DOI QR코드

DOI QR Code

한의 난임 치료에 활용되는 평가지표와 평가도구 사용 현황 조사 및 고찰

Review of Indicators and Tools used to Assess Korean Medicine Infertility Treatment

  • 이수진 (동국대학교 한의과대학 산부인과학교실) ;
  • 김동일 (동국대학교 한의과대학 산부인과학교실) ;
  • 최수지 (동의대학교 한의과대학 부인과학교실)
  • Soo-Jin Lee (Dept. of Obstetrics and Gynecology, College of Korean Medicine, Dongguk University) ;
  • Dong-Il Kim (Dept. of Obstetrics and Gynecology, College of Korean Medicine, Dongguk University) ;
  • Su-Ji Choi (Dept. of Obstetrics and Gynecology, College of Korean Medicine, Dong-eui University)
  • 투고 : 2023.07.14
  • 심사 : 2023.08.25
  • 발행 : 2023.08.25

초록

Objectives: To investigate and analyze the assessment indicators and tools used in clinical practice to assess Korean medicine (KM) treatment for infertility, and to establish a basis for assessment tools to diagnose and assess infertility. Methods: Relevant studies published until March 2023 were extracted from Pubmed, Research Information Sharing Service, and National Digital Science Library databases. Results: Sixty-four studies comprising 4,105 patients were included. We investigated pregnancy outcomes, and assessed pregnancy- and childbirth-related factors, overall health, reproductive health, and mental health. Pregnancy result was most common primary outcome. Ongoing pregnancy, stillbirth, miscarriage, and ectopic pregnancy rates were suggested as indicators of pregnancy and childbirth-related assessment. Overall health was most commonly assessed with Likert and Visual analogue scale (VAS). Among reproductive health variables, menstrual history was most frequently assessed. Moreover, indicators such as reproductive function, sexual intercourse, and gynecological disease were assessed. The Infertility Stress Scale and the Fertility Quality of Life tool (FertiQoL) were used to assess mental health. Conclusions: Subjective scales and objective assessment tools, such as the Likert scale and blood tests/ultrasonography, respectively, are used to assess KM infertility treatment. Inconsistent assessment tools make quantitative analyses more challenging. The development of a standardized mental and physical function assessment questionnaire with confirmed reliability and validity ensure the effectiveness of KM infertility treatment, and promote future studies on infertility treatment.

키워드

과제정보

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Education (grant number 2022R1I1A1A01063398).

