Improve your IVF success rate with Acupuncture

Improve your IVF success rate with Acupuncture WE COMBINE THE WISDOM OF TRADITIONAL CHINESE MEDICINE, MODERN TECHNOLOGY, AND PATIENT-CENTERED CARE FOR YOU TO THRIVE IN TODAY’S FAST-PACED WORLD. Share Infertility is more common than we think. Statistics have shown that 40% of married Singaporean couples who are actively trying for a baby are “not happy” with their progress. Many factors such as stress in our lives, our sedentary lifestyle, chemicals and toxins from our environment or the food we eat, may cause infertility. To help more couples fulfil their baby dreams, Oriental Remedies Group will be sharing a series of articles on fertility issues, for both male and female fertility. Whether you are: Trying to conceive naturally Going through assisted reproductive technology such as IUI Preparing or going through IVF, fresh or FET cycle We will share how TCM can be used to help condition the body for conception naturally and via assisted reproductive technology such as IUI and IVF. The path towards conception can be long and daunting and we hope to help educate and bring practical solutions for couples. For this specific article, we will look at how TCM can help the female during the IVF process. Fertility Series: Acupuncture for females during IVF What is IVF? In vitro fertilization (IVF) is a complex series of procedures used to help with fertility or prevent genetic problems and assist with the conception of a child. During IVF, mature eggs are collected from ovaries and fertilized by sperm in a laboratory. Then the fertilized egg (embryo) or eggs (embryos) are transferred to a uterus. One full cycle of IVF takes about three weeks. Sometimes these steps are split into different parts and the process can take longer. How can acupuncture help? Research has proven that TCM can help condition your body and therefore increase the success rates with IVF.  This can be done through various ways such as through taking herbal medication and acupuncture. In this article, we will discuss how acupuncture complements IVF. 1) Effect on Ovarian Follicles Acupuncture has positive effects on ovarian follicles and assists in ovulation. Modern medicine believes that acupuncture helps to regulate the function of the hypothalamic-pituitary-ovarian axis system, which improves the secretion of various hormones such as the follicle-stimulating hormone, luteinizing hormone, estradiol, progesterone etc.[1]. This enhances ovulation in the individuals[2]. Farnoosh Bidouee’s study[3] on acupuncture in 120 infertile patients who received artificial insemination discovered that ovulation is improved after acupuncture.  2) Effect on Ovaries During IVF, follicular growth after ovulation induction is dependent on the blood supply of the ovaries. Studies [4][5] have shown that acupuncture in IVF patients increases the blood flow to the ovaries as compared to the placebo acupuncture group and control group. Therefore, acupuncture can improve the blood circulation in the ovaries and uterus, which helps to promote the growth and development of follicles. 3) Effect on Endometrial Receptivity Endometrial receptivity is a temporally unique sequence of factors that make the endometrium receptive to embryonic implantation. It is closely related to the success of implantation and pregnancy. Various conditions such as endometriosis, polycystic ovary syndrome and luteal insufficiency can affect endometrial receptivity. Zhong et al[6] has concluded that acupuncture is effective and safe to use in women with low endometrial receptivity, thereby increasing the chances of pregnancy. 4) Effect on Emotions IVF is a process that can be emotionally intense and stressful for the couple, especially so for the female who has to go through hormonal changes, side effects of drugs and potential complications of the medical treatment. The most common psychological challenges of infertile patients are depression and anxiety. These adverse emotions may be due to various factors such as high treatment cost, frequent blood draws, intramuscular injections, side effects of various complications etc. A number of studies [7][8] have shown that consecutive sessions of acupuncture from the day of injection of gonadotropin till HCG day, can reduce the excitability of the sympathetic nervous system, relieving negative emotions which aids in increasing the pregnancy rate. All couples who are preparing to start a family naturally or for those who are undergoing assisted reproductive technology, such as IUI and IVF can benefit from doing acupuncture to condition their bodies. What is the treatment schedule for acupuncture in IVF patients? Timing is essential during IVF and therefore there is also a recommended treatment schedule for acupuncture on IVF patients. The schedule is as below: Your journey is the most important! In Oriental Remedies Group, we have more than 10 certified bi-lingual TCM Physicians. Each of them has been trained in both Nanyang Technological University (Singapore) and China for a minimum of 5-8 years, in both Biomedical Science and TCM before being certified to practice in Singapore. Specifically, we have Physician Poh who specializes in female fertility, gynaecological conditions and beauty. IVF is a procedure that takes time, effort and great determination. The chances of success if higher when the female further prepares her body for the procedure. With current research on how acupuncture complements IVF, we hope to be able to help more females trying for IVF. Do contact us at +65 8087 0486 for a personalized consultation to help you with your worries. Also, when it comes to fertility, it really does taks two hands to clap. The male partner who does his part to ensure that the sperm quality is optimal for use during IVF increases the couple’s chances. Do refer to our earlier article by male fertility expert, Physician Lim, to find out more about improving male fertility in order to improve quality of sperm – Improving Male Fertility Using Traditional Chinese Medicine (TCM) For those who wants to start a family naturally and wants to find out how you can prepare yourself and your partner, do also look out for our other articles on fertility. This article is written by Senior Physician Leong Weizhen, with contributions from Senior Therapist Hannie Hong. Leong Weizhen Chief Medical Officer, Lead Physician VIEW QUALIFICATIONS Disclaimer: The content on this page is for informational and educational purposes only. Such medical information may relate to disease, injury, drugs and other treatments, medical

