What do patients say about us ?
Tina is 44. She came to us in October 2017 with high FSH (15.7) and low Oestradiol (47). A re-test in February 2018 showed that her FSH is 3.7, Oestradiol is 563, both are at normal level.
‘I would like to book appointment to see you again’.
Svetlana from London came to us for a few months with low AMH of 1.5 and out of reference range prolactin of 554. Her AMH is now 2.1 and prolactin drops back to 488 (normal range: 102 – 496). She got pregnant a few months later and wrote to us again in February 2017.
‘Hope you are well? I just wanted to give you an update; I am exactly 11 weeks 2 days now and I have now finshed my herbs. I am feeling fine’.
She wrote again in July 2017: ‘I’m 30 weeks! I’m actually feeling a little under the weather…Can i book in? at least to have a check up and maybe get some herbs for after the baby is born?’
Since Svetlana would like to have a second child, she came back one more time at week 30 and we prescribed some herbs for her to take immediately after giving birth to strengthen her system ready for a second pregnancy. She gave birth in January 2018.
Isabella, aged 34, from London came to us in early 2016 for a few months without out of range low AMH of 3.6 (normal = 6.8 – 47.8), high FSH of 10.5, out of range high prolactin of 540 (normal = 102 – 496). After 3 months of treatment, her AMH is now near normal range of 6 and prolactin drops back to within normal range of 442 (normal range: 102 – 496) and her FSH is now lowered to 8.2
‘I just wanted to say a huge thank you to both yourself and Prof. Li for your help and advice over the past few months. Both Simon and I are are absolutely thrilled with the results and feel very positive about falling pregnant naturally. I’ll be sure to recommend your services to anybody experiencing issues with fertility. Please don’t hesitate to use this email and my results as a testimonial for your website.Thanks again,’ ‘My AMH has gone up and my prolactin is back to normal level. I am really pleased. I would like to continue and try to conceive naturally’
Emma came to us after long treatment by conventional and alternative medicine. She had irregular periods and PCOS. She was prescribed contraceptive pills to regulate her periods. She also wanted children and the solution was therefore far from ideal. Nonetheless, she had to use the pills but she opted for IVF but failed the first cycle.
She came to us with her husband who also had low sperm count. We treated her husband first to improve sperm count and other parameters. We then treated her by regulating her periods and improving her general and reproductive health.
She went for another cycle of IVF with the consultant we work with but it has to be aborted since she started bleeding before egg collection. Another cycle followed and she was pregnant.
‘I just had the blood test result today and it is positive.’, ‘Yes, we will definitely keep in touch.’
She gave birth in late 2016.
Hormonal Imbalance and infertility
Hormonal imbalance is a major issue in gynaecology. It is a major cause for key conditions that impact on fertility such as PCOS (Polycystic ovary syndrome) where sex hormones estrogen and progesterone are out of balance. Women with PCOS also tend to have irregular periods and high AMH (Anti-Mulleriam hormone) as a result. An AMH test is therefore a quick and inexpensive way to check if you may have PCOS. The result can be with you on the same day. Click AMH test here.
Hormonal imbalance is a major determinant for poor egg quality. A woman’s hormone levels fluctuate more as she ages. The lack of communication between the brain, the pituitary gland and the ovaries makes the follicles resistant to FSH. Click here to read more about egg quality and hormones.
Last but not least, in the extreme case, hormonal imbalance is the cause of premature ovarian failure (POF) or premature menopause which is defined as the loss of menstrual cycle before 40. For more information about POF and premature/early menopause and how we treat the condition, please click How we treat premature ovarian failure and early menopause.
What are the main hormones that impact on fertility?
The major hormones that impact on fertility include the following:
– Oestradiol (17-Beta)
– Anti-Mullerian Hormone (AMH)
For women who are concerned about fertility issues, you may wish to find out if these hormones are within reference range i.e. at normal levels and that they do not interact in an adverse way thereby causing problems for conception.
TCM HealthCare offer a fast and efficient service to test all the above. All tests can be organised on the same day and results will come out the next day.
For testing: FSH, LH, Prolactin and Oestradiol, please click female fertility profile test
For testing: AMH, please click AMH test
For testing Progesterone, please click Ovulation test
At TCM HealthCare, we routinely treat conditions which impact on fertility as a result of hormonal imbalance. These include treating low AMH, treating high FSH, treating PCOS and improving egg quality.
Irregular periods is a common issue in gynaecology. Irregular periods are mainly caused by hormonal imbalance. It is also a main issue for fertility since it is associated with conditions such as PCOS. A diagnosis of PCOS is often made when women have irregular and high AMH. If you have irregular periods, getting an AMH test done is therefore a quick and easy way of checking if you are likely to have PCOS or not. For AMH test, pleased go to AMH test.
