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Best Acupuncture Protocols for Infertility IVF and IUI

New research demonstrates a consensus amongst acupuncture experts on best practice treatment protocols for acupuncture enhancement of assisted reproductive technology (ART) fertility treatments. (Source:  http://www.healthcmi.com). ART includes all fertility treatments in which both the eggs and sperm are handled. ART includes in vitro fertilisation (IVF) and intrauterine insemination (IUI).

traditional needle acupuncture

In this study, researchers set out to determine if a consensus exists on high priority acupuncture points for the enhancement of ART. Acupuncture IVF and IUI ART has been used in the USA since 1981 to help women become pregnant. Although acupuncture and Chinese medicine for the treatment of infertility is a time honoured practice, the combination of acupuncture with ART has emerged in recent years as an effective approach for improving pregnancy and live birth rates.

In this study, researchers administered three rounds of questionnaires to fifteen international acupuncture fertility experts to determine if a consensus exists on best practice protocols. The investigation revealed that several key components are central to acupuncture in combination with ART.

The timing of an acupuncture treatment in relation to the menstrual cycle is of great importance. An acupuncture treatment administered between day 6 and 8 of the “stimulated ART cycle” is optimal. In addition, it is ideal to have two acupuncture treatments “on the day of embryo transfer.”

Pre-transfer acupuncture points of high priority are

SP8, SP10, Liv3, ST29 and CV4.

Post-transfer points include

GV20, K3, SP6, P6 and K3.

Auricular acupuncture points Shenmen and Zigong were also determined to be of high priority.

Almond Wellness Centre

Almond Wellness Centre located in Coburg and Ringwood Victoria, is a multidisciplinary clinic dedicated to promoting wellness. At our clinics, we emphasise the importance of comprehensive healthcare that considers the entirety of an individual. Our approach involves treating each person as a unique individual, taking into account their lifestyle, diet, environment, emotions, and attitude.Almond Wellness Centre happy babies

If you are in search of treatment for fertility and IVF support, we are here dedicated to delivering personalised care tailored to your needs. Our IVF acupuncture support program is research based protocol. Our goal is to increase your IVF success and “bring baby home”.

References

  1. BMC Complementary and Alternative Medicine 2012, 12:88 doi 10.1186/1472-6882-12-88. 7 July 2012.
  2. Development of an acupuncture treatment protocol by consensus for women undergoing Assisted Reproductive Technology (ART) treatment. Caroline A Smith, Suzanne Grant, Jane Lyttleton and Suzanne Cochrane. ?Zhongguo Zhen Jiu. 2012 Feb;32(2):113-6.
  3. Effects of electroacupuncture on embryo implanted potential for patients with infertility of different symptom complex]. Kong FY, Zhang QY, Guan Q, Jian FQ, Sun W, Wang Y. Department of Reproduction, The Second Affiliated Hospital of Shandong University of TCM, Jinan, China. Fertil Steril. 2005 Jan;83(1):30-6.
  4. Secretion of human leukocyte antigen-G by human embryos is associated with a higher in vitro fertilization pregnancy rate. Yie SM, Balakier H, Motamedi G, Librach CL.

Impact of whole systems traditional Chinese medicine on in-vitro fertilization outcomes

By Lee E.

Declaration: Support provided by NIH/NCCAM grant R25 AT002879 (Suppl) and 1K23AT006392. LHR owned the acupuncture practice. The authors report no financial or commercial conflicts of interest.

Highlights

  • Whole Systems Traditional Chinese Medicine (WS-TCM) added to IVF may be beneficial.
  • WS-TCM and IVF was associated with more live births compared with acupuncture and IVF.
  • WS-TCM and IVF was associated with more live births compared with IVF alone.
  • WS-TCM is individualized and includes acupuncture and other TCM interventions.

Abstract

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.

In this retrospective cohort study, 1231 IVF patient records were reviewed to assess the effect of adjuvant WS-TCM on IVF outcomes compared among three groups:

  • IVF with no additional treatment;
  • IVF and elective acupuncture on day of embryo transfer; or
  • IVF and elective WS-TCM.

The primary outcome was live birth.

