If you are interested in the Chinese medical treatment for infertility, you need prepare several things:

1, Give it at least 3 to 6 month try, you may get pregnant after one month treatment, but most of the time, people need several month treatment to adjust the patient’s condition.

2, For infertility, we need combine both acupuncture and Chinese herbal medicine together. A lot of people think only acupuncture is good enough for the treatment of infertility, but we think Chinese herbal medicine play a big role in the treatment a long with acupuncture. For some cases, acupuncture maybe good enough, but for most of infertility patients, herbal medicine is needed. We use the raw herbals, patients need cook the herbals at home to make the herbal tea and drink the tea at least three times a day for several months. The taste of the herbal tea is not nice.

3, If you are preparing for the IVF or other assistant reproductive treatments, twice acupuncture a week is recommended during the whole process of your western medical treatment. No Chinese herbal medicine is OK if you don’t want to take the herbs, but for some patients, we do hope you can take some diet to improve the treatment. According to the research, acupuncture can improve the successful rate. In our office, we helped a lot of patient during their treatment of IVF. The results are very positive.

a1212

ACUPUNCTURE: A CURE FOR INFERTILITY?
Tuesday, April 26, 2005 Fox News
By Catherine Donaldson-Evans

NEW YORK At 36, Lucy Appert has suffered through two miscarriages, a stillbirth at 8 1/2 months and, because of a rare pregnancy-related liver dysfunction, intensive illness and surgery

Yet after enduring five painful years of trying to have their own baby, Appert and her husband Edward finally saw their dream come true last month when their son Henry was born premature, but healthy.

For all the fertility treatments, technologies and prenatal care available to women today, Appert credits the success of her pregnancy to an ancient Chinese secret.

“I recommend acupuncture to everyone,” Appert said. “It does work. I did everything possible for years to have a baby. I almost lost hope.”
The millennias-old Asian medical practice in which the acupuncturist places tiny needles in various pressure points, or “Qi” (Che), in the body to improve circulation and reduce stress has been around in the United States for years as an “alternative” treatment for numerous ailments.

But recently, acupuncture has been picking up steam as a possible remedy for female infertility, with a handful of American and European studies showing that it enhances the success rate of in vitro fertilization (IVF)

Do I believe in it? Absolutely, said Dr. Paul C. Magarelli, an infertility doctor at the Reproductive Medicine & Fertility Center in Colorado Springs, Colo., and co-author of an ongoing study into the use of acupuncture with IVF with Dr. Diane K. Cridennda. Cridennda is a licensed acupuncturist with a master’s degree in Oriental medicine from the International Institute of Chinese Medicine who owns East Winds Acupuncture, also in Colorado Springs.

Magarelli said he joined the study at the urging of Cridennda, who had approached him about using acupuncture with IVF based on her knowledge of its history as an Eastern fertility treatment. A skeptic at first, Magarelli said he dismissed the idea for a while before signing on.

“I thought, this is rubbish it can’t be true,” Magarelli said. “But no matter how I look at this data, I see an improvement. … I’m pretty much a convert.”
In general, studies seem to indicate that doing acupuncture about 30 minutes before and after in vitro fertilization can increase the chance that the embryo will be implanted successfully and reduce the chance of miscarriage.
There are also indications that the effectiveness of the IVF drugs and procedure may improve if acupuncture is done about once a week in the month or two leading up to the start of IVF and then continued regularly once or twice a week during the whole cycle.

And, as in Appert’s case, there is anecdotal evidence that acupuncture can help with other fertility and pregnancy problems. Appert didn’t need IVF to conceive, but she was told she probably couldn’t carry a healthy baby to term because of her liver disorder.

But some doctors caution that there is no “magic pill” for fertility, pregnancy and IVF troubles whether it’s acupuncture or something else.
“The jury is still out on that,” said Dr. Eric Surrey, president of the Society for Assisted Reproductive Technology (SART) , who has a practice at the Colorado Center for Reproductive Medicine. “I don’t think we have good data to show that acupuncture before and after the embryo transfer is truly beneficial.”
And they warn against making too much of claims that acupuncture can help with having babies.

“It’s impossible to say at this point,” said Dr. Robert Schenken, president of the American Society for Reproductive Medicine (ASRM) , who has a practice at the University of Texas Health Science Center. “In the absence of any controlled data, I don’t think we can come to a firm conclusion.”

a1213

Promising Research

Acupuncture seems to help some women because it improves circulation to the ovaries which makes for healthier eggs  and to the uterus , which increases the chances that the lining will be strong enough to hold those eggs to full-term.

“Acupuncture provides better circulation and better blood flow to the womb,” said Dr. Raymond Chang, director of New York’s Meridian Medical Group, who has been incorporating acupuncture into fertility treatments for the past decade. “It will give a better chance for the eggs to be nourished and therefore carried.”

There’s also the fact that acupuncture can be a stress-reliever during an emotional time.

