Fertility and Acupuncture

Fertility, Acupuncture and Chinese Medicine.

(The article below has been kindly supplied by Jeff Shearer, a highly experienced, local acupuncture practitioner).

The Lowdown on Fertility
 

What is Infertility? 

Infertility is classified as the inability to conceive a pregnancy after 12 months of unprotected sexual intercourse. 

 

What are the causes of infertility?
 

The Male factor
Yes regardless of the issue it takes two so looking at both partners is important. Males commonly don’t like the idea of potentially having fertility issues but ignorance is definitely not bliss in this scenario. So getting checked out sooner rather than later can provide solutions to any potential problems and significantly reduce the stress associated with delayed pregnancy. 

  • Blocked Vas Deferens – These are the tubes that transport sperm from the testes and blockage means no chance of connection with the egg for fertilisation. This can be caused by malformation or inflammation 
  • Sperm quality and quantity – Low sperm count or abnormal sperm are the most common issues here and can be surprisingly easy to resolve using simple lifestyle adjustments including diet and exercise. 

 

The Female factor 

  • Blocked fallopian tubes – these are the tubes that deliver the egg from the ovary so if these are blocked just like the Vas Deferens blockage means no potential for a fertilised egg. This can be caused by systemic inflammation that leads to swelling of the tubes and therefore blockage or from previous inflammation that has caused scarring 
  • Endometriosis – this equates to approximately 30-40% of the cause of fertility issues in women. Endometriosis is the abnormal growth of endometrial tissue within or outside the uterine wall. Endometriosis can be incredibly distressing resulting in severe pain, mood fluctuations, depression and digestive issues. Surgical intervention can have high success rates however can leave scar tissue and may also not prevent the return of endometriosis. 
  • Polycystic Ovarian Syndrome (PCOS) – this condition is a hormonal imbalance and results in the inability to ovulate. 
  • Autoimmune disease – this is where the body’s immune system incorrectly identifies ovarian cells as foreign bodies. The result is the immune system attacks these cells affecting their ability to function. 
  • Stress – This is by far one of the largest issues associated with fertility. Stress results in the body kicking into the adrenal system of operation otherwise known as the fight or flight response. When this occurs all systems not vital for survival at the point in time shut down. This includes the reproductive system. Stress management has a huge impact on any poor functioning system including reproduction. 

 

What are some ways to improve fertility? 

  • Diet – a good quality diet can have a significant impact on fertility. The right nutrients are one part but also a digestive system that is in good function is also important. A poorly functioning digestive system can result in higher levels of toxins in the body and a significant increase in inflammation. High inflammation levels can affect sperm quality, fallopian tubes, vas deferens, ovarian cell function and endometriosis. For more information check out some simple diet strategies. 
  • Stress management – as previously mentioned high stress levels will over time reduce reproductive function. Active management of stress can include removing the source or learning how to cope with it better. Meditation is a very powerful stress management technique that has been used for thousands of years across many cultures. 
  • IVF  this includes a range of different strategies including hormone intervention right through to fertilisation of the egg outside the body and then transfer into the uterus. 

 

Chinese medicine and fertility 

Chinese medicine does not necessarily focus on specific conditions such as fertility. The approach of Chinese medicine is to assess the function of the entire body to find where issues may be present.  

 

Chinese medicine includes the use of acupuncture, Chinese herbal medicine, diet and lifestyle advice. One or several of these approaches can be implemented to assist the body toward improved function. Acupuncture as well as Chinese herbs have specifically been shown to improve stress, reduce inflammation and improve circulation. 

 

Many health practitioners may recommend acupuncture as an adjunct treatment that may assist with IVF treatment. There is continuing research about how acupuncture can assist with the effectiveness of IVF treatment and you should consult your treating practitioner/s about how acupuncture may be able to help you. 

Thank you to, Acupuncturist, Jeff Shearer for providing this article.

acupuncture pregnancy and fertility, Newcastle

Jeff Shearer
BHSc (Acu), Cert IV MT, Cert CST, Cert NLP
Jeff Shearer is a Chinese medicine practitioner at Evolve Natural Medicine in Waratah Newcastle and has been in practice since 1995. For more information contact Jeff or visit his website 

Note from Natalie: “We do not currently offer acupuncture directly through the Hunter Birth Education Centre, but for referrals to highly reputable, local acupuncturists, call me on 0406 934 645 and I’ll pass you a choice of three or more practitioners to assist you to find one that matches your requirements”.

References:

