Polycystic ovary and endometriosis

Polycystic Ovary Syndrome (PCOS)

Polycystic Ovary Syndrome is a common hormonal disorder in women of reproductive age. It is caused by an enzymatic defect in the ovaries, which leads to disrupted egg maturation and the formation of many small (benign) follicles. Common symptoms include menstrual irregularities with prolonged or absent periods, difficulty conceiving due to the lack of regular ovulation, increased body hair, hair loss on the scalp, acne, and overweight.

From the perspective of Traditional Chinese Medicine (TCM), PCOS often involves a constitutional Shen (Kidney)-Yang deficiency, typically accompanied by dietary imbalances—such as excessive intake of sugar and fatty foods—which lead to Pi (Spleen)-Qi deficiency and the accumulation of phlegm or damp-heat. Emotional stress may also play a role, leading to Qi and blood stagnation.

Endometriosis

Endometriosis is a benign condition where endometrial tissue (the lining of the uterus) is found outside the uterus, often in the abdominal cavity, forming so-called endometriotic lesions. This causes localized inflammatory responses that alter the surrounding tissue and can lead to adhesions—such as those affecting the fallopian tubes or nearby organs—scar tissue formation, and cysts. Endometriosis may occur without noticeable symptoms or can lead to severe menstrual pain, lower abdominal pain (independent of the cycle), diffuse abdominal or back pain, menstrual irregularities, or cyclical pain during bowel movements or urination.

In Traditional Chinese Medicine, women with endometriosis often present a pattern of phlegm accumulation, Qi and blood stagnation, or even blood stasis. This pattern may develop from a pre-existing deficiency or excess condition. This deep-rooted stagnation disrupts the normal function of the uterus and the Ren Mai and Chong Mai meridians, leading not only to intense pain but also to impaired fertility.

Based on a concrete syndrome diagnosis and depending on the patient’s vitality, treatment strategies focus on “breaking blood stasis” and dissolving phlegm. These principles are integrated into Chinese herbal medicine therapy, acupuncture, and nutritional counseling. If a woman wishes to conceive, this treatment approach should be implemented during the preparation phase, which may take six months to a year depending on the severity of the condition.

PCOS and Endometriosis in Traditional Chinese Medicine

In TCM, both PCOS and endometriosis fall under the broad category known as Zheng Jia or Ji Ju (abdominal masses). Ji refers to fixed, localized pain, whereas Ju describes pain that is spontaneous and varies in intensity and location. These complaints can stem from a wide variety of pathologies, so a conventional medical diagnosis is essential as a basis for appropriate treatment. Once PCOS or endometriosis has been diagnosed, both conditions can be effectively treated with acupuncture or a combination of acupuncture and Chinese herbal medicine therapy.

We would be happy to advise you on your individual symptoms and the possible therapies.