Acupuncture For Fertility
Acupuncture has been shown to improve fertility and increase the chances of getting pregnant naturally or through ART (assisted reproductive technology). Some studies suggest that acupuncture can increase the success rates of IVF (in vitro fertilization) by as much as 65% . It is believed to work by improving blood flow to reproductive organs, improving egg regulating hormones, reducing stress, and improving the quality of the endometrial lining, which are all essential for conception.
The journey to parenthood happens quickly for some and can be a long, winding road of learning new information for others.
Did you know: on average a healthy couple with no reproductive issues have a 25% chance of conceiving?
Infertility affects approximately 1 IN 6 of couples worldwide, with rates varying by region & demographic factors. Both men & women can experience infertility, with factors such as age, lifestyle, & underlying health conditions contributing to reduced fertility.
Causes of infertility in women include:
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Conditions like polycystic ovary syndrome (PCOS), hypothalamic dysfunction, or premature ovarian insufficiency can disrupt regular ovulation, making it difficult to conceive.
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Scarring or blockages in the fallopian tubes, often due to pelvic inflammatory disease (PID), endometriosis, or previous surgeries, can prevent the egg and sperm from meeting.
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Endometriosis occurs when tissue similar to the lining of the uterus grows outside of it, often leading to inflammation, scarring, and adhesions that can interfere with fertility.
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Structural problems like uterine fibroids, polyps, or congenital anomalies can affect implantation or the ability of the embryo to develop.
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As women age, the quantity and quality of their eggs decline, which can significantly reduce fertility. Women over the age of 35 often face a more challenging time conceiving.
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Issues like thyroid dysfunction, hyperprolactinemia (excess production of prolactin), or luteal phase defects can disrupt the hormonal balance necessary for ovulation and implantation.
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Chronic illnesses such as diabetes, autoimmune disorders, or obesity can contribute to infertility by affecting hormonal balance, ovulation, or overall reproductive health.
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Exposure to toxins, such as pesticides, heavy metals, or radiation, can disrupt hormonal balance, impair reproductive function, and increase the risk of various health issues
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Factors such as excessive alcohol consumption, smoking, poor diet, or high levels of stress can negatively impact fertility.
Causes of infertility in men include:
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Issues like low sperm count, poor sperm motility, or abnormal sperm shape can make it difficult for sperm to reach and fertilize the egg.
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Conditions affecting hormone production, such as hypogonadism or problems with the pituitary gland, can result in insufficient testosterone or other hormones needed for sperm production.
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Injury to the testes, infections like mumps, or conditions such as varicocele (enlarged veins in the scrotum) can impair sperm production.
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Problems such as retrograde ejaculation (where semen enters the bladder instead of exiting through the penis) or erectile dysfunction can prevent sperm from being effectively delivered.
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Genetic conditions, such as Klinefelter syndrome or Y chromosome microdeletions, can lead to infertility by affecting sperm production or function.
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Exposure to toxins, such as pesticides, heavy metals, or radiation, can damage sperm or reduce sperm count.
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Similar to women, excessive alcohol use, smoking, drug use, and obesity can negatively impact male fertility.
In about 35% cases, couples experience unexplained infertility, where no specific cause can be identified despite thorough testing. This can be frustrating, but treatment options are still available and often successful. Infertility is complex and often multifactorial, so a comprehensive evaluation by a healthcare provider is crucial for determining the appropriate treatment or interventions.
Acupuncture as an Infertility Treatment Option
Acupuncture is increasingly recognized as a valuable complementary treatment for those facing fertility challenges. By stimulating specific points on the body, acupuncture aims to balance the flow of energy, or Qi, improve blood circulation, and regulate the body’s hormonal systems—all essential components for reproductive health. It can help enhance ovarian function, support regular menstrual cycles, improve sperm quality, and reduce stress, which is often a significant factor in infertility. In IVF, acupuncture performed on the day of embryo transfer significantly increased the odds of clinical pregnancy by 65%. Whether used alone or alongside conventional fertility treatments like IVF, acupuncture offers a holistic approach that may increase the chances of conception and support a healthy pregnancy.
How Acupuncture Works
Traditional Chinese Medicine Perspective
In Traditional Chinese Medicine (TCM), acupuncture is rooted in the concept of balancing Qi, the vital energy that flows through the body’s meridians or pathways. TCM views infertility as a result of disruptions in this energy flow, which can lead to imbalances in the body's systems. By inserting fine needles into specific acupuncture points, practitioners aim to restore the proper flow of Qi, thereby harmonizing the body’s organs and functions. This balance helps to enhance reproductive health by improving blood circulation to the reproductive organs, regulating the menstrual cycle, and creating an optimal environment for conception. Acupuncture also addresses underlying factors such as stress, which can block Qi and contribute to infertility, thus supporting overall well-being and fertility.
