Polycystic ovary syndrome (Polycystic Ovary Syndrome, PCOS) is the most common female endocrine age disorders. The cause is still not clear recently. The pathogenesis of the disease is more complex. It is now considered to mainly be associated with hyper-insulin and insulin resistance. PCOS is more common among women of reproductive age 20-40 years old, up to 20% in the infertile population. There are diverse clinical manifestations. The typical performance are polycystic ovarian changes,  hyper-androgen and luteinizing hormone (LH) / follicle stimulating hormone (FSH) ratio increased, with varying degrees of abnormal menstruation (thin hair, less, amenorrhea , dysfunctional uterine bleeding), infertility, hirsutism, acne, obesity, and  is often accompanied by increasingly obvious bird pancreatic hormone resistance or hyper-insulin and hyperlipidemia.

Recent study has shown that PCOS is not only related to hyper-androgen and insulin resistance, but hyper-insulin is the main feature of PCOS. Clinically, PCOS hyper-insulin hyper-androgen will increase, and vice versa, hyper-androgen hyper-insulin may also increase, and these two form a vicious cycle. The cause of hyper-androgen and hyper-insulin are still not clear currently, but the phenomenon of familial clustering of PCOS suggests the role of genetic factors. Currently, several families of all pedigree analysis showed, PCOS is a permanent genetic autosomal dominant manner, hyper-androgen and (or) hyper-insulin might be PCOS is a genetic disease characterized by the same family.

Seeking effective treatment is the ultimate aim of the present study PCOS. Western medicine treatment of PCOS in the past just focused on ovulation and pregnancy. Ovarian wedge resection is the first established treatment for ovulation, but the incidence of postoperative adhesions often occur, and now this method is basically no longer used.  About 30 percent of patients showed clomiphene resistance to Drug clomiphene and gonadotropin hormone and ovulation induction. Although the use of gonadotropin ovulation induction is more effective, it often results in multiple follicular development and increases the risk of ovarian hyper-stimulation syndrome. Furthermore, the drug prices are expensive and it requires close monitoring. Subsequently, there was laparoscopic ovarian drilling and it has been once very popular due to surgical trauma, small postoperative adhesions, and a higher reported rates of ovulation and pregnancy after surgery. But now accumulated data indicates that adhesions after laparoscopic surgery is still a problem that cannot be ignored. The patients’ resistance to clomiphene ovulation rate and the pregnancy rate following treatment compared with ovulation after laparoscopic surgery punch are relatively low. In addition to significantly reducing the phenomenon of patients after treatment with ovulation phenomenon of multiple pregnancies, there are no significant differences.  At present, the development of assisted reproductive technologies such as in vitro by clear - embryo transfer, etc., have become another effective treatment for pregnancy and refractory disease from PCOS ovulate, but it is not the top choice for the treatment of PCOS.

In clinical treatment, Chinese medicine is mainly used to adjust the endocrine disorder and normal ovulation medication adjusted based. Kidney stasis syndrome is the pathological basis of the disease. Chinese MDs believe that reproductive egg is the essence of pregnancy. Egg maturation is closely related to the activity of sperms.  The normal discharge of eggs also depends on the instigation of the kidney to make red blood smooth tone. Kidney essence deficiency results in the lack of material basis for an egg and it is difficult to develop mature. Kidney essence deficiency neither encouraged biochemical and grow, and make the blood run any red cell stasis weakness veins and cause the lack of the driving force for ovulation. Therefore, the kidney deficiency is the root cause for ovulation disorders, and further cause for kidney yin and yang disorders, endogenous phlegm, stasis blocking any red cell pulse, blood stasis into disorder, so that the egg is difficult to discharge, which cause the ovarian to enlarge.  Therefore, the basic crisis for PCOS is the kidney deficiency and blood pathogenesis.

Reinforcing the kidney and activating the blood is the basic method of Chinese medicine treatment of PCOS. The medicine for reinforcing the kidney is believed to have hormone-like effects on female gonadal axis and has two-way adjustment.  Reinforcing the kidney plus the drug for promoting blood circulation can improve ovarian local blood circulation and increase blood flow to the ovaries, thus contributing to follicle development, ovulation induction and promotion of luteal formation, which has been proven in a large number of Chinese and Western medicine and clinical experiments. The principle of the medicine artificial cycle approach is "kidney reinforcement - blood circulation – Kidney reinforcement - blood to regulate menstruation".  Using acupuncture and traditional Chinese medicines approach is the method to follow this idea.