  1. Infertility: Dealing with the inconceivable
    Cox, S. (Presenter). (2003, August 21). [Radio broadcast transcript]. Health online special series. Sydney: Australian Broadcasting Corporation, Radio national. Retrieved August 28, 2003 from http://www.abc.net.au/health/features/infertility/.
  2. Male infertility is not just a sperm problem.
    Salleh, A. (Presenter). (2001, February 5). [Radio broadcast transcript]. Science online. Sydney: Australian Broadcasting Corporation, Radio national. Retrieved February 13, 2001 from http://www.abc.net.au/science/news/stories/s241290.htm.
  3. Male infertility: the case for continued research.
    McLachlan, R. I., de Krester, D. M. (2001). Medical Journal of Australia, 174 (3), 116-117
  4. Quantitative evaluation of spermatozoa ultrastructure after acupuncture treatment for idiopathic male infertility.
    Pei J et al Fertil Steril. 2005 Jul;84(1):141-7 Fertility and Sterility
  5. Dopamine mediates vagal modulation of the immune system by electroacupuncture.
    Rafael Torres-Rosas, Ghassan Yehia, Geber Peña, Priya Mishra, Maria del Rocio Thompson-Bonilla, Mario Adán Moreno-Eutimio, Lourdes Andrea Arriaga-Pizano, Armando Isibasi, Luis Ulloa. Nature Medicine, 2014; DOI: 10.1038/nm.3479.
  6. Antipyretic effects of acupuncture on the lipopolysaccharide-induced fever and expression of interleukin-6 and interleukin-1 beta mRNAs in the hypothalamus of rats.
    Yang-Sun Son, Hi-Joon Park, Oh-Bin Kwon, Sung-Cherl Jung, Hyung-Cheul Shin, Sabina Lim. Department of Meridianology and Acupoint, College of Oriental Medicine, Kyung Hee University, 1 Hoegi-dong, Dongdaemoon-gu, Seoul 130-701, South Korea. Neuroscience Letters (Impact Factor: 2.03). 03/2002; 319(1):45-8. DOI:10.1016/S0304-3940(01)02538-1.
  7. Pharmacological stimulation of the cholinergic antiinflammatory pathway. Thomas R Bernik, Steven G Friedman, Mahendar Ochani, Robert DiRaimo, Luis Ulloa, Huan Yang, Samridhi Sudan, Christopher J Czura, Svetlana M Ivanova, Kevin J Tracey. Laboratory of Biomedical Science, North Shore-LIJ Research Institute, 350 Community Drive, Manhasset, NY, USA. Journal of Experimental Medicine (Impact Factor: 13.21). 04/2002; 195(6):781-8. DOI:10.1084/jem.20011714.
  8. 16 cases of severe azoospermia treated with Bu Shen Yi Jing Fang.
    Liang, H., May, B. Male Infertility: Pacific Journal of Oriental medicine, 7, 40-41.
  9. Effect of acupuncture on sperm parameters of males suffering from sub fertility related to sperm quality.
    Siterman, S., Eltes, F., Wolfson, V., Zabludovsky, N., Bartoov, B. (1997). Archives ofAndrology, 39, 155-161.
  10. A review of traditional Chinese medical treatment of male infertility and erectile dysfunction.
    Yang, W. P. Journal of Andrology, (2001). 22(2), 173-182.
  11. Clinical Observations on the Treatment of Endometriosis by Combined Acupuncture and Herbs
    Fu Yu and Xia Tian, Shanghai Jnl Acup Moxa, 2005, Vol 3, Shanghai Journal of Acupuncture and Moxibustion
  12. Acupuncture Combined with Medicine Effects on Outcomes of Patients with Endometriosis Who Accepted IVF-ET
    Yu Xiao-Li et al, Liaoning Journal of Traditional Chinese Medicine 2010 Vol 4 Liaoning Journal of Traditional Chinese Medicine
  13. Acupuncture for pain in endometriosis.
    Zhu, Xiaoshu, Kindreth D. Hamilton, and Ewan D. McNicol. Sao Paulo Medical Journal 131, no. 6 (2013): 439-439.
  14. Endometriosis.
    Linda C. Giudice, M.D., Ph.D. N Engl J Med 2010; 362:2389-2398June 24, 2010.
  15. Japanese-style acupuncture for endometriosis-related pelvic pain in adolescents and young women: results of a randomized sham-controlled trial.
    Wayne PM, Kerr CE, Schnyer RN, et al. J Pediatr Adolesc Gynecol 2008;21:247-257.
  16. Current evidence of acupuncture on polycystic ovarian syndrome.
    Gynecol Endocrinol. 2010 Jun;26(6):473-8. doi: 10.3109/09513591003686304. Lim CE, Wong WS
  17. Adaptogens Stimulate Neuropeptide Y and Hsp72 Expression and Release in Neuroglia Cells
    Alexander Panossian, Georg Wikman, Punit Kaur and Alexzander Asea, Front Neurosci. 2012; 6: 6.
  18. The Adaptogens Rhodiola and Schizandra Modify the Response to Immobilization Stress in Rabbits by Suppressing the Increase of Phosphorylated Stress-activated Protein Kinase, Nitric Oxide and Cortisol
    Alexander Panossian, Marina Hambardzumyan, Areg Hovhanissyan, and Georg Wikman, Drug Target Insights. 2007; 2: 39–54.
  19. Acupuncture for immune-mediated disorders. Literature review and clinical applications.
  20. Rogers PA, Schoen AM, Limehouse J, Probl Vet Med. 1992 Mar;4(1):162-93.
  21. Effects of Chinese herbal medicine for Yiqi Yangyin Quyu in treating Sjögren’s syndrome and on patients’ immunologic function. Wu GL, Han YM, Fan YS, Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Apr;26(4):322-4.
  22. Clinical study on the treatment of fallopian tube obstructive infertility with acupuncture and Chinese medicine.
    Ding li et al, Mod J Int Trad Chin Western Medicine17 (2014): 1828-1829 Modem Journal of Integrated Traditional Chinese and Western Medicine