Weekly Past Issue and Publication September, 30-2009

Weekly Past Issue and Publication September, 30-2009

Infertility and Polycystic Ovarian Syndrome In Traditional Chinese Medicine Perspective

I. Definition
Polycystic Ovarian Syndrome is defined physically as endocrinologic diseases caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries as resulting of enlarged ovaries, leading to hormone imbalance( excessive androgen), resulting in male pattern hair development, acne, irregular period or absence of period, weight gain and effecting fertility. It effects over 5% of women population or 1 in 20 women.

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II. Symptoms
While conventional medicine use synthetic medication to induce ovulation and assists it with artificial insemination if the medicine fail. Traditional Chinese medicine views polycystic ovarian syndrome in different approaches. Since TCM treat each woman according to the diagnosis through
Looking ( the patient physcial appearance, color, breathing, movement, tongue,etc. ), listening ( listen to patient about their emotion, physical symptoms, life style, etc.) and touching ( pulsee reading, heart beating,etc. ) before design a special treatment uniquely to each patient. Remember there are no one treatment for all in TCM. In treating the PCOs, the traditional Chinese view the program is caused by excess dampness, liver qi and blood stasis and deficiency of kidney yin, yang and spleen qi deficiency with the below symptoms.
1. Menstrual blood containing stringy issue and mucus
2. Irregular menstrual cycle
3. Acne, oily skin, or dandruff
4. Infrequent or no ovulation
5. Over weight
6. A wet and slimy tongue
7. yeast infection and vaginal itching
8. feeling tired and sluggish after a meal
9. Insulin sensitive
10.Etc.

III. Treatments
A. Diet change
1. Losing some weight
Since most women with PCOs are overweight, the first step is losing some weight, because fat cells store estrogen and too much estrogen interferes with LH phrase for women with PCOs.
2. Liver
Since liver is important in regulating spleen in insulin metabolism, adding vitamin B complex will help to restore liver normal function in insulin balancing.
3. Insulin resistance
Lower sugar intake by avoiding intake of simple sugar that helps to prevent further impaired glucose metabolism.

a) What to avoid
i) No refined sugar and simple sugar
ii) No refined carbohydrate and artificial sweeteners
iii) No soda, fruit juice and drink that raises the blood glucose rapidly
iv) No milk product which is considered as dampness exacerbation food.

b) What is needed
i) Complex carbohydrate such as whole grain, brown rice, etc.
ii) Increase fiber intake, by eating a lots of fresh vegetables
iii) Get some moderate exercise, prefer yoga, pilates, etc.

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B. Nutritional supplements
1. Chlorophyll
Because of diet change, some women may experience symptoms of low blood sugar. In fact some women may need a short time to just to this new type of diet. It is advice to supplement your diet with chlorophyll in avoiding the above symptoms without raising your blood pressure.
2. Others Nutritional supplements for insulin resistance
a) B Vitamin
b) Magnesium
c) Chromium
d) Fish oil
e) Alpha lipoic acid
f) Etc.
The above nutritional supplements help to increase the sensitive of insulin receptor sites in reducing the fluctuation of sugar levels.

IV. Herbs
1. Agnus castus (chastetree berry)
Agnus castus helps to normalize the function of the pituitary gland, by restoring the ratio of LH and FSH, since most women with PCOs are found to have high levels of LH in blood test.

2. Saw Palmetto (Serenoa repens)
Saw palmetto helps to reduce the excess levels of testosterone, thereby, reducing the symptoms of male like parttern for women with PCOs.

3. Milk Thistle (Silybum marianum)
It is said tht milk thistle helps to protect your liver cells against damage and to promote the healing of damaged cells, thereby increasing the liver function in carbohydrate metabolism and regulating spleen in production of insulin.

4. Gleditsia (zao jaoi ci)
It is considered as a herb for treating dampness, because it helps to dissolve the waxy stuff forming around the ovaries.