Of 1069 non-donor cycles, WS-TCM was associated with greater odds of live birth compared with IVF alone (adjusted odds ratio [AOR] 2.09; 95% confidence interval [CI] 1.36 to 3.21), or embryo transfer with acupuncture only (AOR 1.62; 95% CI 1.04 to 2.52). Of 162 donor cycles, WS-TCM was associated with increased live births compared with all groups (odds Ratio [OR] 3.72; 95% CI 1.05 to 13.24, unadjusted) or embryo transfer with acupuncture only (OR 4.09; 95% CI: 1.02 to 16.38, unadjusted).

Overall, IVF with adjuvant WS-TCM was associated with greater odds of live birth in donor and non-donor cycles. These results should be taken cautiously as more rigorous research is needed.

Researches of Chinese Herbal Medicine and fertility

Efficacy of Traditional Chinese Herbal Medicine in the management of female infertility: a systematic review

Ried K1, Stuart K. Complement Ther Med. 2011 Dec;19(6):319-31. doi: 10.1016/j.ctim.2011.09.003. Epub 2011 Oct 5.

Conclusions

Review suggests that management of female infertility with Chinese Herbal Medicine can improve pregnancy rates 2-fold within a 4 month period compared with Western Medical fertility drug therapy or IVF. Assessment of the quality of the menstrual cycle, integral to TCM diagnosis, appears to be fundamental to successful treatment of female infertility.

Chinese herbal medicine for female infertility: an updated meta-analysis.

Ried K1.Complement Ther Med. 2015 Feb;23(1):116-28. doi: 10.1016/j.ctim.2014.12.004. Epub 2015 Jan 3.

Methods

We searched the Medline and Cochrane databases until December 2013 for randomized controlled trials and meta-analyses investigating Chinese herbal medicine therapy for female infertility and compared clinical pregnancy rates achieved with CHM versus WM drug treatment.

Results

Forty RCTs involving 4247 women with infertility were included in our systematic review. Meta-analysis suggested a 1.74 higher probability of achieving a pregnancy with CHM therapy than with WM therapy alone (risk ratio 1.74, 95%CI: 1.56-1.94; p<0.0001; odds ratio 3.14; 95%CI: 2.72-3.62; p<0.0001) in women with infertility. Trials included women with PCOS, endometriosis, anovulation, fallopian tube blockage, or unexplained infertility. Mean pregnancy rates in the CHM group were 60% compared with 33% in the WM group.

Conclusions

Our review suggests that management of female infertility with Chinese herbal medicine can improve pregnancy rates 2-fold within a 3-6 month period compared with Western medical fertility drug therapy. In addition, fertility indicators such as ovulation rates, cervical mucus score, biphasic basal body temperature, and appropriate thickness of the endometrial lining were positively influenced by CHM therapy, indicating an ameliorating physiological effect conducive for a viable pregnancy.

Unexplained Infertility Treated with Acupuncture and Herbal Medicine in Korea

Jongbae J. Park, K.M.D., Ph.D.J Altern Complement Med. 2010 Feb; 16(2): 193–198.

Conclusions

The standard therapeutic package for unexplained infertility in women studied here is safe for infants and the treated women, when administered by licensed professionals. While it remains challenging to have the target population complete a 6-month treatment course, during which most patients have to pay out of pocket, the extent of successfully achieved pregnancy in those who received full treatment provides meaningful outcomes, warranting further attention. A future study that includes subsidized treatment costs, encouraging the appropriate compliance rate, is warranted.

Say Goodbye to Period Pain with Acupuncture and Chinese Medicine

acupuncture for endometriosis and period pain

Let’s be real – period pain can be a total nightmare. For many of us, it’s not just a minor inconvenience but a monthly battle that leaves us curled up on the couch, reaching for painkillers, and counting down the days until it’s over. But what if there was a natural way to ease the cramps, reduce the discomfort, and actually feel like yourself during your period?

Enter Traditional Chinese Medicine (TCM), including acupuncture and Chinese herbal medicine. These ancient practices are gaining modern recognition for their ability to tackle period pain at its root, offering relief without the side effects of conventional meds.

Why Acupuncture? It’s Not Just Needles!