Nourishing and reinforcing the kidney in the follicular phase, luteal phase, plus blood stasis drugs in ovulation, premenstrual period can adjust human body nervous, endocrine, gonadal function integration (yin and yang balance, coordination organs). Specific treatments are twice weekly acupuncture, traditional Chinese medicine orally twice daily and three times a medicine "Xiaoliu pill", Chinese medicine has different prescriptions based on menstruation and ovulation, respectively. This allows the "polycystic ovary syndrome" and "infertility" to be treated at the same time.  Once they are pregnant, the growth of cysts can be controlled under the action of progesterone.

Case: A Russian woman, aged 30, had been diagnosed of "polycystic ovary syndrome," merge "infertility” a year ago. Ultrasonic testing indicated there were multiple ovarian on the left pf cysts (commonly known as "water tumor") and the largest cyst had a diameter of 3.0cm. She had married for 5 years without a child (before and has never been pregnant). She never used any contraceptive. Ultrasonic testing last year showed multiple integration on the left ovarian cyst and the largest cyst diameter has grown to 4.4cm. Accompanied with irregular menstruation, sometimes once every 23 days, sometimes once every 35-40 days, there are abdominal pain in the period and it got worse on the left. By a friend’s introduction, she came to the clinic seeking treatment physician. After further examination revealed: the risk of luteinizing hormone (LH) was 19.1 mIU / mL, follicle stimulating hormone (FSH) is 3.8mIU / mL, the formation of LH / FSH ratio of high level this is caused by endocrine hormone imbalance, but found her basal body temperature is the single-phase curve, and 20 days of urine ovulation tests were negative, which proves that the risk of an ovulatory menstruation, which is leading to infertility key. Western gynecologist has recommended that first cyst should be surgically removed, then use the drug clomiphene citrate (CC) to stimulate ovulation. According to reflect the situation. It is decided to use artificial insemination (IVF) method. But she refused this treatment and decided to try Chinese medicine treatment. Chinese dialectical combination: The suffering there are cold limbs, pale complexion, Pan evil chest, waist and knees, emotional depression, breast for inflation, lassitude, insomnia, forgetfulness, urine long, loose stool, pale tongue, white , pulse and slippery. Diagnosed as "spleen deficiency and stagnation phlegm," Spleen deficiency cannot be warm the uterus and disorder caused the infertility. In fact, “polycystic ovary syndrome" and "infertility" is the same pathological factors and can both treated at the same time. The combined use of acupuncture and Chinese medicine treatment methods, including twice weekly acupuncture, traditional Chinese medicine orally twice daily and three times a medicine called "cyst removal pill". Chinese has different prescriptions medicine, based on menstruation and ovulation, respectively. After one month of treatment, in the first three days of menstruation measured: LH: 4.2 mIU / mL and FSH: 7.8mIU / mL, two months after the treatment, her basal body temperature is biphasic curve, and the first 17 days of menstruation, urine ovulation test is positive. In the first three months of treatment, and in the period to 15 days, urine ovulation test is positive. The patient was told her three days of couple life. In the period 32 days, urine pregnancy test was positive, one week later, the patient's blood report shows: Pregnancy positive, while the ultrasound report that there is no ovarian cyst. Because the patient was suffering from "ovarian cyst" is usually easy to abortion in early pregnancy, therefore, Dr. Chen gave the patient a medicine miscarriage treatment three months, and everything is normal and she has 15 weeks pregnant now.

Dr. Decheng Chen, licensed acupuncturists of NY state and MD (Acupuncture), has the Western academic background and bachelor's, master's and doctor’s degree. He has more than 11 years of formal medical education and nearly 30 years of clinical experience. As an acupuncture famous scientist Professor Qiu Maoliang doctoral students, he graduated from Nanjing University of Traditional Chinese Medicine and was former deputy director of the Beijing Academy of Traditional Chinese physicians. He has published "Chinese acupuncture point therapy alone" and other 15 monographs and hundreds of articles. He has visited Egypt on behalf of the country to provide the treatment of Egyptian President Hosni Mubarak.

In addition to the treatment of Polycystic ovary syndrome, Dr. Decheng Chen also provids the treatment of facial paralysis, neck, shoulders, waist, and other kinds of pain, gastrointestinal disease, prostate disease, urinary incontinence, difficulty urinating, diabetes, numbness in the hands, cough asthma, menstrual, menopausal gynecological inflammation, women infertility, dizziness, tinnitus, cancer, eczema and hay fever and other diseases. Acupuncture also has unique treatment of acne, warts, alopecia, vitiligo, wrinkles, and facial elasticity.
Decheng Medical Center accepts United Health Care, Empire Blue Cross Blue Shield, Cigna, Aetna, Oxford, and the first health insurance card for elderly.

Dr. Decheng Chen’s Medical Center Address:
Midtown Manhattan: 161 Madison Ave suite 2N (between 32/33 Street). New York, NY 10016
Phone: 212-564-3324
Long Island: 1334 5th Ave, New Hyde Park, NY 11040
Website www.acupunctureland.com