In vitro fertilization (IVF) live
birth success rates increase with traditional Chinese medicine adjuvant care,
including both acupuncture and herbal medicine. Researchers investigated 1,231
IVF patient records and compared live birth outcomes for patients receiving IVF
only and patients receiving IVF plus Chinese medicine. Acupuncture combined
with herbal medicines plus Chinese medicine dietetics, lifestyle, and
nutritional recommendations resulted in significant increases in live birth
rates. The research team used the term whole-systems traditional Chinese
medicine (WS - TCM) for the integrated protocol.
The Chinese medicine live birth rate
increases were for both fresh donor and non-donor embryo transfers. Patients
receiving integrated Chinese medicine adjuvant care had an 85.7% live birth
rate. Patients receiving only IVF standard biomedicine care had a 62.5% live
birth rate. All integrated Chinese medicine treatments were individualized to
each patient.
The researchers note that Chinese
medicine focuses on regulating the menstrual cycle in four phases for the
treatment of reproductive concerns: menses, follicular, ovulation, luteal.
During the menstrual cycle, treatment focuses on regulating the menses and
alleviating dysmenorrhea. The follicular phase focuses on regulating
reproductive hormones plus endometrial and follicular development. The
ovulation phase focuses on ovulation induction and the luteal phase involves
regulating hormones.
The integrated Chinese medicine care
included differential diagnostics and recommendations made by licensed
acupuncturists. Acupuncture included both body style and auricular acupuncture.
Needles ranged from 0.18 mm - 0.25 mm in diameter and 30 - 40 mm in length for
all body style acupuncture points. Several brands of needles were used in the
study: Vinco, Sierin, DBC. Electroacupuncture devices were the ES-2 (Heliomed,
China) and the Electrostimulator 4c (Pantheon Research, Venice, CA). Tuina
massage, moxibustion and far infrared TDP heat lamps were also used. Herbal
medicines were distributed to patients in granular or tablet form.
Recommendations for supplements included prenatal vitamins, antioxidants,
probiotics, and essential fatty acids.
The Oregon College of Oriental
Medicine Institutional Review Board approved this study and reproductive
outcome data was obtained by the Northwest Center for Reproductive Sciences
(Kirkland, Washington). Acupuncture was applied by licensed acupuncturists
certified by the National Certification Commission of Acupuncture and Oriental
Medicine (NCCAOM®).
Patients receiving fresh donor and
non-donor embryos were included in the study. Also, pre-implantation genetic
screening testing or intracytoplasmic sperm injection cycle patients were
included. The researchers note that “all biomedical diagnoses were included” to
reduce selection bias. This included FSH issues related to diminished ovarian
reserve, antral follicle count concerns and anti-Müllerian hormone concerns.
Frozen embryo or embryos from frozen oocyte patients were excluded from the
study.
- From
http://www.healthcmi.com/Acupuncture-Continuing-Education-News/1437-acupuncture-herbs-raise-ivf-live-birth-rate#sthash.nMfF8i86.dpuf