참고문헌

  1. Statistics Korea. Preliminary Results of Birth and Death Statistics in 2022. [cited June 25, 2023] Available from: URL:https://kostat.go.kr/board.es?mid=a10301010000&bid=204&list_no=423833&act=view&mainXml=Y
  2. Health Insurance Review & Assessment Service. Analysis of Infertility Treatment Status.[cited June 25, 2023] Available from:URL: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10880&pageIndex=1&pageIndex2=1
  3. The Association of Korean Medicine. [Internet]. [cited June 30, 2023]. Available at:URL:https://www.akom.org/Home/AkomArticleNews/1111882?NewsType=2
  4. Yun YS, et al. A study reporting the Korean medicine treatment infertility support program in Gwang-ju metropolitan city in 2021. J Korean Obeste Gynecol. 2022;35(2):1-15.
  5. Kwon NY, et al. A study on the results of the Incheon metropolitan city Korean medicine infertility support program in 2021. J Korean Obeste Gynecol. 2022;35(4):143-60.
  6. Lee SJ, Kim DI, Choi SJ. A basic survey of Korean medicine doctors to develop standard evaluation tools for evaluating of mental and physical funcion improvement following Korean medicine infertility treatment. J Korean Obeste Gynecol. 2022;35(4):105-20.
  7. Yang SY, Lee KS, Song BK. The clinical study on infertility. J Korean Med. 1984;19(1):100-8.
  8. Kang MJ. A clinical Study on infertility. The Journal of Oriental Obstetrics & Gynecology. 1988;2(1):35-42.
  9. Kim JW. A study on the administration method of Jogyeongjongoktang for the treatment of infertility. J Korean Obeste Gynecol. 1991;4(1):57-64.
  10. Kim HJ, Lee KS, Song BK. A clinical study on infertility patients. J Korean Med. 1994;15(1):467-82.
  11. Kim DI, Lee TK. A case study of primary infertility which complicate with endometriosis and chronic persistent hepatitis. J Korean Med. 1998;19(1):100-8.
  12. Moon HJ, Kang MJ. Clinical efficacy of oriental medicine in In Vitro Fertilization(IVF). J Korean Obeste Gynecol. 2001;14(3):127-35.
  13. Ko YM, Cho JH. A study on the effect of Yukmijihwangtang for IVF. J Korean Obeste Gynecol. 2001;14(1):146-56.
  14. Song YL, Lee TK. The clinical study on 5 cases of obese patients with infertility. J Korean Obeste Gynecol. 2002;15(3):162-71.
  15. Kim DC, Park SW, Baek SH. The clinical study for the 21 cases of the infertility patients prescribed Onpojongok -tang who have weakness of the kidney. J Korean Obeste Gynecol. 2002;15(3):208-16.
  16. Hwang TW, et al. A case report of secondary infertility caused by ovulation disorder - secondary infertility;ovulation disorder;herb medication. J Korean Obeste Gynecol. 2004;17(3):209-16.
  17. Cho HJ, et al. Premature dvarian failure 28 case series. J Korean Obeste Gynecol. 2004;17(4):149-57.
  18. Jung SY, Lee SH, Ryu EK. A case study about treatment of an obese patient accompanied by sterility. J Korean Med Obes Res. 2004;4(1):185-92.
  19. Jung MY, Sohn YJ. A clinical case of habitual abortion. J Korean Obeste Gynecol. 2005;18(2):203-12.
  20. Lee JS. A case study on infertility with obesity and polycystic ovary. J Korean Med Obes Res. 2005;5(1):157-63.
  21. Jo JH, et al. A case report of primary infertility caused by uterus unicornis. J Korean Obeste Gynecol. 2005;18(3):242-49.
  22. Kwon SK, et al. Effect of herb-medicine on seminal parameters in male infertility patients. J Korean Obeste Gynecol. 2005;18(3):184-91.
  23. Jung AR, et al. A case report of unexplained secondary infertility. J Korean Obeste Gynecol. 2007;20(4):234-43.
  24. Shin SM, et al. A case report of primary infertility caused by polycystic ovarian syndrome. J of KMediACS. 2008;17(1):173-80.
  25. Lee HS, et al. A retrospective study on the influence of Kamisoyo-san (Jiaweixiaoyao-san) on improving ovarian function in child-bearing preiod infertile women with ovarian dysfunction. J Korean Med. 2009;30(5):137-45.
  26. Park JB, et al. Unexplained infertility treated with acupuncture and herbal medicine in Korea. The journal of alternative and complementary medicine. 2010;16(2):193-8. https://doi.org/10.1089/acm.2008.0600
