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 Cupping Therapy And Infertility Dr Muhammad M El Hennawy  انحل  د م ح  دمح  ر و ت ك Ob/gyn specialist Rass el barr central hspital and  dumyat specialised hspital Dumyatt ! E"#$T www%gecities%cm/mmhennawy
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15690504 Cupping Therapy in Infertility

Jun 03, 2018

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Cupping Therapy And

Infertility

• Dr Muhammad M El Hennawy

•  لحنا

 

حمد

 

حمد

 

كتور

• Ob/gyn specialist• Rass el barr central hspital and

  dumyat specialised hspital

• Dumyatt ! E"#$T

• www%gecities%cm/mmhennawy

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• If you accept this lecture ,take it as a sciense

• If you not accept it, take it as a fun

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Cupping Therapy

• Cupping is an ancient methd f causing lcalcngestin%

•  A partial &acuum is created in cups placed nthe s'in either by means f heat (ld) rsuctin(recent)%

• This draws up the underlying tissues%

•  *hen the cup is left in place n the s'in fr afew minutes+ bld stasis is frmed andlcali,ed healing ta'es place%

•  Cupping therapy was riginally used in Egypt andChina dating bac' sme -+. years 

• Cupping is applied by acupuncturists t certain

Acupuncture pints+•   as well as t regin f the rgan r the area f

dysfunctin

•  as well as t regins f the bdy that are affectedby pain (where the pain is deeper than the tissues tbe pulled)

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Types Of Cupping Therapy

• Dry Cupping

• Wet Cupping

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Cupping has also been found to affect the

,body up to four inches into the tissues• causing tissues to release toxins,

•  activate the lymphatic system,

• clear colon blockages,

• help activate and clear the veins, arteries and capillaries,

• activate the skin,

• clear stretch marks

•  and improve varicose veins

•  Cupping is the best deep tissue massage available

•  

• Cupping, the techni!ue, is very useful and very safe,

•  being free from side effects and can be easily learned

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Infertility

• "iologically, inability to procreate can be classified as

• Infertility # the inability of a couple to

conceive after one year ofunprotected intercourse $%months for &omen over '()*

• infecundity $the inability of

a couple to produce a live birth*

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Causes Of Infertility # +emale factor -./

 # 0ale factor './

 # Combined './

12TIO3O45• 6perm disorders '.%/

• 1novulation7oligoovulation './

• Tubal disease 8%/• 9nexplained 8'-/

• Cx factors (:/

• ;eritoneal factors -</

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+emale Infertility

• +emale

 #  Ovary

 #  Tube #  Corpus

 #  Cervix

 #  ;eritoneum

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0ale Infertility

 # 6perm count and function

 # 2=aculate characteristics, immunology

 # 1natomic anomalies

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+emale Infertility

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Timing Of Treatment

• arund day . f the cycle until day 00

(inductin1augmentatin)

• Ovulation phase $around day 8: of the cycle

until day 8%*>>$triggering ovulation*

• 3uteal phase $around day 8? of the cycle

until day :<*>>$luteal phase support>improveimplantation*

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Ovulation Disorder 

stimulate follicle development It is likely that the

hypothalamus>pituitary>ovary axis is involved in cupping >driven

ovulation induction, but the mechanisms involved remain unclear,@

The result &ith an average of '<?/ 

• Aormonal Infertility

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+or Induction Of Ovulation$as clomid*

• use st23 r st

- r '0- r

  4i "ng r

• 5 r1 sp6• - times in

fllicular

phase

• (arund day . f

the cycle until

day 00 ) eg At

day .+7+8

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+or Ovarian Ayperstimulation for IB+

$$augmentation of ovulation as h0g

• 9l 2- and "& :

• E&ery 2 day till

day f retri&al f&a

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;me use st23 r st - r '0- r 4i "ng 5 r1 sp6

 $lus 9l 2- and "& :

In $CO; decrease pints t a&id OH;;

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$Triggering Ovulation $ as AC4

• Ovulation phase $around day 8: of the cycle

until day 8%*

•  T&o sessions of Cupping treatment,

•  using the acupoints CB', CB-, 6T:,

  Ei 4ong F or > 6;%

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In Bitro +ertilisation• researchers have remarkably increased pregnancy

rates in &omen undergoing in vitro fertilisation$IB+*

In the cupping group, -:( percent of patients became pregnant, &hile in the IB+>only group,:%'/ of patients conceived

• 0any are using Cupping in con=unction &ithtraditional medical treatments such asfertility drug

• Cupping< ;huida (;T23)+ 4hng=i (C> -) and"uanyuan (C>:) n days -+ 6+ 8

•  and in sme cases 00• D with  fllicle1stimulating hrmne in=ectins

•  then ne prir t ha&ing fertili,ed embrystransferred int their uterus+

• and ne directly afterwards 

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;CO6

• it appears that cupping may have a beneficial effect on &omen &ith ;CO6

$polycystic ovary syndrome* andanovulation, supported by both clinical andexperimental evidenceG

• 9ut In $CO; decrease pints t a&idOH;; 

