctor in the university affiliated hospital and not the legendary jianghu travel doctor, he also agreed to come to the doctor with half a doubt.
In the end they accepted my advice, which they had never thought about or a doctor had told them.
Treatment options
The first protocol is the test tube + laparoscopic protocol. Don't give up the test tube, endure the pain, first try to save the embryos, this process is combined with taking Chinese medicine. Wait until there are embryos, first do laparoscopic surgery to treat "lone wolf" (severe adenomyosis almost has peritoneal endometriosis), do not move the wolf king, after a long period of postoperative downregulation of 6-8 needles (before up to 2 injections) after the artificial cycle transfer, before the transfer of blood coagulation and partial immunity (basically not recommended "full" test), before the transplant appropriate addition of a small amount of immunoglobulin and heparin and traditional Chinese medicine.
The second option is a natural pregnancy regimen that abandons test tubes. If you do give up the test tube, then consider alleviating dysmenorrhea and fertility. Dr. Ye first suggested taking Chinese medicine for three months, which can effectively alleviate dysmenorrhea by 75%, and then do laparoscopic hysteroscopic surgery after three months, in addition to dealing with the "lone wolf", but also to kill the "wolf king"! Look at the operation and then decide whether to inject after surgery, Chinese medicine is of course a must. The test tube does not move the wolf king, and the natural pregnancy will move the wolf king.
After eating 4 weeks of Traditional Chinese medicine, self-induced dysmenorrhea alleviated some, follow-up decision to take the second plan, I stressed again, completely and resolutely give up the first plan and then choose the second plan, they said, completely give up, before the two egg retrieval four times transplantation to eat and inject a lot of hormones The pain is no less than the monthly adenomyosis of dysmenorrhea!
Next, during the operation, as I expected, except for the wolf king standing in front of him, the pelvis was crowded with a group of lone wolves! The operation carefully disposed of the lone wolf, cut off a little flesh from the wolf king, and left a large wound in the womb. I told her after the operation that she must be pregnant after half a year, it is recommended to take GnRh-a three injections first, just can stop menstruation for about half a year, but it is recommended to start after a menstrual period.
The next plot development was a bit unexpected to me, after a menstrual period, she actually forgot to follow up the injection, according to her words is "painful menstruation is significantly alleviated, for many years have not been so relaxed, so forgot to follow up", dizzy! I arranged for her to continue drinking Herbal Medicine and suggested that she come for an injection the next day of her next menstrual period. The second menstrual period was delayed again, and it turned out that she just happened to have a mission abroad, and the second menstruation happened to be in a certain country in Europe! The turning point is here! The third menstrual period did not come on time, I think it may be related to the geographical factor of jet lag, but according to the convention, pregnancy test. She was very happy to see two red bars on the pregnancy test stick (indicating pregnancy) because this was the first time in her life that she had been tested for pregnancy!
The reason for this was that they had sex once before going abroad. Compared to the happy Ms. D, as the main treatment, I am very worried, the reason is to let her prepare for pregnancy after half a year, which is to hope that her uterine wound can be healed, half a year after pregnancy has been the most conservative advice, the result is not half a year to get pregnant, in case of a rupture of the wound during pregnancy, this is fatal! But I can't bear it, considering that I gave up this pregnancy opportunity for safety, and there will be such an opportunity in the future!? I could only tell her the dangers clearly, but I couldn't bear to mention the tires, only the risks.
In the next fetal treatment process, she was very optimistic, fully enjoying all kinds of nausea and vomiting from the difficult, the more vomiting the happier, the more disgusting the happier. She didn't suffer, but as her attending physician, I silently suffered for her for 38 weeks!
Spend all kinds of pregnancy levels, 38 weeks cesarean section to give birth to a baby boy! When the birth told me, I was finally relieved, and since then she has been "worried", and it is a hard and painful thing to let the baby grow up healthy and happy!
Since then, her lover has begun to believe in Chinese medicine and has also begun to teach some Chinese medicine on her own.
Breakout Case 2
Ms. M, 36 years old, infertile for 4 years, has normal menstruation, no dysmenorrhea, and normal sex hormones. Ultrasound B tip: left side of the capsule 2 * 3 cm, right side of the sac 1 * 2 cm, there is a "bilateral ovarian chocolate cyst" ("wolf"), infertility. I went to many hospitals for treatment, but I didn't succeed. Therefore, she flew from a provincial capital city in the Yangtze River Delta to Guangzhou to find me and asked me to give her advice.
