不孕症之中西醫文獻回顧

Review of Infertility in Western and Chinese Medicine Literature

邱詩方(Shih-Fang Chiu) ； 楊舒渝(Su-Yu Yang) ； 邱媛貞(Yuan-Chen Chiu) ； 洪晨昕(Chen-Shin Hung) ； 王人澍(Jen-Shu Wang)

《中西整合醫學雜誌》 18卷4期 (2016/12) Pp. 1-6

摘要

台灣社會現今晚婚、遲育的趨勢以及忙碌的生活步調與壓力，導致不孕症夫婦的比例逐年上升，對於受到不孕症影響的夫婦們，在求孕過程中承受極大心理壓力以及經濟壓力，因此本篇藉由中西醫文獻回顧的方式，希望找出中西醫治療不孕症的方式，提高不孕症治療的成功率。不孕症是指超過12個月以上沒有避孕且具有規律性生活而未成功受孕者，即稱為不孕症；若年齡超過35歲婦女，因懷孕能力顯著下降，若超過半年未能成功受孕者，即可視為不孕症。本文介紹目前研究所知不孕症可能的原因以及利用文獻回顧的方式，探查西醫目前的診斷與治療方式以及中醫對於不孕症的分型與治療不孕症的想法與用藥，透過全盤了解中西醫的不孕症病因病機與治療策略，為不孕症夫婦治療找出更好的方法。

關鍵字

不孕症 ； 中西醫 ； 文獻回顧

並列摘要

The trend of late marriage, late in raising children, busy life style, and stress all cause the rising annual ratio of infertile couples in Taiwan. For those couples with infertility, the burdens of stress for infertility treatment and economic pressure must be extremely great. Therefore the purpose of this review is to search various ways for infertility treatment and enhancing the successful rate through the survey of Western and Chinese Medicine literature. Infertility is a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse according to the WHO. For those women over 35, if unsuccessful to conceive within 6 months may be regarded as having infertility because of the age-related lower fertility rate. In this review, the current understanding for the causes of infertility is introduced first. Next, the up to date diagnosis and therapy on infertility are reviewed from the literature and the concept and treatment from Chinese Medicine are also compared. A total understanding of etiology and treatment strategy for infertility from the East and West medicine would provide a better way for treating infertility.

並列關鍵字

infertility ； integrated Chinese medicine and Western medicine ； literature review

參考文獻

Mascarenhas, M.N., et al., National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med, 2012. 9(12): p. e1001356.

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de La Rochebrochard, E., et al., Fathers over 40 and increased failure to conceive: the lessons of in vitro fertilization in France. Fertil Steril, 2006. 85(5): p. 1420-4.

Dunson, D.B., B. Colombo, and D.D. Baird, Changes with age in the level and duration of fertility in the menstrual cycle. Hum Reprod, 2002. 17(5): p. 1399-403.

Hung, Y.C., et al., Chinese Herbal Products For Female Infertility in Taiwan: A Population-Based Cohort Study. Medicine (Baltimore), 2016. 95(11): p. e3075.