case history - pcos+infertility - ann walker

8/14/2019 Case History - PCOS+Infertility - Ann Walker

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JG Case historyJG Case historyinfertility/ PCOSinfertility/ PCOS

Herbal Practitioner: Ann WalkerHerbal Practitioner: Ann Walker


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BackgroundBackground

Woman, d o b 1973, PR consultantWoman, d o b 1973, PR consultant Presentation:Presentation: Trying to conceive past 4 mo. Fatigue.Trying to conceive past 4 mo. Fatigue.

Periods regular for past 6 mo. BMI normal (24)Periods regular for past 6 mo. BMI normal (24) Medical history:Medical history: PCOS confirmed by scan Nov 02,PCOS confirmed by scan Nov 02,

although symptoms had been evident since 1996.although symptoms had been evident since 1996.

Stopped Dianette after 3.5 yrs in 2001. Low vitality, soreStopped Dianette after 3.5 yrs in 2001. Low vitality, sorethroat occ, nausea due to exhaustion occ, susceptible tothroat occ, nausea due to exhaustion occ, susceptible tocolds (3 in 6 mo), panic attacks (post Larium), headachescolds (3 in 6 mo), panic attacks (post Larium), headaches( 2 a week), low mood, slight facial eczema, slight acne,( 2 a week), low mood, slight facial eczema, slight acne,constipation. Moderately stressed, occ insomniaconstipation. Moderately stressed, occ insomnia

FH:FH: 2 sisters with fertility problems2 sisters with fertility problems Summary of inflammatory symptomsSummary of inflammatory symptoms: allergic rhinitis,: allergic rhinitis,

productive cough, eczema, headaches, PCOSproductive cough, eczema, headaches, PCOS


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Dietary adviceDietary advice

Five-a-dayFive-a-day fruit and vegetables, including applefruit and vegetables, including applejuicejuice

Three-a-dayThree-a-day: Wholegrains, nuts beans and seeds: Wholegrains, nuts beans and seeds Avoid sunflower oil and vegetable oils high inAvoid sunflower oil and vegetable oils high in

omega-6 fatty acids. Use olive oil or rapeseedomega-6 fatty acids. Use olive oil or rapeseedoil high in monounsaturated fatty acidsoil high in monounsaturated fatty acids

Two-a-weekTwo-a-week: oily fish: oily fish Three-a-dayThree-a-day: dairy products or calcium: dairy products or calcium

supplementsupplement Plenty of fluidsPlenty of fluids


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Essential nutrient supplementsEssential nutrient supplements

Pregnacare (Vitabiotics)Pregnacare (Vitabiotics)

Vitamin C, 500 mgVitamin C, 500 mg

1 x Omega-3 fish oil (DHA+EPA1 x Omega-3 fish oil (DHA+EPA= 500 mg)= 500 mg)

1 x Chromium 200 mcg1 x Chromium 200 mcg


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PhytotherapyPhytotherapy

Rx:Rx:Vitex 1:5Vitex 1:5 1515 Paeonia 1:3Paeonia 1:3 1515Angelica sinensis 1:3Angelica sinensis 1:3 2020 Taraxacum rad 1:1Taraxacum rad 1:1 1010 Bitter aloes 1:5Bitter aloes 1:5 1010 Galega 1:1Galega 1:1 2020 Ocimum santum 1:3Ocimum santum 1:3 1010

Total 100Total 100

Sig 10 ml bidSig 10 ml bid


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Response to treatmentResponse to treatment

1st consultation1st consultation 30/1/0330/1/03 22ndnd consultationconsultation 07/2/03 Had a horrendous07/2/03 Had a horrendous

journey home after first consultation due tojourney home after first consultation due to

snow! After 4 days on the medicine badsnow! After 4 days on the medicine bad

headaches and general aches and pains.headaches and general aches and pains.

Advised that this would pass healing crisis.Advised that this would pass healing crisis.

Now regular bowel functionNow regular bowel function

33rdrd consultationconsultation 25/02/03. Pregnant! Advised25/02/03. Pregnant! Advisedto continue with nutrient supplements andto continue with nutrient supplements and

discontinue herbal medicinediscontinue herbal medicine

case history - pcos+infertility - ann walker

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