Humaidan P . Brock K Bungum L . Stener-Victorin E.
The fertility clinic, Vyborg Hospital, Skive, DK7800 Skive, Denmark,
Reprod Biomed. Online, 2006 Jul; 13, (1):120-S.
Acupuncture & Protection of Embryo
Acupuncture boost blood flow to women’s reproductive organs and providing better nourishment.
Improve the lining of the uterus, enhance the embryo becomes embedded after conception.
Improve implantation and prevent the risk of miscarriage.
Affects many parts of the reproductive cycle by triggering the bodies own natural processes.
Trigger the hypothalamus and pituitary to release hormones that stimulates the production of FSH and LH
Individualized herbal formula
is most effective
Follow up monthly objective evaluation of hormone test.
Aware of the ART treatment and drug interactions.
Individualized Herbal Treatment
Mainly to nourish the reproductive organs, enhance ovarian function, promote follicles maturation and increase linings of the uterus.
Classic Herbal formula
Individualized herbal formula modification
Length of treatment various from 2 to 6 cycles
Safe for early pregnancy and prevent miscarriage.
Herbs that Benefits Fertility Angelicae Sinensis (Dang Gui) Asini Gelatinum ( E Jiao) Astragali (Huang Qi) Condonopsis (Dang Shen) Amomi (Sha Ren) Eucommiae (Du Zhong) Lycii Chinensis (Gou Qi Zi) Dioscoreae Oppositae (Huai Shan) Carculiginis (Xian Mao) Epimenddi (Xian Ling Pi) Sm. Cuscutae (Tu Si Zi) White Paeoniae (Bai Shao) Hetrophylii (Yi Mu Cao) Actinolitum (Yang Qi Shi) Epimedii (Yin Yang Huo) Gecko (Ge Jie)
Classic Herbal Formulas Benefits Fertility
1. Yu Lin Zhu- kidney deficiency
2. You Gui Wan- kidney deficiency
3. Wu Zi Yan Zong Wan- kidney deficiency
4. Ai Fu Nuan Gong Wan- cold uterus
5. Ren Shen Yang Rong Tang- Blood deficiency
6. Yang Jing Zhong Yu Tang- Blood deficiency
7. Chai Hu Shu Gan San- liver depression
8. Kai Yu Zhong Yu Tang- liver depression
9. Qi Re Xiao Yu Tang- Stagnant heat
10. Xiao Zhi Mo Dao Tan Tang- Phlegm dampness
11. Qi Gong Wan- Stagnant heat
Herbal Treatment Prevents Miscarriage -a Study from Fudan University of Shanghai, 2001
The process of conception and pregnancy involves a suppression of the T-help immune response
Herbal medicine could inhibit specific immune injury, reprogram the immune system to not react to self-tissue, allow the normal suppression involved in implantation to occur.
Individualized herbs: Du zhong
Classical Formulas: Dingxiang shi di tang (Clove and Persimmon Calyx decoction)
Chinese herbal medicine for subfertile women with polycystic ovarian syndrome - Reproductive endocrinology of Sichuan University medical school, China, 2010
RCTs, 344 patients of PCOS
CHM + Clomiphene vs. Clomiphene
There was evidence improving pregnancy rate
Chinese Herbal Medicine and Clomiphene citrate for Anovulation: RCTs by acupuncture Kitchen, San Francisco, CA, 2011
14 studies from Review of 1009 studies between 2000-2006
CHM+CC vs. CC
4 studies (28.6%) reported 14% higher BBT
6 studies (42.9%) reported 18% increase in OV rate
2 studies (14.3% reported 78% increase in endometrial lining > 6 mm
13 studies (92.9%) reported 50 % increase in pregnancy rate
Consider the etiology in TCM
Refer to fertility specialist
Evaluates partner’s health conditions
Release medical records for the history of illness
Follow up evaluation:
Monthly hormonal tests:
Day 2/3: FSH, Estrogen, prolactin
During ovulation: Basal temperature chart, mucus and ovulation kits
Day 21 or 7 days post ovulation: Progesterone
Day 2: # of follicles & size
Day12/13: sizes of follicles
Follow up with fertility physician’s plan closely and report any unexpected reactions.
Food Flavors Recommendation
Sweet -Tonifies and harmonizes and relaxes.
Pungent - Dispersing and invigorating, promote circulation, moves Qi, blood, & body fluid.