Conventional medicine tends to treat irregular periods by using contraceptive pills. While the pills may restore the balance of hormones, it clearly presents problems in cases where women want to have children. This treatment mode is also less about dealing with the underlying causes of hormonal imbalance and more about dealing with the symptoms. As soon as you stop using the pills, the problems are likely to return.
Irregular periods and egg quality
Good egg quality is vital for fertility. Regular and healthy periods are indicative of good egg quality and the converse is also true i.e. Irregular and unhealthy periods e.g. days of spotting before periods, are indicative of poor egg quality.
Although healthy and regular periods are of paramount importance, curiously, it can be a factor which tends to be ignored by doctors at times. Each menstrual cycle is governed by the growth of a single egg.
This is how it works: Each menstrual cycle is governed by the growth of a single egg. Over the course of 10-14 days, the egg will grow from immaturity within an antral follicle, and turn into a large, hopefully-soon-to-be-fertilized, mature egg in its dominant follicle. Both the egg and the follicle have to be functioning properly for the cycle to go well.
The dominant follicle makes estrogen, and once you ovulate, progesterone. Estrogen and progesterone together govern the activity of your uterus, which you experience as your menstrual cycle.
If you have a healthy egg, you have a healthy follicle and you expect a healthy menstrual cycle. This means the reverse is true too: When your menstrual cycle is going well, it is highly likely that you are making healthy, high quality eggs. When your menstrual cycle is not going well, the chances are you are unlikely to be making strong healthy eggs.
Here are the factors that you may wish to look at when deciding if a given menstrual cycle is going well:
Menstrual Cycle History
Day of ovulation
Ideally ovulation will occur on days 11 or 12. Delayed ovulation – day 13 or later may not be a problem but early ovulation – days 8,9, or 10 of the cycle – implies lower quality eggs.
Once the egg is released, the leftover follicle (now called a corpus luteal cyst) makes progesterone. Progesterone stabilizes the lining of the uterus. A low-quality follicle is less likely to be associated with enough progesterone, and therefore the woman may notice a shorter luteal phase and/or premenstrual spotting.
Long cycles are ok, but short cycles are not. If previously-28-day-cycles are now 26 days, it suggests egg quality is failing. Cycles are shorter because of the early ovulation and shortened luteal phases.
- For a more detailed discussion on egg quality, please go to ‘How do we improve egg quality’.
How does the treatment programme work?
At TCM HealthCare, we routinely treat women with hormonal imbalance and irregular periods. The treatment mode is mainly in the form of tailor made herbal remedies. Within a few months, most patients (over 80%) find that their periods are becoming more regular. Although our diagnosis and prescription are based on Traditional Chinese Medical (TCM) theory and practice, given the high success rate of hormonal balance achieved, it seems highly likely that our herbal remedies act on the endocrine system by improving the functioning of the glands that produce hormones. Once the glands function properly, hormonal balance and regular periods are the result.
Patients come to us with their most recent hormone test result and other results such as scan (hormone test results are considered up to date if they are less than 3 months old). The first consultation will last for an hour where detailed but non-invasive and pain-free Chinese medical diagnostic procedures will be carried out. This will ensure we understand your particular condition and circumstances thoroughly. This in-depth understanding will allow our specialist to prescribe an unique herbal formula which usually consists of around 20 kinds of herbs tailored made for you only. You will be asked to make drinks out of them and consume them twice a day for 18 days in a month.
A month after the first consultation, you would have finished the herbal remedy. You come back again for a second consultation which will last for 30 minutes. Again, a diagnostic procedure will be carried out to see how well you respond to the treatment. Another unique herbal prescription will be formulated for your improved condition. This monthly cycle will repeat 3 to 4 times before you are asked to have another hormone test carried out. Most patients see significant improvements. They also report their periods are now much more regular.
They then pursue a number of options which may include working with us for a few more months with a view to achieve natural pregnancy or combining us with another IVF cycle. We work with some of the best IVF clinicians that can offer the best of both worlds to our patients.
How do we know we can successfully treat hormonal imbalance?
We have successfully helped many patients to:
- Improve AMH
- Reduce FSH
- Deal with PCOS effectively
- Lower oestrogen when it is too high and improve oestrogen when it is too low (see testimonials)
- Lower prolaction when it is too high (see testimonials)
How much are the fees?
The all inclusive fees are in the region of £350 per month.
How often do I need to come?
Once a month. Each course of treatment is for 3 months. The maximum course of treatment attended will be 3 courses i.e. up to 9 months. Most patients see us for two courses of treatment. Natural pregnancy usually occurs during the second and the third course of treatment. Some combine our treatment with IVF.