Acupuncture is a form of medicine, which originated in the East. Nowadays it is practiced all around the world in Western societies to treat a variety of ailments. Acupuncture and fertility are a common combination and specifically, acupuncture can be used to treat and support patients undergoing IVF or ICSI. At Oxted Acupuncture, I regularly treat patients during IVF or ICSI and I focus on different aspects of each individual’s fertility journey. For me, it’s vital to approach each person as a unique patient and I tailor the treatment to their specific needs.
Acupuncture and fertility
Acupuncture is based on Meridian Theory, which determines areas of the body that may be blocked, undernourished or imbalanced. Some of these meridians flow directly through the pelvic basin and therefore, an imbalance can potentially affect fertility. This may be due to reduced blood flow to the uterus, either caused by lack of nourishment or too much tension causing ‘Stasis’. Temperature imbalance can also be affected and ‘Cold uterus’ is a cause of fertility issues in Chinese Medicine.
Protocol Cycles, acupuncture and fertility
If a patient is undergoing a long protocol cycle, they will ‘Down Reg’, and their body will enter temporary menopause using drugs such as Buserelin or Synarel. Depending on a patient's underlying pathology, they may feel fine or may be one of the number of women who suffer from night sweats, mood swings and a vicious thirst. Acupuncture may help to alleviate some of these symptoms, the same way it would for women undergoing natural menopause.
The ovarian stimulation phase
Next comes the ovarian stimulation phase when drugs such as Gonal F or Menopur are used to stimulate follicle recruitment. Science has shown that when oxygenated blood flows freely to the pelvic basin, the whole area benefits including the ovaries. If an IVF patient has a poor response to these drugs and their follicles are struggling, studies show that acupuncture can increase the blood supply to the ovaries and improve IVF outcomes.
The Paulus Protocol
When it comes to egg transfer, the optimal thickness of the uterine lining for healthy implantation is between 9-15mm. Acupuncture may contribute to a thicker, more blood-rich lining which in turn may help implantation of the embryo. One particular study identified the ‘Paulus protocol’, a selection of acupuncture points to be used in the 24 hour window before egg transfer and again within 24 hours after the transfer. This protocol significantly increased pregnancy rates when undertaken within the time frames around egg transfer. Therefore, many fertility acupuncturists recommend and use this protocol regularly as part of their approach to acupuncture and fertility.
My approach to IVF and ICSI patients
Even though each patient will be different, I approach my patients with some key principles to ensure they get the best out of acupuncture treatment. I focus on counteracting any adverse effects of IVF drugs and treating each patient according to their diagnosis and rectifying their underlying pathology. It is also important to support all patients emotionally.
Alongside the scientifically proven benefits to having acupuncture alongside IVF or ICSI, is the added benefit of relaxation. Patients lay down during acupuncture and hopefully, during the session, they can relax their body and mind. Many patients like to listen to relaxing music or a guided meditation which will help to lower cortisol levels and de-stress. If a patient can remain in a relaxed and calm state this is a positive aspect of acupuncture which can be beneficial during fertility treatment.
Acupuncture is frequently used for fertility and during IVF or ICSI treatments. It can be used to treat the symptoms of down-regulation and may help increase the blood supply to the ovaries. It may also aid the thickening of the uterine lining and promote relaxation and lower cortisol levels. Acupuncture can increase the success of fertility treatments and is something to consider for your patients.
If you would like to discuss how acupuncture can help your patients concerning fertility, IVF or ICSI head to oxtedacupuncture.co.uk.
Effectiveness of acupuncture on pregnancy success rates for women undergoing in vitro fertilization: A randomized controlled trial
Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy
The role of acupuncture in in vitro fertilization: a systematic review and meta-analysis