06/05/2026
"My tests look normal, but I'm still not getting pregnant."
TEAM Approach to Supporting the Body in Preparation for Pregnancy
The Meaning of Acupuncture, Herbal Medicine, and Individualized Care
Modern medical evaluation is very important in the process of preparing for pregnancy. Checking whether ovulation is occurring, whether there are structural issues with the fallopian tubes or uterus, the hormonal status, and s***m factors is a basic part of fertility preparation.
At the same time, the condition of the body preparing for pregnancy may not always be fully explained by pregnancy-related test results alone. Even when no specific abnormality is found through testing, the physical signs that a person feels do not simply disappear.
The Office on Women’s Health, under the U.S. Department of Health and Human Services, explains that preconception health may be related to the chance of becoming pregnant, having a healthy pregnancy, and having a healthy baby, and that women may begin checking their health status at least three months before pregnancy.
It also states that every woman should be thinking about her health whether or not she is planning pregnancy. One reason is that about half of all pregnancies are not planned, and unplanned pregnancies may be associated with a greater risk of preterm birth and low birth weight babies.
It also explains that despite advances in medicine and prenatal care, about 1 in 8 babies is born too early. Experts agree that women need to be healthier before becoming pregnant, and that taking action on health issues and risks before pregnancy may help prevent problems that could affect the mother or baby later.
From this perspective, preparing for pregnancy is not a process that focuses only on the moment of becoming pregnant. It can be seen as the beginning of long-term health care that includes checking the body before pregnancy, maintaining pregnancy, childbirth, postpartum recovery, and the health of the baby.
The following is a case of an infertility patient
Case
“There was no major abnormality found in my tests.”
※ The following case is a sample case created to protect actual patient information.
A 35-year-old female patient visited the clinic to prepare for pregnancy.
In her gynecological examination, no major structural abnormality was found, and ovulation was confirmed. Her husband’s basic evaluation also showed no specific abnormality. However, she had not become pregnant for almost one year, and she wanted to have her overall body condition evaluated.
The patient worked full-time in an office.
She spent most of the day sitting at her desk, and her seat was located directly under the air-conditioning airflow. Especially during the summer, even when she wore long sleeves, her body became cold easily. In the afternoon, she often felt coldness around her lower abdomen and lower back. Because of sitting for long hours at work, she also frequently felt heaviness around the lower abdomen and pelvis, with a sense that circulation was not smooth.
The patient also had chronic heaviness and pain in the back of the neck and shoulders.
During work, her neck and shoulders became tense easily. In the afternoon, the back of her neck became stiff, and her head felt heavy. On days when she experienced more stress, her shoulder pain and chest tightness became worse. Even after sleeping, the fatigue in her neck and shoulders did not feel fully relieved.
The following information was obtained through consultation and palpation at the visit:
-Menstruation was often delayed, and her menstrual cycle was usually 31–36 days.
-Irregular menstrual cycle.
-Menstrual flow was light.
-Pale menstrual blood color. Small clots.
-Cold and heavy sensation in the lower abdomen before and after menstruation.
-Hands and feet became cold easily. During palpation at the visit, the coldness became more noticeable toward the fingertips and toes.
-Dryness of the lips, skin, and hair.
-Vaginal dryness.
-Sleep was not deep, and she woke frequently at night.
-Fatigue lasted for a long time, and her energy decreased in the afternoon.
-Frequent fatigue after meals, with frequent bloating or abdominal distension.
-Alternating loose stools and constipation.
-Poor appetite in the morning, and she often skipped breakfast because she was busy and had low energy.
-When stressed, she felt chest tightness, and her menstruation sometimes became more delayed.
-Menstrual pain improved when she applied a warm pack.
-She felt significant physical and mental fatigue while managing both full-time work and household responsibilities.
-When the abdomen was examined, coldness and tension in the lower abdomen were observed.
How can these symptoms be viewed?
In infertility care, modern medical evaluation is fundamental. However, there are cases in which no clear cause is identified through infertility evaluation. In these cases, rather than saying that “there is no cause,” it may be understood that there may be factors that are not clearly distinguished by current testing.
In this patient’s case, no major structural abnormality was confirmed through gynecological evaluation. However, delayed menstrual cycles, low menstrual flow, lower abdominal coldness, cold hands and feet, fatigue after meals, abdominal bloating, irregular bowel patterns, poor sleep quality, neck and shoulder tension, and delayed menstruation after stress had been present for more than one year.
These symptoms may be observed independently, but when assessing the overall condition of the body preparing for pregnancy, they need to be reviewed together. Pregnancy is not only a matter of the uterus and ovaries. It is a process in which multiple physiological processes, including ovulation, hormonal changes, endometrial changes, blood flow, metabolic status, sleep, and stress response, are connected in a timely manner.
Therefore, in TEAM care, infertility is not viewed only as an outcome. The patient’s current body condition, work environment, and lifestyle habits are also reviewed together. This process is not meant to determine the cause of infertility, but to evaluate the patient’s overall condition while preparing for pregnancy.
Preparing for pregnancy does not end with the establishment of pregnancy. Maintaining pregnancy, childbirth, and postpartum recovery are all directly connected to the mother’s overall health condition. Therefore, care includes not only the possibility of pregnancy, but also a long-term view of physical stamina, sleep, digestion, stress response, menstrual rhythm, and living environment during the process of preparing for pregnancy.
This interpretation does not replace modern medical diagnosis.
Treatment approach
Treatment method: During the first month, acupuncture treatment was provided twice a week, and herbal decoction was prescribed one week at a time. The herbal prescription was modified every week.
The menstrual cycle and changes around ovulation were observed. At each visit, digestion, bowel movements, sleep, menstrual patterns, dryness, lower abdominal coldness, neck and shoulder tension, stress response, tongue presentation, and pulse presentation were checked and used to adjust the treatment.
At the same time, the acupuncture point selection was adjusted according to the observed progress.
The patient was advised to modify her environment to reduce direct exposure to air-conditioning airflow. As part of lifestyle management, she was advised to use a light cardigan or abdominal blanket so that the abdomen and lower back would not be directly exposed to cold air. She was also advised to use a scarf or light shawl so that cold air would not directly reach the neck and shoulders.
When sitting for long periods, she was advised to stand up briefly every 1–2 hours and move the neck, shoulders, pelvis, and lower body. She was also advised to reduce the habit of frequently drinking cold beverages.
Herbal medicine: Modified WenJing Tang
WenJing Tang is a traditional herbal formula that has been considered for patterns related to menstrual irregularities, lower abdominal coldness, dryness, weakness, and decreased circulation.
The original formula may serve as a reference, but the actual prescription is adjusted based on the patient’s CURRENT body condition.
After approximately 8 months of treatment and lifestyle management, the patient confirmed her first pregnancy. She later went through pregnancy and childbirth, and she now has two children.