5. Leonurus seed ( chong wei zi)
It is used when a woman is diagnosis with blood stasis, because it helps to moves blood, regulate menstruation and clear the liver

V. Acupunture
A study at Goteborg University in Sweden showed that electroacupuncture may help 38% of women with PCOS women ovulate. In fact acupuncture helps to restore the ratio of LH and FSH, reduce the level of testosterone and beta-endorphin. Some studies show that acupuncture also helps to shrink of the weight of polycystic ovaries. In other word, it helps to restore the entire synpathic nervous system, leading to normalizing the hormone production in each menstrual phrases resulting in enhancing ovulation and egg implantation for a healthy baby.

You may also require to do some kinds of massage by your partner or yourself to increase blood flow to the pelvic region. Since each treatment is unique to only a woman, please do not apply them unless with the approval of your traditional Chinese medicine practitioner.
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Weekly Past Issue and Publication September, 24-2009

Fertility and Polycystic Ovarian Syndrome In Conventional Medicine Perspective

I. Definition
Polycystic Ovarian Syndrome is defined as endocrinologic diseases caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries as resulting of enlarged ovaries, leading to hormone imbalance( excessive androgen), resulting in male pattern hair development, acne,irregular period or absence of period, weight gain and effecting fertility. It effects over 5% of women population or 1 in 20 women.

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II. Symptoms of PCOs
1. Irregular or absent menstrual periods
2. Male pattern hair growth
3. Acne and oily skin
4. Over weight
5. Obstructive sleep apnea
Closure of the upper airway, causing stop breathing while sleeping
6. Difficult to conceive

III. Diagnosis
If you have above symptoms, you may have PCOs. It is for your benefit to visit your doctor or gynaecologist immediately, because it may effect your chance of fertility. It is easy to identify through your medical history, physical exam and a blood test. In fact, the most effective long term treatment for PCOs can be done naturally at comfort at your own home.
The blood test includes testing of
DHEAS, testosterone, SHGB, LH and FSH ratio, TSH, IGTT level ( fasting insulin) and several other androgens are used to evaluate adrenal function. If there are abnormal secretion of certain hormones, you may be in a high risk of having PCOs. You may also require to have an ultra sound to look at your ovaries.

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IV. Causes of PCOs
The causes of polycystic ovarian syndrome is still unknown, but there are some suggestions
1. Genetic predisposition
A genetic predisposition is defined as a genetic problem of some women who were born predisposed to certain health problem. In this case, it is polycystic ovarian syndrome.

2. Insulin resistance
Insulin resistance is defined as above normal level of insulin in the blood of a person. It may be caused other health problem such as diabetes, abnormal function of pancreas or caused by low numbers of the insulin sensitivity of cells, which impairs the process of glucose in energy conversion and high blood glucose levels in the body, leading to hormone imbalance resulting in increasing the risks of cystic follicles or ovarian cysts development.

3. Obesity
Obesity is defined as a person whose BMI index is over 24. As we known, obesity women is always associated to insulin resistance, leading to the same problem as mentioning above.

4. Hyperandrogenism
Hyperandrogenism is a medical condition characterized by excessive production and/or secretion of androgens leading to male pattern hair growth.

a) Hirsutism
Hirsutism develops when follicles in androgen sensitive areas start to form thick, pigmented hair as opposed to thin, short, non-pigmented hair normally seen in those areas in women.

b) Cushing syndrome
Cushing's syndrome is a chronic illness caused by over production of cortisol hormone leading to lower sperm production in male and abnormal ovulation in women.

c) Disorders of cortisol metabolism,
Cortisol is usually referred to as the stress hormone, as it is secreted in large volume for our body to response to stress and anxiety. Disorders of cortisol metabolism is defined as a condition of which cortisol hormone has losen its function in restoring homeostasis after stress and inhibited insulin, causing blood sugar to rise.

d )Hyperprolactinemia
Prolactin is produced by the anterior pituitary gland primarily which plays important breast development during pregnancy and milk production after birth. Hyperprolactinaemia effects the normal function of the hypothalamus and pituitary gland, leading to ovulatory infertility, a decreasing in menstruation and sometimes lost of menstruation and lost of sexual desire.

e) Acromegaly
Acromegaly is defined as over production of growth hormones caused by a benign tumor or of the pituitary gland and in rare case, it may be caused by tumors of the pancreas, lungs, and adrenal glands, leading to excess GnRH, resulting in male pattern hair growth.