  27. Lee YJ, Kim EK, Choi DH. The effect of oriental medicine theory on results of In Vitro Fertilization-embryo transfer. J Korean Med. 2010;31(2):71-7.
  28. Wee HS, et al. Pregnancy of infertility with endometriosis after oriental medicine treatment diagnosed as a IVF case. A case report. J Korean Obeste Gynecol. 2010;23(3):213-20.
  29. Jang SR, Park YS, Kim DC. The one case of infertile women taking herbal medicine before In Vitro Fertilization to birth. J Korean Obeste Gynecol. 2011;24(4):194-204.
  30. Park YS, Baek JH. Influence of herbal medicine and acupuncture treatment on the pregnancy rate in infertile women before In Vitro Fertilization-embryo transfer. J Korean Med. 2011;32(5):25-40.
  31. Jo JH. Case report of each example of a female and a male patient who were infertile and failed in In Vitro Fertilization(IVF) treatment. J Korean Obeste Gynecol. 2012;25(4):94-104.
  32. Ahn IS, et al. A study on factors influencing pregnancy in the pilot project for Korean medical treatment for subfertility. J Korean Obeste Gynecol. 2013;26(3):73-84. https://doi.org/10.15204/jkobgy.2013.26.3.073
  33. Cho SH, Choi CH. A case report of women infertility caused by myoma of uterus and adenomyosis. Korean J Oriental Physiology & Pathology. 2014;28(3):355-8.
  34. Cho SH, Yang SJ. Case reports of 6 female infertile. J Korean Obeste Gynecol. 2014;27(2):103-10.
  35. Jang SB, et al. A clinical study on 1 case of infertility patient with premature ovarian failure. J Korean Obeste Gynecol. 2014;27(3):135-42. https://doi.org/10.15204/jkobgy.2014.27.3.135
  36. Lee DN, Choi MS, Kim DI. Investigation of the current clinical result of Korean medical treatment of infertility - In major university Korean medicine hospitals and local Korean medicine clinics participated in the research -. J Korean Obeste Gynecol. 2014;27(4):69-87. https://doi.org/10.15204/jkobgy.2014.27.4.069
  37. Yun SM. 3 cases of infertility patients based on shanghanlun six differential diagnostic system. J of KMediACS. 2014;6(1):37-54.
  38. Nam EY, Yoo SJ, Kim HJ. A study assessing support project of Korean medical treatment in infertility in Jecheon. J Korean Obeste Gynecol. 2015;28(2):120-32. https://doi.org/10.15204/jkobgy.2015.28.2.120
  39. Jo JY, et al. Semen quality improvement in a man with idiopathic infertility treated with traditional Korean medicine: a case report. Explore. 2015;11(4):320-23. https://doi.org/10.1016/j.explore.2015.04.007
  40. Chae KH. An infertility treatment case mainly managed by customized intraoral balancing appliance of FCST, a TMJ therapy for the balance of meridian and neurological system. J TMJ Bal Med. 2015;5(1):27-32.
  41. Jeong JC, et al. Analysis of the result of Korean medicine treatment for female subfertility using herbal medicine, acupuncture and moxibustion Treatment. J Korean Med. 2015;36(2):1-7. https://doi.org/10.13048/jkm.15009
  42. Cho SH. Case reports of 20 female infertility. J Korean Obeste Gynecol. 2015;28(2):109-19. https://doi.org/10.15204/jkobgy.2015.28.2.109
  43. Lee JI, et al. A case report of one patient with infertility accompanied by adenomyosis and uterine Myoma. J Korean Obeste Gynecol. 2015;28(1):155-66.
  44. Bae SJ, et al. Investigation of the 61 cases with Korean medical therapy (KMT). J Korean Obeste Gynecol. 2015;28(4):1-10. https://doi.org/10.15204/jkobgy.2015.28.4.001
  45. Moon HJ, Cho HJ. A case report on four pregnancies of subfertile patients with low anti-mullerian hormone (AMH) level after Korean medical treatments. J Korean Obeste Gynecol. 2015;28(2):174-82. https://doi.org/10.15204/jkobgy.2015.28.2.174
  46. Kwon JM, et al. A case report of pregnancy of infertility patient with thin endometrium. J Korean Obeste Gynecol. 2015;28(1):138-46. https://doi.org/10.1016/j.imr.2015.04.184
  47. Ko JE, Lyou MS. Two case report of spontaneous pregnancy treated with Gamiseogagjihwang-tang after repeated failure in in vitro fertilization or intrauterine insemination treatment. J Korean Obeste Gynecol. 2015;28(1):128-37. https://doi.org/10.15204/jkobgy.2015.28.1.128
