Infertility: Five Common Patterns of Imbalance in Chinese Medicine

When I began the practice of acupuncture over a decade ago, I never thought that I would treat women with infertility issues. It felt complicated and out of my league. But one day a young woman came to me who had been tryAcupuncture in the Parking to conceive for years, and from a Chinese medical standpoint, her problem was obvious. We worked together for a few months, and she got pregnant. She told her friends, more women came to acupuncture for infertility issues, and more became pregnant. Over many years of treating women who are trying to become pregnant (while not 100 percent), the effectiveness of Chinese medicine is apparent.

When it comes to infertility, not all women are created equal. There are a number of patterns of imbalance in Chinese medicine that can be the underlying cause of an inability to become pregnant. Among them:

1) Kidney organ system depletion. Your Chinese Kidney is considered to be the deepest and most essential of the organ systems. It is the home to many of your body’s vital substance such as Yin and Yang and Essence. The Kidney system is responsible for your body constitution, which determines your overall health as well as how you will develop, mature, and age. It is also directly related to fertility. For most women seeking help from Chinese medicine for infertility issues, strengthening the Kidney system is often the primary focus of treatment.

Some signs that your Kidney system could be depleted include a weak and achy lower back or knees, waking hot at night or feeling cold to the core (or both), deep fatigue, metabolic issues, and frequent illnesses.

2) Depletion of Qi or Blood. Qi is the energy necessary for your body to perform its functions—from digestion to moving your muscles. And in Chinese medicine, your Blood is considered to be only as strong as its nourishing function. Poor diet, eating disorders, blood loss, lack of adequate sleep, and overworking all have the ability to deplete your Qi or Blood, and in many cases, both.

Your body needs adequate Qi and Blood to become pregnant and maintain a healthy pregnancy. Some signs that your Qi is depleted include feeling tired, easy bruising, poor digestion, feeling cold, and catching frequent colds. Blood depletion may show up as looking pale, dry skin, brittle nails, dizziness or feeling light-headed, and scanty menstrual periods.

3) Liver Qi Stagnation. This is stress and strong emotions causing your body to “seize up”. Your Chinese Liver system is responsible for the smooth flow of everything in your body, from your digestion and menstrual cycle, to your emotions and feelings of well-being. When you become very stressed out, emotional, or frustrated (what woman struggling with infertility isn’t?), your Liver Qi becomes bound up and causes a cascade of symptoms. Stress, irritability, a racing mind (especially as you try to sleep), feeling hot, and even pain under your ribs are signs that your emotions are getting the better of you.

4) Stagnation of Qi and Blood. This is similar to the pattern above, in that things aren’t moving very well in your body. However, while Liver Qi stagnation is more emotional in nature, stagnation of Qi and Blood is more physical. Symptoms of this pattern of imbalance include endometriosis, pelvic infections, and pelvic pain and cramping. Any kind of structural blockages of your reproductive system would fall under this pattern.

5) Phlegm and dampness. Wait…what? How can phlegm even be remotely associated with infertility? Let’s start with dampness, which is your body’s inability to properly metabolize fluids. Poor digestion, a slow metabolism, weight gain, and a funky diet all are contributors to this pattern. Dampness in your body may show up as…damp stuff, such as yeast infections, athlete’s foot, water retention, bladder infections, and swelling. When dampness sits around in your body for long enough, it congeals and becomes phlegm. It may show up as actual phlegm, such as sinus problems or congested lungs, but phlegm is also the culprit behind accumulations such as cysts, fibroids, and polycystic ovaries.

If you choose acupuncture and Chinese medicine for infertility issues, the first order of business for your practitioner is to determine what pattern is at the source of the problem. And because everything affects everything else in your body, more than one pattern may be at play here. Your practitioner will then use a variety of tools to set things right, including acupuncture, food therapy, Chinese herbs, heat therapy, stress relief, and other lifestyle changes.

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Baby Maybe? Acupuncture for Infertility

Over the past several years, we have seen more women than ever before seeking our acupuncture services for help in getting pregnant. Surprisingly, fertility issues affect about 15 percent of couples in the US, according to the Centers for Disease Control, and there seems to be a a number of reasons that this is happening. Many couples are waiting until their 30’s and 40’s to become pregnant, which can create fertility issues. In addition, the prevalence of plastics and other hormone disrupting chemicals found in everything from our cleaning products to cosmetics has increased dramatically over the past several decades. Food additives, pesticides, and GMO ingredients in our food may also play a role in impairing fertility.