5. Environmental chemicals
Environment chemicals such as xanoestrogen can causes over production of certain hormone and reduction of others, leading to abnormal function of the reproductive organs including the development of follicles and increasing the risk of PCOs.

6. Food adulterantion
Food adulterantion is defined as admixture or substitution of inferior substances or by the removal of some valuable ingredient in foods, leading to hormone imbalance and distorting the natural process of women reproductive system.

7. Chronic inflammation
Prolonged inflammation, known as chronic inflammation, leads to a progressive shift in the type of cells which are present at the site of inflammation and is characterized by simultaneous destruction and healing of the tissue from the inflammatory process.

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V. Types of Conventional treatments
1. Metformin
a) The effectiveness of metformin
It is an oral anti-diabetic drug used to treat type II diabetes. It is also used widely in treating PCOs by suppressing the production of endogenous glucose by the liver as it helps to make insulin working more effective without changing the level of insulin in the body, thereby helping to regulate the production of certain hormones resulting in ovulation and egg production.

b) Side effects:

i) Gastrointestinal upset including diarrhea, cramps, nausea and vomiting.
ii) Buildup of lactic acid in the body.
iii) Abdominal pain or cramps.

2. Clomiphene (Clomid)
a) The effectiveness of chomiphere
It is considered as a fertility medication. The effectiveness of clomiphere is that it helps to induce ovulation in women who are not ovulating at all and to increase the production of egg for women with letual phrase defect by stimulate the function of pituitary gland in series of hormone production, including LH, FSH and egg follicles.

b) Side effects
i) abdominal pain and cramps.
ii) Breast tenderness.
iii) Ovaries swelling,
iv) Sleeplessness
v) Gastrointestinal disorder including nausea, and vomiting.

3. Hcg
a) The effectiveness of HCG
Human Chorionic Gonadotropin (HcG) is defined as a hormone secreted by specialized cells called trophoblasts and later by the placenta. Since it is similar in structure to LH, it helps to induce ovulation by stimulating the release of mature egg, approximate 36 hour after taking it. HCG not only pinpoint the best time for sexual intercourse with success conception or assisting intrauterine insemination in egg retrieval.

b) Side effects
Although side effects of HCG is not common, but some women may experience
i) Headaches
ii) Irritability
iii) Restlessness, slight
iv) Water retention
v) Breast tenderness
vi) Depression

4. Gonadotropin (HMG)
a) The effectiveness of HMG
HMG contains natural FSH and LH, is a purified form of urine of post menopausal women. By stimulating production of LH and FSH to right levels, it helps to induce ovulation and develop mature follicles. if you are found to have low natural gonadotropin or estrogen levels or you need to have multiple egg follicles for artificial insemination. The medication may be also used if chomiphere therapy and other medication have been failed to induce ovulation.

b) Risks and side effects
i) Risk of miscarriage ( Quality of egg does not address here)
ii) Ovarian enlargement ( Caused by over stimulation)
iii) Ovarian hyper stimulation syndrome (OHSS)
iv) Multiple pregnancy
v) Headache and abdominal pain and cramps.
vi) Breast tenderness


5. Dexamethasone
a) The effectiveness of dexamethasone
Dexamethasone is a synthetic member of the glucocorticoid class of steroid hormones and a prescribed medication for fertility but does not use frequently as the other medication. It helps to induce ovulation by suppressing the androgen levels, resulting in increasing the chance of fertility.
b) Side effects
i) Stomach upset
ii) Glucose intolerance
iii) Moodswing and irritability
iv) Depression
v) Water rentention
vi) Hypertension

