Our ability to create life is one of the most beautiful and incredible aspects of our world. For many, however, the act of conception proves to be very difficult, which can be the cause of much distress and frustration. A couple is considered to have fertility issues if they have been trying to conceive for a year with no success. This difficulty with conception may affect up to 25% of all couples planning a child.
Treating the Root of Infertility
Unfortunately, it is common for couples having difficulty conceiving to be led directly to Assisted Reproduction Technologies (ART) such as In-Vitro Fertilization (IVF). As I see it there are a couple of problems with this approach:
- Unaddressed Health Imbalances The likely culprit is often some sort of health imbalance that is not being addressed. These imbalances run the gambit from uncontrolled stress to immune dysregulation to hormonal imbalances to nutritional factors (even if taking a multivitamin).
- Male Causes of Infertility Often when dealing with fertility issues, one finds the woman in the relationship rushing to the clinic at 7 am before work, footing much of the work and taking on much of the responsibility herself. Statistics show, however, that infertility is often almost as likely to be male factor as it is female factor. This is one area to which Western medicine often pays too little attention. The male factor often needs to be much more closely scrutinized, as there is a lot more to a man’s ability to conceive than just a normal semen analysis.
- Healthy Children Start with Healthy Parents Whatever the underlying physiological issues are, they can likely be addressed with lifestyle, acupuncture, herbs, and functional nutrition. Once the body is brought into better balance one will feel much healthier in addition to having a healthier baby. There are several research studies that show the health of a baby begins in utero.
Bringing the body into a healthier, happier state also underlines another reason I advocate trying the functional health approach prior to jumping straight into procedures such as IVF. Chinese Medicine and Functional Medicine aims to treat the root causes of infertility itself. Though the data is controversial, there have been several studies that show a higher rate of birth defects in IVF. (albeit small 1.5% vs 1%). This leads me to wonder whether these defects are due in most part to the fact that the root cause of the infertility is not addressed throughout the ART procedures. Perhaps this leaves the body inadequately prepared for an optimally healthy pregnancy. Whatever the truth is here, it is just another reason to see how your body can improve through complementary health options before jumping straight into ART options.
Examine Your Options
Western ART medicine certainly has its place in helping couples conceive, since many cannot without the technology. However, couples should know that it does not have to be their first treatment choice. Functional nutrition, herbs, and acupuncture can actually treat the imbalances that exist in the body, thus treating the root cause of infertility. The idea is to create healthy babies and healthy parents. Using these holistic approaches, couples not only conceive but will also experience a healthier pregnancy and postpartum once it is brought into the world.
I am Board Certified in Reproductive Medicine. If you are having trouble conceiving please contact me for a free fertility consult to determine if I can support your reproductive health toward having a successful and healthy pregnancy.
Click here for the Fertility FAQ
If you have any questions call the office 978-461-2001 and I will be happy to meet with you for a free consultation about your specific fertility challenges.
*In July 2007 I was diagnosed with PCOS and recommended hormonal treatment by my gynecologist. As I did not feel ready to go this way, my husband and I decided that I should to try acupuncture.
In November 2007 I began acupuncture treatment with George Mandler. For 2 1/2 months I had weekly appointments, which were not only relaxing and enjoyable but also helped me get back into a good balance. After having had irregular periods for almost a year, they came back – the combination of the acupuncture and George’s knowledgeable advice for dietary changes worked tremendously. I appreciated his calm and reflective approach to Eastern medicine and Western science, as well as the peaceful atmosphere in the clinic.
I became pregnant in Feb 2008 and I am feeling fantastic.Margaret D., Cambridge, MA
*These testimonials do not imply that similar results will happen for you by using our services. The testimonials displayed in the text are shown verbatim and in their full length and no compensation was received in return.