  48. Park HJ, Choe SM, Park NC. Effects of Korean red ginseng on semen parameters in male infertility patients: a randomized, placebo-controlled, double-blind clinical study. Chin J Integr Med. 2016;22(7):490-5. https://doi.org/10.1007/s11655-015-2139-9
  49. Jo JY, Kang MJ. Successful treatment of oligoasthenozoospermia using traditional Korean medicine resulting in spontaneous pregnancy: Two case reports. Explore. 2016;12(2):136-8. https://doi.org/10.1016/j.explore.2015.12.006
  50. Jo JY, et al. Effects of traditional Korean medicine on anti-Mullerian hormone in patients with diminished ovarian reserve: A retrospective studyEffects of traditional Korean medicine on anti-Mullerian hormone in patients with diminished ovarian reserve: A retrospective study. Complementary therapies in medicine. 2016;24:118-22. https://doi.org/10.1016/j.ctim.2015.12.005
  51. Chae KH. Korean medical treatments for health center cooperation subfertility 2 cases, mainly managed by FCST, a TMJ therapy for the balance of meridian and neurological system. J TMJ Bal Med. 2016;6(1):11-8.
  52. Koh JE, Lyou MS. Korean medical treatment's report about a spontaneous pregnancy with low anti-Mullerian hormone (AMH) level and thin endometrium infertility after anorectal cancer surgery. J Korean Obeste Gynecol. 2016;29(3):68-77.
  53. Lee JS, Heo SJ, Jeong EJ. Successful spontaneous conception and live birth in a woman with an extremely low level of anti-Mullerian hormone who received Korean herbal medicine (bogungsamul-tang): A Case Report. Explore. 2017;13(3):218-21. https://doi.org/10.1016/j.explore.2017.02.006
  54. Jung MJ. A clinical report of an infertile patient with adenomyosis who failed repeatedly in vitro fertilization. J Korean Obeste Gynecol. 2017;30(4):203-12.
  55. Kim HJ. Two case report of spontaneous pregnancy treated with jokyung-sangagam after failure in a intrauterine insemination. J Korean Obeste Gynecol. 2017;30(3):158-66.
  56. Kim MS. Case reports of 30 female infertility. J Korean Obeste Gynecol. 2017;30(3):128-35.
  57. Choi SJ, et al. A study assessing 2018 Gyeonggi-do Korean medicine support project for subfertility. J Korean Med. 2018;40(3):76-86. https://doi.org/10.13048/jkm.19028
  58. Baek JS. A clinical study on one case of a spontaneous pregnancy with premature ovarian failure. J Korean Obeste Gynecol. 2018;31(2):95-102.
  59. Park NC, et al. Four cases of Korean medical treatment for infertile married couple. J Korean Obeste Gynecol. 2018;31(3):164-73.
  60. Koo JS, Soeo BI. 4 cases of habitual abortion treated by Jokyungjongok-tang gamibang. Kor J Herbol. 2018;33(4):87-93.
  61. Choi SJ, et al. A study assessing 2018 Gyeonggi-do Korean medicine support project for subfertility. J Korean Med. 2019;40(3):76-86. https://doi.org/10.13048/jkm.19028
  62. Jo JY, et al. The effectiveness of Korean herbal medicine in infertile men with poor semen quality: A prospective observational pilot study. Andrologia. 2019;51(4):e13226.
  63. Chae KH, et al. Korean medical treatments for subfertility 6 cases, mainly managed by FCST, TMJ balancing medicine. J TMJ Bal Med. 2019;9(1):24-34.
  64. Kim DI. Clinical study in identifying evidence of Korean medicine for infertility treatment R&D report. Ministry of Health and Welfare. 2019.
  65. Bae KR, et al. One case of pregnancy and delivery in premature ovarian failure by Korean traditional medicine (Daeyeongjeon-gamibang). J Korean Obeste Gynecol. 2020;33(1):160-7.
  66. Bae KR, et al. One case of pregnancy and delivery in habitual abortion by Korean traditional medicine. J Korean Obeste Gynecol. 2020;33(4):143-50.
  67. Koo JS. 5 cases of primary infertility treated by Jokyungjongok-tang gamibang. kor J Herbol. 2020;35(5):41-6.
  68. Cho SY, et al. A study reporting the Korean medicine treatment infertility support program in Chungcheongnam-do in 2019. J Korean Obeste Gynecol. 2021;34(2):142-56.
  69. Kolte AM, et al. Terminology for pregnancy loss prior to viability: a consensus statement from the ESHRE early pregnancy special interest group. Human reproduction. 2015;30(3):495-8. https://doi.org/10.1093/humrep/deu299