6. Artificial Insemination (In Vitro Fertilization (IVF))
a) The effectiveness of IVF
In Vitro Fertilization (IVF) may also be offered, if other medication treatment have failed to induce pregnancy for women with PCOS by using HCG or other medication to induce ovulation and egg retrieval.

b) Risks and side effects
a) Ovarian hyperstimulation
b) Pelvic pain and cramps,
c) Shortness of breath,
d) Blood chemistry abnormalities

7. Surgery
Surgery is not commonly performed. If necessary, PCOs can be treated by either a laparoscopic surgery also is known as ovarian drilling or wedge resection. Both methods have not proven to be effective for women with PCOs. It is your benefit to forgo this type of expensive treatment in favour of other such as IVF.

Remember the most effective long term treatment for PCOs can be done naturally at comfort at your own home.

We have spent most of our times in discussing "Fertility and PCOs in Conventional medication Perspective", we will come back with another article " Fertility and PCOs with General Perspective". At the meantime, enjoy reading.

Always keep yourself positive and work together with your doctor, you may get pregnant sooner than you think:
For How To Find The Best Fertility Self Help Program Click Here
http://theendometroisisguide.blogspot.com/

Weekly Past Issue and Publication September, 16-2009

Children Health - Autism - What to Avoids

Children diagnosed with autism with impairments of speech, social and communication skill, limited interest, repetitive behaviour, etc. depending to severity of the symptoms may exhibit low tolerance or allergies to certain foods or chemicals, such as gluten and casein, impairment of digestion system such as yeast over growth in the intestine tract, weakened immune system such as decreased resistance to infection, respiratory and ear infection. It is important for parent and the benefits of the child avoided intake of food that promote the brain allergic reaction, the immune dysfunction, liver function in detoxification,etc. In this article, we will discuss what to avoid for children with autism.

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1. Artificial ingredients
Since most children with autism have poor digestive system and weakened immune system, intake of artificial ingredients will cause toxin accumulated in the body, leading to abnormality of liver function in toxins elimination, resulting in increasing the severity of the symptoms.
a) Artificial colors
Food color is any substance added in to the food to preserve its favors or to simulate a natural state of the foods with an aim to make customers to buy them. Although, they have been tested by the government food body to ensure its safety, but unfortunately, it has interfered the neurological processes, such as the behavior, personality and learning ability of children with or without autism if taken in high dose.
It is said that some artificial ingredient such as FD & C Red No. 2 dye have shown to promote cancerous growth. Researcher found that removing the artificial colors from the autistic children diet, improve in attention deficit and hyperactivity behaviors dramatically.

b) Artificial flavors
Artificial flavors are any synthesized chemical added to manufactured foods to change or make its taste better such as banana - isoamyl acetate; cinnamon - ethyl cinnamate; orange - octyl acetate and pineapple - methyl butyrate; pear. It causes nervous tension including mental concentration, behavior, lost of energy and weakened immune response.
It is said that long-term usage can increase your risk of cancer, cardiovascular disease and other degenerative conditions to children's central nervous system.

c) Artificial preservatives
Artificial preservatives are a group of chemical substances, such as BHT, nitrates, sulfites, sulfur dioxide, BHA, etc. added to food, sprayed on the outside of food, or added to certain medications with the purpose of preventing food from spoiling or discoloring. It causes allergic reactions in children, resulting in skin rashes or facial swelling and worsening asthma.

