Abstract
Objective
To analyze the effects of acupuncture on in vitro fertilization patients with unexplained infertility.
Methods
We retrospectively analyzed the charts of a total of 302 cycles performed in 273 patients attending Assisted Reproductive Technology (ART) Centre from August 2013 to August 2016. During the study period, embryo transfer with acupuncture (Acupuncture group, 46 cases) and without acupuncture (Control group, 42 cases) were applied. Prior to embryo transfer, the following points were used in the acupuncture group: Neiguan (CX 6), Diji (SP 8), Taichong (Liv 3), Baihui (Gv 20), and Guilai (S 29). These sessions were carried out two times before and after embryo transfer in a single day. In addition, auricular acupuncture was also performed at ear points, including ear point 55 (Shenmen), ear point 58 (Zhigong), ear point 22 (Neifenmi) and ear point 34 (Naodian). The biochemical pregnancy rate and clinical pregnancy rate after transplantation were compared between two groups.
Results
The clinical pregnancy rate in the acupuncture group was higher than that in the control group [60.9% (28/46) vs. 33.3% (14/42), respectively, P<0.05]. Likewise, the live birth rate in the acupuncture group was also higher than that in the control group [71.7% (33/46) vs. 31.0% (12/42), P<0.01).
Conclusion
Administration of acupuncture on the day of embryo transfer dramatically improved fertility results in women who underwent in vitro fertilization/intra-cytoplasm sperm injection for reproduction.
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References
Huang DM, Huang GY, Lu FE, Stefan D, Andreas N, Robert G. Acupuncture for infertility: is it an effective therapy? Chin J Integr Med 2011;17:386–395.
MacPherson H, Sinclair-Lian N, Thomas K. Patients seeking care from acupuncture practitioners in the UK: A national survey. Complement Ther Med 2006;14:20–30.
Bovey M, Lorenc A, Robinson N. Extent of acupuncture practice for infertility in the United Kingdom: experiences and perceptions of the practitioners. Fertil Steril 2010;94:2569–2573.
Chien LW, Au HK, Chen PL, Xiao J, Tzeng CR. Assessment of uterine receptivity by the endometrial-subendometrial blood flow distribution pattern in women undergoing in vitro fertilization-embryo transfer. Fertil Steril 2002;78:245–251.
Zhang WY, Huang GY, Liu J. Acupuncture-induced improvement of endometrial receptivity of rats with polycystic ovary syndrome treated by clomiphene for ovarian stimulation. World J Acupunct Moxibust 2009;19:30–37.
Zhang WY, Huang GY, Liu J. Influences of acupuncture on infertility of rats with polycystic ovarian syndrome. Chin J Integr Tradit West Med (Chin) 2009;29:997–1000.
Stener-Victorin E, Waldenstrom U, Andersson SA, Wikland M. Reduction of blood flow impedance in the uterine arteries of infertile women with electro-acupuncture. Hum Reprod 1996;11:1314–1317.
Paulus WE, Zhang M, Strehler E, El-Danasouri I, Sterzik K. Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy. Fertil Steril 2002;77:721–724.
Demyttenaere K, Bonte L, Gheldof M, Vervaeke M, Meuleman C, Vanderschuerem D, et al. Coping stress and depression levels influence outcome in in vitro fertilization. Fertil Steril 1998;69:1026–1033.
Klonoff-Cohen H, Chu E, Natarajan L, Sieber W. A prospective study of stress among women undergoing in vitro fertilization or gamete intrafallopian transfer. Fertil Steril 2001;76:675–687.
Csemiczky G, Landgren B, Collins A. The influence of stress and state anxiety on the outcome of IVF-treatment: psychological and endocrinological assessment of Swedish women entering IVF-treatment. Acta Obstetr Gynecol Scand 2000;79:113–118.
Wang S, Kain Z. Auricular acupuncture: a potential treatment for Anxiety. Anesth Analges 2001;92:548–553.
Smith JF, Eisenberg ML, Millstein SG, Nachtigall RD, Shindel AW, Wing H, et al. The use of complementary and alternative fertility treatment in couples seeking fertility care: data from a prospective cohort in the United States. Fertil Steril 2010;93:2169–2174.
Alice DD, Irene M, Joseph K, Michael AR, Douglas P. The impact of acupuncture on in vitro fertilization outcome. Fertil Steril 2009;91:723–726
Isoyama D, Cordts EB, De Carvalho WAP, Matsumura ST, Barbosa CP. Effect of acupuncture on symptoms of anxiety in women undergoing in vitro fertilisation: a prospective randomised controlled study. Acupunct Med 2012;30:85–88.
Matthiesen SM, Frederiksen Y, Ingerslev HJ, Zachariae R. Stress, distress and outcome of assisted reproductive technology (ART): a meta-analysis. Hum Reprod 2011;26:2763–2776.
Magarelli PC, Cridennda DK, Cohen M. Changes in serum cortisol and prolactin associated with acupuncture during controlled ovarian hyperstimulation in women undergoing in vitro fertilization-embryo transfer treatment. Fertil Steril 2009;92:1870–1879.
Westergaard LG, Mao Q, Krogslund M, Sandrini S, Lenz S, Grinsted J. Acupuncture on the day of embryo transfer significantly improves the reproductive outcome in infertile women: a prospective randomized trial. Fertil Steril 2006;85:1341–1346.
Raymond C, Pak HC, Zev R. Role of acupuncture in the treatment of female infertility. Fertil Steril 2002;78:6.
Judith B, Janet C, Brandon H, Kimberly G, Anthony W. The relationship between perceived stress, acupuncture, and pregnancy rates among IVF patients: a pilot study. Complement Ther Clin Pract 2010;16:154–157.
Daniela IMV, Lara GS, Mariana BN, Fabia LV, Caio PB. Influence of acupuncture on the outcomes of in vitro fertilisation when embryo implantation has failed: a prospective randomised controlled clinical trial. Acupunct Med 2013;31:157–161.
Junyoung J, Yoon Jae L. 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 2017;11.
Qian Y, Xia XR, Ochin H, Huang C, Gao C, Gao L, et al. Therapeutic effect of acupuncture on the outcomes of in vitro fertilization: a systematic review and meta-analysis. Arch Gynecol Obstet 2017;295:543–558.
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Çoksüer, H., Barut, M.U., Bozkurt, M. et al. Acupuncture Enhances Chances of Pregnancy in Unexplained Infertile Patients Who Undergo A Blastocyst Transfer in A Fresh-Cycle. Chin. J. Integr. Med. 25, 298–302 (2019). https://doi.org/10.1007/s11655-018-2918-6
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DOI: https://doi.org/10.1007/s11655-018-2918-6