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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(*