References
Cochrane S1, Smith CA2, Possamai-Inesedy A3, Bensoussan A2. Acupuncture and women’s health: an overview of the role of acupuncture and its clinical management in women’s reproductive health. Int J Womens Health. 2014 Mar 17;6:313-25. PMID: 24669195. [PubMed] [Read by QxMD]
Acupuncture and other modalities of Chinese/East Asian medicine have been used to treat women’s health for many centuries. Gynecology specialties focus particularly on menstrual and reproductive disorders. Both the adoption of the use of acupuncture outside Asia, and the incorporation of scientific analysis in Asia have challenged biomedical conceptions of what can be achieved with this treatment method. The scale of research activity in relation […]
Paulus WE1, Zhang M, Strehler E, El-Danasouri I, Sterzik K. Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy. Fertil Steril. 2002 Apr;77(4):721-4. PMID: 11937123. [PubMed] [Read by QxMD]
To evaluate the effect of acupuncture on the pregnancy rate in assisted reproduction therapy (ART) by comparing a group of patients receiving acupuncture treatment shortly before and after embryo transfer with a control group receiving no acupuncture. […]
Huang ST1, Chen AP. Traditional Chinese medicine and infertility. Curr Opin Obstet Gynecol. 2008 Jun;20(3):211-5. PMID: 18460933. [PubMed] [Read by QxMD]
The present review gives an overview of the potential use of traditional Chinese medicine in the treatment of infertility, including an evidence-based evaluation of its efficacy and tolerance. […]
Ried K1, Stuart K. Efficacy of Traditional Chinese Herbal Medicine in the management of female infertility: a systematic review. Complement Ther Med. 2011 Dec;19(6):319-31. PMID: 22036524. [PubMed] [Read by QxMD]
To assess the effect of Traditional Chinese Herbal Medicine (CHM) in the management of female infertility and on pregnancy rates compared with Western Medical (WM) treatment. […]
Johansson J1, Stener-Victorin E. Polycystic ovary syndrome: effect and mechanisms of acupuncture for ovulation induction. Evid Based Complement Alternat Med. 2013;2013:762615. PMID: 24073009. [PubMed] [Read by QxMD]
Polycystic ovary syndrome (PCOS), the most common endocrine disorder among women of reproductive age, is characterized by the coexistence of hyperandrogenism, ovulatory dysfunction, and polycystic ovaries (PCO). PCOS also represents the largest part of female oligoovulatory infertility, and the management of ovulatory and menstrual dysfunction, comprises a third of the high costs of PCOS treatment. Current pharmacological and surgical treatments […]
Chang R1, Chung PH, Rosenwaks Z. Role of acupuncture in the treatment of female infertility. Fertil Steril. 2002 Dec;78(6):1149-53. PMID: 12477502. [PubMed] [Read by QxMD]
To review existing scientific rationale and clinical data in the utilization of acupuncture in the treatment of female infertility. […]
Stener-Victorin E1, Waldenström U, Andersson SA, Wikland M. Reduction of blood flow impedance in the uterine arteries of infertile women with electro-acupuncture. Hum Reprod. 1996 Jun;11(6):1314-7. PMID: 8671446. [PubMed] [Read by QxMD]
In order to assess whether electro-acupuncture (EA) can reduce a high uterine artery blood flow impedance, 10 infertile but otherwise healthy women with a pulsatility index (PI) >=3.0 in the uterine arteries were treated with EA in a prospective, non-randomized study. Before inclusion in the study and throughout the entire study period, the women were down-regulated with a gonadotrophin-releasing hormone analogue (GnRHa) in order to exclude an […]
Lian F1. TCM treatment of luteal phase defect–an analysis of 60 cases. J Tradit Chin Med. 1991 Jun;11(2):115-20. PMID: 1861518. [PubMed] [Read by QxMD]
Sixty cases of infertility due to luteal phase defect were treated with herbs to tonify the kidney and regulate the menstrual cycle. After the treatment, the hyperthermal phase score of basal body temperature (BBT) was markedly increased (P less than 0.05), the hyperthermal phase 7-8 days after ovulation improved (P less than 0.001), the transitional period of BBT remarkably shortened, and the pregnancy rate in 32 uncomplicated cases of luteal ph […]
Zhou K1, Jiang J, Wu J, Liu Z. Electroacupuncture modulates reproductive hormone levels in patients with primary ovarian insufficiency: results from a prospective observational study. Evid Based Complement Alternat Med. 2013;2013:657234. PMID: 23533511. [PubMed] [Read by QxMD]
To investigate the effects of electroacupuncture (EA) on serum FSH, E2, and LH levels, women with primary ovarian insufficiency (POI) were treated with EA once a day, five times a week for the first four weeks and once every other day, three times a week, for the following two months, and then were followed up for three months. Serum E2, FSH, and LH levels were measured at baseline, at the end of treatment, and during followup. A total of 11 wome […]
