Infertility comes with many complex emotions. Dealing with infertility and loneliness can be a double strike. From day to day, minute to minute, emotions can range from excitement and joy at a positive test result, a response to medication, or a particular symptom to devastation, sadness, or anger over another failed cycle, miscarriage, or dead end. Through what can only be described as a rollercoaster, one prevailing feeling often shines through.
For many of the couples that come for acupuncture at our office here in Knoxville, their support system is very small, or even non-existent. Other than their spouse, support may only come from a very small group of people; a trusted friend, mother, etc. I can’t think of many other stressful life events that aren’t shared, overshared, discussed, laughed or cried about with a larger group of support people.
And nobody brings over casseroles when you’re going through infertility.
Is social media helpful?
Even in the event one does decide to break the silence and share their situation, they’re often met with well-meaning, but not helpful comments like “just relax,” “my friend took this vitamin, you should try it,” “have you thought about adoption?” Or, worse yet, they slowly drop off their level of communication and effectively vanish from their lives.
What about the other areas of daily life?
And this isolation just doesn’t stop at social relationships. It can extend to work or other hobbies. Living through infertility often means playing a game of “what if.”
Constantly wondering if/when treatment might be successful can create situations where women might put off going for a promotion, changing jobs, etc to prepare for what might be.
Infertility itself can even be a reason to put careers on hold. Sometimes a job might be a good fit for the flexibility needed for fertility treatment, or health insurance at a job might even cover treatment.
Finding a connection.
For some, social media is a great outlet where one can even remain anonymous if they prefer. There are countless groups based on diagnosis, clinic, region, cycle, etc. But when they log off, that connection is gone.
Some couples turn to counseling or therapy to work on communication and coping skills. For others, their place of worship plays a vital role.
Be a support.
I don’t have an answer to solve this loneliness (though I wish I did…), but I want you to know that we hear you and our thoughts are with you. The one thing we all can do is learn from this and be that support to other struggling with infertility.
If we are chosen to be that, maybe they’ll have just a little bit less loneliness as they walk their own journey. Hopefully, over time, with advocacy and more openness, this will all be a thing of the past.
Here in Knoxville we are lucky to have many organizations and support groups that are also willing to help with those struggling through infertility and loneliness. Please reach out and let us know how we can support you.
We hear all the time about ways to increase fertility, especially tips about diet and lifestyle. Many of us don’t think about hydration as being important for fertility but in fact researchers are finding that hydration does play a role.
Along with eating healthy, reducing the consumption of processed foods, getting enough sleep and all the other healthy things we should be doing, hydration is not always considered.
Most of us think about hydration in the summer when your outside hiking or being active. However, all of us should be conscious about our fluid intake no matter the season.
So how does hydration affect fertility?
In one big way hydration affects the male and female fluid qualities. In females that’s cervical mucus and in males that’s ejaculatory fluid. Researchers are finding that the more dehydrated you and/or your partner are at the time of intercourse the harder it is for the sperm and ovum to meet.
Cervical mucus usually fluctuates throughout the month. If a woman has a relatively normal cycle, the mucus should changes around ovulation time, becoming thinner and less acidic. This change allows sperm to move more easily through the vagina and cervical mucus towards the ovum. Just as in females, if males are dehydrated their sperm could also have a hard time “swimming” within semen as well.
Don’t stress, find balance.
We want to emphasize the importance of balance and not stressing. Yes, water is important but make sure not to over-do it. The general recommendation is half your body weight in ounces but if you are not a big water fan you might need to work up to that slowly. Infertility is hard. We know many out there trying all the things to make it work. We found this article interesting and wanted to share.
Any questions?We’re your resource for Fertility Acupuncture in Knoxville!
If you have any questions about adding acupuncture to your cycle or how we might be able to support your journey, please give us a call or an email. We are always happy to help.
We often get questions regarding acupuncture done before and after embryo transfer and wanted to explore how these treatments can be used to support an IVF cycle, why we highly recommend them, and how to add these to your upcoming cycle.
