In women of reproductive age, the natural cycle, which manifests itself with menstrual bleeding, which we call menses, repeats approximately every 28 days. On the days that coincide with the middle of this cycle, that is, on the 14th day of the menstrual period, ovulation, which we call "ovulation", occurs. Ovulation is the event in which a mature egg, capable of fertilization, cracks and passes from the ovaries to the fallopian tubes. From the first day of the menstrual period to the last day, all these events are governed by the hormones FSH, LH, Estrogen (estradiol) and progesterone, and they are secreted cyclically, one after the other. The first three hormones By sequential secretion, they mature the eggs by making them fertilizable until the first 14th day of the menstrual period, and then they initiate ovulation, causing the mature eggs to hatch and reach the tubes.
The mature eggs that reach the tubes are ready for fertilization, waiting for the sperm to arrive. Meanwhile, For a possible pregnancy, the progesterone hormone also comes into play, ensuring the qualitative and quantitative thickening of the endometrium, which is the inner layer of the uterus where the fertilized egg will nest and grow. The guest (fertilized egg, zygote) that will settle in the inner layer of the uterus will be provided with a very comfortable environment, perfect in terms of nutrients and blood supply. If it cannot find this environment, it cannot nestle in the uterine wall and is expelled, meaning miscarriage occurs. Therefore, the blood level and function of the progesterone hormone is very important.
Progesterone hormone begins to be secreted on approximately the 16-17th day of the menstrual cycle. And with each passing day, its level in the blood increases arithmatically compared to the previous day. Therefore, if we want to have information about the progesterone hormone, its level in the blood should be measured at least twice on consecutive days, starting from the 16th-17th day of menstruation, otherwise a single measurement will lead us to may mislead. Progesterone hormone, whose secretion and function is normally sufficient; By increasing the thickness and blood supply of the inner layer of the uterus, which we call endometrium, it allows the fertilized egg to nest in the uterus. For healthy nesting, the thickness of the endometrium must be between 6-9 mm.
High levels of hormones such as FSH and prolactin, estrogen Low (estradiol) level is also one of the important factors that prevent pregnancy. Separate months for each hormone Since these effects are present, if there is a deficiency or increase in any of them, an appropriate treatment is planned. To obtain information about the general hormonal status of the menstrual cycle before treatment; FSH, estradiol (estrogen) in the blood on the 1st-2nd days of menstruation, and on the 12th-14th days of menstruation. LH levels should be checked between days 16-17, and progesterone levels should be checked between days 16-17.
A 15-session treatment is planned, twice a week. Taking into account the secretion periods of each hormone, needling is applied accordingly to which hormone needs to be stimulated or suppressed. Meanwhile, the mood points of the expectant mother should also be scanned. Mental disorders, especially depression, anxiety, panic attacks and stress, negatively disrupt both the maturation of the eggs and the blood supply of the endometrium layer.
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