Modern Scientific Explanation
From a modern scientific perspective, acupuncture is believed to support fertility through several physiological mechanisms. Studies suggest that acupuncture may influence the hypothalamus-pituitary-ovarian axis, a critical hormonal pathway that regulates the menstrual cycle and ovulation. By modulating the release of hormones such as gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and follicle-stimulating hormone (FSH), acupuncture can help improve ovarian function and increase the chances of ovulation. Additionally, acupuncture is thought to enhance blood flow to the uterus and ovaries, which is essential for creating a healthy uterine lining and supporting embryo implantation. Acupuncture's ability to reduce stress is also significant, as lower stress levels can lead to better hormonal balance and improved fertility outcomes.
Benefits of Acupuncture for Infertility
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Acupuncture can influence the release of hormones involved in the menstrual cycle and reproductive processes, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol. By regulating hormonal balance, acupuncture may improve ovulation and enhance the chances of conception.
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Acupuncture has been shown to increase blood flow to the reproductive organs, including the ovaries and uterus. Enhanced blood circulation can promote the development of healthy follicles, improve the uterine lining, and support embryo implantation, thereby increasing fertility.
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Stress and anxiety are known to negatively impact fertility by disrupting hormonal balance and affecting overall reproductive health. Acupuncture is widely recognized for its stress-relieving benefits, as it can lower cortisol levels, the body’s primary stress hormone. By promoting relaxation and reducing anxiety, acupuncture can create a more favorable environment for conception. This stress reduction not only improves the body’s physical readiness for pregnancy but also supports mental and emotional well-being during what can be a challenging time.
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Acupuncture can be particularly effective in regulating irregular menstrual cycles, a common issue that can impact fertility. By stimulating specific acupuncture points, the treatment helps to balance the body’s endocrine system, which is responsible for hormone production and regulation. This balancing effect can lead to more regular ovulation and menstruation, increasing the chances of conception. Acupuncture may also help alleviate symptoms associated with menstrual disorders, such as polycystic ovary syndrome (PCOS), which often disrupts ovulation.
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Acupuncture has anti-inflammatory effects, which can help reduce inflammation in ovaries and improve egg quality.
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Acupuncture is commonly used as a complementary therapy alongside assisted reproductive technologies (ART) such as in vitro fertilization (IVF) and intrauterine insemination (IUI). Acupuncture treatments administered before and after ART procedures may help optimize the chances of success by improving blood flow to the uterus, reducing stress, and supporting overall reproductive health.
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Acupuncture isn’t just beneficial for women; it also offers significant advantages for male fertility. Studies have shown that acupuncture can improve sperm quality by increasing sperm count, enhancing motility (the ability of sperm to move effectively), and reducing the number of abnormal sperm. These improvements are believed to be due to acupuncture’s ability to enhance blood flow to the testes, reduce inflammation, and regulate hormones that influence sperm production. As a result, acupuncture can be a valuable complementary treatment for men facing fertility challenges.
What to Expect During Treatment
Initial Consultation
Thorough assessment of the patient's medical history, reproductive health, menstrual cycle regularity, lifestyle factors, and emotional well-being.
Discussion of the patient's fertility goals, concerns, and expectations, along with an explanation of how acupuncture can support fertility.
Sample treatment plan for infertility:
Menstrual Phase (Days 1-5)
Focus: Promote Blood Flow and Detoxification
Goal: During menstruation, the focus is on promoting healthy blood flow and ensuring the complete shedding of the uterine lining. This phase also involves detoxification, helping the body to clear out old blood and tissue to prepare for the next cycle.
Frequency: 1 session during this phase.
Follicular Phase (Days 6-12)
Focus: Nourish Blood and Promote Follicle Development
Goal: The aim is to support the growth of healthy follicles in the ovaries and nourish the uterine lining as it begins to rebuild. Acupuncture during this phase helps to enhance blood flow to the ovaries and uterus, promoting the development of a healthy egg and preparing the endometrium for implantation.
Frequency: 1-2 sessions during this phase.
Ovulation Phase (Days 13-15)
Focus: Promote Qi and Blood Flow to Aid Ovulation
Goal: During ovulation, acupuncture aims to encourage the smooth flow of Qi and blood to ensure the timely release of a mature egg from the follicle. This phase also focuses on reducing stress, which can interfere with the hormonal signals necessary for ovulation.
