運用中醫治療壓力所致不孕並佐以期刊文獻回顧

A Case Study and Review of Chinese medicine to treat stress-induced secondary infertility with journal literature review

張烱宏(Chiung-Hung Chang) ； 王琳凱(Wang lin kai) ； 陳奕任(Chen Yi Jen) ； 李耘瑄(Lee Yun Hsuan) ； 王淑秋(Shu-Chiu Wang)

《中醫婦科醫學雜誌》 24期 (2019/12) Pp. 26-38

https://doi.org/10.30030/JTCGM.201912_(24).0003

摘要

根據2010年世界衛生組織（WHO）統計，全球不孕症比例約8－12%，而根據衛生福利部的資料統計，在台灣不孕夫妻的比例約占10～15%，國內夫妻每7對中就有一對深受不孕困擾。因社會變遷，生活、工作、經濟等壓力、環境污染、晚婚人數增加，導致不孕症的人數逐年上升。造成不孕的原因可分為「女性因素」、「男性因素」、「混合因素」、「不明因素」。不明原因不孕症發生率約占不孕症中的8－15%。所謂「不明原因」就是不孕夫妻在接受一定範圍的檢查評估後，仍然找不到特定病因，則可歸類為不明原因的不孕，亦即用現有醫學技術無法輕易診斷的不孕症。故本文藉由文獻回顧進行討論，並藉由38歲女性個案，夫妻檢查均無異常，曾嘗試試管失敗，屬於不明原因不孕症者，後尋求中醫治療後，順利懷孕。

關鍵字

不明原因 ； 壓力 ； 不孕症 ； 基礎體溫

並列摘要

Infertility is estimated to affect 8 to 12% of couples all over the world in 2010 estimated by WHO. 10% to 15% of couples are infertile in Taiwan. Around 1 in 7 couples may have conceiving difficulty. Due to change of lifestyle, working and financial pressure, environment pollution, and late marriage, the number of infertility increases every year. The causes of infertility include female factors, male factors, combined factors, unexplained factors. The prevalence of unexplained infertility is 8- 15%. Unexplained infertility is defined as no specific cause was identified after infertile couples accepted certain work-up. Namely, the type of infertility is hard to be diagnosed by nowadays technology. Therefore, this article aims to discuss this condition by literature review. The patient of this case is a 38-year-old woman, and there were no abnormal findings on this couple. In vitro fertilization was attempted before, but failed. Unexplained infertility was considered. Then they sought for Chinese medicine treatment, and was pregnant in the end.

並列關鍵字

Unexplained ； stress ； infertility ； basal body temperature

參考文獻

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Lynch CD, Sundaram R, Maisog JM, Sweeney AM, Buck Louis GM. Preconception stress increases the risk of infertility： results from a couplebased prospective cohort study--the LIFE study. Hum Reprod 2014;29：1067– 75. doi：10.1093/humrep/deu032

Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology, 2009. Fertil Steril. 2009;92：1520–4.

Practice Committee of the American Society for Reproductive Medicine. Definitions of infertility and recurrent pregnancy loss. Fertil Steril. 2008;90(5 Suppl)：S60.

Calverton, Maryland, USA： ORC Macro and the World Health Organization; 2004. World Health Organization. Infecundity, Infertility, and Childlessness in Developing Countries. DHS Comparative Reports No 9