• 6tart at morning < am for H hr 

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Airsutism

• 1dd D 8-$C?>T8*,

• 6t '. $ovary*

• "l :.$ T88* $adrenal*

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Thyroid Dysfunction

• 1dd

•  6i 8% $ C'>C-*

• D8-$C?*

• D8:$T'*

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4alactorrhea

• 1dd 4b '-, 4b-8

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Tubal Inflammatory "lock 

• Cupping is trying in the treatment of

female infertility due to inflammatory

obstruction of the fallopian tubes,

&here it seems to be superior to

conventional therapy &ith intrauterinein=ection of gentamicin, chymotrypsin

and dexamethasone

• "ecause cupping stimulate 1CTA

&hich increase COTI6OJ2 &hitchrelieve inflammation and edema

• "l':$ 6:*, Cv-

• F or > "l :. $ T88*

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9terine Cause

• Increase recepti&ity Of

Endmetrium11 C&- r C&2

• Decrease cntractility f uterus 11

?i :

• ?uteal $hase supprt !;t23+ ;p6 r9l-2

• T&ice 7 Week • +or - Weeks after ovulation

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Improve Implantation

• @The peripheral impact of

cupping in improving

uterine artery blood flo&

and hence endometrialthickness also provides

encouraging data

regarding its potential

 positive effect on• C&- r C&2

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3uteal phase 6upport

• 3uteal phase $around day 8? of the

cycle until day :<*

•  One to t&o Cupping sessions

&ere given7&eek

• The acupoints used &ere 6T:, Ei

4ong F or > 6;%

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2ndometriosis

• C&2+ C&:+ ;p 3 

• F or > D 8. $ T%>T?*

F or> Cv 8%• F or # "l:.$T88*

• 8. minutes 7 point7day• Course >> ? day

•  Jeed : courses 

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Obesity

• 1dd

  D8-$C?*

• D8:$T'*• "l 8.$T%>T?*

• "l :8$T8:*

• Cv 8%

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Immunological cause

• 1dd

  D 8. $ T%>T?* , Cv 8%

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;sycological cause

• 1dd

D:. > D8- $C?*> "l

8$T%* # D'$3->3(*

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9nexplained Infertility

Cv 8%Cv' or Cv:

 6t:< or 6t '.

 6i 8% $ C'>C-*

  D8- $C?*

  "l 8$T%*D 8. $ T%>T?*

  "l :(

  D'$3->3(*

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In Clinical ;ractice,

• Cupping physicians typically see about a './

success rate $depending on age of patient* to treat

infertility• The treatment course could be any&here from ' to

% months or up to one year,

• depending on severity

• The outcome can be most re&arding, ho&ever

1long &ith giving birth to a healthy baby,

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Obser&atin f the effecti&eness f the

treatment fr each cause f infertility

'%/2ndometriosis

-</9nexplained

'(/Tubal factor 

-</Ovulatory factor 

6uccess rate$/*Cause of infertility

bser&at n the e ect &eness and the

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bser&at n the e ect &eness and theduratin f treatment in

  casespregnancy

:/-th #th cycle

::/'rd cycle

:(/:nd cycle

:-/8st cycle

$/* ;ercentageDuration of the treatment

•The results suggest that+ amng pregnancy cases+ abut 7@ f the

 patients became pregnant in the first curse (first three mnths) f the

 %treatment

•e&ertheless+ still clse t -@ f the patients became pregnant during

the secnd r third curse f the treatment%

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Ao& can Cupping help improve my

)success rate &ith in>vitro fertiliKation8 egulate the hormones to produce a larger number of

follicles: Improve the function of the ovaries to produce better!uality eggs' elax the patient and decrease stress- Increase blood flo& to the uterus and increase thethickness of the uterine lining( 6trengthen the immune system

% 3essen the side effects of drugs used in IB+? ;revent the uterus from contracting< Improve semen to create better !uality and !uantity ofembryos

Decrease chances of miscarriage

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Conditions unlikely to respond to cupping

> complete blockage of the fallopian tubes,

> extremely lo& sperm count,

> ;ermenant premature ovarian failure  In these cases,

 IB+ or other reproductive techni!ues are

usually suggested

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0ale Infertility

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6permatogenesis induction

• use C-5 sp6

 $lus 9l 2- and "& :

• E&ery - day fr -

mnth

• *ith gd diet

• And calm head

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Thyroid Dysfunction

• 1dd

•  6i 8% $ C'>C-*

• D8-$C?*• D8:$T'*

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Baricocele

• 1dd

  6t'.

•  "l :8$T8:*• "l :($3-* # 

• D '$3->3(*

• $6:*:<>: '.>'8

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;rostate cause

• 1dd

  D8-

• D8:• "l 8

• C-

• C:

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4enital Tract Inflammation

• G @0ales &ith genital tract inflammation

exhibited the most remarkable improvement

in sperm densityG @It is concluded thatcupping may be a useful, nontraumatic

treatment for males &ith very poor sperm

density• @1 definite increase in sperm count &as

detected

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6exual Weakness

• 1dd

  Cv ->Cv'> Cv :

• 6t '.• D8-$C?>T8*

• D8:$T'*

•  "l 8$T%*•  "l :($3-*

•  D'$3->3(*

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Obesity

• 1dd

  D8-$C?*

• D8:$T'*• "l 8$T%*

• "l :8T8:*

• Cv 8%

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Immunological cause

• 1dd

  D 8. $ T%>T?* , Cv 8%

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;sychological cause

• 1dd

  D:.

• D8- $C?*•   "l 8$T%*

•  D'$3->3(*

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9nexplained Infertility

Cv 8%Cv' or Cv:

 6t:< or 6t '.

 6i 8% $ C'>C-*

  D8- $C?*

  "l 8$T%*

D 8. $ T%>T?*

  "l :(

  D'$3->3(*