You might be wondering, “Does acupuncture really work for period pain?” The answer is a resounding yes! Research shows that acupuncture can be a game-changer for women dealing with dysmenorrhea (that’s the fancy term for painful periods). Here’s the scoop:

  • study published in the Journal of Obstetrics and Gynaecology Research found that acupuncture significantly reduces period pain and is way gentler on your body compared to painkillers.
  • Another review confirmed that acupuncture doesn’t just mask the pain—it helps your body heal and rebalance, so you feel better in the long run.

So, how does it work?

Acupuncture involves tiny, hair-thin needles placed at specific points on your body to boost blood flowrelax your uterus, and balance your energy (Qi). It’s like hitting the reset button for your body.

How TCM Tackles Period Pain

In TCM, period pain isn’t just about cramps—it’s a sign that something’s out of whack in your body. Maybe your energy is stuck, or your blood flow isn’t what it should be. A TCM practitioner will take the time to understand your unique symptoms and create a personalised plan to get you feeling your best. This might include:

1. Acupuncture

Acupuncture is all about targeting the right spots to ease your pain. Some of the go-to points for period pain include:

  • Zigong (Extra Point): Near your uterus, this point helps regulate your cycle.
  • Sanyinjiao (SP6): On your inner leg, it’s a powerhouse for improving blood flow and calming cramps.
  • Guanyuan (CV4): On your lower abdomen, it strengthens your reproductive system.

And don’t worry—the needles are super thin, and most people find the sessions relaxing (yes, really!).

2. Chinese Herbal Medicine

Think of Chinese herbs as your period’s new best friend. They work hand-in-hand with acupuncture to soothe cramps, balance hormones, and keep your cycle running smoothly. Some popular herbs include:

  • Dong Quai (Angelica sinensis): Known as the “female ginseng,” it’s a superstar for menstrual health.
  • Chuan Xiong (Ligusticum wallichii): Helps get your blood moving and eases pain.
  • Bupleurum (Chai Hu): Keeps your emotions in check and reduces stress-related cramps.

Popular herbal formulas for period pain include:

  • Gui Zhi Fu Ling Wan: Reduces cramping and promotes blood circulation.
  • Xiao Yao Wan: Balances hormones and alleviates stress-related menstrual pain.

Little Changes, Big Results

While acupuncture and herbs do the heavy lifting, a few lifestyle tweaks can make a big difference too:

  • Eat Warm Foods: Think soups, stews, and steamed veggies. Skip the ice-cold smoothies and salads during your period.
  • Move Your Body: Gentle yoga or a walk around the block can help ease cramps and boost your mood.
  • Chill Out: Stress can make period pain worse, so try meditation, deep breathing, or just curling up with a good book.

Why Choose Almond Wellness Centre?

At Almond Wellness Centre in Coburg and Ringwood, Melbourne, we’re all about helping you feel your best – naturally. Our fully qualified practitioners will:

  • Take the time to understand your unique needs.
  • Create a custom treatment plan just for you.
  • Support you every step of the way, so you can say goodbye to period pain for good.

Ready to Ditch the Pain?

If you’re tired of letting period pain run your life, it’s time to try something different. Contact Almond Wellness Centre today to book a consultation and discover how acupuncture and Chinese medicine can help you feel your best – every day of the month.

Fill out the contact form or call our office now!

References

Liu, Z., Liu, Y., Xu, H., He, L., & Chen, Z. (2018). Acupuncture for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Journal of Obstetrics and Gynaecology Research, 44(6), 1014-1023. doi: 10.1111/jog.13631.

Armour, M. (2015). The effectiveness of acupuncture in the treatment of primary dysmenorrhea : a mixed methods study.

Mike Armour, etl July 12 2017. The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial.

V. Iorno,etl. Acupuncture Treatment of Dysmenorrhea Resistant to Conventional Medical Treatment. Evid Based Complement Alternat Med. 2008 Jun; 5(2): 227–230.

Acupuncture for dysmenorrhoea. Smith CA, etl.Cochrane Database Syst Rev. 2016 Apr 18;

Zhu X, Hamilton KD, McNicol ED. Acupuncture for pain in endometriosis. Cochrane Database Syst Rev. 2018;5(5):CD012617. doi: 10.1002/14651858.CD012617.pub2.

