Male Infertility

Male infertility can be defined as the inability of a man to successfully inseminate an egg but it generally has 4 aspects which are: Low Sperm Count Poor quality sperm Poor mobility of sperm No sperm production at all

It is a good idea to define what is meant by low sperm count. The NHS’s website define it as a sperm count of fewer than 15 million sperm per millilitre of semen. Up to a fifth of young men nowadays find themselves with this issue and some can also suffer from not producing any sperm whatsoever.

The causes of male infertility are numerous and it is important to understand the history, medical background and lifestyle of each patient before undergoing any treatment. Smoking and drug use is associated with low sperm count , so too sexually transmitted diseases such as chlamydia and gonorrhoea. However, sometimes there is no easily identifiable cause. In Western medicine there are a several treatments to aid with conception such as Intracytoplasmic Sperm Injection ( ICSI), Gonadotrophin drugs ( for those with low levels of hormones) and donor insemination (where a 3rd party’s sperm is used to fertilise the egg). There are advantages and disadvantages to each of these and some people will feel more comfortable looking at alternative treatments such as those offered in Traditional Chinese Medicine. We will now discuss how TCM can help in cases of male infertility. In Traditional Chinese Medicine we treat the root cause of the problem and this differs depending on the constitution of each individual patient. The goal is to increase sperm production and to make sure that the sperm that is produced is of a high quality so it’s fundamental to understand where and how sperm is produced in the body. A core concept in TCM is the idea of yin and yang and much of the treatment is designed to ensure there is harmony in the body by balancing these two forces. We will discuss three common types of male infertility in terms of Chinese Medicine and the treatments we would consider. Kidney Yin Deficiency with Empty Heat The cause of this could be related to excess alcohol consumption , hot spicy food and a stressful lifestyle. Physical symptoms would be feeling hot, thirsty and tired and the tongue would be red with little or no coating. We would advise the patient to make some changes to his lifestyle especially in terms of diet and in addition we would prescribe a herbal formula designed to nourish the kidney yin and essence. Damp Heat in Lower Jiao If this was the diagnosis the patient would also be feeling stressed and hot and the tongue coating would be red with a greasy yellow coating. They would also feel clamminess on the skin. The treatment would be to clear the damp heat and eliminate the dampness with a herbal formula. Healthy kidneys are essential to the production of healthy sperm. Kidney Yang Deficiency This diagnosis often affects people who have been working too hard (particularly at night) or are oversexed. This makes the body weak and thus effects the healthy functioning of the kidneys. The tongue is pale with a white coating . The herbal remedies would be designed to warm the kidney yang and thereby improving the quality and mobility of the sperm. The above advice is very general and although we have tried to give some specific examples we strongly recommend that you consult a qualified Chinese Medicine Practitioner to get a full picture of your own condition.

Contact

 

4 Kings Parade, 217 Askew Road, West London,

W12 9BA

Nearest Station: Ravenscourt Park Station, Stamford Brook Station, Goldhawk   Road Station

Bus Stops: 266, 237,94

Phone Number: 02034894789

E-mail: tcmdrcn@gmail.com

Case Study

Case study

06.10.2015

No. 1 Stress, Anxiety.. Menopause, LBP

Lady, age, 71, recommended by her friend. She intent to do Acupuncture and Tuina message one hour for her Stress, Anxiety..

I image she should suffer from more other problem, because her pulse is not balance, “yes, I also have Menopausal syndrome, and Lower Back Pain”, she said.

I asked her: is there any hot flash and sweating? Yes, she said.

After acupuncture, her hot flash and sweating both stopped, she feel very relaxation. After Tuina message and acupuncture again her Lower Back Pain stopped.

She was very happy, second day, she walked pass my front door, she showed me dancing and told me she was very well, lower back pain was still there, but much better.

No.2 Groin pain

Man, age, 81. Suffer from left groin pain many years.

I told him: acupuncture is first selection for your groin pain. But he refused to do acupuncture, he said acupuncture does not work, just want to message.