What the research says:
Research supports the use of acupuncture before and after embryo transfer. In a well known study, acupuncture done before and after embryo transfer resulted in higher rates of pregnancy (42.5% in the acupuncture group versus 26.3 in the control group). This study gave us the well known “Paulus Protocol” that we base many of our pre/post transfer treatments on. Although, we typically add or subtract points depending on each patients’ diagnosis and symptoms.
In research published by our acupuncturist, Sarah Prater, similar results were seen. Patients receiving acupuncture had pregnancy rates for 57.1% versus 45.8% for those not receiving acupuncture. Additionally, this study followed patients a bit longer and discovered that the clinical pregnancy rate (gestational sac seen on ultrasound) was much higher in the acupuncture group: 55.1% versus 34.4% for those not receiving acupuncture. Even better, the overall miscarrage rate for patients who received acupuncture was only 3.4% compared to 22.7% in the non-acupuncture group. It is easy to see how these two simple treatments can have a big effect on live birth rates after IVF.
Embryo transfer acupuncture at our clinic
Pre and post embryo transfer treatments are done as a part of our comprehensive IVF treatment protocol. Beyond the increase in pregnancy rates, some additional benefits include reducing any symptoms from the hormones like headaches, irritability, hot flashes, etc and helping you relax. Transfer day is a big day often filled with a mix of emotions that can range from excitement and optimism to anxiety and even fear. Acupuncture on transfer day can be such a wonderful way to relax and emotionally prepare for your transfer. The treatments are painless and many times patients fall asleep or deeply relax during acupuncture.
Our patients know that we work very hard to time treatments throughout your cycle to help make sure you are getting the best benefit from each and every treatment and pre and post transfer treatments are no exception. We are willing to come in early, stay late, and even come in on weekends to help accommodate your transfer day schedule. We understand that you often don’t get your transfer time until the days leading up to the transfer and have a system in place to handle all the scheduling for your big day.
Serving patients throughout the country
In addition to seeing our own patients before and after embryo transfer, we are proud to serve patients traveling from other cities and states for their cycles. We work with many out-of-town patients doing embryo adoption cycles at the National Embryo Donation Center here in Knoxville or with any of the other local clinics. You don’t need to have previously had acupuncture to take advantage of this service. We are happy to answer your questions and make sure you get a spot on our transfer calendar.
Short answer, yes. It is safe and effective to combine acupuncture with any type of fertility treatment including medicated cycles, IUI, IVF, FET, donor IVF, etc. We have worked closely with all of the Knoxville fertility doctors and clinics and even clinics from out of state and have the experience needed to support you throughout whatever cycle your doctor is recommending.
Long answer, there are quite a few reasons why you might consider combining acupuncture with any type of fertility treatment cycle.
1. Increase your chances of success: Acupuncture has been shown in many research studies to increase chances of ovulation, conception, clinical pregnancy, and live birth when combined with fertility treatment.
In IUI cycles, a study showed pregnancy rates for those using acupuncture with their treatment was 65.5% vs 39.9% for those doing just an IUI cycle.
Doing acupuncture only before and after embryo transfer leads to a 42.5% pregnancy rate vs 26.3% in women who did not use acupuncture.
In women doing clomid, femara, injectable or other medicated cycles, one study showed rates of ovulation of 67.8% vs 51.9% and a conception rate of 51.9% for the acupuncture and treatment group, vs 30.4% for the treatment only group.
2. Reduce overall cost of fertility treatment: While there is a cost to receiving acupuncture treatments, adding acupuncture to your fertility treatment plan can reduce the number of cycles needed to achieve pregnancy, thereby significantly reducing costs.
3. Decrease side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
4. Support throughout the cycle: We’ve been working with patients going through fertility treatments for a long time and know the how tough the emotional rollercoaster can be. We also know that it isn’t often a topic discussed with friends and family. So we strive to support you and help answer any questions along the way.
5. Acupuncture can be used to support your doctor’s treatment for conditions such as:
6. Decrease Side effects of treatment: Acupuncture is often used symptomatically during a treatment cycle to decrease side effects such as:
Help increase cervical mucous production
Cramping or pain during cycle
When should I begin treatment? In an ideal world, we would see our patients 3 months before the begin any fertility treatment. We refer to this treatment phase as “Preconception.” During these three months, we work to regulate the menstrual cycle, correct any hormone imbalances, and increase blood flow to help your body give the best chance for a good response to treatment.
