“…The treatment of PCOS was diversified, which included lifestyle intervention, menstrual cycles regulation, anti-androgen therapy, reproductive promotion, and Chinese traditional treatment. As part of Chinese traditional treatment, acupuncture (WU et al, 2016;Robinson, 2017) and transcutaneous electrical acupoint stimulation (Qu et al, 2017a(Qu et al, , 2017b played an important role in treating PCOS, which is increasingly recognized by clinicians.…”
Objective: To investigate the effects of body mass index (BMI) on the outcomes of in vitro fertilization (IVF) in Chinese patients with polycystic ovary syndrome (PCOS). Methods: In the retrospective cohort study, a total of 1074 patients with PCOS undergoing IVF between April 2010 and May 2017 in two reproductive medicine centers, respectively in eastern China (Women'
“…The treatment of PCOS was diversified, which included lifestyle intervention, menstrual cycles regulation, anti-androgen therapy, reproductive promotion, and Chinese traditional treatment. As part of Chinese traditional treatment, acupuncture (WU et al, 2016;Robinson, 2017) and transcutaneous electrical acupoint stimulation (Qu et al, 2017a(Qu et al, , 2017b played an important role in treating PCOS, which is increasingly recognized by clinicians.…”
Objective: To investigate the effects of body mass index (BMI) on the outcomes of in vitro fertilization (IVF) in Chinese patients with polycystic ovary syndrome (PCOS). Methods: In the retrospective cohort study, a total of 1074 patients with PCOS undergoing IVF between April 2010 and May 2017 in two reproductive medicine centers, respectively in eastern China (Women'
“…Among the 13 studies, 10 used computer-programmed random sequencing, random number table or random number generator, and were thus evaluated as low risk of bias [59–61, 63–65, 67–69, 71]; others did not mention the method or detail of random sequence generation, were evaluated as an unclear risk of bias.Fig. 2Risk of biasFig.…”
BackgroundThis systematic review aimed at summarizing and evaluating the evidence of randomized controlled trials (RCTs) using acupuncture to improve endometrial receptivity (ER).MethodsWe searched 12 databases electronically through August 2018 without language restrictions. We included RCTs of women of infertility due to low ER, and excluded infertility caused by other reasons or non-RCTs. Two independent reviewers extracted the characteristics of studies and resolved the differences through consensus. Data were pooled and expressed as standard mean difference (SMD) or mean difference (MD) for continuous outcomes and risk ratio (RR) for dichotomous outcomes, with 95% confidence interval (CI).ResultsWe found very low to moderate level of evidence that acupuncture may improve pregnancy rate (RR = 1.23 95%CI[1.13, 1.34] P < 0.00001) and embryo transfer rate (RR = 2.04 95%CI[1.13, 3.70] P = 0.02), increase trilinear endometrium (RR = 1.47 95%CI [1.27, 1.70] P < 0.00001), thicken endometrium (SMD = 0.41 95% CI [0.11, 0.72] P = 0.008), reduce resistive index (RI) (MD = -0.08 95% CI [− 0.15, − 0.02] P = 0.01), pulse index (PI) (SMD = -2.39 95% CI [− 3.85, − 0.93] P = 0.001) and peak systolic velocity/ end-diastolic blood velocity (S/D) (SMD = -0.60 95% CI [− 0.89, − 0.30] P < 0.0001), compared with medication, sham acupuncture or physiotherapy. Acupuncture was statistically significant as a treatment approach.ConclusionThe efficacy and safety of acupuncture on key outcomes in women with low ER is statistically significant, but the level of most evidence was very low or low. More large-scale, long-term RCTs with rigorous methodologies are needed.
“…In 2017, Qu, et al conducted a randomized controlled clinical trial on 481 infertile patients undergoing IVF. 18 Transcutaneous electrical acupoint stimulation (TEAS) was carried out just before OPU and 2 hours after ET at acupoints SP 10, SP 8, LR 3, ST 36, Ex-CA 1, CV 4, PC 6, and CV 12. The treatment group was divided into 3 groups, namely TEAS at 2 Hz, TEAS at 100 Hz, and TEAS at 2/100-Hz.…”
Section: Research On Acupuncture Therapy For Ivfmentioning
One treatment option for couples with infertility that enables the highest success rate is in vitro fertilization (IVF). With this technique, various causes of infertility can be overcome, whether they are caused by anatomical abnormalities in women or abnormalities of sexual dysfunction in men. Acupuncture, a nonpharmacologic therapy with minimal side-effects, according to various studies is be beneficial for increasing the success of IVF. There are several mechanisms of acupuncture related to this, such as: (1) modulating neuroendocrine factors; (2) increasing blood flow to the uterus and ovaries; (3) modulating immune factors; and (4) reducing stress, anxiety, and depression. Because acupuncture does not have bad side-effects, it is an adjuvant therapy that can be performed at each stage of the IVF procedure to increase the chances of successful IVF.
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