Chiu HY, Pan CH, Shyu YK, et al. Effectiveness of acupuncture in women with polycystic ovarian syndrome undergoing in vitro fertilisation or intracytoplasmic sperm injection: a systematic review and meta-analysis. Acupunct Med. 2020;38(1):17-28. doi: 10.1177/0964528419878323.

Smith CA, Armour M, Zhu X, Li X, Lu ZY, Song J. Acupuncture for dysmenorrhoea. Cochrane Database Syst Rev. 2016;4(4):CD007854. doi: 10.1002/14651858.CD007854.pub3.

Lian F, Li Y, Xie RJ, Wang J, Zhang Y, Bai J. Effects of Chinese medicine for promoting blood circulation and removing blood stasis in treating patients with dysmenorrhea: a systematic review. Evid Based Complement Alternat Med. 2016;2016:8582727. doi: 10.1155/2016/8582727.

Shi GX, Yang XM, Liu CZ, et al. Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Spine (Phila Pa 1976). 2019;44(8):592-601. doi: 10.1097/BRS.0000000000002885.

A systematic review on acupuncture for trigeminal neuralgia

Altern Ther Health Med. 2010 Nov-Dec;16(6):30-5. Liu H, Li H, Xu M, Chung KF, Zhang SP.

Examining Acupuncture for Trigeminal Neuralgia: A Detailed Analysis

Summary:

This review, published in Altern Ther Health Med in November-December 2010, aimed to assess acupuncture’s effectiveness in treating trigeminal neuralgia (TN). The review encompassed twelve studies examining the efficacy of acupuncture compared to carbamazepine (CBZ), a common treatment for TN. However, due to the low quality of these studies, a comprehensive meta-analysis couldn’t be conducted.

Method:

Researchers delved into English and Chinese databases to identify randomized controlled studies on acupuncture’s impact on TN. They evaluated the methodological quality of selected studies and analyzed the odds ratios (OR) between treatment and control groups to measure efficacy.

Results:

In the twelve studies reviewed, acupuncture was pitted against CBZ with 506 participants in the acupuncture group and 414 in the control group. The studies lacked strong methodological quality, making it challenging to conduct a meta-analysis. Four trials suggested acupuncture was better than CBZ, while eight found no significant difference between the treatment and control groups. Minimal adverse effects were reported in three studies that examined acupuncture.

Conclusion:

The review indicates that acupuncture could be as effective as CBZ in treating TN but with fewer reported side effects. However, due to the low quality of the studies analyzed, the evidence is not conclusive. Better-designed studies are necessary to validate acupuncture as a reliable treatment for TN.

Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study

Chinese Journal of Integrative Medicine

Chinese Journal of Integrative Medicine

Chinese Journal of Integrative Medicine

November 2017, Volume 23, Issue 11, pp 829–836

Summary: This study, published in the Chinese Journal of Integrative Medicine in November 2017, aimed to assess acupuncture’s impact on idiopathic trigeminal neuralgia (ITN). Patients were divided into three groups: acupuncture, sham-acupuncture, and carbamazepine (a common medication for ITN). Their pain levels, medication doses, and various sensory evaluations were monitored before, immediately after, and six months post-treatment.

Method: The study included 60 ITN patients and 30 healthy individuals. Patients were randomly assigned to three groups: acupuncture (15), sham-acupuncture (15), and carbamazepine (30). Pain intensity, medication doses, temporomandibular disorder evaluations, masticatory system functionality, and sensory threshold tests were conducted at different intervals.

Results: The acupuncture group showed decreased pain intensity by the end of the study (P=0.012). In contrast, the sham-acupuncture group required increased medication doses (P<0.01). The acupuncture group sustained improvements in myofascial pain and jaw function after six months (P<0.01, P=0.023). Mechanical thresholds improved in the acupuncture group (tactile, P<0.01; vibration, P=0.027), while deep pain thresholds increased in both acupuncture and sham-acupuncture groups (P=0.013).

Conclusion: Acupuncture demonstrated potential in treating ITN by reducing pain and associated secondary myofascial discomfort. This suggests acupuncture as a viable option for managing ITN-related pain.