However, her ovarian reserve function at this time is due to taking certain "warm palace" prescription medicines for a long time (I have experienced a long time ago that some hot Chinese medicines will affect the function of the ovaries!). Plus after the age of 35, it has dropped significantly. After the examination, I rediagnosed her: severe insufficiency of ovarian reserve function, bilateral ovarian chocolate cysts, infertility
After I eliminated her fear of IVF, I clearly told her: Now it is not the right time to prepare for pregnancy naturally after surgery, and the timing of natural pregnancy surgery is exactly when the doctor did not give you surgery 2 years ago, and now the doctor on your side has recommended you surgery, which is no longer the right time. I'll give you surgery, but not now. I recommend in my medical records:
1. Direct test tube (others teach)
2. Deposit embryos first, and have at least 2 or more transfer opportunities
3. After storing enough embryos, do laparoscopic hysteroscopic surgery to dispose of the sac
4. After surgery, the first transplant is carried out according to the standard transplantation protocol of endopathy
5. Add low molecular weight heparin before and after transplantation
6. Cooperate with our Traditional Chinese medicine program for treatment throughout the process
7, pay attention to keep the mood happy!
After that, I briefly analyzed it with her, and stressed: The doctors at the fertility center did not necessarily agree with the suggestions I gave, and she needed to communicate with herself. Prescribe a month of Chinese medicine to her and ask her to go back and then think about whether to follow my advice.
She eventually decided to undergo a test tube, but the first fertility center insisted that she transplant fresh embryos (of course it may be successful, but what if it doesn't?). The timing of surgery is lost).) For an elderly woman with severely inadequate ovarian reserve, every available embryo is so valuable!
Long-term practice has led me to worry that other doctors have not thought of: failure, is there a way out? Among the various methods of fertility, what I think most deeply about is not what to do if I succeed, but what to do after failure. Because of success, of course, there is no need to think about future things, but for each fertility method, the 50% success rate is already very good.
She went to another local center, and according to her, the professor of this center actually had a similar point of view to me, believing that the sac was a serious impact on fertility, and suggested that she store embryos, but also did not recommend surgery, fearing that the operation would lead to premature ovarian failure.
She chose this center, and also traveled thousands of miles to find me for follow-up consultation, and I stressed to her that after storing the embryos, do not puncture the clever sac, once punctured, you will lose the opportunity for laparoscopic treatment! She was lucky enough to succeed in both egg retrievals.
She still told the test tube professor that she would have to operate on it first and then transplant it, and the test tube professor was still more humane, and she did not object, saying "Whatever you want!" After the professor heard that he had gone to Guangzhou to find "Professor Ye Dunmin" for the main surgery, the professor said "I have heard of him", and after the patient told me, I was very happy, so far away, there were even tall reproductive doctors who knew my name.
The operation was carried out smoothly on the banks of the beautiful Huadi River- The Third Hospital of Guangdong Traditional Chinese Medicine, and the treatment of Traditional Chinese medicine continued after the operation, and I asked her to go back to the ivy tube professor for follow-up consultation to determine the transplant plan and time. The test tube professor gave the same protocol as I gave: the first menstrual period was downgraded on the second day of menstruation, and the artificial cycle was transplanted 28 days later, but heparin was not added to the protocol. Starting 3 days before the transplant, I suggested that she use a heparin every other day until the lottery was drawn, and then adjusted according to the test indicators after winning the lottery.
Luckily, she was able to get pregnant with a transplant. Next, I continued to follow my suggestions for fetal implantation (on the local ivy tube professor's fetal installation method, I added our experience in fetal safety), the pregnancy was smooth and safe, and finally a baby was born at 39 weeks of pregnancy. After 1 and a half years, I prepared for a natural pregnancy before the second child transplant, and it went all the way smoothly, and I am currently 26 weeks pregnant.
At this point in the story, I would like to say that to be able to successfully break through from the "wolf pack", I can not do without my powerful partners, they are Guan Yongge, Bu Yali, Li Juan, Li Xuan, Dr. Guan Yongge, Bu Yali, Li Juan, Li Xuan of the Second Department of Gynecology of the Third Hospital of Guangdong Traditional Chinese Medicine, we are all people who dance with the wolves with everyone and try our best to lead everyone out of the wolf pack.
7 years ago, a group of mothers made a photo wall full of little angels, and now the little angels have entered the first, second and third grades of primary school, and with the opening of the second child, the little angels also have their own brothers and sisters! The little angels are not easy to come by, and they are looking forward to the healthy and happy growth of the little angels, and Uncle Hua has always loved you! But did you know that half of the little angels' mothers are surrounded by wolves, and it is mutual trust and support that they finally succeed in breaking through the wolves.
Thank you for your full trust and support, and thank you for meeting you in this life!
Happy Holidays to all!
Dr. Flower Brother Leaf
March 7, 2021