However, we don’t always live in an ideal world. Often we see our patients at the beginning of their cycle. Of course, we can start treatment at any time throughout your cycle, so it is never too late to receive benefit from acupuncture.
We are always available for questions via phone or email and encourage you to reach out and discuss your situation so we can find an acupuncture treatment plan that is right for you!
Heather Huddleston is a young woman who has struggled with severe endometriosis since puberty. At the age of 19, she had her first of many surgeries. It was so extreme that the surgeon told her she would never have children—he had removed 2/3 of one ovary and 7/8 of the other. Drugs and surgery were the solution offered her by traditional western medicine, and she took the solution seeing no other option. She managed to get through both undergraduate and her graduate studies by allowing the doctors to put her body into medically induced menopause to cope with the 10 level pain. She thought this was her only option—even doing as told, her quality of life was greatly diminished.
While finishing her graduate studies she got married. She maintained her treatments. Two years later, she and her husband were eager to begin a family. She ceased all hormonal therapy although she was terrified to come off of the drugs remembering the severity of the constant crippling pain. Yet she knew she had to begin somewhere, in her quest for sustainable good health.
The pain was as bad as ever. She trudged through and she and her husband sought the help of fertility specialists. After being unsuccessfully treated by 2 fertility specialists and undergoing 2 more extensive surgeries she was no closer to achieving her goals. The last surgery was performed by a surgeon specializing in excision and was very thorough even removing tissue from her diaphragm. After she recovered, she went back to the fertility doctor—unsuccessfully. Feeling frustrated and hopeless, she decided to go back on the hormones and regroup.
A year later, she began to have new symptoms—this time in the colon and bowel. This was quite concerning. After consulting a specialist, she was told that the surgery required was extremely dangerous. He recommended pursuing pregnancy before taking that step. She found a new fertility doctor. She achieved a pregnancy through IVF only to be disappointed with a miscarriage 6 weeks in. As bad as this was, the doctor was encouraged because she had achieved a successful pregnancy. He advised them to try again immediately, this time recommending that she do so with the addition of acupuncture.
She took the doctor’s suggestion and made an appointment with a Practitioner specializing in infertility, Sarah Prater. The hormones that were a part of the treatment protocol caused the endometriosis to flare up resulting in crippling pain. This time both she and Sarah hoped to not only achieve a healthy pregnancy but a measure of relief from the crippling pain—.
Heather went into her first treatment with level 10 pain. After the treatment, she walked away pain free! She was amazed—wondering how long the relief from the pain would last. It not only lasted through the night but continued until her next session and beyond. She never experienced that crippling pain again through the treatment, even though she followed the protocol for the hormones which previously made life almost unbearable.
She continued with acupuncture following Sarah’s treatment plan for her all the way up to the transfer, after the transfer and subsequent treatment. Her transfer was successful—she achieved a healthy pregnancy!
Heather is now 12 weeks pregnant and being released by the fertility doctor to an obstetrician. She is headed to Japan for the next year with her husband where she will continue acupuncture and by God’s grace deliver a healthy baby!
The Power of Hope
Sarah Prater has had the honor of helping many women give birth to happy, healthy babies and has a diverse background that enables her to fully support her patients. Her passion for helping women struggling with infertility led her to found the Tennessee Center for Reproductive Acupuncture. Acupuncture has been shown to increase success rates for women struggling with a variety of issues and conditions associated with reproduction.
Acupuncture can increase fertility by reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system, according to several studies and medical research.
According to A recent study from Tel Aviv University, when used in conjunction with Western fertility treatments, acupuncture increases conception rates by 26%. It found that when combining IUI with Traditional Chinese Medicine treatments, 65.5 percent of the test group was able to conceive, compared with 39.4 percent of the control group, who received no herbal or acupuncture therapy.