d) Artificial Addictive
Artificial addictive is defined as substances, adding to foods from the manufacture with the purpose of preservation, coloring, texture and flavor. Studies found that artificial additive can causes several types of cancer and tumor. Many of them have negative impacts in children with autism.
i) Olestra
Olestra is a fat substitute used in crackers and potato chips. It is type of additive can not be absorbed by the digestive system, leading to diarrhea, loose stools, abdominal cramps.
ii) Monosodium glutamate (MSG)
MSG is used as a flavor enhancer in many cooking and preservative foods. It is said that MSG can cause sensitive neurons to die. leading to headache, nausea or vomiting.

e) Artificial sweeteners
Artificial sweeteners is a synthesis sugar substituted substance. It has been used increasingly in replacing natural sugar in a wide range of products traditionally containing sugar. Studies found that artificial sweetener may increase risk of bladder and brain cancers.
i) Sucralose
It is 600 times as sweet as sugar and has been used in beverages, frozen desserts, chewing gum, baked goods, etc. and belongs to a class of chemicals called organochlorides. Some of them are considered toxic to our health.
ii) Lead acetate
It is an artificial sugar substitute made from lead, it causes lead accumulated in the body, leading to nervous symptoms.
iii) Aspartame
It is 200 times as sweet as sugar and can be used as a tabletop sweetener,frozen desserts, gelatins, etc. Researchers found that aspartame may increase the risk of brain damage and cancer.

2. Yeast extract
It is also known as processed yeast products and has been used as food additives or flavourings under the name of monosodium glutamate (MSG). It contains glutamic acid which is classified as exitotoxins, and can cause brain damage in some studies.

3. Trans fat
As we mentioned in many previous article, trans fat is the hydrogenated oil found in many commercial mayonnaise, margarine, and peanut butter etc. and can cause cholesterol building up in the arteries, leading to less blood circulation to the central nervous system, thus increasing the severity of the symptoms of autism and heart diseases and stroke. Some studies also found that trans fat causes brain, adrenal gland and thyroid tumors and cancers in some animal studies.

4. Gluten and casein
a) Gluten
Gluten and gluten-like proteins are found in wheat and other grains, including oats, rye, barley, bulgar, durum, etc. and extracted from flour by washing out the starch. It also has been used as artificial additive as a stabilizing agent in some foods. Intake of gluten may causes autoimmune disorder of the small intestine and symptoms of gastrointestinal disorder including chronic diarrhoea, failure to thrive and fatigue.

b) Casein
Casein is a protein found in milk and foods containing milk, such as cheese, butter, yogurt, etc. Studies found besides promoting cancer, it also increases the risk of bad cholesterol building up in the arteries, leading to heart diseases and stroke. Casein after intake can also be broken down to casomorphins, an chemical agent which is known to interfere with the function of neurotransmitter in transmitting information and decrease the immune response to foreign bacteria and virus invasion.

5. Non organic foods
Non organic foods may contain
i) Pesticides & Herbicides
Pesticides & Herbicides is highly toxic. Because of their value of increasing the production of foods and prevent insect eating aways the profits of the growers, it have been widely uses in non organic farming. Intake of non organic foods may weakened the immune system as well as interfering the liver function in toxic elimination, leading to central nervous tension and exhibiting the symptoms of autism.
ii) Contaminated Sewage Sludge
The increasing uses of contaminated sewage sludge containing human waste, industrial waste and toxic chemicals as a fertilizer, causes crop contamination, leading to major chronic health problem, including increasing the severity of the nervous symptoms for children with autism.
iii) Hormones & Antibiotics
Animal fed with fed antibiotics, hormones, ground up remains of other animals causes hormone imbalance in our body, leading central nervous disorder, increasing the risk of irregular cell growth, and damaging the balance of beneficial bacteria in the intestines.


6. Refine products
Refined products with little fiber release sugar in the blood stream quickly, causing the responses of pancreas to produce high level of insulin to neutralize it in a short period of time, that interferes with the normal function of central nervous system in controlling the concentration, focus and behaviour for children with autism.