“Trying to get pregnant is incredibly stressful,” said Victoria Koos, the acupuncturist who treated Appert at Yin and Tonic Acupuncture in New York. “They’re crossing their fingers. The longer they’re trying to get pregnant, the worse it gets … Part of [acupuncture’s success] is simply relaxation. When the body is relaxed, all systems function better.”

The Colorado study Magarelli and Cridennda presented at a conference this fall is one of a series the pair have done with acupuncture and in vitro.
That one looked at 114 patients who had a good chance of IVF being effective, some who did acupuncture and some who didn’t. It found, among other things, that there were fewer miscarriages, more pregnancies and a 7 percent higher birth rate among those who got acupuncture treatment over those who didn’t, according to Magarelli.

It piggybacked off other research the team did on 147 poor responders to IVF, which found that the pregnancy rate was 40 percent, with 11 percent more babies born, among those who did acupuncture with in vitro fertilization compared to those who didn’t.

In March, Magarelli and Cridennda released findings in Italy involving patients with an average prognosis for IVF success. Those yielded clear numbers that the pregnancy rate increased with acupuncture by 24 percent, according to Magarelli.

What got us was that now we were seeing a firm trend toward getting more people pregnant, he said.

The Colorado research seems to support some findings of two earlier studies, one in Germany by lead researcher Dr. Wolfgang E. Paulus â�� published in ASRM’s Fertility and Sterility in April 2002  and one in Sweden by lead researcher Elisabet Stener-Victorin in the 1990s.

Of course, even those who believe in acupuncture concede that while the existing studies have yielded good information, there still isn’t sufficient evidence, or a broad enough sample of patients tested, to call acupuncture a proven remedy.

“We are convinced, but scientifically you need proof or so-called proof,” Chang said. “There is a whole set of proof from lab experiments and animal studies to human studies, but it’s very difficult to do human studies.”

Schenken noted that even though there might be one set of data showing positive results, “it really needs to be corroborated, preferably with several different studies and different patient populations.” For example, there can be bias when the entire study sample comes from the same clinic, or when patients know they’re doing something different from usual.

Schenken said he doesn’t get asked about acupuncture often, but when patients do, “we don’t recommend it, but we do not discourage it.”

Surrey takes a similar approach. In his opinion, the data “is not bad” on the theory that acupuncture can help when administered before IVF, but as far as acupuncture generally improving fertility or helping after the embryo transfer in IVF, “there really isn’t a whole lot of data on that.”

But at the very least, “there is absolutely nothing to show that it’s harmful if it’s done with a trained and appropriately skilled acupuncturist,” he said. It’s a notion that nearly everyone in the medical field whether they believe in needles and Qi or not  seems to agree upon.

Some Eastern medicine-Western medicine rivalry may come into play with how to treat reproductive problems, but Chang said he sees more resistance with the use of Chinese herbs which are ingested than he does with acupuncture. Often, it’s the in vitro specialists themselves who refer their patients to him for acupuncture after a couple of failed IVF attempts.

As for the couples trying to bring a child into the world particularly through a complicated, invasive procedure like IVF anything that helps the process along is welcome.

IVF is so technical that patients feel like they’re being pushed and pulled  with acupuncture, they’re in a sense taking some control, Magarelli said. “Acupuncture isn’t a needle, it’s an environment.”

Added Koos: “They’re on these incredibly strong drugs that make the poor women crazy. They’re running around like Catwoman. This is to help them stay sane while they’re going through the process.”

The emotional cost of infertility comes with a hefty financial price tag as well  in vitro fertilization can cost anywhere from $10,000 to $20,000 a cycle and generally isn’t covered by insurance; acupuncture ranges from about $30 to over $200 per treatment Koos and Chang charge about $90 a pop and certain health plans do cover at least a portion of it.

Meanwhile, researchers and experts in the field are excited at what they’re seeing in the studies. Chang said he’s currently working with NYU Medical Center on a trial that looks at IVF with and without acupuncture.

Appert, for her part, was at the end of her rope and felt she had nothing to lose. She started acupuncture with Koos about two months before she began trying to conceive  with needles in her toes and a couple of liver points and continued with the treatments throughout the pregnancy.

“The first time I went, I was completely terrified. My husband went with me and held my hand,” she said. “I could feel the muscles in my liver jump and an electric current going through my body. It was very strange but also felt right.”

She said being monitored by both her obstetrician and Koos helped reassure her about what was going on during her high-risk pregnancy.

“She would tell me things about how I was doing physically and then I would go to the doctor and he would tell me the same thing,” remembers Appert, who works as a professor.

When she got sick late in the pregnancy, both Koos and Appert’s OB/GYN were able to detect when her liver went dangerously haywire and get her to the hospital for delivery six weeks early, before the problem harmed the fetus and caused another stillbirth.

Regardless of the skeptics, Appert said she’s relieved that she was finally able to have a nearly full-term baby of her own. At 4 pounds, 6 ounces, Henry has been in intensive care but otherwise is doing “fine.”

“It really was a miracle,” the new mom gushed. “It’s one of these weird things that Western medicine can’t explain.”