A well-known German study done in 2002 followed 160 women who underwent IVF. Eighty of them received acupuncture as well and 34 of those women got pregnant: a success rate of 42.5%. Of the other 80 women, those who received IVF without any acupuncture treatments, only 21 women (26.3%) became pregnant.
An American study, of 114 women showed that 51% of the women who had acupuncture and IVF treatments became pregnant compared to 36% of women who had IVF alone. Further analysis of the data revealed a much lower rate of miscarriage for the women who had acupuncture as well as IVF.
Sarah strives to stay up to date with current research in her field and is constantly updating her protocols to offer the maximum benefit. Her wide breadth of experience allows her to work cooperatively with reproductive endocrinologists and OB/GYN’s to provide the best care for her patients.
Many of our patients have been told they have poor egg quality or diminished ovarian reserve, or even poor embryo quality and this is the reason why they are having trouble conceiving or carrying a pregnancy to term. While it is true that your egg health diminishes over time, it is not true that there is nothing that can be done to help support your egg health.
Even if you don’t have any specific ovarian or egg quality issues, helping support good egg health will help increase the chances your cycle will be a success!
The total time it takes for one egg to fully mature is about 90 days. It is during this window of time that we are able to have the biggest impact on egg health. So, we recommend that all of our patients looking to plan a treatment cycle take advantage of this time to prepare and consider acupuncture, supplements, diet, and lifestyle changes to help support their egg health.
Some of the main factors affecting egg health are:
Diet and Nutrition
Blood flow to the uterus and ovaries
Oxygenation of your blood
Our three favorite ways to improve all of these factors affecting egg health are acupuncture (of course!), diet and exercise, and specific supplements.
Each of our treatment protocols (IUI, IVF, and medicated cycles) begins with the recommendation of preconception acupuncture. Preconception acupuncture is treatments given weekly in the 1-3 months prior to any fertility cycle specifically designed to support egg health and hormone balance.
By now, you probably know that acupuncture done alongside a fertility cycle can improve the chances of pregnancy for that cycle. What you may not know, is that acupuncture’s effect is cumulative, much like exercise. Each treatment and treatment cycle builds on the previous. Research done on fertility acupuncture supports this idea. Generally, the more acupuncture one receives, the better the pregnancy rates.
The reasons why acupuncture done in the months prior to a fertility cycle can have an impact on your egg health and the overall success of your cycle are:
Dramatically improved blood flow to the uterus and ovaries: This increases the delivery of oxygen and nutrients, and facilities waste product removal, improving overall egg health.
Hormone regulation: Many women notice changes in their cycles during preconception acupuncture: less pain, more regular ovulation, and normalization of menstrual flow.
Reduced stress: Help your body and mind get ready for the upcoming cycle.
2. Diet, Exercise and Lifestyle:
Diet: A healthy diet can dramatically affect one’s fertility (and overall health!). Taking the preconception time period to focus on eating a clean, whole-food, plant-based diet can help improve egg health. Our favorite general fertility diet comes from a Harvard Medical School research study, but many diagnoses related to infertility, such as endometriosis or PCOS, call for some specialized nutrition.
Overall, the basics of a healthy fertility diet include:
Low amounts of saturated fat: Choose plant based fats such as nuts, seeds, avocados, and healthy fats like those found in salmon and other fish.
Local, grass fed, organic meats whenever possible
Fresh fruits and veggies: We suggest eating foods from every color of the rainbow and making sure at least half of your plate is filled with veggies as an easy way to maximize your fruit and vegetable intake
Vegetable protein sources: Try to replace one serving of meat per day with a vegetarian protein source like beans or tofu.
Lots of fresh water: Try to avoid water bottled in plastic and stick to filtered when possible.
Whole grains: brown rice, quinoa, whole wheat bread and pasta, etc instead of simple, white carbs,
Iron rich plants: spinach, pumpkins, beans, tomatoes, and beets.
Full fat dairy instead of low fat varieties.
Minimal (or no) sugar intake: be sure to watch added sugars and high fructose corn syrup as they can hide in many unsuspecting foods as well as sugary drinks and desserts.
For women who have endometriosis, we recommend following an anti-inflammatory diet. For those with PCOS, a low-glycemic index diet is best.
