Acupuncture to Safely Increase Chance of Conception

Several studies have found that women who get acupuncture treatments -- whether to treat conditions that can interfere with getting pregnant (such as polycystic ovary syndrome, or PCOS) or to increase the chances of a successful IVF -- have a higher rate of pregnancy and births. Some fertility doctors recommend acupuncture for their patients to help lower overall stress levels, because stress hormones can lower fertility hormones like progesterone. "I've referred patients to acupuncturists to do acupuncture in conjunction with a number of fertility treatments," says Kathleen M. Brennan, M.D., a reproductive endocrinologist with the UCLA Fertility and Reproductive Health Center in Los Angeles.

So how does it work? Acupuncture is a traditional Chinese medicine practice that involves the placing of thin, stainless steel needles at certain spots on the body. From a Chinese medicine standpoint, the needles stimulate the body's meridians -- channels of energy -- along certain points. Depending on where the needles go, a person may feel calmer, sleepy, or more energized, or may experience subtle physical changes, like a drop or rise in certain hormones or increased blood flow to certain areas of the body, like the pelvis. "Acupuncture is thought to shift the body into a repair mode where it's better able to heal itself, as well as calming the nervous system," says Lara Rosenthal, a licensed acupuncturist who works with patients at the New York University Langone Medical Center Fertility Center in New York City. Does it hurt? "It feels a little like getting your eyebrow plucked, just for a few seconds, then you won't feel anything," Rosenthal says. And there are virtually no negative side effects, aside from occasional mild bruising.

Acupuncture can begin at anytime during the fertility treatment -- before you start taking any oral or injectable drugs to help "prep" your body; during drug treatment to help deal with side effects (nausea, moodiness, fatigue); or during IVF cycles. "Doing acupuncture before trying drugs or IVF might help you avoid those treatments altogether," Rosenthal says; she recommends several sessions for the best outcome. Some insurance companies cover acupuncture, though this varies by state and by insurance provider. The average cost between $100 and $300 for an initial visit and $75 to $150 for follow-ups.

Before you look into acupuncture, however, make sure you receive a medical evaluation by a physician. "There are certain conditions that can't be helped by acupuncture, such as blocked fallopian tubes, so you need to know what is going on with your body medically," Rosenthal explains. Ask your doctor for a referral to an acupuncturist who treats infertility, as not every practitioner will be trained in that area. Avoid taking Chinese herbs unless your doctor gives you the go-ahead -- some of them could potentially hurt your fertility, or endanger an existing pregnancy.

This article originally appeared on parents.com and was written by Tula Karras

Emergency doctors are using Acupuncture to treat pain, now here’s the evidence

Emergency medicine is not all about life and death situations and high-tech solutions. Our study, the largest of its kind in the world, shows using acupuncture in the emergency department can relieve acute pain.

The study, published today in the Medical Journal of Australia, finds acupuncture is as effective as medication in treating pain for lower back pain and ankle sprain. But it took more than an hour for either to provide adequate pain relief.

Our study builds on previous research to show the effectiveness of acupuncture to treat chronic (long-term) pain.

Yet, there are several barriers to using acupuncture routinely in emergency departments.

What is acupuncture and who practices it?

Using acupuncture to relieve pain involves placing needles in various parts of the body to stimulate the release of endorphins and other neurochemicals, which can act as the body’s naturally occurring pain relievers.

For generations various cultures around the world have used acupuncture to treat multiple conditions, including providing pain relief. And in Australia, it is reimbursed through the Medicare Benefits Schedule when administered by a medical doctor.

Further reading: Modern acupuncture: panacea or placebo?

Acupuncture is one of the most accepted forms of complementary medicine among Australian general practitioners. It also appears in treatment guidelines for doctors in how to manage pain.

Why we ran the study and what we did

Anecdotally, we were aware that several emergency department doctors, in both public and private hospitals in Australia, were treating patients’ pain with acupuncture. But until this large federally-funded study, no-one had set up a trial like it to show how effective it was.

Our trial was an “equivalence” study, which means we aimed to see if the different treatments were equivalent rather than seeing if they were better than placebo. We did this as it would not be ethical to give a placebo to people coming to an emergency department for pain relief.

