Research

Resources:

Cui Hong Zheng, M.D., Ph.D., Guang Ying Huang , M.D., Ph.D., Ming Min Zhang,  M.D., Ph.D., Wei Wang, M.D., Ph.D.

Effects of Acupuncture on Pregnancy Rates in Women Undergoing in Vitro Fertilization : A Systematic Review and Meta-Analysis.

Fertility and Sterility Vol 97 (3), March 2012, pp 599 - 611

 

Reflections: ( By Dr. You Xia Li )

This article evaluates the effect of acupuncture on in vitro fertilization (IVF) outcomes. Twenty-four trials (a total of 5,807 participants) were included in this review. The trials were conducted in nine different countries. This review indicates that acupuncture improves CPR ( clinical pregnancy rate) and LBR ( live birth rate ) among women undergoing IVF based on the results of the studies that do not include the Streitberger control, and that Streitberger control may not be an inactive control. More positive effects from using acupuncture in IVF can be expected if an appropriate control and more reasonable acupuncture programs are used. The information from this world wide review, will help Chinese medicine practitioners practice acupuncture treatment on IVF women. It will also help more women having acupuncture treatment before and during IVF cycles, to achieve a high success rate of IVF.

 


 

Resources:

Karin Ried,

Chinese Herbal Medicine for Female Infertility: An Updated Meta-Analysis.

Complementary Therapies in Medicine, Vol 23 (1) Feb 2015, pp 116-128

 

Reflections: ( By Dr. You Xia Li )

This article is to assess the effect of Traditional Chinese herbal medicine (CHM) in the management of female infertility and on pregnancy rates compared with Western medical (WM) treatment and update previous meta- analysis. This updated meta-analysis includes 40 RCT's (Randomized Control Trial) and 4247 women with infertility. Trials included women with PCOS, endometriosis, anovulation, fallopian tube blockage, or unexplained infertility. This review suggests that Chinese herbal medicine to improve pregnancy rates 2-fold compared to Western medical drug therapy in the treatment of female infertility, boosting pregnancy rates from 30% to 60% over 3 - 6 months. In addition, fertility indicators such as ovulation rates, cervical mucus score, biphosic basal body temperature, and appropriate thickness of the endometrial lining were positively influenced by CHM therapy.  Chinese medicine practitioners, can apply such effective Chinese herbal treatment on infertility patients and pass on this knowledge to couples who dream of having a baby.

 


 

Resources:

C.Sutton,MD, S.Pentland, Dr TCM, J.Roberts, MD.

A Comparison of Stress Levels in Women Undergoing Single Versus Multiple Acupuncture Sessions Prior to Embryo Transfer.

Fertility and Sterility Vol 103 (2), Supplement, Feb 2015, ppe 36-e37

 

Reflections: ( By Dr. You Xia Li )

Stress associated with the process of in vitro fertilization (IVF) has well recognized effects on outcomes of these treatments. Acupuncture is one of several stress-lowering treatments that has been studied for the improvement of IVF outcomes. This study was to compare stress on the day of embryo transfer (EF) for IVF in women undergoing single versus multiple acupuncture session prior to IVF. In conclusion, stress remains significantly elevated for women undergoing only one session of acupuncture on the ET day. However, stress scores were significantly lower when undergoing multiple acupuncture sessions ( > 1 month of acupuncture). The conclusions of this study indicate the women with IVF are highly recommended to have more acupuncture sessions before embryo transfer. Chinese medicine practitioners should try to apply this treatment plan to patients in their clinical practice. It is recommended that IVF patient's receive at least two acupuncture sessions per week ( a minimum of ten sessions in total) before embryo transfer.

 


 

Resources:

Lee E. Hullender Rubin, Michael S. Opsahl, Klaus E. Weimer, Scott D. Mist, Aaron B. Caughey,

Impact of Whole Systems Traditional Chinese Medicine on IN-Vitro Fertilization Outcomes.

Reproductive Bio Medicine online (ELSEVIER) Vol 30 (6), June 2015, pp 602 - 612

 

Reflections: ( By Dr. You Xia Li )

Patients undergoing IVF may receive either acupuncture or whole- systems traditional Chinese medicine (WS-TCM) as an adjuvant IVF treatment. WS- TCM is a complex intervention that can include acupuncture, Chinese herbal medicine, dietary, lifestyle recommendations. A total of 1231 fresh cycles took place in which an embryo transfer occurred. The proportion of live births was significantly higher in the WS-TCM group (61.3%) compared with either the usual care (48.2%) or ACU groups (50.8%). Fewer spontaneous abortions occurred in the WS-TCM group compared with the other groups. More live births were associated with WS-TCM compared with embryo transfer acupuncture only. Live births were not significantly affected in patients who received acupuncture only on the day of embryo transfer compared with IVF usual care. This study provides evidence that whole system traditional Chinese medicine (WS-TCM) added to IVF may be beneficial. This study has indicated that acupuncture alone, added around the day of embryo transfer is not good enough to achieve a higher live birth rate. Acupuncture treatment combined with Chinese herbal medicine during IVF cycle is the best way to achieve more live birth and Chinese medicine practitioners can apply this principle in their clinical practice.