Why is Acupuncture popular during IVF?

Acupuncture is becoming increasingly popular within the IVF world and many clinics recommend acupuncture to patients to help support them through the journey. But what is it about acupuncture that makes it so popular for the IVF process?

There is a huge wealth of scientific study and evidence to show that acupuncture has a positive effect on IVF outcomes. It is easy to do a quick internet search to find lots of research articles and scientific studies on this topic. It is a widely researched area and there is a lot of interest. For further information about studies and outcomes, please see this fact sheet from the British Acupuncture Council.

Let’s now focus on the physical aspects of acupuncture and the IVF process. The reproductive system is a particularly vascular system, and therefore inserting needles into that area of the body will create a micro-trauma. This sends extra blood, oxygen and nutrients into the area, helping to regulate uterine and ovarian blood flow and encourage follicular development (eggs) and endometrial development (the lining of the uterus).

Acupuncture has an impact on hormones and the communication within the endocrine system, thus having a positive effect on menstrual cycles. Specifically points on the head can have a direct effect on the pituitary gland. Likewise, serotonin and dopamine are our neurotransmitters, and acupuncture can offer regulation of these, so patients start to feel better and in balance. Acupuncture therefore can help navigate the side effects often felt from IVF drugs, such as headaches, nausea, hot flushes, low mood.

For men, needles in the lower abdomen and legs is going to increase blood flow to the testes and will positively effect the semen. Semen are constantly being manufactured within the body so changes can happen quickly and swiftly.

Alongside the physical aspect of acupuncture there is also the emotional support an acupuncturist will offer as you go through the IVF process. Being able to talk to someone knowledgeable, caring and in confidence during a very stressful time, when you might be wanting to keep your journey private from friends and family, can be really helpful and a lifeline for support during the process.

How does Acupuncture work?

I am often asked how my therapies actually work. Like, really, how to they work? What are the fundamental principles by which Acupuncture effects the client?

Acupuncture is the insertion of very fine needles into the skin. At this very basic level, we are creating an immune response in the body, by piercing the skin. The skin is there to protect us, to act as the boundary between the interior and the exterior. The body reacts to the needles by stimulating the immune system to create more white blood cells ready to defend against a pathogen.

We can also say that the needles have a neurological effect on the body because beneath the surface of the skin we have the superficial fascia, which is our neuro-connective tissue. Think of it like cling film wrapping all the body parts together. This connective tissue runs throughout the entire body in varying different layers, separating, supporting and enclosing different body parts, but connecting them all together. By piercing this with a very fine needle at particular points stimulates the nervous system and can affect the whole body.

Fascinating!

If you would like to book in please get in touch.

IVF Acupuncture – Does it Work?

IVF acupuncture is acupuncture to support you through the IVF process.

Ideally you will work with me for 3 months before your IVF treatment begins so that you are fully prepared for success.

Many clients come to me after they have had an unsuccessful first round. We look at the unsuccessful cycle and review what happened, and reflect upon what can be done differently next time.

It is such an emotionally challenging and stressful time for couples; having independent support is invaluable. It’s not simply needles; it is having someone to talk to and knowing someone has your back throughout the journey.

Acupuncture points are often chosen on the lower leg, ankles and feet, wrists and abdomen. But everyone is individual and points are chosen based on your particular pattern.

Acupuncture is powerful after egg collection to help your body heal from this procedure quickly so that you are ready and energised for the embryo transfer around 5 days later.

Getting 1-2 acupuncture treatments in after egg collection, and then one before embryo transfer can be really helpful.

A “baby bank” with details of couples who have trusted in me to support them through their fertility journeys is forthcoming. I am also preparing an e-book to help you set good foundations for your fertility journey.

How can I increase my chances of IVF success?

IVF is a process which shouldn’t be taken lightly. It is hard on couples from all angles; emotionally, mentally and physically.

The drugs used are heavy duty; creating all sorts of side effects and mood swings. The process involves physical incisions through the vaginal wall and on the ovaries – multiple cuts in fact – depending on how many follicles you have. A lot of energy is required for your body to heal. You will also be sedated and this can take time to recover from.

Then there is the agonizing wait to see if any eggs fertilized, and how well they develop to day 5 where you will then have another procedure to transfer the embryo into your womb. And the 2 week wait begins, alongside more drugs.

It is an emotional roller coaster and exhausting; taxing mentally and physically with trips in and out of the clinic for tests and scans.

