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Monday, June 14, 2010

How exactly does acupuncture help with IVF success rates?

You may have heard that acupuncture can increase the success rate of IVF (In Vitro Fertilization).  How exactly does it help?  Research has shown that there are several factors.

1)  Increased blood flow to the uterus- this can result in thicker endometrial (uterine) lining as well as a higher quality lining.  Although there is some debate about exact numbers, usually if the lining is less than 6mm it is considered "too thin".  Lining just before ovulation should be about 8-13 mm thick- and will continue to get thicker up until your period begins.  Quantity isn't the only important factor- the quality is also vital. Research has shown that healthy endometrial linings have three distinct layers; without these three layers there can be problems with implantation.  If conception does not take place, the "trilaminar (three layered) appearance" usually disappears within 48 hours of ovulation.

2)  Reduction in stress hormones such as prolactin and cortisol-  when these hormones are present at elevated levels, your normal "healthy" hormones can't function normally.

3)  Decrease in smooth muscle contractions following embryo transfer- small contractions in the uterine musculature could make implantation less likely.  This is the same line of reasoning Reproductive Endocrinologists use when deciding whether to give their patients a low dose of Valium prior to transfer- many times a relaxed mind= relaxed body.

4)  Impact FSH, LH, and Estradiol and Progesterone levels- studies have shown that FSH can be lowered and other hormones are brought closer to normal range after a course of acupuncture.

5)  Increase endorphin production, thereby modulating the release of GnRH (gonadotropin releasing hormone)- endorphins are a compound produced by the pituitary gland which act as natural pain relievers as well as produce a feeling of well being.  Research has shown that they have an effect on GnRH- the hormone responsible for production of FSH and LH.

Clinically, I find that women undergoing IVF cycles experience less anxiety and stress overall as well as notice that unpleasant side effects of medications are decreased.  In addition, if women are able to take herbs for 1-3 months prior to an IVF cycle, I have seen more eggs retrieved and thicker endometrium.

If you are interested in getting acupuncture in conjunction with your IVF cycle, please contact me for more information via my website: http://www.susanwallmeyer-acupuncture.com/

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