To get your fertility Qi up to snuff, most experts say you will need about two, 30 minute treatments a week, sometimes for several months, before the effects can be seen.
However, a slightly more Western way of looking at the effects points less to the mystical Qi and more towards the solid science of brain chemistry.
In studies published in the journalFertility and Sterilityin 2002, Chang, along with noted Cornell University reproductive endocrinologist Zev Rosenwaks, MD, found a clear link between treatment and the brain hormones involved in conception.
More specifically their research noted that acupuncture increases production of endorphins, the body’s natural “feel good” brain chemical that also plays a role in regulating the menstrual cycle.
Chang says acupuncture also appears to have a neuroendocrine effect, impacting a three-way axis between the two areas of the brain involved with hormone production (the hypothalamus and the pituitary glands) and the ovaries, a constellation that ultimately impacts egg production and possibly ovulation.
In still another research paper published in the journalMedical Acupuncturein 2000, Sandra Emmons, MD, assistant professor of obstetrics and gynecology at Oregon Health Sciences University, reports that acupuncture may directly impact the number of egg follicles available for fertilization in women undergoing IVF.
“My guess is that acupuncture is changing the blood supply to the ovaries, possibly dilating the arteries and increasing blood flow, so that ultimately, the ovaries are receiving greater amounts of hormonal stimulation,” says Emmons, who also uses acupuncture in her traditional medical practice.
Chang says acupuncture may also help when the lining of the uterus is too weak to sustain a pregnancy — a problem that is also known to increase the risk of chronic miscarriage.
By increasing blood flow to this area, the lining may be better able to absorb the nutrients and hormones necessary to help it grow strong enough to hold onto an implanted embryo, says Chang.
As good as it sounds, acupuncture is clearly not the panacea for all fertility problems. As Dillard tells WebMD, in instances where a structural defect exists — such as a blocked fallopian tube or a fibroid tumor — acupuncture won’t help you get pregnant.
Likewise, once past a certain age, no amount of tickling your Qi is going to increase necessary hormones that have long gone out of production.
For this reason, many doctors recommend that you have at least a basic fertility workup before attempting acupuncture treatment, particularly if you are approaching, or you are over, the age of 40.
“If it turns out you have structural problem that requires a traditional medical ‘fix’, then the sooner you find that out and get the proper treatment, the more likely it will be that you can get pregnant,” says Dillard.
At the same time Chang tells WebMD that younger women — those in their early to mid-30s — might want to consider acupuncture first, before investing in expensive and invasive fertility treatments.
“Sometimes a few months of acupuncture will be enough to help you get pregnant on your own,” he says.
If, in fact, you do seek acupuncture treatment be aware that not all protocols are equal.
“There is tremendous variability within the field — with many different techniques and a great deal of the success dependent upon how much the acupuncturist knows about the treatment of infertility,” says Okoronkwo.
Costs can also vary dramatically, ranging from several hundred dollars to $1,000 or more, depending on how long you are treated, and who is doing the treatment. And while many insurance companies cover the cost of acupuncture treatments, some don’t when treatment involves infertility, so check your policy carefully.
With that said, to help you hone in on the expert that can rock your Qi in the direction of motherhood, our experts offer the following tips:
- Look for a doctor that is adequately trained and licensed in acupuncture, as well as has a background in treating infertility. An MD who simply practices acupuncture once in a while often has just several hundred hours experience, compared to several thousand hours of training and practice required for a traditional Chinese doctor.
- Look for an acupuncturist associated with a major academic medical center.
- If you are undergoing fertility treatments with a reproductive endocrinologist, make certain that your doctor has a working relationship with your acupuncturist, and that they work in harmony to establish a treatment regimen.
- If you are not seeing a fertility specialist, do pay at least one visit to an obstetrician before seeking the help of an acupuncturist — and make sure your obstetrician is aware of your acupuncture treatment plan.
- Although acupuncture often works in harmony with Chinese herbal medicine, if you are undergoing IVF or any traditional fertility treatment, don’t take any herbs without the OK of your reproductive medicine specialist.
- If you are undergoing an IVF protocol and acupuncture simultaneously,once you reach the implantation stage it’s imperative to get a pregnancy test before proceeding with more acupuncture treatments. If you are trying to get pregnant on your own it is equally important to have your pregnancy verified by an obstetrician as soon as possible. Some of the same points used to stimulate the uterus and increase fertility may also cause a miscarriage — so your acupuncturist needs to know if you are, or could be pregnant.