traditional chinese medicine and infertility part ii



INFERTILITY AND TRADITIONAL CHINESE MEDICINE PART II

In Allotment I, we considered the proper treatment methods of Traditional Chinese Medicine and The Four Examinations,which date back over three thousand age.

In this section, we will attending at the mechanisms of action of Traditional Chinese Medicine.

It was shown in a study done at Harvard that stress reduces the hypothalamic-anterior pituitary-ovarian axis function, thus being a agency to be considered in the infertility assignment-up. Acupuncture releases endorphins which mitigate ones response to stressful stimuli thus enhancing the possibility for conception.

“Historically, infertility, particularly “functional” infertility, was attributed to abnormal psychological functioning on the allotment of one or both members of the couple. Preliminary works in the 1940s and 1950s considered “psychogenic infertility” as the above statement of failure to conceive in as abounding as 50% of cases. As recently as the unpunctual 1960s, it was commonly believed that reproductive failure was the aftereffect of psychological and emotional factors. Psychogenic infertility was supposed to action as of unconscious anxiety about sexual feelings, ambivalence toward motherhood, unresolved oedipal conflict, or conflicts of gender agname. Fortunately, advances in reproductive endocrinology and medical technology as able-bodied as in psychological research accept de-emphasized the significance of psychopathology as the basis of infertility, and ad hoc research shows that there is babyish evidence to abutment a role for personality factors or conflicts as a statement of infertility. This perspective unburdens the couple by relieving them of the supplementary guilt of thinking that it is their mental stress that may be amenable for their infertility.

Biologically, since the hypothalamus regulates both stress responses as able-bodied as the female hormones, it’s accessible to beam how stress could statement infertility in some women. Excessive stress may even advance to all suppression of the menstrual cycle, and this is generally seen in female marathon runners, who advance “runner’s amenorrhea”. In less severe cases, it could statement anovulation or irregular menstrual cycles. When activated by stress, the pituitary gland again produces increased amounts of prolactin, and elevated levels of prolactin could statement irregular ovulation. Since the female reproductive tract contains catecholamine receptors catecholamines produced in response to stress may potentially act on fertility, for archetype, by interfering with the transport of gametes buttoned up the Fallopian tube or by altering uterine blood flow. However, added circuitous mechanisms may be at play, and researchers still don’t completely accept how stress interacts with the reproductive system. This is a adventure, which is still unfolding, and during the last 20 age, the advanced field of psychoneuroimmunology has emerged, which focuses on how your apperception can act on your body.

Research has shown that the brain produces adapted molecules called neuropeptides, in response to emotions, and these peptides can interact with every cell of the body, including those of the unsusceptible system. In this appearance, the apperception and the body are not alone connected, but again inseparable, so that it is hardly surprising that stress can accept a abrogating access on fertility.

Stress can lessen sperm counts as able-bodied. Thus, testicular biopsies obtained from prisoners awaiting execution, who were obviously under acute stress, revealed all spermatogenetic arrest in all cases. Researchers accept again showed significantly lower semen volume and sperm concentration in a accumulation of chronically stressed marmoset primate, and these changes were attributed to lower concentrations of LH and testosterone (which were reduced in the stressed accumulation). However, how relevant these research findings are in clinical practice is still to be curved.”

The stress factors that acupuncture addresses stems from both psycho-emotional factors as able-bodied as physical etiologies. For archetype, decidedly painful pre-menstruum or mid cycle affliction can be debilitating. This type of physical stress, no suspect produces emotional stress as a aftereffect of missed assignment, affectation affliction and other action-style factors resulting from such acute affliction; all can mitigate the function of the reproductive system.

Aceto corticotropic hormone is released as a response to acupuncture darner stimuli. ACTH has an antiinflammatory mechanism which may for archetype, advice with tubal agency based infertility as a response to pelvic inflammatory disease.

The insertion of acupuncture needles has been shown to effectively access blood circulation. Acupuncture is actual able in treating, for archetype, Reynaud’s Syndrome. Enhanced microcirculatory patency to the uterine lining does, undoubtedly contribute to a healthier and added advance oriented endometrium, especially when utilizing electrical stimulation on inserted acupuncture needles on points accepted as zigongxue which reside superior to the ovaries. The points zigongxue are located 3 inches inferior to the umbilicus and three inches bilateral to the anterior midline.

“They reviewed existing evidence regarding the role of acupuncture in the treatment of infertility, and identified a figure of studies indicating that acupuncture can be affectionate as an adjunct to other infertility treatments, including IVF. Alone one randomized controlled study examined the independent aftereffect of acupuncture on IVF outcomes, but this indicated a absolute aftereffect.

The reviewed authors again highlight evidence that shows the effects of acupuncture may be mediated buttoned up neuropeptides that access gonadotropin secretion, which could in turn act on the menstrual cycle. The adjustment can again lessen stress, which is accepted to adversely act on fertility, and has been implicated in the regulation of uterine blood flow.”

“Using acupuncture during assisted reproduction may advance pregnancy rates, add researchers. However, they acknowledge that the mechanism behind this aftereffect is unclear, and the accumulation plans to act out further studies to confirm, and further investigate, their findings.

Noting that acupuncture has been shown to act on the autonomic afraid system, Dr. Wolfgang Paulus (Christian-Lauritzen-Institut, Ulm, Germany) and colleagues postulated that the therapy could access endometrial receptivity via ascendancy of related muscles and glands.

The researchers randomly assigned 160 women receiving assisted reproductive therapy to undergo IVF with or without acupuncture, before and after embryo transfer. In acupuncture subjects, the needles were placed at points believed to access reproductive factors, for archetype by improving blood flow to the uterus.

Paulus et al report that the acupuncture accumulation had a higher percentage of pregnancy compared with those not accustomed acupuncture (43 percent versus 26 percent). They conclude, accordingly, that acupuncture could be “a advantageous tool” for improving pregnancy rates during certain infertility treatments.”

In Allotment III we will attending at the combined elements of Eastern and Western medicine along with herbal medication in the treatment of infertility.


About the Author

Dr. Mike Berkley has been treating fertility disorders since 1996 with astonishing results. He works exclusively in the area of reproductive medicine and enjoys working in conjunction with some of Advanced York’s most prestigious reproductive endocrinologists. Sign up for his chargeless newsletter at www.BerkleyCenter.com

Originall posted May 10, 2012