Can Acupuncture Be Used To Treat Infertility?

Acupuncture, frequently combined with herbal medicine, has been used for centuries to treat some causes of infertility. For example, acupuncture and herbs will not work to address tubal adhesions which can occur as a result of pelvic inflammatory disease or endometriosis. However, in this situation, an individual could still benefit from acupuncture and herbs because of the potential effect of improved ovarian and follicular function. Additionally, it is shown that acupuncture can increase blood flow to the endometrium, helping to facilitate a thick, rich lining.

What Types Of Fertility Patients Typically Get Acupuncture?

Acupuncture can be used to treat any type of fertility disorder including spasmed tubes. (Spasmed tubes are often de-spasmed with acupuncture, though blocked tubes will not respond to acupuncture). Acupuncture is often combined with herbs to treat elevated follicle stimulating hormone (FSH), repeated pregnancy loss, unexplained (idiopathic) infertility, luteal phase defect, hyperprolactinemia (when not caused by a prolactinoma), polycystic ovarian syndrome (PCOS) with annovulatory cycles, and male factor including men affected with sperm-DNA-fragmentation.

When Should Acupuncture Treatment Begin?

Acupuncture is similar to physical therapy in that it is a process oriented method of medical intervention. It is better to do more than less. Patients are commonly treated for three to four months before an insemination, in vitro fertilization (IVF), or donor-egg transfer. This period of treatment seems to have a therapeutic effect.

What Does The Research Show About Acupuncture And Fertility?

In a study by Stener-Victorin et al from the Departments of Obstetrics and Gynecology Fertility Centre, Scandinavia and University of Gothenburg, women are encouraged to receive acupuncture treatments pre and post embryo transfer. Clinical observations from the Berkley Center for Reproductive Wellness suggest that the most effective fertility treatments involve a combination of acupuncture, herbal medicine, and traditional medical interventions. However, conception does sometimes occur when acupuncture and herbal medicines are used without traditional medical interventions.

In a study published in the British Medical Journal*, researchers found that acupuncture increases chances of success in IVF by 65%. The remarkable success rate occurred across seven acupuncture trials involving 1,366 women in a systematic review and meta-analysis. Acupuncture was delivered either just before or just after embryo transfer – the moment when the embryo fertilized in the laboratory must attach itself to the wall of the womb to establish a pregnancy.

The research was carried out by scientists from the University of Maryland in America and the VU University Amsterdam in Holland. Researchers claim that because acupuncture costs only about $75 per session compared to $6000 to $10,000 per cycle for IVF, it would be a cost effective, safe and efficient way of boosting success rates in fertility treatment.

It is thought that acupuncture stimulates the neurotransmitters that trigger the production of gonadotrophin-releasing hormone, which controls the menstrual cycle and a woman's ovulation.

Acupuncture is also thought to stimulate blood flow to the uterus and boost the production of endogenous opioids, inducing the body to relax.

*Source: British Medical Journal, doi:10.1136/bmj.39471.430451.BE (February 2008)