The goal of acupuncture is to improve “vital flow” or Qi (pronounced “chee”) throughout a patient’s body to improve the body’s ability to heal itself and return to a state of balance.
Acupuncture is the practice of inserting sterile, thin metallic needles through the skin to stimulate specific points (acupoints) on the body (for size context, see the image below). Once placed, the needles may be “activated” through gentle movements or occasionally with electrical stimulation.
Acupuncture treatments typically last for 30 minutes consisting of 1 - 3 minutes of needle placement and 20 – 25 minutes of needles remaining in place (often the acupuncturist leaves the room) during which many patients rest/sleep.
A tenant of acupuncture is that on the surface of the human body there are over 2,000 points that connect to 12 “meridiens,” or major pathways, that each link to a specific organ. When these surface points are properly stimulated, Qi, or energy, is released and promotes physical, spiritual and emotional balance.
When something causes the flow of Qi to become blocked along these meridiens, this causes one’s organs to malfunction. Acupuncture is intended to release the blocked Qi, kickstarting the body’s natural healing response and returning it to a state of balance.
Above: The acupuncture points employed in the “Paulus Method” typically used around the time of embryo transfer to encourage implantation
As we’ll cover in the next lesson, there is evidence to suggest that acupuncture helps improve a patient’s blood flow to organs like the uterus, improves hormonal function, reduces stress, and may help regulate the body’s immune response. To varying degrees, each of these may improve a patient’s ability to conceive and her ability to carry a pregnancy. In a following lesson we’ll also address the extent to which this translates into better fertility-related outcomes.
During treatment, patients may experience an aching sensation or bruising where the needles are placed. While local pain and slight bleeding often occur in the low single digits of cases, more serious events happen in less than 0.1% of studied cases.
That said, some patients should avoid acupuncture, namely those who have some sort of bleeding disorder, who suffer from atrial fibrillation or lupus.
A growing number of fertility patients undergo acupuncture to increase their odds of conceiving. In this course we cover the basics of acupuncture, its "mechanism of action" on fertility, and the hard data about whether using acupuncture improves live birth rates. As with any treatment, acupuncture requires a financial and temporal cost. We'll cover both of those, along with the implications of using herbs and how to determine which acupuncturist to use.