Keywords: acupuncture, idiopathic trigeminal neuralgia, orofacial pain, temporomandibular disorders, quantitative sensory testing, case-control study.

Holiday Greetings and Office Hours 2023~2024 Season

May the Holiday season fill your home with joy, your heart with love, and your life with laughter.Have a healthy, happy, and peaceful New Year.

Happy holiday from Almond Wellness Centre acupuncture Chinese medicine Melbourne

Dear Valued Patients,

As the holiday season twinkles upon us, the team at Almond Wellness Centre wishes you and your loved ones joy, warmth, and a season filled with wellness and cheer.

We extend our heartfelt gratitude for entrusting us with your health and well-being throughout the year. Your trust in our practice inspires us to continually strive for excellence in delivering personalized care tailored to your needs.

Please take note of our holiday office hours, ensuring you have access to our services during this festive season. For detailed information on our open hours, kindly visit our website [insert hyperlink to the detailed open hours page].

May this holiday season bring you moments of serenity and togetherness. Here’s to a rejuvenating break and a new year brimming with health, happiness, and harmony.

Warm regards,

Your health team at Almond Wellness Centre

Important Information for Private Health Fund Members – massage therapy, acupuncture and chiropractic

The New Year is fast approaching and for many Private Health Fund Members it signals the expiry of your insurance entitlements for 2023.

Many Health Fund Providers run on a calendar year and they tend not to carry over unused funds to the following year. Now is not only the time to check that you are taking full advantage of your Health Insurance entitlements, but also to ensure that you are keeping fit, healthy and pain free for the festive season.

Almond Wellness Centre is dedicated to helping you reach your health potential; guiding you to a lifetime of freedom, good living and a better quality of life.

Take advantage of your remaining Private Health benefits for 2023 before they are gone.

Call  03 8802 1519 or 03 9378 9479 to make your next appointment now.

Holiday office hours

During the Holiday Season our clinic will have the following schedule:

23rd – 26th December 2023 Closed

27th – 29th December 2023 OPEN

30th December 2023 – 2nd January 2024 Closed

We will reopen on Thursday January 3rd and resume regular office hours.

Electroacupuncture for fatigue, sleep, and psychological distress in breast cancer patients with aromatase inhibitor-related arthralgia: a randomized trial

Cancer. 2014 Dec 1;120(23):3744-51. doi: 10.1002/cncr.28917. Epub 2014 Jul 30.

Mao JJ1, Farrar JT, Bruner D, Zee J, Bowman M, Seluzicki C, DeMichele A, Xie SX.

Background

Although fatigue, sleep disturbance, depression, and anxiety are associated with pain in breast cancer patients, it is unknown whether acupuncture can decrease these comorbid symptoms in cancer patients with pain. The objective of this study was to evaluate the effect of electroacupuncture (EA) on fatigue, sleep, and psychological distress in breast cancer survivors who experience joint pain related to aromatase inhibitors (AIs).

Methods

The authors performed a randomized controlled trial of an 8-week course of EA compared with a waitlist control (WLC) group and a sham acupuncture (SA) group in postmenopausal women with breast cancer who self-reported joint pain attributable to AIs. Fatigue, sleep disturbance, anxiety, and depression were measured using the Brief Fatigue Inventory (BFI), the Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS). The effects of EA and SA versus WLC on these outcomes were evaluated using mixed-effects models.

Results

Of the 67 randomly assigned patients, baseline pain interference was associated with fatigue (Pearson correlation coefficient [r]=0.75; P < .001), sleep disturbance (r=0.38; P=.0026), and depression (r=0.58; P < .001). Compared with the WLC condition, EA produced significant improvements in fatigue (P=.0095), anxiety (P=.044), and depression (P=.015) and a nonsignificant improvement in sleep disturbance (P=.058) during the 12-week intervention and follow-up period. In contrast, SA did not produce significant reductions in fatigue or anxiety symptoms but did produce a significant improvement in depression compared with the WLC condition (P=.0088).

Conclusions

Compared with usual care, EA produced significant improvements in fatigue, anxiety, and depression; whereas SA improved only depression in women experiencing AI-related arthralgia.