Exercise: Regular aerobic exercise improves the oxygenation of blood and increased blood flow throughout the body. It is also a great stress reliever and helps maintain a healthy BMI, which is associated with higher pregnancy rates. Yoga is also a great way to strengthen your core and help reduce stress.
The preconception time is perfect for implementing a consistent exercise routine as exercise is commonly limited by your doctor during a fertility treatment cycle.
Lifestyle: There are many lifestyle habits that can have an effect on egg health. Our top suggestions are the following:
Allow personal ‘down-time’ to meditate, read, or just relax.
Listen to fertility meditations via Circle Bloom to help de-stress and foster a healthy body/mind connection
Work to reduce stress and overwork as much as possible
Seek counseling or a support group if you feel it is necessary.
3.Supplements and herbs: In addition to a good quality prenatal vitamin, there are some supplements that you can take that will help support egg quality and overall fertility. One supplement that has some evidence showing it’s efficacy is CoQ-10.
CoQ-10 is a vitamin-like substance (meaning our bodies can make some on their own) that functions within the energy production centers, called mitochondria, present in each cell. As we age, the efficiency of the mitochondria declines. The idea is that by supplementing CoQ-10, we can help support this energy production, which is especially needed for high-energy processes like the cellular division involved in egg production and embryo development. There is some preliminary research showing an egg-health benefit in mice and we await further research. CoQ-10 is generally regarded as very safe to take while trying to conceive and most experience no side effects. It also shows some promise in helping support male fertility as well.
Other supplements that we typically recommend are:
Fish Oil: high in omega-3 fatty acids to help reduce inflammation in the body
Probiotics: to support good digestion and absorption of nutrients.
There are also specific supplements and herbs available for other fertility related conditions such as PCOS, endometriosis, luteal phase defect, male factor infertility, etc and will be recommended as needed.
Please call 865-315-3845 or contact us, we are more than happy to answer your questions or set you up for preconception acupuncture! Good luck with your cycle!
On March 1, 2016 the Tennessee Center for Reproductive Acupuncture finally opened it’s doors to Knoxville and the surrounding areas. We are Knoxville’s first and only acupuncture practice specializing in fertility and prenatal wellness. It was my goal to provide East Tennessee with an integrative option for the treatment of infertility and help each of our patients navigate this complex journey. We have officially been open for our patients for one year (and counting) and I wanted to touch on my thoughts for this first year in practice here.
It was my intention to post this retrospective on the 1 year anniversary of my practice, but I spent the morning driving my husband to and from his wisdom teeth removal appointment. Luckily, all went well, and I was able to fill my afternoon seeing the patents that are truly the heart and soul of TNCRA. Minus the wisdom teeth extraction (who wants to do that!?), I wouldn’t have wanted to spend the one year anniversary of my practice in any other way.
When I think back over the past year, I am completely overwhelmed with a feeling of gratitude. I have been humbled by the reception that Knoxville has given to TNCRA. Over the past year I have met many families struggling with infertility and had a chance to help many of them achieve their dream of pregnancy. I have also met many expectant mothers and had the honor of working with them as they prepare to become mothers for the first, second, third, fourth, or fifth (and more) time. I have also met so many others whose passion for working with families during infertility and pregnancy just bleeds through their work: doctors, doulas, midwives, nurses, massage therapists, craniosacral therapists, nutritionists, chiropractors, photographers, lab technicians, yoga teachers, other acupuncturists, counselors, reproductive endocrinologists, ultrasound technicians, OB/GYN’s, and I’m sure there are few I am forgetting.
One thing I kept hearing in my first year of practice here is that it can be hard for people coming from outside of Tennessee to get a successful business going. I have found this completely and happily untrue. Knoxville has an incredibly welcoming atmosphere and a truly wonderful community to support families of all backgrounds on their journey from trying to conceive to becoming parents. I am honored to be a part of this community and look forward to many years of practice here.
So, thank you Knoxville for welcoming me with open arms. Thank you to the other practitioners who have taken time to learn about TNCRA and how we may be able to work together to help support our patients. But mostly, thank you to my patients. You have put your trust in my experience and training during the most sensitive of times and I am forever grateful to walk alongside you on this journey.