Ok, I have to instead needles with my fingers

I select certain acupuncture appoints on some meridian, such as spleen meridian, liver meridian, Stomach, meridian, gall bladder meridian, I touch and feel the groin that there are three cramp Tendons or ligament on its surface when message the acupuncture points,

After 30 minutes, the tissue of left groin was getting soft, I told the man: you may try do movement, the pain should most reduced.

He moved his leg, and then stand up, walked, he smiled, pain gone.

No.3 Left heal pain and right knee pain

Woman, age, 61, Nurse.

She told me she is a nurse, works in charring cross hospital emergency department. Her heal pain over 10 years.

Pinch and tap her heal inner sider or outer sider, she feel more pain.

Told her that acupuncture is first selection for her problem, she refused because she fear the needle.

So I have to use my finger pressure and message some points. Firstly, I pressure the top of her left chest, an acupuncture point, then message left leg, then right foot, ok, let the lady try feel her pain, she was standing, walking, she smiled, pain gone,.

Still left some time, I suggest to do body message, and found her back pain, lower back pain.

She feel happy, very relaxation.

But I have to told her that heal pain will come back, because my finger is not same as acupuncture, needles can leave there 30 minutes, my finger cannot leave there so long time.  But she said :I can do message every week.

30-10-2015

N0.4 Man, age, 67, hearing loss in morning and blockage of ears.

Main complaint: loss hearing in morning a few months and with blockage feeling in ears, which will be better gradually  after get up and movement over half hour. If lie on his bake over 10 minutes, both ears will feel blockage, tinnitus.

Frequent urination, bloating

The pulse of both wrist: wildly and large of CUN an GUAN, cannot feel the pules at CHI.

After acupuncture, he felt the blockage inside ears was quickly better. This morning, he call me, and tell me that his ears’ hearing much better.

N0.4 Man, age, 67, hearing loss in morning and blockage of ears.

Main complaint: loss (of) hearing in (the) morning (for) a few months and with blockage feeling in ears, which will be better gradually  after get(ting) up and movement over (moving about for) half hour. If lie(s) on his bake (back) over 10 minutes, (he) “both ears” will feel blockage (in both ears), tinnitus. (Other symptoms include:)

Frequent urination (and) bloating.

The pulse of both wrist: wildly (wide) and large (pulse on) CUN an (and) GUAN, cannot feel the pules at CHI. (undetected pulse on CHI)

After acupuncture, he felt the blockage inside ears was (quickly better) less bad. This morning, he call(ed) me, and tell (told) me that his ears’ hearing (was) much better.

31-11-2015

Ms R, age, 39, fail to pregnant for four years. Period is regular with big blood clots and Dysmenorrhea, there are two Fibromas between uterus and fallopian tubes..

Aborted two times in 2009 and 2010

Impression: Secondary infertility

Treatment: acupuncture plus herbal remedy

07-11-2015 subsequent visit, complaint: period has come since 04-11-2015, blood clots is getting smaller than before, Dysmenorrhea getting better,

No showed in her appointment day on 14-11-2015.

19.11.2015, she told me she pregnant now when she pass front my door.

Prostatitis

Prostatitis refers to prostate-specific and non-specific infection caused by acute and chronic inflammation, causing systemic or local symptoms. Prostatitis can be divided into non-specific bacterial prostatitis, idiopathic bacterial prostatitis (also known as prostate disease), specific prostatitis (from Neisseria gonorrhoeae, Mycobacterium tuberculosis, fungi, parasites, etc.), non-specific granuloma Prostatitis, and other pathogens (such as viruses, mycoplasma, chlamydia, etc.) caused by prostatitis, prostate congestion and prostate pain.expander_maker more=”Read more”

Etiology

 One of the reasons: prostate congestion。

Sexual factors. Sexual life too frequent, forced interruption of sexual intercourse, can make the prostate is not normal congestion.