7. Foods promote immune allergic reaction
Since most children with autism have a weakened immune system, eating food promote the immune allergic reaction may cause immune system to attacks a normally harmless substance and interfere to the body’s own natural opioid and disable the enzymes that would break down these naturally occurring compounds, leading to inflammation and gastrointestinal disorder.

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It is advice for parent with autistic child to keep a food diary and note of their child’s behaviours and symptoms alongside all the foods intake. This can help to identify the foods that cause immune allergic reaction and replay them them with other foods containing at least the same nutrients. Please consult with your dietitian or nutritional therapist before applying.

Weekly Past Issue and Publication September, 10-2009

Children Health - Diagnosis of Children Brain Development Disorder

Diagnosis children brain development is always painful and time consuming for parent. From the first day when you take your child to see your family doctor, to the day you know what type of brain development disorder which your child has, you may come cross many " wrong" diagnosis and be suggested to take your child to see one specialist after another. Although there are many children brain development disorder around, each specialist may be only specialize in one field. The only hope is of that information collected from each specialist will finally help to determine the exact type of disorder and your child will be treated with corrected medication. Many parents in the U.S. complaint " Why don't we have a group of specialists who specialize in diagnosis children brain development disorder in the same hospital or children clinic, so the child can be diagnosis and treat quickly. Why do we as a child parent have to search for each specialist and time for each child to see such specialist sometime exceed 3 months, etc...". In fact, each country has its own health care system and non of them is perfected.

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I. In Canada
Because of universal health care system, after your child is seen by your family doctor, she or he will be recommended to the local children hospital for department of brain development disorder. From there, the team of specialists will diagnose your child one by one and after all diagnosis are collected and the team meeting will finally inform the parent the type of brain development disorder of the child and treatments suggestion.
The time of diagnosis in Canada may be shorter, but all doctors are pre determined. Like it or not, you can not choose your own. You may refuse to see some doctors, but getting your child to wait for weeks for next appointment and diagnosis is no, no to all parents.
1. There are many support group in your local area, If you will be given information to joined
2. Your child will be sent back to your local brain development disorder local clinic
3. You will need to come back, depending to your doctor diagnosis from time to time ( usually six months) or suggested by your family doctor or local clinical doctors.
4. All medication are free
Your want to seek from the alternative medicine, you will pay for their service, but please inform your family doctor and clinical doctors.

II. U.S.
You will have to make you own appointment or have your family doctor do it for your. You have the right to choose any doctor who you think will be best your child. Because of each doctor speciality, some famous doctor in child brain development disorder, may take up to six months of waiting for initial appointment that not only delays the child corrected diagnosis, but also increases the risk of condition severity. Here are some tips have work well for some parents, I hope they will kelp to reduce the time of waiting and to save time for parent running around to find treatments for their children
A. In general
1. Share your concern with your doctor or specialist
2. Listen to their suggestion
3. You may ask for initial green by your family doctor
4. Seek help from other specialists as soon as possible
5. Follow up your appointment
6. Seek a second opinion
7. Get your concerns and questions answer
8. Know available treatments and edcucation when the true causes are found
9. Get your child copies from all doctors who your child has been seen.
10. If you seek help from alternative medicine, make sure you are understood and understand, because most of the famous alternative practitioner came from non English speaking countries.

B. Joint parent child development support organization
1. Share your concerns with members
2. Find a place where you can talk quietly with member instead of raising your concern during meeting.
3. Raise your question in the general meeting
4. Share member experiences
5. Share your check list
6. No technical term and personal labelling
7. If you can find other sources, share with your members
8. Be supportive and do not make any judgement.

C. here are the suggested list of specialist team
We don't know that the list below are helpful to all parents, it has been used by other parent with high success rate in diagnosis. It is said that the list save parent time and prevent delay treatments to their children.
1. Development and behaviour pediatrician
2. Pediatric neuronologist
3. Children psychiatrist
4. Children psychologist
5. Speech and language pathologist
6. Occupational therapist
7. Physical therapist
8. Play therapist
9. Social worker


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