I am very excited for the years to come and hope to build upon the foundation that has been laid. I look forward to learning more each year and working with more families. Mostly, I look forward to pregnancy announcements, birth announcements, and holding space (or a hand) for those experiencing a loss or a failed cycle. These moments are truly what drives me to come to work each day. I love my job.
Are you currently trying to get pregnant or planning to try in the next few months? Have you considered adding fertility acupuncture to your IVF, IUI, or medicated cycle?
You’ve probably read or heard a little about acupuncture for fertility, but maybe don’t know much about how it can help you. Here are our top five reasons why you should book an acupuncture treatment with your next cycle!
Increases Chances of a Take Home Baby: Research shows that acupuncture not only improves pregnancy rates (up to 60%!), but can reduce miscarriages leading to an overall increase in the chances of a take home baby! After all, this is what everyone facing infertility really wants! This research is typically done on IVF cycles, but the same mechanisms of action can help improve an IUI, medicated, or natural cycle in much the same way.
Improves Blood Flow: Acupuncture has been shown to increase blood flow to the uterus. This improved blood flow is associated with a better chance of embryo implantation in IVF cycles. It can also facilitate better nutrient delivery and waste product removal to potentially increase the the quality of your follicles and endometrial lining.
Hormone Regulation: Over the course of 1-3 months, acupuncture can help to regulate your reproductive hormones. For example, women with PCOS often begin ovulating after treatment with acupuncture. Subtle cycle changes also occur as hormones become more balanced. Changes often noticed during the course of treatment include: increased fertile cervical mucous, a longer luteal phase, reduced PMS symptoms, and even changes in your basal body temperature chart.
Reduced Stress: We all know struggling with infertility is stressful. Acupuncture can help you cope with this stress so you can relax and feel normal while going through treatment cycles. It causes a release of ‘feel-good’ chemical called endorphins in your brain that will…. well, help you feel good! You may also notice that you sleep better or have better digestion after treatment as well.
Treatment of Side effects: Often when we are treating patients during their cycles, we use points to reduce headaches, nausea, bloating, irritability, insomnia, hot flashes, night sweats, constipation, anxiety…. you name it! Making you feel comfortable during treatment is a huge part of what we do. The way we see it is that, for many couples, success can be a matter of time. Time finding the right medication combination that works with your body and time waiting for the right follicle to develop. If we can make that wait easier, you’re more likely to try an additional cycle or two and increase your chances of success! Additionally, we all know you can’t push the pause button on life while you undergo fertility treatment, so we work to help keep you at your best so you can continue to be a wife, co-worker, student, mother, sister, friend, and/or superwoman!
As you can see, combining acupuncture to your fertility treatment plan is a great way to, not only, increase your chances of pregnancy, but to feel more comfortable, relaxed and get a more regulated cycle!
We work with both men and women to find a treatment protocol that works with the timing of their cycles to give you the maximum benefit of acupuncture. Please give us a call or contact us online and we’ll walk you through what is best for your situation. Or, if you’re ready, you can schedule an appointment online now!
Last week, I had the opportunity to share how fertility acupuncture can benefit those undergoing IUI and IVF with Dr. Donesky and the staff at the Fertility Center. The Fertility Center has offices in Knoxville and Chattanooga.
First off, Knoxville is so lucky to have Dr. Donesky and crew. They truly love their work, and it shows. Although, I have to say that all of the clinics, doctors, and staff in Knoxville that I have met with are really wonderful. We are a very fortunate community!
At my presentation, I explained how acupuncture can be utilized as a complement to any fertility cycle. We went over our IUI and IVF protocols and I presented some of the research that our protocols are based off of.
My main job as an acupuncturist to someone going through fertility treatment is to support the doctors’ efforts. When done in combination with IVF/IUI, acupuncture can improve pregnancy (and live birth rates), reduce miscarriages, reduce side effects of medications, and lessen the feelings of stress. The protocols are all based on each patient’s cycle timing and unique situation.
