Acupuncture and IVF

Acupuncture is a component of traditional Chinese medicine that can be traced back for at least 4000 years. Acupuncture is based on the theory that disruption of energy flow (Qi) along pathways known as meridians can result in disease. Acupuncture involves the placement of thin metallic needles in the skin along certain points that connect these meridians. It has been used over the centuries to treat various ailments and more recently has been used to treat fertility problems. The use of acupuncture as an adjunct therapy in the treatment of infertility has been the subject of several studies over the past few years. The studies vary in their design, the location of needle placement and the timing and frequency of treatments. Most of the studies have been done in the context of an IVF cycle. Although not all individual studies have demonstrated a benefit, when viewed as a whole, the studies do suggest a modest benefit on live birth rates with IVF. A recent review of the use of acupuncture in IVF cycles (British Medical Journal, Aug 15, 2008) did indicate a statistically significant improvement in pregnancy rates with acupuncture compared to placebo. The number needed to treat to obtain one additional live birth with acupuncture was nine. Stated otherwise, nine women would need to do acupuncture with their IVF cycle to achieve one additional live birth that would not have otherwise been achieved.

The mechanism by which acupuncture may improve pregnancy rates is not known. It has been hypothesized that acupuncture may alter certain hormones and neurotransmitters that affect the uterus and ovaries. These hormonal changes may improve uterine blood flow and relax the uterus at the time of embryo transfer, resulting in improved embryo implantation. It should be noted that in the studies that have shown an improvement in pregnancy rates, acupuncture was performed twice on the day of embryo transfer; once shortly before transfer and again shortly after embryo transfer.

We do not discourage the use of acupuncture in patients undergoing IVF, although we believe the data on its benefit is still inconclusive. If you elect to do acupuncture during your IVF cycle we recommend you use a licensed acupuncturist and have the procedure performed on the day of embryo transfer. You should inform your doctor if you are doing acupuncture or are receiving any other alternative medical therapy.