Frequency: 1-2 sessions around the time of ovulation, ideally on the day before, during, or after ovulation.
Luteal Phase (Days 16-28)
Focus: Support Implantation and Hormonal Balance
Goal: The luteal phase is critical for supporting the implantation of a fertilized egg and maintaining a healthy pregnancy. Acupuncture during this phase focuses on warming the uterus, supporting progesterone production, and ensuring the uterine lining is receptive to implantation.
Frequency: 1-2 sessions during this phase.
Sample treatment plan for IVF:
Pre-IVF Preparation (1-3 months before IVF cycle):
Weekly acupuncture treatments to regulate the menstrual cycle, improve ovarian function, and reduce stress.
Incorporate dietary and lifestyle recommendations to optimize fertility, including stress management techniques such as meditation or relaxation exercises.
IVF Stimulation Phase:
Weekly treatments during the ovarian stimulation phase, which typically lasts around 8-12 days. This ensures consistent support for follicular development and hormone regulation.
Egg Retrieval:
Acupuncture treatment immediately before and after the egg retrieval procedure.
Embryo Transfer:
Weekly acupuncture treatments to prepare for transfer.
Acupuncture treatment 2-3 days before transfer and 2-3 days after transfer.
Acupuncture treatment immediately before and after embryo transfer to promote implantation, reduce uterine contractions, and enhance the chances of successful pregnancy.
Post-IVF Support:
Weekly acupuncture treatment during the two-week wait period to manage anxiety, support implantation. A treatment is recommended 2-3 days after transfer.
Throughout the treatment plan, acupuncture points may be selected based on traditional Chinese medicine principles, individual patient assessment, and current research evidence. Regular communication and adjustments to the treatment plan based on the patient's response and progress are crucial for personalized and effective care.
Safety and Side Effects:
Acupuncture is generally considered a safe and well-tolerated treatment. The needles that we use at Roots arevery fine, sterile, and disposable, minimizing the risk of pain, infection or complications. Most patients find the experience relaxing, and any discomfort during needle insertion is typically mild and brief.
Common side effects are usually minimal and may include slight bruising, lightheadedness, or mild soreness at the needle sites. Occasionally, some people may feel tired after a session, but this is typically short-lived and can be seen as a sign that the body is responding to the treatment.
Research and Evidence
Summary of Clinical Studies
Numerous clinical studies have explored the effectiveness of acupuncture as a complementary treatment for infertility, particularly when used alongside conventional fertility treatments like IVF. One well-known study published in the journal Fertility and Sterility found that women who received acupuncture before and after embryo transfer during IVF had a significantly higher pregnancy rate compared to those who did not receive acupuncture. Another study in Human Reproduction reported that acupuncture could improve blood flow to the uterus, which is crucial for the implantation of an embryo.
Research has also shown acupuncture's ability to regulate hormones and reduce stress, both of which are vital factors in improving fertility. A study in the Journal of Endocrinological Investigation demonstrated that acupuncture could influence the hypothalamic-pituitary-ovarian axis, helping to balance hormone levels and improve ovulation. Additionally, a meta-analysis published in Acupuncture in Medicine concluded that acupuncture could increase the likelihood of pregnancy when used as a complementary therapy during IVF cycles.
Expert Opinions
Many fertility specialists and acupuncturists recognize the valuable role that acupuncture can play in treating infertility. Dr. Raymond Chang, a fertility specialist and integrative medicine expert, states, "Acupuncture can be a powerful adjunct to conventional fertility treatments, helping to optimize the body's response and improve overall reproductive health."
Licensed acupuncturist and fertility expert, Jane Lyttleton, adds, "Acupuncture works to balance the body's systems, enhancing blood flow to the reproductive organs, regulating hormones, and reducing stress, all of which are critical for increasing fertility and supporting a successful pregnancy."
Dr. Lara Kassouf, a reproductive endocrinologist, also acknowledges the benefits, saying, "While acupuncture is not a replacement for traditional fertility treatments, it offers a complementary approach that can improve the chances of conception, particularly in patients undergoing IVF."
These expert insights, combined with growing clinical evidence, highlight the potential of acupuncture as a supportive therapy for those facing infertility challenges.
