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Anovulation Explained in TCM

Anovulation refers to a condition in which a woman does not ovulate, meaning that her ovaries do not release an egg during a menstrual cycle.

Ovulation is necessary for natural conception because it is during ovulation that a mature egg is released from the ovary and travels down the fallopian tube, where it may be fertilized by sperm. If fertilization occurs, the resulting embryo implants in the uterus and develops into a fetus.

Normal ovulation requires a fully functioning hypothalamic-pituitary-ovarian axis. Dysfunction or structural changes in any of these parts, such as underdeveloped or damaged ovaries, premature ovarian failure, hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, stress, weight fluctuations, pituitary dysfunction, pituitary tumors, and others can result in anovulation, which is the main cause of female infertility.


According to Traditional Chinese Medicine (TCM), the main root cause of anovulation is the abnormal function of the kidneys, which are also related to the liver and spleen. The kidneys govern reproduction and regulate the control and function of the brain, Chong and Ren channels, Tian Gui, and Ba Gong. If the congenital endowment is insufficient, or if there is excessive sexual activity, prolonged labor or delivery, or improper menstrual care leading to the invasion of cold and dampness, which block the uterus, the coldness of the uterus can prevent the normal growth of eggs, or if the kidney Qi energy is insufficient to promote egg expulsion, then there will be no normal ovulation, resulting in infertility.

Traditional Chinese Medicine treatment often focuses on nourishing and regulating the female body and hormones at different stages of the menstrual cycle, to restore balance and normal organ function, and to restore normal ovulation, thereby providing an opportunity for natural conception.

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