The women who seek out acupuncture do so for a variety of reasons. Many want to explore acupuncture as a solution before they turn to Western fertility treatments such as in-vitro fertilization (IVF) or intrauterine insemination (IUI). Acupuncture, IVF, and TwinsMany women choose acupuncture first because they want to avoid the hormonal manipulation of the Western treatments, find acupuncture to be a less time-consuming and less expensive solution, or simply want to become naturally. Others have used acupuncture to support their Western fertility treatments.

Traditional Chinese medicine and acupuncture can offer a number of benefits for women trying to become pregnant. Research on the physiological effects of Chinese medicine has documented that acupuncture alters brain chemistry in a way that reduces stress, (a huge factor for couples who are struggling with fertility issues). In addition, acupuncture has been found to regulate hormones, increase the circulation of blood to the reproductive organs, and Chinese herbs have been found to be helpful in regulating the menstrual cycle.

Practitioners of Chinese medicine have a variety of tools in which to help women trying to become pregnant, including acupuncture, Chinese herbs, dietary modifications, and lifestyle changes. In addition, if you are trying to get pregnant, there are a number of things that you can do on your own to help increase your chances. Some steps to take include:

-If you are a coffee drinker, decrease the amount you drink or cut it out altogether. New research indicates that coffee may slightly increase your risk for fertility issues.

-Eat organic foods when possible. This will help decrease the additives, genetically modified foods, and potentially hormone disrupting pesticides that you ingest.

-What you put on your skin makes a difference, too. Check out the Environmental Working Group‘s website for hormone disrupting chemicals in your cosmetics and skin care products.

-Get the chemicals out of your home by using natural cleaning products, glass containers (rather than plastic) when possible, and avoid BPA (bisphenol A) products in your food containers and packaging.

-Aim for a Mediterranean-type diet, with lots of plant-based foods, healthy fats from olive oil, nuts, and seeds, fish, and limited sweets and heavy meats.

-Maintain a healthy weight.  Being dramatically underweight or overweight can affect fertility.

-Your body heals and rejuvenates while you sleep–make sure you’re getting enough.

-Struggling with fertility issues is stressful, and that stress impacts your health negatively in a number of ways. Do whatever it takes to deal with the stress, whether it’s getting a massage, acupuncture, meditation, or quiet time in the woods.

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IVF, Twins, and the Role of Acupuncture

At Acupuncture in the Park, we have worked with a number of women seeking acupuncture for infertility issues. We have found that most couples going through fertility treatments will do almost anything to increase their chances of conceiving and delivering a healthy baby. For many, that has meant IVF (In Vitro Fertilization), in which fertilized embryos are placed directly into the womb.

To increase a couple’s chances of success, many fertility doctors transfer more than one embryo at a time, resulting in a higher incidence of multiple births. Since the “Octomom” case in which a woman delivered eight babies through the IVF process, doctors have dialed back, decreasing the number of big multiple births. The number of births involving twins, however, has stayed the same.

While many couples are happy having two babies for their efforts, the reality is that having twins increases the risk of Acupuncture, IVF, and Twinspremature births and subsequent health and developmental problems. According to the Center for Disease Control, 46% of babies born as the result of IVF are multiples and 37% of those births are premature. In contrast, only 3% of babies born without fertility help are multiples, and of those only 12% are born prematurely.

As a result, the American Society of Reproductive Medicine are recommending fertility treatment using single embryo transfers. However, that doesn’t necessarily mean a decrease in a couple’s chances of success. Current techniques available include better screening of embryos, maturing embryos a few days longer to increase viability, and the ability to sample chromosomes of more mature embryos. These techniques coupled with better timing of transfer into the womb makes the odds of success between a single-embryo and a multiple-embryo transfer about the same.

How does acupuncture and Chinese medicine fit into this story? Anyone who has gone through IVF can tell you that it is a financial, physical, and emotional drain. Most couples will do whatever they can to increase their chances of a successful pregnancy in as few rounds of IVF as possible, and this is where acupuncture comes in. Several studies have been conducted on the role of acupuncture in IVF, and that research indicates that acupuncture can positively affect success rates. In one study, receiving acupuncture on the day of embryo transfer significantly increased pregnancy rates (39% acupuncture vs 26% without acupuncture). In another study, acupuncture was shown to be a factor in decreasing ectopic pregnancies among IVF recipients. From the research, it appears that acupuncture doesn’t affect the quality of the embryo, but rather it affects the health of the mother through hormone regulation. For a good summary of the research, go here.

While it may seem that in the numbers game of IVF that the odds have gone down with the recommendation of single-embryo transfers. But that isn’t necessarily the case. By combining more current techniques at the IVF clinic with Chinese medicine at the acupuncture clinic, your odds of success may be better than ever.

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