So, we randomly assigned more than 500 patients to receive standard painkillers, standard painkillers plus acupuncture, or acupuncture alone when they presented with back pain, migraine or ankle sprain at four Melbourne hospitals (some private, some public). While the patients knew which treatment they had, the researchers involved in assessing their pain didn’t (known as a single-blind study).

The type of acupuncture we used included applying needles at specific points on the body for each condition, as well as along points chosen by the treating acupuncturist. This was to reflect what would happen during regular clinical practice.

Doctors who were also qualified medical acupuncturists and practitioners of traditional Chinese medicine (registered in Victoria with the Chinese Medicine Registration Board of Australia) performed the acupuncture.

After treatment, we assessed patients’ pain after an hour, and every hour until discharge. We also rang them for an update 24-48 hours after being discharged.

What we found

We found acupuncture, either alone or with painkillers, was equivalent to drugs-alone in providing pain relief for lower back pain, ankle sprain, but not for migraine.

When patients looked back on their treatment, the vast majority (around 80%) were satisfied with their treatment regardless of which treatment they had.

However, no treatment provided good pain relief until after the first hour.

What are the implications?

Our findings suggest acupuncture may be a viable option for patients who come to the emergency department for pain relief. This is especially important for those who cannot or choose not to have analgesic drugs.

This is also an important finding in light of the potential for side effects and abuse with opioid analgesics, which might otherwise be used to relieve pain in the emergency department.

Previous research shows using acupuncture to treat chronic pain is comparable to morphine, is safer and doesn’t lead to dependence. Our findings suggest acupuncture also has a role in treating acute pain.

However, our research raises several issues, not only about conducting such research but also in implementing our findings in practice.

We had to overcome many ethical, policy and regulatory issues before we started. These included issues around the qualifications of medical and non-medical acupuncturists and employing traditional Chinese medicine practitioners to deliver acupuncture in a western medical hospital.

And to more widely implement our findings, we need to discuss the type of practitioners best placed to deliver acupuncture in hospital, what type of training they need to work in the emergency department and what type of conditions they should treat.

Hopefully, our study will spark further research to address these issues and lead to the development of safe and effective protocols for acute pain relief that may involve combining both modern and ancient forms of medicine to achieve rapid and effective analgesia for all emergency department patients.

This article originally appeared on theconversation.com

Infertility and Acupuncture

Acupuncture is the insertion of ultra-thin, sterile needles into specific acupuncture points on the body which reside on channels or meridians; these are pathways in both the exterior and interior of the body. These points, when needled, can regulate the way in which the body functions.

Acupuncture helps by addressing problems that affect fertility such as an under-functioning thyroid (hypothyroidism) or over-functioning thyroid (hyperthyroidism).

Find a Acupuncturist in your area

Can acupuncture be used to treat infertility?

Acupuncture, frequently combined with herbal medicine, has been used for centuries to treat some but not all 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, acupuncture can increase blood flow to the endometrium, helping to facilitate a thick, rich lining.

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 progressing to insemination, in vitro fertilization (IVF), or donor-egg transfer. This pacing of treatment seems to have a therapeutic effect.

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 medicine. However, conception occasionally occurs when acupuncture and herbal medicines are used without traditional medical interventions.

When should I stop?

Typically most miscarriages occur within the first 3 months of pregnancy. Consequently, treatment of patients may often last through week twelve to help prevent miscarriage.

Are the acupuncture points different after an insemination, IVF, or donor-egg transfer than before?

Acupuncturists should not place needles in the abdomino-pelvic area after insemination or transfer. There are 6 contraindicated acupuncture points which should be avoided when the patient is pregnant or pregnancy is suspected. These include Gallbladder 21, Stomach 12, Large Intestine 4, Spleen 6, Bladder 60, Bladder 67 and any points on the lower abdomen.

What are the risks of using acupuncture with infertility?

There are minimal risks in using acupuncture for fertility treatment. The risk of miscarriage may increase if incorrect acupuncture points are used during pregnancy. This is one reason why those choosing to include acupuncture in their treatment regimen should only be treated by an acupuncturist who specializes in treating fertility disorders. Acupuncture is generally safe regardless of a person’s medical history.

Who make up typical patients?

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 herbal remedies 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.

This article originally appeared on http://americanpregnancy.org/infertility/acupuncture/