Ama Fertility Center
Fertility Studies

The following are a variety of articles and abstracts published by the medical community that provide supporting evidence of the effectiveness of oriental medicine in treating a variety of health issues.

 

 

INFERTILITY STUDY - CONTINUED

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ELECTROACUPUNCTURE EFFECTS ON UTERINE ARTERY BLOOD FLOW IMPEDENCE (1)

Research on in-vitro fertilization (IVF) treatment has, among other things, focused on optimizing positive results with minimum complications. One line of research has been to modify different stimulation regimens, and another has been to investigate and improve the quality of the culture medium and the selection of the best embryos. Successful IVF and embryo transfer (ET) require optimal endometrial receptivity at the time of implantation. Blood flow impedance in the uterine arteries, measured as the pulsatility index (PI), is considered valuable in assessing endometrial receptivity in association with IVF and ET treatment. An optimal range of PI at the time of ET seems to be between 2.0 and 2.9. Steer et al. (1992) showed that a mean uterine arterial PI >3.0 at the time of ET predicted 35% of pregnancy failures (2). A third line of research, aimed at improving IVF outcome, is now conceivable.

 

The aim of the present study was to evaluate whether repeated electro-acupuncture (EA) treatments can reduce high blood flow impedance in the uterine arteries to an optimal PI level between 2.0 and 2.9.

 

Ten infertile women, aged between 25 - 40 years, with a mean PI >3.0 in the uterine arteries, attending the clinic for IVF and ET treatment were included. The mean PI of the uterine arteries (mean of three PI on each side) was measured on each patient with transvaginal ultrasonography and pulsed Doppler curves. The measurements were done twice before the first EA treatment, after the eight EA treatments and again 10-14 days after the EA period. EA was given eight times, twice a week for 4 weeks. There were no differences between the first two PI measurements, which were taken prior to the first EA. However, in comparison with the mean baseline PI taken before down regulation and before the first EA, the mean PI taken both after the last EA and 10 - 14 days later was significantly reduced.

 

The present study showed that repeated EA treatments reduce a high PI value in the uterine arteries to normal levels directly after and 10 - 14 days after the EA period. Whether the subsequent increase in blood flow influences endometrial receptivity, and therefore implantation and pregnancy rate, in women undergoing IVF and ET remains to be shown.

 

 

ELECTROACUPUNCTURE AS AN ANESTHESIA DURING OOCYTE ASPIRATION (2)

The anesthetic method used during oocyte aspiration should provide adequate analgesia during the procedure and rapid recovery afterwards. In Sweden the most frequently employed procedure is a paracervical block (PCB) in combination with i.v. opiates. Premedication with sedative drugs may be used. Intravenous opiates and different combinations of premedication can cause side-effects such as tiredness, nausea, and confusion.

 

The aim of the present study was to compare EA and PCB, EA group, with a fast-acting opiate (alfentanil) and PCB, alfentanil group, with regard to pain related to oocyte aspiration, discomfort, adequacy of anesthesia, abdominal pain, stress, nausea, and IVF outcome parameters.

 

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