NEW YORK (Reuters Health) – Women who are trying to conceive may get a push in the right direction from acupuncture, according to a new report.

A review of medical literature regarding the benefits of acupuncture to women’s fertility reveals that the ancient technique can help reduce stress, increase blood flow to the reproductive organs and help normalize ovulation–all of which can help a woman conceive.

As such, women struggling to get pregnant may want to add acupuncture to their roster of fertility-boosting treatments, according to study author Dr. Raymond Chang of Cornell University and Meridian Medical in New York City, a private clinic that offers acupuncture treatment.

People trying to conceive will try a number of different techniques, Chang noted, and acupuncture “is certainly one good alternative that has been proven.”

An ancient therapy that arose in China more than 2,000 years ago, acupuncture involves inserting fine needles at specific points on the body. Traditional Chinese medicine theory holds that these points connect with energy pathways, or meridians, that run through the body, and acupuncture helps keep this natural energy flow running smoothly.

Many previous studies examined the benefits of acupuncture when added to other fertility treatments. For example, one report found that women who incorporate acupuncture into their in-vitro fertilization (IVF) treatment are more likely to become pregnant than those who use IVF alone.

IVF involves harvesting a woman’s eggs, which are then fertilized with a man’s sperm in the laboratory. The resulting embryos are transferred into the uterus.

Chang noted in an interview with Reuters Health that one previous study has also shown that women who used acupuncture without any other fertility treatments were just as likely to conceive in the same period of time as women who took a fertility drug. This finding indicates that acupuncture “can be done as a stand-alone treatment,” he said.

Chang and his team summarize recent studies on acupuncture and fertility in the December issue of Fertility and Sterility.

In terms of Western explanations for how acupuncture might affect fertility, investigators have discovered that acupuncture may exert an influence over the centers in the brain that affect ovulation, and can also work on the brain to reduce stress.

Stress and the brain play an important role in fertility, Change explained, because stress can prevent a woman from ovulating entirely, while a lack of stress often promotes fertility. This trend explains why women under extreme stress often stop menstruating, and why couples often conceive while on a cruise or other relaxing holiday.

Researchers have also discovered that acupuncture can boost blood flow to women’s reproductive organs, providing them with better nourishment. In addition, acupuncture appears to improve the lining of the uterus, the place where the embryo becomes embedded after conception. This lining is like “the soil in a garden,” Chang explained–if it is undernourished, the embryo won’t attach itself, and the pregnancy will not continue.

Chang noted that many patients are already adding acupuncture to other treatments to aid conception. “More and more, I think patients are doing it because they figure they might as well try everything,” he said.

Despite the current evidence, Chang said he believes additional research is needed to assess the benefits of acupuncture in fertility for women. He noted that he and his colleagues are planning a clinical trial to compare women undergoing IVF plus acupuncture to those using IVF alone in order to conceive, to determine whether the ancient treatment helps as an additional technique.


AURICULAR ACUPUNCTURE IN THE TREATMENT OF FEMALE INFERTILITY
Gynecology Endocrine, September 1, 1992; 6(3): 171-81.
Department for Gynecological Endocrinology and Reproduction, Women’s Hospital, University of Heidelberg, Germany.

Following a complete gynecologic workups, 45 infertile women suffering from oligoamenorrhea (n = 27) or luteal insufficiency (n = 18 ) were treated with auricular acupuncture.

Results were compared to those of 45 women who received hormone treatment. Both groups were matched for age, duration of infertility, body mass index, previous pregnancies, menstrual cycle and tubal patency.

Women treated with acupuncture had 22 pregnancies, 11 after acupuncture, four spontaneously, and seven after appropriate medication. Women treated with hormones had 20 pregnancies, five spontaneously, and 15 in response to therapy.

Four women of each group had abortions. Endometriosis (normal menstrual cycles) was seen in 35% (38%) of the women of each group who failed to respond to therapy with pregnancy. Only 4% of the women who responded to acupuncture or hormone treatment with a pregnancy had endometriosis, and 7% had normal cycles.

In addition, women who continued to be infertile after hormone therapy had higher body mass indices and testosterone values than the therapy responders from this group. Women who became pregnant after acupuncture suffered more often from menstrual abnormalities and luteal insufficiency with lower estrogen, thyrotropin (TSH) and dehydroepiandrosterone sulfate (DHEAS) concentrations than the women who achieved pregnancy after hormone treatment.

Although the pregnancy rate was similar for both groups, eumenorrheic women treated with acupuncture had adnexitis, endometriosis, out-of-phase endometria and reduced postcoital tests more often than those receiving hormones. Twelve of the 27 women (44%) with menstrual irregularities remained infertile after therapy with acupuncture compared to 15 of the 27 (56%) controls treated with hormones, even though hormone disorders were more pronounced in the acupuncture group.

Side-effects were observed only during hormone treatment. Various disorders of the autonomic nervous system normalized during acupuncture.

Based on our data, auricular acupuncture seems to offer a valuable alternative therapy for female infertility due to hormone disorders.

a12