Allan WC1, Haddow JE, Palomaki GE, Williams JR, Mitchell ML, Hermos RJ, Faix JD, Klein RZ. Maternal thyroid deficiency and pregnancy complications: implications for population screening. J Med Screen. 2000;7(3):127-30. PMID: 11126160. [PubMed] [Read by QxMD]
To examine the relation between certain pregnancy complications and thyroid stimulating hormone (TSH) measurements in a cohort of pregnant women. […]
Chen BY1. Acupuncture normalizes dysfunction of hypothalamic-pituitary-ovarian axis. Acupunct Electrother Res. 1997;22(2):97-108. PMID: 9330669. [PubMed] [Read by QxMD]
This article summarizes the studies of the mechanism of electroacupuncture (EA) in the regulation of the abnormal function of hypothalamic-pituitary-ovarian axis (HPOA) in our laboratory. Clinical observation showed that EA with the effective acupoints could cure some anovulatory patients in a highly effective rate and the experimental results suggested that EA might regulate the dysfunction of HPOA in several ways, which means EA could influence […]
Feil R1, Fraga MF. Epigenetics and the environment: emerging patterns and implications. Nat Rev Genet. 2012 Jan 4;13(2):97-109. PMID: 22215131. [PubMed] [Read by QxMD]
Epigenetic phenomena in animals and plants are mediated by DNA methylation and stable chromatin modifications. There has been considerable interest in whether environmental factors modulate the establishment and maintenance of epigenetic modifications, and could thereby influence gene expression and phenotype. Chemical pollutants, dietary components, temperature changes and other external stresses can indeed have long-lasting effects on developme […]
Ke RW1. Endocrine basis for recurrent pregnancy loss. Obstet Gynecol Clin North Am. 2014 Mar;41(1):103-12. PMID: 24491986. [PubMed] [Read by QxMD]
Common endocrinopathies are a frequent contributor to spontaneous and recurrent miscarriage. Although the diagnostic criteria for luteal phase defect (LPD) is still controversial, treatment of patients with both recurrent pregnancy loss and LPD using progestogen in early pregnancy seems beneficial. For patients who are hypothyroid, thyroid hormone replacement therapy along with careful monitoring in the preconceptual and early pregnancy period is […]
Cocksedge KA1, Li TC, Saravelos SH, Metwally M. A reappraisal of the role of polycystic ovary syndrome in recurrent miscarriage. Reprod Biomed Online. 2008 Jul;17(1):151-60. PMID: 18616903. [PubMed] [Read by QxMD]
Polycystic ovary syndrome (PCOS) is a common endocrine disorder that is associated with recurrent miscarriage. Despite the many studies that have investigated the prevalence of PCOS in recurrent miscarriage, the extent to which PCOS contributes remains highly uncertain. The majority of these studies have used the polycystic ovary morphology alone to define PCOS and the results are extremely variable due to a variety of diagnostic and selection cr […]
Mora-Esteves C1, Shin D. Nutrient supplementation: improving male fertility fourfold. Semin Reprod Med. 2013 Jul;31(4):293-300. PMID: 23775385. [PubMed] [Read by QxMD]
Oxidative stress can contribute to impairment in spermatogenesis leading to male-factor infertility. The effectiveness of various antioxidants (such as carnitine, vitamin C, vitamin E, selenium, carotenoids, glutathione, N-acetylcysteine, zinc, folic acid, and coenzyme Q10) is variable with respect to improving semen parameters and pregnancy rates. A recent Cochrane review determined that men taking antioxidants had a statistically significant in […]
Lafuente R1, González-Comadrán M, Solà I, López G, Brassesco M, Carreras R, Checa MA. Coenzyme Q10 and male infertility: a meta-analysis. J Assist Reprod Genet. 2013 Sep;30(9):1147-56. PMID: 23912751. [PubMed] [Read by QxMD]
To evaluate the effect of coenzyme Q10 treatments in male infertility, specifically in these parameters: live birth and pregnancy rates, CoQ10 seminal concentration, sperm concentration, and sperm motility. […]
Showell MG1, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Antioxidants for male subfertility. Cochrane Database Syst Rev. 2011 Jan 19;(1):CD007411. PMID: 21249690. [PubMed] [Read by QxMD]
Between 30% to 80% of male subfertility cases are considered to be due to the damaging effects of oxidative stress on sperm. Oral supplementation with antioxidants may improve sperm quality by reducing oxidative stress. […]
Thornburg KL1, Shannon J, Thuillier P, Turker MS. In utero life and epigenetic predisposition for disease. Adv Genet. 2010;71:57-78. PMID: 20933126. [PubMed] [Read by QxMD]
Regulatory regions of the human genome can be modified through epigenetic processes during prenatal life to make an individual more likely to suffer chronic diseases when they reach adulthood. The modification of chromatin and DNA contributes to a larger well-documented process known as “programming” whereby stressors in the womb give rise to adult onset diseases, including cancer. It is now well known that death from ischemic heart disease is re […]