Improving Male Fertility Using Traditional Chinese Medicine (TCM)

Improving Male Fertility Using Traditional Chinese Medicine (TCM) WE COMBINE THE WISDOM OF TRADITIONAL CHINESE MEDICINE, MODERN TECHNOLOGY, AND PATIENT-CENTERED CARE FOR YOU TO THRIVE IN TODAY’S FAST-PACED WORLD. Share If you and your spouse have been actively but unsuccessfully trying for a child, please know that you are definitely not alone. According to the World Health Organization (WHO), infertility will be the third most serious health condition after cancer and cardiovascular diseases plaguing humanity in the 21st century. About 40 per cent of married Singaporean couples who are actively trying for a baby are “not happy” with their progress, according to a recent survey on fertility health released in July 2019. While women traditionally bore the stigma of infertility and childlessness, the man’s role in infertility issues is gaining awareness. Recent statistics show that married couples experiencing infertility are due to problems arising from the male partner.1 While there is a lack of nationwide data regarding male reproductive health, doctors say rising male infertility rates here mirror the global phenomenon of declining sperm quality in the last 40 years. How is infertility defined? Infertility is defined as a failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. How can Oriental Remedies Group help men who are experiencing infertility issues? Note: All words in Italics refer to the TCM organ-system and not the anatomical organ referenced in western medicine. Step 1: Full analysis of the semen analysis report The first step to understanding male infertility involves making sense of the semen analysis report. According to the 5th edition of the WHO laboratory manual for the examination and processing of human semen, a normal semen sample should fulfil the parameters below: An example of a semen analysis report A sex hormone test (testosterone, estrogen, FSH, LH and prolactin levels) can be very helpful in providing the physician with baseline information about your endocrine health. This report combined with other findings mentioned above helps the physician determine the number of courses required for treatment. An example of a sex hormone test. Source: Reddit In a typical consult, our experienced physicians would encourage our patients to bring their past health reports especially any fertility test results for a holistic understanding of the couple’s health conditions. Step 2: Understand the root cause issues from a TCM perspective Male infertility can be due to many factors ranging from congenital factors, dietary habits, emotional extremes, external pathogenic factors, external injuries and maltreatment among various others. However, not every male exposed to the same external factors results in infertility. This can be attributed to the health of the individual’s Kidneys. With this understanding, modern eminent TCM andrologists like Professor Xu Fu Song(徐福松) and Wang Qi (王琦) have successfully treated numerous patients for many decades by combining continual research in TCM and use of scientific advances in semen analysis and endocrine testing. TCM believes that the Kidneys govern the pre-natal essence or Jing(精) in the human body. This pre-natal essence is what determines the quality of our reproductive ability to carry on the family line. Having said that, the quality of the Kidney essence depends largely on the surplus Qi(气) which our other organs produce. TCM handles male infertility by understanding if there are excess or deficiencies in the body. Tonifying deficiency and removing excess is a fundamental technique used to restore balance and harmony to the body. The semen analysis content is first divided into classifications of excess or deficiency. For example, when there is a diminished sperm concentration, it could signify a deficiency in the body resulting in Kidney deficiency. When the percentage of sperm with normal morphology is low, it usually signifies that there is an excess in pathogenic factors that have to be cleared in order to restore balance to the body. Other than the semen analysis, the sexual function of the male is also assessed as different symptoms of erectile dysfunction or premature ejaculation could provide clues as to which organs are not functioning optimally. Examples like erectile dysfunction during stressful periods is a signal of Liver Qi stagnation whereas premature ejaculation combined with frequent sweating alludes to Lung Qi deficiency. Step 3: Customised treatment approach at Oriental Remedies Group (ORG)? Because everyone is unique and lead dissimilar lifestyles, a one size fits all approach will be insufficient to manage this issue. Only a holistic approach taking into consideration all factors that result in poor fertility can TCM manage this condition. This means that not only will you regain your reproductive health, your general health will also see visible and perceptible improvement. Through our TCM diagnosis and observing how our body reacts to our diet, lifestyle and environment, we can empower you to make the right choices and tailor-make a treatment course most beneficial to your reproductive health. What are the treatments offered for fertility improvements? Herbal Medication Our experienced and well-trained physicians will go through with you your body condition, daily habits and so on to gain a better understanding about the root causes of the imbalances in your body. For example, if the root cause is due to spleen deficiency and dampness, the physicians may prescribe Bai Zhu, Fu Ling and Yi Yi Ren to tonify the Spleen and remove dampness. If the issues are more related to Kidney Yin deficiency, the physicians may use Gou qi zi, Shu Di Huang, Shan Zhu Yu to replenish Kidney Yin. As for damp-heat, Tu Fu Ling, Bi Xie and Che Qian Zi to clear heat and drain dampness. For infertility patients, common herbs that are prescribed to help boost the quality of sperm include Gou Qi Zi, Tu Si Zi, Wu Wei Zi, Fu Pen Zi and Che Qian Zi. These 5 herbs combine to form a decoction called Wu Zi Yan Zong Wan, the premier fertility decoction of ancient and modern times. However, the components of each infertility patient’s medication would differ based on the root cause(s) and deficiencies they may have. Acupuncture Acupuncture uses very fine needles into specific points along the meridians to correct the imbalances of the various organs. In one study regarding acupuncture and abnormal semen parameters, acupuncture was used to stimulate 4 points on the body namely, BL23 (Shen Shu), ST36 (Zu San Li), CV1 (Hui Yin) and CV4 (Guan Yuan). A placebo control group together with a blank control group were