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The stress factors that acupuncture addresses stems from both psycho-emotional factors as well as physical etiologies. For example, extremely painful pre-menstruum or mid cycle pain can be debilitating. This type of physical stress, no doubt produces emotional stress as a result of missed work, manifest pain and other life-style factors resulting from such extreme pain; all can mitigate
function of
reproductive system.
Aceto corticotropic hormone is released as a response to acupuncture needle stimuli. ACTH has an antiinflammatory mechanism which may for example, help with tubal factor based infertility as a response to pelvic inflammatory disease.
The insertion of acupuncture needles has been shown to effectively increase blood circulation. Acupuncture is very effective in treating, for example, Reynaud's Syndrome. Enhanced microcirculatory patency to
uterine lining does, undoubtedly contribute to a healthier and more growth oriented endometrium, especially when utilizing electrical stimulation on inserted acupuncture needles on points known as zigongxue which reside superior to
ovaries. The points zigongxue are located 3 inches inferior to
umbilicus and three inches bilateral to
anterior midline.
"They reviewed existing evidence regarding
role of acupuncture in
treatment of infertility, and identified a number of studies indicating that acupuncture can be beneficial as an adjunct to other infertility treatments, including IVF. Only one randomized controlled study examined
independent effect of acupuncture on IVF outcomes, but this indicated a positive effect.
The reviewed authors also highlight evidence that shows
effects of acupuncture may be mediated through neuropeptides that influence gonadotropin secretion, which could in turn affect
menstrual cycle. The technique can also reduce stress, which is known to adversely affect fertility, and has been implicated in
regulation of uterine blood flow."
"Using acupuncture during assisted reproduction may improve pregnancy rates, say researchers. However, they acknowledge that
mechanism behind this effect is unclear, and
team plans to carry out further studies to confirm, and further investigate, their findings.
Noting that acupuncture has been shown to affect
autonomic nervous system, Dr. Wolfgang Paulus (Christian-Lauritzen-Institut, Ulm, Germany) and colleagues postulated that
therapy could increase endometrial receptivity via control of related muscles and glands.
The researchers randomly assigned 160 women receiving assisted reproductive therapy to undergo IVF with or without acupuncture, before and after embryo transfer. In acupuncture subjects,
needles were placed at points believed to influence reproductive factors, for example by improving blood flow to
uterus.
Paulus et al report that
acupuncture group had a higher rate of pregnancy compared with those not given acupuncture (43 percent versus 26 percent). They conclude, therefore, that acupuncture could be "a useful tool" for improving pregnancy rates during certain infertility treatments."
In Part III we will look at
combined elements of Eastern and Western medicine along with herbal medication in
treatment of infertility.