Sour Astringent -Absorbing, consolidating
Bitter - Dries damp, disperses, often clears, damp, edema and heat
Salty -softens and dissolves hard masses. Moistens and lubricates the intestines
Bland - diuretic, promotes urination and relieves edema
Foods that Invigorates Blood Week 1 of the cycle Eggplant Peanuts Red Bean Dates
Foods Nourishes Blood Week 2 of the cycle Beef Chicken eggs Grapes Lamb Chicken Fish
Foods that Benefits the lining growth (Week 3 of the cycle) Kale Spinach Apple Appricot Cherry Chinese Date Lemon Asian Pear Sesame seed ( brown) Sesame seed ( black)
Foods that benefits Kidney deficiency ( Week 4 of the cycle) Green beans Mulberry Raspberry Black beans Chestnut Lotus seed Walnut Honey
Food for clear the heat Papaya Lemon Cucumber Cantaloupe White rice Asparagus Carrot Sweet potato Fig Lenti Bok choy Celery Cucumber Peach Mung bean Red/green cabbage Chard Banana Pineapple White fungus
Foods that detoxifies Shitake mushroom Snow pea Pumpkin seeds Sunflower seed Soybean Olive Rice vinegar Tea
Food for drain dampness Alfalfa sprout Chinese Chive Onion or leek Parsnip Pumpkin and winter squash Turnip Winter melon Dried papaya Barley Rice bran Wheat bran Adzuki bean Beef Fish Cardamom seed
Foods that Relieves Food Retention Bamboo shoots Bell pepper Daiko radish Howthone Berry Plums Tomato Oats Pea Parsley Barley Malt syrup
Food that Strengthen Digestion Arise seed Brown sugar Cinnamon Clove Fennel seed Ginger root Molasses
Folic Acid - 400mg/day- development of baby’s brain and spinal cord (fortified cereals, green leafy vegetables, citrus, grapefruit)
Calcium - bone develop
Iron -prevent anemia ( green leaf vegetable, red meat)
Acupuncture can stimulate histamine release to dilate the blood vessels, therefore to improve the blood circulation, thus reduces varicose veins in the region
Most commonly selected points are located on the back and leg areas.
Frequency at 1-2 tx/wk or
based individualized treatment plan
Responses of TCM treatment
A 43 male with 3 months of combined
From < 18 million/ml to 93 million
Motility : from < 50 % to 97%
Morphology: from normal <20 % to 45 %
Hu,C. etl . Advanced Acupuncture, Inc. 2006
Los Angels, U.S.A
Acupuncture & Sperm Quality Improvement
Acupuncture effects on sperm production and quality without causing any changes in behavior and sexual desire.
Study of 28 men who ere diagnosed with idiopathic infertility received acupuncture twice a week over 5 weeks, significantly increase the quantities of normal sperm and equally reduces in structural defects.
Advanced Acupuncture, Inc. 2006, Los Angeles, U.S.A.
Effect of Acupuncture on Sperm Parameters
16 subject were coanalyzed before & 1 month after treatment
(Two times/week for 5 weeks)
16 subject of controlled, untreated for comparison
Evaluated by semen analysis and ultramorphyological observations.
The fertility index increased significantly in the treatment group (p<or =0.5)
Sperm motility and axonema intactness were highly correlated
(corr:= 0.50, p< or = 0.5)
Siterman S, Israel, 1997
Protocols improves sperm count and motility
Points: UB-23, 25, K5, Sp 6
Frequencies: 2 tx/wk X 5 weeks.
Lengths: 2-3 courses until sperm analysis become normalized
Jin Gui Shen Qi Wan
by repeat Sperm analysis between the acupuncture course.
Chinese Medicine improves semen morphology, motility, & count
Randomized clinical trial in Sydney, Australia, 2004
Acupuncture and herbal medicine
Improve sperm normal form: p<0.038
Improve semen motility: p<0.008
Improve count: mean increase 220 million sperm
Acupuncture in the treatment of Psychogenic Erectile Dysfunction
Randomized placebo-controlled pilots study, Austria, 2003
22 patients, satisfactory response =68.4%
Acupuncture can be effective option >2/3 of PED
Artificial Insemination (IUI)
The sperms are collected and send to sperm wash
More concentrated sperm count without semen.
Inject to female, let sperm surround with egg to penetration.
Option for male infertility
Alternative procedure when IVF did not respond well.
Intracytoplasmic sperm injection ICSI
For low sperm count & male infertility
Sperm & eggs are retrieved
Inject 1 sperm into an egg
Fertilized egg is then implanted
Spermophlebectasia (varicose vein of the spermatic cord)
Increases blood in the vein of the spermatic cord increases temp. in testicle decrease live sperm count and activity
Prolonged presence of the varicosity can result in poor blood circulation to the area & shrinkage/or dysfunction of the testicle unable to produce healthy sperm
Symptoms of Spermophlebectasia
Male age 20-30
Heaviness of scrotum
Pain at testicles, groin and lower abdomen
Standing and walking aggravates.
Resting in supine position alleviates
Signs: Scrotum enlarged and loose
Vein is enlarged and purple
Varicose veins are also present in the groin and inner thigh
Press vein, it shrinks or disappears
TCM treatment for Spermophelebectasia
Acupuncture can stimulate histamine release to dilate the blood vessels to improve the blood circulation, thus reduces varicose veins in the region
Individualized formulas based on the etiology to improve blood circulation, resolve blockage, and promote healthy sperm
TCM Treating Male Immune Infertility
Observation of “Yikang Tang” (decoction) to treat 100 pt with immune infertility
Compare with 100 cases treated with prednisone
AsAb decreased significantly, (p<0.01)
The sperm density and motile spermatozoa increased significantly
The sperm agglutination rate decreased
The improvement rate of the symptoms and stability of the therapeutic effect were more dramatic in the treatment group.
Has more stable effect for male immune infertility than Prednisone .
-Sun Z. Bao Y. 2006,Honzhong, China
Herbs That Benefits for Sperm Ginseng (Ren Shen) Tribulus ( Bai Ji Li ) Epimedii (Yin Yang Huo) Sm. Cuscutae (Tu Si Zi) Curculiginis Orchioidis (Xian Mao) Actinolitum ( Yang Qi Shi) Fr. Rubi (Fu Peng zi) Fr. Rosae Laevigatae (Jing Yin Zi) Eucommiae Ulmoidis (Du Zhong)