For such a consuming process, wouldn’t you want to prepare the best that you can to maximise your chances of success? Its not something you should walk into without first fully investigating what the problems are with your inability to conceive naturally, and to really prepare your body and the environment within which your eggs are recruited and collected, and then transferred back for implantation and ongoing pregnancy.

Preparation is key when it comes to IVF success. Don’t allow a fertility clinic to use your first round as a diagnostic; that’s way too expensive both financially and for your health and overall wellbeing.

Find someone to help you through the process and work with a specialist who can take a deep dive into your lifestyle and nutrition, and offer you acupuncture as part of your preparation program.

Contact me for an initial chat and start your preconception journey with me today.

How can I increase my chances of getting pregnant?

If you are reading this then chances are you are trying to conceive, and perhaps you have been trying for a while now and each month is a roller coasting of emotions ranging from the highs of hopeful to the lows of that one line showing on the stick.

One of the best things you can do is to take yourself off this roller coaster for at least 3-6 months. Stop “trying” and start focusing on collecting data, improving your lifestyle and nutritional choices.

Start tracking your cycle using a very basic thermometer to take your basal body temperature, and a paper chart. Mark down where your temperature is each morning before you get out of bed, and on which day of your cycle. Take note of your menstrual blood, spotting, discharge. Collecting this data for around 3 cycles can start to present patterns and markers that might indicate what is happening within your body and your cycle. Bring this with you if you decide to book in for acupuncture.

Get your bloods checked including a full hormone and thyroid panel. Get copies of these results and again bring them with you if you decide to come into clinic for acupuncture.

Really take a deep dive into your lifestyle; write down when you go to sleep, when you wake up, what you eat for each meal, whether you often get aches and pains. What exercise do you take, and what about your partner/husband? How much water do you both drink? Are you both eating a lot of processed foods? Do you use a lot of plastic?

Don’t go on this journey alone. Find a qualified practitioner to help you along the way. My fertility clients come in for weekly acupuncture where we look at everything in your life in detail and work out a plan of action to prepare you as a couple for conception, whether that is natural or IVF.

My clinic is based on the Fylde PR4. Contact me for a chat.

Is Acupuncture Worth it for IVF?

Acupuncture is very much worth it as part of your overall plan in preparing for conception.

It is well documented that it takes around 100 days/3 months, or 3 cycles, for an egg to be recruited and matured ready for ovulation, and similarly for a full sperm regeneration cycle to complete.

It is hugely important to give yourself time to prepare and improve your overall health and wellness, lifestyle, diet and nutritional aspects before conceiving, whether you plan to do this naturally or via IVF. If the raw materials are not in the best condition possible, then you will not be maximizing your chances for a viable conception, implantation, and ongoing pregnancy and the health of the child.

As an acupuncturist I work closely with couples to look at where problems might be hiding. Sometimes a small imbalance can lead to issues when it comes to fertility. Working holistically, I take a full medical and lifestyle history from couples trying to conceive, then work out a specific and individualized acu-point prescription to help re-balance what I see happening in the body. I look at tongues, ears, feet and feel your abdomen. I ask a lot of questions about your menstrual cycle, menstrual blood and digestive health, as this can tell us as lot about what might be happening within the body.

Acupuncture is hugely effective when it comes to IVF. Particular points can help with innervation to the ovaries and uterus, boosting Blood and Qi, giving a good bump up to the follicles, helping with uterine lining, managing oestrogen levels and holding off OHSS, as well as calming the mind and supporting the couple. It is also excellent for expediting the recovery after egg collection, and preparing the uterus for transfer. Which points are used will be individual to your own picture.

In my own clinical experience, couples who have taken the appropriate time and care to prepare for their next IVF cycle get the best results; either falling pregnant naturally or having a successful IVF cycle.

If you would like to book a full consultation to discuss your own situation please contact me. Prices can be found here.

Understanding AMH

If you are trying to conceive and gone down the “infertility road” a little way, then you may well have had your AMH levels checked. Many will call this your “ovarian reserve”, but as we explore further, it really isn’t that simple.

AMH stands for Anti-Mullerian Hormone. This hormone is produced by the granulosa cells, which are specific cells within a developing follicle.