Additional Resources
Lifestyle:
Exercise:
Practice safe exercise at least 5 days per week. This can include walking, jogging, yoga, or weight training. Exercise improves nerve cell growth in the hippocampus as well as releases hormones that help combat stress. Stress is one of the leading causes of inflammation. Avoid stressful exercise during the time of implantation. Listen to your body and do not push too hard beyond your comfort level.
Avoid Enviromental Toxins
Avoiding environmental toxins is crucial for protecting overall health and fertility. Everyday exposure to harmful chemicals found in plastics, pesticides, household cleaners, and personal care products can disrupt hormonal balance, impair reproductive function, and increase the risk of various health issues. To minimize exposure, it's important to choose natural or organic products whenever possible, avoid using plastic containers for food storage, and steer clear of processed foods that may contain harmful additives. Additionally, using air purifiers, avoiding areas with heavy pollution, and being mindful of water quality can further reduce the risk of toxin exposure. By taking these steps, you can create a safer, healthier environment that supports your well-being and fertility.
Breath work:
Practice diaphragmatic breathing techniques at least twice daily to help strengthen your mind-body connection and invite more qi into your body. Qi helps to move your blood and encourage circulation to all tissues in your body including the uterus.
Meditation:
Practice mindful meditations twice daily to strengthen your mind-body connection and reduce inflammation. It is necessary to keep stress regulated in your body to prevent cortisol levels from causing inflammation, and meditation has been proven to reduce stress. Visit our website, roots-acupuncture.com, or download the Calm app for guided meditations.
DIETARY ADVICE:
Eat alkaline foods:
Alkaline foods include leafy greens, fruits, vegetables, sprouts, wheatgrass, parsley, red onion, green bean, garlic, cabbage, avocado, lentils, coconut, etc. and provide your reproductive system with the right pH balance for conception and implantation. Acidic foods like meat, dairy, and many grains may create a hostile environment for sperm and lead to inflammation. The bulk of your diet should come from organic plant sources. Bioflavonoids in fruits and vegetables help to form blood vessels and prepare the uterus for implantation and prevent miscarriage. However, there are exceptions! During the time of implantation, eat pineapple— it is mildly acidic, but the high bromelain content in pineapple has been proven to assist in implantation. We recommend patients do further research on the alkaline diet on their own as well.
Balance Blood Sugar Levels:
Consume complex carbohydrates such as whole grains, legumes, and vegetables to stabilize blood sugar levels and prevent insulin spikes.
Limit intake of refined sugars and processed foods, which can disrupt hormone balance and contribute to insulin resistance.
Optimize Protein Intake:
Include lean sources of protein such as poultry, fish, tofu, and legumes in your diet to support reproductive hormone production and overall health.
Aim for a balanced intake of protein throughout the day to maintain steady energy levels and support cellular function.
Prioritize Healthy Fats:
Incorporate sources of healthy fats such as avocados, nuts, seeds, and fatty fish to support hormone production and improve fertility.
Avoid trans fats and limit saturated fats from processed and fried foods, which can negatively impact reproductive function.
Emphasize Antioxidant-Rich Foods:
Increase consumption of fruits and vegetables rich in antioxidants, such as berries, leafy greens, and colorful vegetables, to protect reproductive cells from oxidative damage and support egg quality.
Include herbs and spices like turmeric, ginger, and cinnamon, which have anti-inflammatory properties and may support fertility.
Stay Hydrated:
Drink plenty of water throughout the day to stay hydrated and support overall health, including reproductive function.
Limit intake of caffeinated beverages and alcohol, which can dehydrate the body and negatively impact fertility.
Mindful Organic Eating:
Practice mindful eating, chewing food thoroughly, and eating in a relaxed environment to support digestion and nutrient absorption.
Organic foods can reduce exposure to synthetic pesticides, hormones, and antibiotics while potentially providing higher nutrient content.
Eat Cruciferous Vegetables:
Cruciferous vegetables include cabbage, broccoli, cauliflower, and Brussels sprouts.
These foods are rich in fatty acids and other vital nutrients.
Eat Warm Foods:
Do not over-heat oil, as this will cause oxidation and lead to inflammation and chronic illness.
It is best to gently cook vegetables by steaming them, slow roasting, or making soups. This will help your body process them completely.
Eat Foods Rich in Probiotics:
Consider incorporating fermented foods like yogurt, kefir, sauerkraut, or kimchi to promote gut health and support overall well-being.
Things to Avoid:
Caffeine, Nicotine, and Alcohol: If you require assistance with energy in the morning, switch to green tea, which is lower in caffeine than coffee and has antioxidants.
Avoid refined sugar, processed meats, and most packaged products.
