Acupuncture for Infertility: How It Improves Fertility and IVF Success

March 14, 2025
Pregnancy

Introduction

Infertility—the inability to conceive after 12 months of regular, unprotected intercourse—affects millions of couples worldwide. This challenge often leads to emotional stress and expensive medical treatments like in vitro fertilization (IVF). Seeking every advantage, many couples turn to complementary therapies such as acupuncture. In fact, studies show a large proportion of fertility patients use some form of complementary medicine during treatment. Acupuncture, a key component of Traditional Chinese Medicine, involves inserting fine needles into specific points on the body to promote healing. But can acupuncture really help with infertility? Modern scientific research and expert insights suggest yes – acupuncture may improve reproductive health in both women and men by influencing hormones, blood flow, and stress, thereby boosting the chances of pregnancy. Some studies even found improvements in sperm count and motility in men after acupuncture, indicating benefits for male infertility as well.

How does acupuncture enhance fertility? Below are key ways this therapy can support natural conception and IVF outcomes, according to research and clinical experts:

  • Balancing Hormones for Ovulation: Acupuncture can help regulate the hormones that control the menstrual cycle and ovulation.
  • Improving Uterine Blood Flow: It increases blood circulation to the uterus and ovaries, improving the uterine lining and ovarian function.
  • Reducing Stress Levels: Acupuncture calms the nervous system and lowers stress hormones like cortisol, which can otherwise hinder fertility.
  • Supporting IVF Success: When used alongside IVF, acupuncture has been linked to higher pregnancy rates and possibly better IVF outcomes in some studies.

In the sections that follow, we dive deeper into each of these benefits, backed by clinical studies, biological mechanisms, and expert opinions on acupuncture’s role in fertility care.

Balancing Hormones and Regulating Ovulation

One of the most important impacts of acupuncture on fertility is its ability to influence hormonal balance. Proper coordination of reproductive hormones is essential for regular ovulation and a healthy menstrual cycle. Acupuncture appears to interact with the body’s neuroendocrine system – particularly the hypothalamic-pituitary-ovarian (HPO) axis that governs reproductive hormones. Research suggests that acupuncture triggers the release of neurotransmitters like endorphins in the brain, which can affect the secretion of gonadotropin-releasing hormone (GnRH). By this mechanism, acupuncture may increase or normalize levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) – the hormones that drive follicle development and ovulation. For instance, preliminary studies in women with polycystic ovary syndrome (PCOS) have shown acupuncture can reduce abnormally high LH levels and restore a more regular cycle. Regulating these hormones helps promote consistent ovulation, which is crucial for natural conception.

Beyond the HPO axis, acupuncture also influences the hypothalamic-pituitary-adrenal (HPA) axis, our central stress response system. Chronic stress can elevate cortisol and prolactin, which in turn may disrupt ovulation or implantation. Acupuncture sessions have been found to lower cortisol levels and balance the HPA axis. By recalibrating stress hormones, acupuncture indirectly supports the proper timing of ovulation and the maintenance of a receptive uterine lining.

Enhancing Blood Flow to the Uterus and Ovaries

Adequate blood flow to the reproductive organs is vital for fertility. Blood delivers oxygen, nutrients, and hormones to the ovaries (which develop eggs) and to the uterus (which must nurture an embryo). Acupuncture has a well-documented effect of improving microcirculation and blood supply in targeted areas. When certain acupuncture points (for example, around the lower abdomen, legs, and feet) are stimulated, they prompt the body to release vasodilators — chemicals that widen blood vessels. This leads to increased blood flow to the uterus and ovaries, which can have several positive effects on fertility.

For one, better uterine blood flow means a thicker, healthier endometrium (uterine lining) that is more receptive to embryo implantation. In an IVF context, researchers have used ultrasound to measure uterine blood flow and found that women who received acupuncture before embryo transfer had significantly improved uterine blood flow indices compared to a control group.

Reducing Stress and Improving Emotional Well-Being

There is no denying that struggling to conceive, or going through IVF, can be extremely stressful. Unfortunately, high stress can itself become a barrier to fertility – elevated stress hormones and constant anxiety may interfere with ovulation, implantation, and even sperm quality. Acupuncture is widely recognized for its stress-reducing, relaxation-inducing effects. Many patients report feeling calmer and more balanced after sessions, which is not just a placebo anecdote; it reflects real physiological changes. Acupuncture treatments stimulate the parasympathetic nervous system (the “rest and digest” branch) and reduce activation of the sympathetic nervous system (the “fight or flight” branch). This shift can slow down a racing mind and promote deep relaxation.

Acupuncture as a Complement to IVF Treatment

Given its benefits on hormones, blood flow, and stress, acupuncture has attracted attention as a complementary therapy during IVF cycles. IVF is a complex process – eggs are retrieved and fertilized in the lab, then embryos are transferred to the uterus – and success can depend on optimal conditions in the body. Acupuncture is often used around the time of embryo transfer and in the weeks leading up to it, with the aim of improving the odds of implantation and pregnancy.

What does the evidence say about acupuncture’s impact on IVF success rates? Research is ongoing, but several studies suggest a positive effect. One landmark randomized trial found that women who received acupuncture on the day of embryo transfer had significantly higher pregnancy rates than those who did not. Additional meta-analyses have reported that women who received acupuncture had a higher chance of both pregnancy and live birth than those who did not.

Conclusion

Acupuncture has emerged as a promising complementary treatment for those facing fertility challenges, offering a blend of physical and emotional benefits. Scientifically, acupuncture influences key factors in reproduction: it helps balance the hormones that regulate ovulation, increases blood flow to reproductive organs to improve ovarian and uterine conditions, and reduces stress and anxiety that can hinder fertility.

If you’re considering acupuncture for infertility, consult with your healthcare provider and seek a licensed acupuncturist with experience in fertility cases. Acupuncture is generally very safe when performed by a trained professional, and most people find the experience relaxing. While it’s not a guaranteed solution, many couples have found acupuncture to be a helpful ally in their path to parenthood.

Dr. Olivia Choi, L.AC, DACM, VIVE Energy Medicine

Dr. Olivia Choi, DACM, L.Ac, Dipl. O.M.

VIVE Energy Medicine
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