Follicles take around 100 days to develop, and this must happen at a nice slow pace in order to reach ovulation. AMH is produced to prevent these delicate “pre-antral” follicles from being stimulated by Follicle Stimulating Hormone (FSH) too early. [Pre-antral means they they have left the “storage cupboard” but are now at the stage before they reach the final menstrual month where they will be competing for ovulation.]

The larger the follicles get, the more AMH they produce, until they are ready to be stimulated by FSH within the menstrual month.

Therefore, AMH levels can be used as an indicator of the number of antral or developing follicles you might have. However, this is not as simple as it sounds. It is not an indicator of dormant eggs you still have in “storage” i.e. total ovarian reserve.

In theory, if your AMH is low, this could mean that you don’t have many antral follicles coming up along the “production line”, and thus not producing as much AMH, but those that you do have could be a good size and of good quality. In contrast, you might have lots of antral follicles but not of a good size and not developing particularly well, and thus not producing much AMH.

So really, AMH is not a good indicator for determining your complete ovarian reserve. What it is useful for is for IVF clinics to gauge an idea of how many follicles they might be able to work with during an IVF cycle. But without considering other factors, a fully rounded picture cannot be seen.

Other factors to consider

Age is the main factor when looking at fertility. There will be a slow and natural decrease in AMH as we get older.

If you are a younger woman with low AMH for your age group, there are other factors to consider including vitamin and mineral deficiencies, blood flow to the pelvis, inflammation and autoimmune responses, contraceptive drugs, smoking/vaping, sleep quality, stress, infections. All of these factors can have a significant impact on the ovarian environment, and with improvements in place, AMH can rise.

My advice would be not to get fixated on AMH levels, and certainly do not look at them in isolation. Take a good look at both your own and your partner’s overall health and lifestyle, get support from an holistic practitioner. Take time to make improvements to your diet and lifestyle (remember the 100 days) to do everything in your power to improve that internal environment within which eggs are recruited and developed, within which sperm are created, and the uterine terrain in which they come together to create new life.

Other useful information

Listen to this episode of Hannah Pearn’s podcast, talking about Low AMH and what it really means for your fertility

This is a great E-book if you want to know the answers to all the burning questions you have about low AMH: https://www.explaininginfertility.com/courses/LowAMH-ebook

This was a large study which measured AMH levels in a group of 1015 women who had no known fertility issues and who all had a proven level of fertility (conceived a child within 12 months of trying and carried to full term). Almost without exception, this presented those with low AMH were more likely to conceive. Thus, this research shows that it is possible to be naturally fertile with low AMH. https://pubmed.ncbi.nlm.nih.gov/24716733/

Does ICSI have all the answers?

Since the advent of ICSI (Intracytoplasmic Sperm Injection) problems with male factor in infertility can be addressed and bypassed with this procedure. The ICSI procedure allows particular sperm to be selected for use and manually injected into the egg by the embryologist using a microscopic needle.

But does ICSI always give us the best outcomes?

If the quality of sperm is sub-optimal, the question one has to ask is what impact will this have on the ongoing pregnancy and health of the child going forward?

In Traditional Chinese Medicine (TCM) our Jing is the substance we inherit from our parents at the moment of conception. Our Jing fuels our growth and development not just through conception and prenatal growth, but all through our lives from infancy to puberty, adulthood and beyond. Jing dictates our constitution and vitality as we move and age through life.

So if we completely disregard the quality of the sperm in favour of the ICSI procedure, what impact will have on the health of the life created? If a sperm is unable to penetrate an egg on its own, what does that say about the underlying Qi of that sperm?

So although ISCI is a wonderful and exceptional advancement in fertility medicine and assisted reproductive techniques, I do believe it should be firmly balanced with other perspectives of male health and vitality.

Sperm are continually created within the body, so taking a break for around 3 months before the next round of IVF is an optimal amount of time to put lifestyle changes in place. Dietary, lifestyle and nutritional changes can have a huge impact on sperm quality.[1] Taking this time and making this effort to improve the underlying Qi and Jing that is passed onto the next generation is fundamentally important. Things to consider:

  • Stop smoking/vaping;
  • Reduced consumption of refined sugars, processed foods,
  • Reduced consumption of alcohol;
  • Increased consumption of a wide variety of vegetables and fruit;
  • Take regular exercise;
  • Increased water intake;
  • Reduce the use of plastics for cooking and water/food storage (switch to glass)
  • Supplement with a good quality preconception multivitamin to include zinc, selenium, omega 3 fatty acids, antioxidants;
  • Reduce stress (look at meditation, reflexology, acupuncture, spending time in nature);
  • Keep mobile phone away from body [2];
  • Ejaculate frequently [3].

