Infertility
Acupuncture has been used in China for
centuries to support fertility (both male
and female) and pregnancy. Acupuncture
can be used to promote fertility and to
help couples who are experiencing
problems conceiving and are preparing for
artificial reproductive technology. Once
pregnant, acupuncture can also help
support a variety of pregnancy related
issues.

From a Traditional Chinese Medicine
viewpoint, acupuncture is effective
because it helps relieve stress, corrects
imbalances and increases the circulation
of Qi and Blood. From a Western view it
is thought to help in the following areas:

a. Regulating the menstrual cycle -
stabilising hormones like FSH and
oestrogen to help alleviate causes of
cycle irregularity. Acupuncture is thought
to help restore the natural flow of a
working, regular, cycle.
b. Enhance egg development - boosting
circulation to the ovaries making more
follicles and healthier eggs.
c. Improving the endometrial lining -
increasing circulation to the uterus,
strengthening its lining and its ability to
hold the eggs full term.
d. Relaxing the patient- stimulating opioids
to provide stress relief during an
emotional, anxious time.
e. Improving sperm quality and quantity -
Research (1) has shown that sperm form,
motility, count, density and vitality were all
encouraged with acupuncture treatment.

The Chinese theory of fertility
In Traditional Chinese Medicine, the
Kidney system is responsible for
reproduction, growth and development.
The Kidneys store a substance called
Essence which is the foundation on which
our bodies function and develop. Some of
our Essence is inherited from our parents,
and the rest comes from the food we eat
and the way we live our lives. This store
of Essence is used up as we move
through our lives.

The strength of our Essence is a
significant factor in conception and
determines the health and vitality of our
children. If the parents’ Essence is
inadequate, due to inherited constitution,
ageing, overwork, excessive physical
exertion, irregular diet,inadequate rest or
chronic illness, then there may be
problems in conceiving.

If a couple want to have a child, there are
ways to support their Kidney Essence:
- Maintain a proper diet, high in
wholefoods and avoiding excessive
amounts of cold, raw and sugary foods
- Avoid exposure to cold and damp
conditions
- Deal with stress and emotions
appropriately
- Abstain from smoking; reduce intake of
coffee and alcohol
- Maintain regular work and rest patterns

What happens during treatment?
A full case history is taken and all aspects
of the patient’s lifestyle are taken into
account, as matters such as diet and the
emotions have an important part to play in
reproductive health.

The tongue and pulse are examined as
these can reveal important information
about the patient’s health and constitution.
Every patient presenting with fertility
problems is different and their treatment ,
therefore, is unique to them.

In determining the treatment plan, the
patient’s history,
symptoms, lifestyle, tongue and pulse are
all assessed in order to determine the
‘pattern of disharmony’. The purpose of
treatment is not just to treat infertility, but
to address the underlying disharmony
which is preventing conception.

The acupuncture treatment itself may
involve around 8—16 needles which are
left in place for 20 minutes. Other Chinese
medicine treatments such as moxibustion
and tui na massage may also be used.
After the first visit, treatments normally
take 45—60 minutes

How long will treatment take?
The course of treatment for infertility is
usually longer than for other conditions.
This is because changes can only be
observed on a monthly cycle, and it may
take many cycles for the underlying
problem to be addressed.

A course of treatment of between three
and six months would not be unusual,
which is equal to three to six weeks in the
treatment of other problems.
Unfortunately acupuncture is not a ‘quick
fix’ and there may be a need to make
dietary and lifestyle changes to support
the treatment in clinic and increase the
chances of success.

Assisted Reproductive Technology
Many couples who have difficulty
conceiving by traditional methods employ
various techniques to assist them in the
reproductive process. The most common
is In Vitro Fertilisation (IVF). In cases
where the male sperm count is low a
different procedure known as
Intracytoplasmic Sperm Injection (ICSI)
may be used. Success rates for each
therapy range from as low as 1% to as
high as 50%.

In 2002, groundbreaking research (2)
showed that adding acupuncture to the
treatment regime dramatically improved
pregnancy rates. These findings were
confirmed and heightened in 2008 when
Eric Manheimer published a
comprehensive review of acupuncture's
effects on IVF treatment in the British
Medical Journal (3). In the review, seven
trials, all published since 2002 and carried
out under strict control procedures in
western countries, featured 1366 women
undergoing IVF or ICSI. The women were
randomly assigned to a control group or
an acupuncture group.

Six weeks after embryo transfer all
women were given ultrasound
examinations where scientists found
pregnancy rates on average 65% higher in
the acupuncture group. Furthermore, the
trials showed an 87% increase in
continuing pregnancy and a 91% increase
in live births. All the results are statistically
significant.

Acupuncture is a safe adjunctive therapy
for women undergoing IVF/ICSI as there
are no adverse effects from the
treatment. It can also be used throughout
all stages of pregnancy to ease morning
sickness, back pain, sciatica, breech
presentation and labour induction.

References

1. Neal J. Acupuncture for male infertility.
www.lineone.net. Accessed November 2008
2. Paulus W et al. Influence of acupuncture on the
pregnancy rate in patients who undergo assisted
reproduction therapy. Fertility and Sterility. April
2002; 77: 4
3. Manheimer E, et al. Effects of acupuncture on
rates of pregnancy and live births among women
undergoing in vitro fertilisation: systematic review
and meta-analysis. British Medical Journal.
February 2008; 336: 545-549

Tang, S (2007)
'Infertility and TCM' seminar
Zhao, X (2006)
'Traditional Chinese Medicine for
Women'