What is the difference between regular acupuncture and fertility acupuncture?

Fertility acupuncture is very similar to regular acupuncture in that it will still try to address common issues such as pain, digestive issues, headaches, hormonal imbalances etc. as part of the wider picture of a fertility patient. However it focuses a lot on reproductive health and treating the meridians that target this area of health. Common points are found on the wrists, ankles, feet, lower legs, abdomen and lower back.

Fertility acupuncture aims for the optimal internal environment for each particular patient. This means that it’s not a generic set of acupuncture points for everyone; each patient is treated as an individual. There is no one size fits all in any aspect of health.

Happy pregnant woman preparing for her baby.

Fertility acupuncture tends to prioritise regulating the menstrual cycle, increasing blood flow to the ovaries and uterus, and regulating sperm health for the men. Stress management and building resilience to stress is also key when trying to conceive. This is something that is always prioritised in clinic.

When coming for fertility acupuncture it’s advisable to plan to come weekly for 3 months as this is the length of time it takes for an egg to be recruited, matured and finally ovulated. What we do now has an effect on those eggs ovulating (or collected via IVF) three months down the line.

During those 3 months we treat through the menstrual cycle, meaning that when you’re bleeding the focus is on good blood flow and emotional support as a period means no pregnancy. During the follicular phase the focus is on follicular development so good blood flow to the ovaries and uterine lining.

Fertility acupuncture works with each phase of assisted reproductive techniques such as IVF/ICSI to really enhance your response to the treatment you’re having, and manage the side effects of the medication.

When you work with a fertility acupuncturist, you gain insights and education from someone who has a regular practice in this area of health; someone who understands the process and what is involved. It’s not just needles; it’s fully rounded support.

If you would like to discuss your situation with me or would like to book in with the clinic in Warton, near Preston, Lancashire, please get in touch. Please read some of the success stories from the clinic here.

Why does IVF fail the first time?

Often the first round of IVF is used as a diagnostic. This means that the clinic will use a first round to assess where particular issues might be.

Human sperm being injected into an egg via ICSI.

For example, if the embryos are failing at day 3 then this can tell us that there is a problem with the health of the sperm.

Another example would be if the embryos are graded well but there is still no pregnancy then this could potentially mean there is an issue with the uterus, lining or progesterone receptivity.

Depending on where the procedure failed can give clues as to what is creating the unexplained infertility picture.

Unfortunately this first round is not something that should be taken lightly. Often it is a huge financial investment, not to mention the physical demands on the body, as well as the mental and emotional strain the process has on a couple.

When I work with clients I try to allow us at least 12 weeks to prepare for the next round of IVF. I take a very well-rounded consultation and full health intake to make sure we can drill down to where potential problems are sitting, and then increase the chances of a successful outcome.

Unfortunately I have seen scenarios where, had the couple not come for acupuncture, could have been a very different outcome. For example a couple who had all embryos fail at day 3 were told they needed donor eggs. No mention of improving the health of the sperm, which can be so easy to do with lifestyle and nutritional changes. Luckily this couple worked with me for 3 months and had a successful second cycle with their own eggs, and are now proud parents of a baby boy.

I’ve also seen clinics attempt a second cycle without really looking at the first one in detail. For example one client approached me after a failed fresh cycle. It was clear that there were microbiome issues and also a potential progesterone receptivity issue that we pushed to be checked during the second cycle, and the transfer was consequently halted due to low progesterone. Once we had this confirmed, a third cycle was successful after careful adjustment and monitoring of progesterone medication.

My training and continued learning and development gives me the tools to ask the right questions and see the infertility picture through a different lens. With access to the understanding of Chinese Medicine we can often see where problems lie early on.

If you are trying to conceive and need help, support or advice please get in touch.

Understanding Morning Sickness and Chinese Medicine in Pregnancy

Pregnant woman experiencing morning sickness and nausea.

Morning sickness is a general term we use to describe the feeling of nausea associated with pregnancy.

Although many women who experience morning sickness only feel ill in the mornings, many women actually feel ill all through the day and night. So it isn’t always about feeling sick just in the mornings.

When we sleep, we lay down for a long period during the night, and this can cause fluids to “sit around” and start to stagnate. Gentle movement such as walking out in the fresh air can help to get that fluid moving and circulating again. Ginger tea can also help with this.

Pregnancy uses up a lot of Qi, and many women feel worse when they don’t allow themselves enough rest. Perhaps still working 9-5, perhaps still pushing forward with other commitments and goals. If we use up a lot of Qi doing these things on top of pregnancy then there is little Qi left to move fluids around the body efficiently, creating the feeling of nausea. Adequate rest is really important.

Let’s talk a little bit about Chinese Medicine. The Chong Mai is the Sea of Blood and this will be sending Blood to the Uterus to nourish the foetus. This can overflow and start backing up, particularly in early pregnancy, creating the sense of nausea. This is why morning sickness often improves as the pregnancy progresses, as the foetus grows and the body adapts to the new life growing inside. The Chong Mai is closely linked with the Stomach channel. As the natural movement of Qi within the Stomach is downwards, “Rebellious Qi” describes it rebelling upwards, creating the feeling of nausea. Acupuncture can help to strengthen the descending action of the Qi to alleviate symptoms.

Sea bands are based on Pericardium 6 acupuncture point on the wrist which harmonises the Stomach and alleviates nausea and vomiting. My clients are often sent home with stick-on magnets to use on this point and perhaps others depending on the individual pattern. Using these in between acupuncture sessions can be really beneficial.

Why is Acupuncture popular during IVF?

Acupuncture needles.

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.

IVF Acupuncture – Does it Work?

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

Artistic interpretation of ovaries, uterus, cervix and vagina.

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.

IVF eggs under microscope.

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.

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

IVF: Why days 3-5 are key

Embryo forming.

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.

Acupuncture for Infertility

Acupuncture is a tried and tested system of traditional medicine, which has been used in China and other eastern cultures for thousands of years to restore, promote and maintain good health.

Research has found that acupuncture treatments can have a positive effect on those trying for a baby and can actually aid the conception process.

Fertility focused acupuncture treatments can help to increase blood flow to the reproductive organs, balance hormonal levels, regulate the menstrual cycle and help improve the lining of the uterus and quality of eggs released. Additionally, conditions such as polycystic ovaries and endometriosis have also been shown to improve with acupuncture.

Benefits to male fertility have also been helped by acupuncture with positive effects on sperm count, sperm morphology and mobility.

Some of the positive effects of acupuncture in fertility treatments are thought to include:

  • regulates the menstrual cycle and promotes regular ovulation
  • regulates the hormones to produce larger numbers of follicles
  • improves the functions of ovaries to produce better quality eggs
  • enhances the vitality of sperm
  • relieves the side effects of drugs used in IVF
  • increases the thickness of the uterine lining so to encourage successful implantation
  • reduces the chance of miscarriage

It is known that stress has an adverse effect on the fertility hormones. Acupuncture can be used to support the process, thus enabling couples to cope with any stress and anxieties they may experience during this time. The acupuncture treatment can help promote a calm, positive and relaxed frame of mind which can bring a more successful outcome for conception.

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

Information for this blog has been taken from British Acupuncture Council

Jackie Marsden MAR is a qualified reflexologist and clinical acupuncturist, working from Elder Cottage Clinic, Warton, nr. Preston.