Other options to explore before diving straight into IVF/ICSI:

  • Having a full examination to rule out varicocele, hydrocele and other physical abnormalities;
  • Bloods taken for a full hormone profile;
  • Checking the microbiome to rule out any infection which might be causing levels of damage to the sperm.

“Mounting evidence suggests that the gut microbiome plays a key role in normal spermatogenesis and can be negatively impacted by diet and environmental perturbations.” [3]

Of course, every couple is individual, and factors such as age, for example, will also determine your route to IVF and ICSI.

If you are looking for fertility support in Lancashire please get in touch.

If you would like support through your fertility/IVF/ICSI journey with acupuncture please get in touch.

References

[1] https://pubmed.ncbi.nlm.nih.gov/32397485/

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7848840/

[3] https://rbej.biomedcentral.com/articles/10.1186/1477-7827-10-115

[4] https://www.fertstertreviews.org/article/S2666-5719(23)00001-4/fulltext

Fertility and Constipation

If you suffer with regular constipation, and are trying to conceive, then improving your bowel movements can make a huge difference to how you feel and improve your chances of conception.

When we don’t release our waste at least daily, we are storing lots of debris and toxins within the body. We are also compromising our main detox pathway, and this means that new waste cannot be released by the body, leaving us feeling bloated and sluggish, and disrupting chances of conception.

If you are on a lot of medication, for pain for example, then this can also contribute to constipation.

If you find that your faeces is sticky and you are having to wipe a lot to get clean after using the toilet, then you could be at risk of trans-locating bacteria from the bowel into the vagina, causing vaginal dysbiosis: upset with the vaginal biome. If this happens then the vagina is not an environment that is friendly to sperm, and won’t be conducive to conception, as well as potential additional symptoms such as vaginal pain and itching, creating distress and anxiety.

The bowel is the body’s main detox pathway for oestrogen. Excess oestrogen is bound up in the liver and then released into the bowel for excretion. If it is not excreted regularly then this means that excess oestrogen is remaining inside the body, causing imbalance and disharmony. Furthermore, if you have gut dysbiosis, this can signal to the bowel to reabsorb the oestrogen coming from the liver, and send it back into circulation again. This then creates an oestrogen dominant state within the body.

General lifestyle tips for relieving constipation and improving the consistency of the stool is to increase your consumption of vegetables and fruit, and to increase your water intake. Please also see my other blog post on constipation in general, and for self-help tips.

If you are looking for fertility support in Lancashire please get in touch.

If you are experiencing issues like this, or other issues relating to fertility support, please get in touch with me for an appointment.

IVF: Why days 3-5 are key

When going through IVF, and in particular ICSI (Intracytoplasmic Sperm Injection), its super important to pay as much attention to male factor as it is female.

Usually when using ICSI there is an issue with sperm, and its ability to penetrate the egg for fertilisation. This might be due to poor morphology or low sperm count for example. Or perhaps you have tried IVF before and the eggs failed to fertilise naturally. ICSI allows the sperm to be injected directly into the egg by an embryologist.

Some might say that the ability of the sperm to penetrate the egg is no longer important as this penetration is bypassed by the injection technique.

However, just because the sperm is manually injected into the egg, doesn’t mean that its role is then finished!

As the embryo starts to develop, the egg’s energy is solely used to power cellular division, up to around day 3. From day 3-5, the male chromosomes start to contribute to the development of the embryo.

If you have experienced embryos that have arrested in development at this stage, it is a clear message that what’s actually underneath isn’t healthy enough, the genetic material isn’t viable enough, what’s happening with the male Qi is not good enough for the sperm to power through an embryo development.

Taking time for the man to work on and improve his health and lifestyle for the next 3 cycles before going for another round of IVF is super important and really effective.

Allowing a couple 3 months to prepare for conception, whether that be naturally or through IVF is really good advice. It takes around 100 days for an egg to mature, and the same amount of time for health improvements and lifestyle changes to be reflected in sperm.

Taking the time to really focus on your health and prepare properly really is key when you are trying to conceive.

Book in for acupuncture with me today and start your journey feeling fully supported and empowered through your fertility journey.

If you are looking for fertility support in Lancashire please get in touch.