  70. Wilcox AJ, et al. Incidence of early loss of pregnancy. N Engl J Med. 1988;319(4):189-94. https://doi.org/10.1056/NEJM198807283190401
  71. Annan JJK, et al. Biochemical Pregnancy During Assisted Conception: A Little Bit Pregnant. J Clin Med Res. 2013;5(4):269-74. https://doi.org/10.4021/jocmr1008w
  72. Xia JF, et al. Chinese medicine as complementary therapy for female infertility. Chin J Integr Med. 2017;23(4):245-52. https://doi.org/10.1007/s11655-016-2510-5
  73. Casale M. Improving the health and treatment success rates of in vitro fertilization patients with traditional Chinese medicine: Need for more robust evidence and innovative approaches. Journal of Integrative Medicine. 2022;20(3):187-92. https://doi.org/10.1016/j.joim.2022.02.004
  74. Karcioglu O, et al. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-14. https://doi.org/10.1016/j.ajem.2018.01.008
  75. Shim SY, et al. An Overview of Pain Measurements. Korean Journal of Acupuncture. 2007;24(2):77-97.
  76. Lee IS, et al. Study on the measured method of menstrual pain. Korean J Oriental Physiology & Pathology. 2005;19(6):1513-9.
  77. Jang S, Lee ES, Kim DI. Review on the Treatment Methods of Korean Oriental Medicine for PMS. J Korean Obeste Gynecol. 2012;25(2):185-99.
  78. Park JS, et al. A Study for Suggestion of Quantitative Scale for Dysmenorrhea in Clinics. J Korean Obeste Gynecol. 2011;24(1):144-61.
  79. Gao H, et al. Heyan Kuntai capsule versus dehydroepiandrosterone in treating Chinese patients with infertility caused by diminished ovarian reserve: a multicenter, randomized controlled trial. J Tradit Chin Med. 2017;37(4):530-7. https://doi.org/10.1016/S0254-6272(17)30160-7
  80. Lee JH, et al. East asian herbal medicine (EAHM) alone for the treatment of women with diminished ovarian reserve (DOR): A systematic review and meta-analysis. J Korean Med. 2022;43(1):136-53. https://doi.org/10.13048/jkm.22011
  81. Hull MG, et al. Population study of causes, treatment, and outcome of infertility. Br Med J (Clin Res Ed). 1985;291(6510):1693-7. https://doi.org/10.1136/bmj.291.6510.1693
  82. Barron ML, Fehring RJ. Basal body temperature assessment: is it useful to couples seeking pregnancy? MCN Am J Matern Child Nurs. 2005;30(5):290-6. https://doi.org/10.1097/00005721-200509000-00004
  83. Liao Z, et al. The effect of endometrial thickness on pregnancy, maternal, and perinatal outcomes of women in fresh cycles after IVF/ICSI: A systematic review and meta-analysis. Front Endocrinol (Lausanne). 2022;12:814648.
  84. Kumbak B, et al. Outcome of assisted reproduction treatment in patients with endometrial thickness less than 7 mm. Reproductive biomedicine online. 2009;18(1):79-84. https://doi.org/10.1016/S1472-6483(10)60428-2
  85. Huang ST, Chen AP. Traditional Chinese medicine and infertility, Curr Opin Obstet Gynecol. 2008;20(3):211-5. https://doi.org/10.1097/GCO.0b013e3282f88e22
  86. The Association of Korean Medicine. Report on the progress of the Korean medicine infertility treatment support project in 2019.[Internet]. [cited Mar 14, 2023]. Available from:URL:https://www.akom.org/Home/AkomArticleNews?id=1096941&NewsType=2
  87. Pfeifer S, et al. Optimizing natural fertility: a committee opinion. Fertility and Sterility. 2017;107(1):52-8. https://doi.org/10.1016/j.fertnstert.2016.09.029
  88. Dooley M, et al. The psychological impact of infertility and fertility treatment on the male partner. Hum Fertil (Camb). 2014;17(3):203-9. https://doi.org/10.3109/14647273.2014.942390
  89. Kim JH, Shin HS. A Structural Model for Quality of Life of Infertile Women. J Korean Acad Nurs. 2013;43(3):312-20. https://doi.org/10.4040/jkan.2013.43.3.312
  90. Kim SH, Park YJ, Chang SO. A study on the development of an infertility stress scale. The Journal of Nurses Academic Society. 1995;25(1):141-55. https://doi.org/10.4040/jnas.1995.25.1.141
  91. Cho SI, Kim DI, Choi SJ. Stress Patterns in women with infertility : an in-depth interview study. J Korean Obstet Gynecol. 2023;36(2):85-100.
  92. Frederiksen Y, et al. Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: a systematic review and meta-analysis. BMJ. 2015;5(1):e006592.