Direct compression perineum. Riding a bike, riding, sedentary, etc. can lead to repeated perineal damage and prostate congestion, especially in a long time riding the most common bike.

Unhealthy lifestyles.

Excessive or too frequent external stimuli, such as inappropriate prostate massage and other medical behavior.

Cold. Cold can cause the body’s sympathetic nervous excitement, resulting in increased pressure within the urethra, prostate tube contraction and impede the excretion of prostatic fluid, resulting in siltation or congestion.

The second incentive: urine stimulation

Medically known as chemical irritation from urine. According to reports, the urine contains a variety of acid-base chemical substances, when the patient local neuroendocrine disorders, causing posterior urethral pressure is too high, the prostate tube opening injury, it will cause irritation of uric acid and other chemical reflux into the prostate , Induced chronic prostatitis.

The third incentive: pathogenic microbial infection

A variety of micro-organisms such as bacteria, protozoa, fungi, viruses, etc. can be caused by the source of infection of prostatitis, which bacteria is the most common, such as Neisseria gonorrhoeae, non-Neisseria gonorrhoeae. There are three major pathways of bacterial invasion. First, blood infection, clinical found that more than 90% of bacterial prostatitis is due to microbial infection. Second, lymphatic infections, such as lower urinary tract infection and colon, rectal inflammation can be infected through the lymphatic duct and prostate, resulting in inflammation. Third, the direct spread of male urination, the urine to go through the prostate, urine bacteria can be directly into the prostate, leading to prostate infection.

The fourth incentive: anxiety, depression, fear

Experts found that 50% of chronic non-bacterial prostatitis patients with anxiety, depression, fear, pessimism and other symptoms of excessive tension. Accompanied by pain and neurasthenic prostate patients often exaggerated physical discomfort and pain, often more than the actual symptoms of symptoms, this situation is known as “tension type prostatitis.” And psychological factors and the size of the age, young patients with mental burden was significantly heavier than the older patients, this situation often directly affect the effect of drug treatment.

The fifth incentive: immune factors, allergies

Studies have shown that chronic prostatitis and autoimmune factors have a certain relationship. Some experts have found in some arthritis patients, “anti-prostate antibodies,” the existence. These patients are often due to congenital or acquired immunodeficiency and anti-prostate antibodies, resulting in prostate tissue damage. If the patient after examination did not find evidence of bacterial, viral, mycoplasma infection, can consider the presence of immune factors.

Clinically, an allergic reaction to a virus can also lead to inflammation. In particular, some patients with low resistance to the body, the higher the sensitivity of the virus, easy to induce chronic prostatitis.

Clinical manifestations

Symptoms varied, the severity is also different, some can be asymptomatic, and some are whole body discomfort. Common symptoms generally have the following aspects.

1, urinary discomfort: there bladder irritation, such as urinary frequency, urination, urinary tract burning, pain and radiation to the penis head. Early morning urethra may have mucus and other secretions, but also the feeling of dysuria.

2, the local symptoms: posterior urethra, perineal and anal bulge discomfort, squatting, stool and prolonged sitting on the chair stool pain increased.

3, radioactive pain: chronic prostatitis pain is not limited to the urethra and perineum, but also to its nearby radiation, the following low back pain is the most common. In addition, the penis, spermatic cord, testis scrotum, lower abdomen, groin area (thighs), thighs, rectum, etc. can be affected. It should be noted that chronic prostatitis caused by low back pain in the lower back, and orthopedic reasons such as back pain such as myofascitis, lumbar muscle strain, although easily confused, but the latter in the vicinity of the belt, prostatitis caused by low back pain High, can be identified.

4, sexual dysfunction: chronic prostatitis can cause loss of libido and ejaculation pain, ejaculation premature disease, and affect the quality of semen in the urination or stool can also occur when the urethral orifice white, combined with seminal vesicle can occur when the blood sperm.

5, other symptoms: chronic prostatitis can be combined with neurasthenia, showing fatigue, dizziness, insomnia; long-lasting prostate inflammation can even cause the body’s allergic reaction, conjunctivitis, arthritis and other diseases.

