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Acupuncture & Fertility What is the research telling us?

Acupuncture & Fertility What is the research telling us?. Vicki Ball M.BHSc (Acu). Fertility and Acupuncture what can we do. Research. ACUPUNCTURE & IVF. Acupuncture & IVF. Reduce uterine artery resistance Modulate immune response Relaxation prior to surgical procedures.

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Acupuncture & Fertility What is the research telling us?

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  1. Acupuncture & FertilityWhat is the research telling us? Vicki Ball M.BHSc (Acu)

  2. Fertility and Acupuncturewhat can we do

  3. Research ACUPUNCTURE & IVF

  4. Acupuncture & IVF • Reduce uterine artery resistance • Modulate immune response • Relaxation prior to surgical procedures

  5. Acupuncture onDay of Transfer • Choong, 2008 (Cochrane Review) –13 RCTs reviewed in meta-analysis

  6. Acupuncture on Day of TransferChoong, 2008 (Cochrane Review) –13 RCTs reviewed in meta-analysis

  7. Acupuncture on Day of TransferChoong, 2008 (Cochrane Review) –13 RCTs reviewed in meta-analysis

  8. Acupuncture on Day of TransferChoong, 2008 (Cochrane Review) –13 RCTs reviewed in meta-analysis

  9. Miscarriage rates- Acupuncture on day of transfer No statistical difference

  10. Acupuncture before & after transfer + 2 days2 studies (Dieterle, 2006; Westergaard, 2006)

  11. Miscarriage rates- Acupuncture before & after transfer +2 days No statistical difference

  12. Acupuncture around time of oocyte retrieval • Studies performed show no significant difference in quality or quantity of oocytes retrieved. Better live birth rates if electro-acupuncture used as anesthetic rather that alfentanil (28/75 acupuncture 19/74 alfentanil)

  13. Acupuncture around time of oocyte retrieval • Clinically – too late • Beneficial to have acupuncture following day to help speed recovery after surgical procedure – swelling, pain, inflammation. • Ensure integrity of endometrium to allow for viable implantation.

  14. Hypothalamic-Pituitary-Adrenal-Ovarian Axis (HPAO) Stress and its role in unexplained infertility..?

  15. .

  16. How does acupuncture affect the HPA? affects plasma beta endorphin affect the HPA by altering the release of hypothalamic gonadotrophin releasing hormone (GnRH) & pituitary gonadotrophin secretion.

  17. Women • Ovulation induction • Increase microcirculation to reproductive organs • Regulate hypothalamic-pituitary-ovarian axis • Increase up-regulation of body’s own hormones

  18. Acupuncture modulates immune factors • influences specific and nonspecific cellular and humoral immunities. • activates cell proliferation, including blood, reticuloendothelial, and traumatised cells. • activates leucocytosis, microbicidal activity, antibodies, globulin, complement, and interferon. • modulates hypothalamic-pituitary control of the autonomic and neuroendocrine systems. Rogers, 1992 Acupuncture for Immune-Mediated Disorders

  19. Immune/ Inflammatory related disorders causing fertility problems Immune • Endometriosis • Failure of embryo to implant & miscarriage • Thyroid disorders eg.Hashimotos Inflammatory • High TNF alpha associated with repeated implantation failure in IVF

  20. Treatment – men vs. women www.flatrock.org.nz

  21. Man • Increase sperm quality & quantity – morphology - motility • Increase semen quality Faster results combining Chinese Herbal medicine with acupuncture

  22. Questions? .

  23. Moxa heat radiating down Stomach channel Schlebusch, K. P., Maric-Oehler, W., & Popp, F. A. (2005). Biophotonics in the infrared spectral range reveal acupuncture meridian structure of the body. J Altern Complement Med, 11(1), 171-173.

  24. Propagated sensations along channels (PSCs/PSMs) • Reported PSCs during acupuncture correspond to EMG changes (Bensoussan, 1984) • PSCs follow pathways which closely correspond to channels (Ji, 1981) • PSCs travel at a slower rate than nerve conduction PSCs travel at 3.5 – 10 cm/sec (Bensoussan,1994) Ad fibres conduct at 6.3 m/sec [630 cm/sec] C fibres conduct at 0.5 – 2 m/sec [50-200 cm/sec] • PSCs have been observed in many races (Deng, 1993) • PSCs are frequently associated with clinical efficacy of acupuncture (Deng, 1993) • PSCs can be blocked by mechanical pressure of more than 500 -1,00gm/mm2(Ji, 1981)

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