Showing posts with label female infertility. Show all posts
Showing posts with label female infertility. Show all posts

Monday, September 21, 2009

Acupuncture and Blocked Fallopian Tubes

bamboo fountainMost women never suspect that they may have blocked fallopian tubes. This happens mainly because women don’t experience any obvious symptoms that would lead them to believe that they have such a condition. Infertility is what usually leads women to discover the state of their fallopian tubes. If you have been trying to conceive for longer than a year and you are over 35 years old, you definitely want to consider checking the state of your fallopian tubes.

Diagnosis

Fallopian tube obstruction can be diagnosed in a number of ways. Laparsocopy is a surgical procedure which uses a small lighted tube that is inserted through a tiny incision (cut) on the abdomen. With this procedure, a surgeon is able to see directly into the abdominal cavity and check the state of the fallopian tubes on the outside and the inside by injecting colored dye through the cervix and watching for its appearance at the end of the tube.

Hysterosalpingogram is a procedure in which a dye is injected into the uterus and the uterus is examined via X ray to see if the dye spills into the tubes and pelvic cavity. These diagnostic techniques are quite invasive so they are not done routinely unless a woman has been trying to conceive for a long period of time without success (and male factor infertility has been ruled out).

Causes

The common reason for the fallopian tube blockage is a pelvic infection which may produce minor symptoms or no symptoms at all. However, if the infection was left untreated it can cause scarring, adhesions and complete obstruction of one or both tubes. In cases of PID (pelvic inflammatory disease), opportunistic bacteria coming from the uterus can spread to the fallopian tubes since they are the structures closest to the uterus. If a woman is experiencing acute infection, antibiotic therapy is indicated in order to prevent damage to the fallopian tubes. However, if a woman already has obstruction and damage of the fallopian tubes, a surgery that can repair the damage may be indicated.

Endometriosis can be another possible cause for fallopian tube obstruction.

It’s also possible that fallopian tubes are blocked only some of the time. This type of blockage is referred to as a “functional blockage”. This scenario is typical in women who experience a lot of stress. Stress tends to constrict pelvic musculature and decrease blood flow and this can be a factor in inability to conceive. This type of functional blockage responds very well to acupuncture as well as Chinese herbal medicine. Also, excessive mucous buildup within the tube can create a plug and cause blockage. In Chinese medicine, this would be refered to as “damp accumulation” and would be treated through dietary therapy, herbs and acupuncture.

Infertility Treatment for Blocked Fallopian Tubes

If there is an extensive damage and scarring in both fallopian tubes it is very difficult (or nearly impossible) for a woman to conceive and IVF is probably the best route to take. IVF was actually developed for women with extensive fallopian tube obstruction and damage since it can bypass the problem.

Using acupuncture prior to an IVF treatment is a wise decision since it can help decrease side effects of drugs, decrease stress levels and remove any stagnant blood and energy in order to ensure successful implantation.

Microsurgery is another treatment option for women whose tubes are not damaged along too much of their length. Surgery seems to be more effective if the damage is in the area closer to the uterus.

The good news is that modern technology does help women with tubal blockage have a healthy pregnancy and birth. If you decide to use assisted reproductive technology, you should make an effort to take good care of yourself in order to create optimal conditions for a new life to flourish. Nutritious diet, proper rest, moderate exercise and stress reduction are the most important things that you can do to improve your health as well as increase your chances of conception.

Monday, July 27, 2009

Study shows acupuncture facilitates IVF conception

Study shows acupuncture facilitates IVF conception


Acupuncture

A controversial new study measuring the degree to which getting acupuncture during IVF treatment increases a woman's chance of a successful pregnancy, has found this to be the case to a significant degree.

Acupuncture administered for 25 minutes both before and after an embryo is transferred to the uterus improves the likelihood of a live birth, a review presented at a medical conference in Brisbane has shown.

"On the basis of the current level of evidence we have, if nine women have acupuncture around the time of embryo transfer with IVF there will be one extra live born baby," said Professor Neil Johnson, lead researcher of the New Zealand study, and medical director of Fertility Plus in Auckland.

"That figure looks pretty good, especially to women wanting to do all they can to have a baby."

IVF

But Johnson's Australian counterparts have applied caution and skepicism to the findings, labelling the statistic as stretching "the current scientific data too far".

However, Professor Johnson has reviewed the latest major studies on the benefits of this ancient Chinese therapy regarding reproductive technology, and fertility in general, to a definitive degree.

"In a nutshell there is evidence that acupuncture administered around the time of embryo transfer really does help," he said.

"But doing acupuncture at other times in IVF treatment doesn't appear to be helpful, and there's no really robust evidence about the effectiveness of acupuncture for couples trying to get pregnant naturally."

Johnson explained that acupuncture has traditionally been believed to be effective because it improves energy flow through pathways in the body. However the conventional medicine take is that it inhibits the nervous system, which improves pelvic blood flow or makes the uterus "quieter".

"It might just be that relaxing and having some TLC at this stressful time is where the benefit comes in, but it would seem there's something more at work," Professor Johnson said.

Whatever the reason, the therapy has been widely embraced by IVF patients in Auckland, often those with the poorest pregnancy outlook deriving the most benefit.

It still may be a while however, before doctors and medical professionals embrace the method.

IVF Australia's Professor Michael Chapman said acupuncture had the strongest evidence of any alternative therapy for use in fertility, but the studies were small and "relatively inconclusive".

"The evidence to date would suggest it's not harmful but I certainly wouldn't recommend every IVF patient rush out and get it," Prof Chapman said.