Complication

Acute prostatitis

1, acute urinary retention: acute prostatitis caused by local congestion, swelling, oppression of the urethra, resulting in difficulty urinating, or cause acute urinary retention.

2, acute vesiculitis or epididymitis and vas deferens inflammation: acute inflammation of the prostate is very easy to spread to the seminal vesicle, causing acute vesiculitis. At the same time bacteria can be reversed through the lymphatic vessels into the vas deferens wall layer and sheath to cause epididymitis.

3, spermatic lymph node enlargement or tenderness: prostate and spermatic lymphatic vessels in the pelvic traffic, acute inflammation of the prostate when the spermatic cord, causing spermatic cord lymph nodes and accompanied by tenderness.

4, sexual dysfunction: acute inflammation, prostate congestion, edema or a small abscess formation may have ejaculatory pain, painful erection, loss of libido, sexual intercourse pain, impotence, blood sperm and so on.

5, other: severe acute prostatitis may be associated with pain in the groin, severe cases may have renal colic.

Chronic Prostatitis

1, chronic vesiculitis: chronic prostatitis is the most common complications. In the course of chronic disease, the two often exist at the same time, affect each other. For a long time, can significantly lead to male sexual dysfunction.

Second, impotence: chronic prostatitis is a common complication.

Third, infertility: In infertility, chronic prostatitis is a very important reason.

4, posterior urethritis: chronic prostatitis and more complicated posterior urethritis, especially caused by urinary tract infection caused by prostatitis. In the clinical evidence, often with urinary tract irritation symptoms of chronic prostatitis, the first symptom.

5, epididymitis: prostatitis and seminal vesicle at the same time, inflammation can be invaded and epididymis caused by chronic epididymitis inflammation.

6, various types of bladder blister inflammation: When the prostate chronic inflammation spread to the bladder, there obvious symptoms of urinary tract irritation, is due to various types of cystitis.

7, bladder neck sclerosis: such complications are relatively rare

8, allergic diseases: chronic lesions lurking in the body for a long time, as allergens, causing all types of allergic diseases such as arthritis, myositis, iritis, neuritis.

The main factors of difficult to cure prostatitis

  1. Patients with foreskin is too long or phimosis;
  2. Before and during treatment there are still unclean sexual contact history;
  3. Sexual partners did not give simultaneous treatment;
  4. Combined with prostate stones;
  5. Abuse of antibiotics;
  6. A variety of pathogens mixed infection;
  7. Resistant strains increased;
  8. Secretion of prostatic secretion;
  9. Local anatomical characteristics of the prostate.

About TCM Yard Ltd and Practitioner

We are a healthcare company located in west London which we focus on providing you the best quality of services such as Acupuncture, TCM Massage (Tuina) and Herbal Remedy, Cupping and Moxibustion, etc.

Training, qualifications & experience

Current Position: Main Practitioner in TCM (traditional Chinese medicine) Yard Ltd.

01/04/2011 to 22/07/2015: Main Practitioner in The Chinese Clinic in Balham

01/05/2009 to 15/12/2010: Manager and Main Practitioner in The Chinese Medicine Centre in Salisbury

06/10/2005 to 30/03/2009: Main Practitioner in The Herbal Medic Ltd.
08/1987 to 08/2005: During this time period, Dr Zhou has managed to obtain numerous titles including the Deputy Chief Physician, Chief of Medical Services, Outpatient department Director as well as the Director of Medical Ward in The Chinese Medicine Hospital in Taihe City in China.

He was also Professional Committee of diabetes in Fuyang city.

During his free time, he gave lectures to the local medical school in Taihe City about 2 years before departing to the UK.
09/1982 to 07/1987: Studied in Anhui Univeristy of Chinese Medicine, Anhui Academy of Chinese Medicine studied Chinese Medicine speciality and was graduated and awarded the Degree of Bachelor of Medical.