We talked about acupuncture’s safety during pregnancy and it’s usefulness during the first trimester for morning sickness and even, possibly, miscarriage prevention.
It was a really fun meeting and I am looking forward to working more closely with them and the other clinics here in town. I am grateful to them for having me!
It is my hope that more cycles will be done using acupuncture as a complementary therapy!
If you are struggling with infertility, please consider getting a work up from a reproductive endocrinologist. Having answers will help you make an educated decision on your best path towards parenthood.
Finally seeing those two lines on a pregnancy test is a long-awaited, and rightfully celebrated, moment for all of my patients! This joy can quickly become sadness if the pregnancy is not viable. Miscarriage is a very common occurrence with 10-25% of all pregnancies ending in miscarriage. The most common cause of miscarriage is genetic abnormalities that cause the embryo to be non-viable. Other causes of miscarriage can include:
Lifestyle issues: smoking, excessive alcohol use, excessive caffeine, drug use,exposure to toxic substances, etc
Maternal age: the prevalence of genetic abnormalities increase with age
Thin or low quality endometrial lining
Immune system issues
Trauma: generally only very severe trauma leads to miscarriage
Structural abnormalities in the uterus: adhesions, polyps, septum, etc
Blood clotting: anti-phospholipid syndrome
For less than 1% women, miscarriages can become recurrent. This is typically diagnosed after having 3 miscarriages. A thorough workup is done to try and find out the cause and determine what treatment is appropriate. Fortunately, many causes of recurrent miscarriage are treatable. Even in the case of genetic abnormalities, like chromosome translocation, preimplantation genetic diagnosis (PGD) can be utilized in combination with IVF to help decrease the chance of miscarriage.
What can I do to prevent miscarriage?
There is a lot you can do on your own to help prevent miscarriage. Much of this work involves managing chronic illness or hormonal imbalances and modifying complicating lifestyle factors. For example:
Quit smoking as soon as possible in your conception journey
Limit coffee and tea to 1-2 cups daily
Maintain a healthy BMI
Seek the help of your physician in managing diabetes, PCOS, or other health problems
Eat a healthy whole-foods diet high in fruits, veggies, and protein and low in sugar and processed foods
Limit exposure to toxic chemicals or environments
Avoid dangerous situations or activities where severe trauma may occur.
How Can Acupuncture Help?
Acupuncture can be a very useful for assisting in the prevention of miscarriage when not related to chromosomal abnormalities by treating many of the common causes of miscarriage. Acupuncture can be helpful in the following ways:
Increasing the thickness and quality of the endometrial lining
Improving uterine blood flow to help prevent blood clots
Regulating the immune system
What does the research say?
Research on acupuncture and miscarriage is very promising. One recent study on acupuncture done along with IVF showed a 50% decrease in the miscarriage rate.
Another studysuggests acupuncture may even be a potential supportive treatment for threatened or recurrent miscarriages due to its beneficial effects on serum cortisol and prolactin levels during IVF.
Acupuncture’s known effects on stress are also a possible mechanism by which miscarriage rates could be reduced. According this same study, it is possible that stress in very early pregnancy may cause overactivity of the hypothalamus-pituitary-ovarian axis leading to reduced progesterone levels. In reducing this stress, progesterone levels may stay higher.
When should I start acupuncture?
Acupuncture can be started at any point along your journey. Some basic recommendations are here:
If you are pregnant: We recommend acupuncture weekly through the first trimester to support blood flow to the uterus, reduce stress, and support progesterone levels before the placenta is fully developed.
If you are trying to conceive: Generally, it is recommended to begin acupuncture 3 months prior to conception for most causes of recurrent miscarriage. This allows the treatments to affect overall cycle health, hormone balance, and egg quality as it takes 90 days for an egg to prepare for ovulation. However, the effects of acupuncture are beneficial at any stage of your journey, and accumulate over time. We see many women while they are actively trying to conceive naturally or with fertility treatment. We have protocols for IVF, IUI, medicated cycles and couples trying naturally.
Please give our office a call to discuss your specific situation or to schedule an appointment. We are more than happy to answer any questions you may have. We wish you the best of luck!!