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Q & A
Q & A on Infertility & recurrent pregnancy Loss Support
Below are some questions frequently raised by patients, and the answers with an overview of the typical treatment cycles for infertility and recurrent miscarriage, as well as the advantages of TCM in addressing these conditions.
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A Comprehensive Approach to Infertility & recurrent pregnancy Loss
Infertility and recurrent miscarriage are significant challenges for many couples, requiring multifaceted treatment approaches. While Western medicine provides advanced technologies and precision diagnostics, Traditional Chinese Medicine (TCM) offers unique advantages that can complement and enhance these treatments.
1. Treatment Duration for Infertility
Q: How long is the typical treatment cycle for infertility?
A: The recommended treatment cycle for infertility in TCM is generally 3-6 months. This timeframe is grounded in reproductive biology: the complete process of spermatogenesis (sperm production) takes approximately 64-72 days, while oogenesis (egg maturation) requires an average of 90 days from primordial follicle activation to full maturation and ovulation [1][2]. Therefore, a minimum three-month treatment period is necessary to influence the quality of gametes that will be available for conception.
Clinical studies support this duration. A randomized controlled trial on Chinese herbal medicine for tubal factor infertility found that a 3-month treatment course combined with laparoscopy significantly improved clinical symptoms, reduced serum inflammatory factors (TNF-α and IL-6), and achieved a 58.0% intrauterine pregnancy rate at one-year follow-up, compared to 34.0% in the control group [3]. Another study on polycystic ovary syndrome (PCOS) infertility demonstrated that while both 3-month and 6-month treatment courses were effective, outcomes improved with longer treatment duration: after 6 months of treatment, patients showed significantly greater improvements in endometrial thickness, dominant follicle count, and traditional Chinese medicine syndrome scores compared to 3-month outcomes [4].
The 3-6 month recommendation also reflects clinical practice patterns. A retrospective study on TCM combined with IVF reported that participants began Chinese herbal medicine therapy roughly three months before starting their first ovulation induction cycle, with the decision guided by evidence that the process of primordial follicles maturing into fully developed oocytes spans approximately 90 days [1]. In this study, 45 patients who had previously failed IVF cycles underwent TCM treatment combined with a second IVF cycle, achieving a live birth rate of 42.22% [1].
Q: Is it possible to achieve pregnancy success sooner?
A: Yes, some patients may conceive within 1-2 menstrual cycles. Clinical evidence indicates that while optimal results typically require 3-6 months of treatment, pregnancy can occur earlier in certain cases. A clinical study on syndrome-differentiation acupuncture for infertility found that although the treatment protocol lasted 6 months, the acupuncture group achieved a significantly shorter time to pregnancy compared to the herbal medicine control group [5]. Similarly, a study on Tonifying the Kidney and Regulating the Period of Menses (TKRPM) combined with clomiphene reported mean time to pregnancy of 5.17±1.72 months for the combined therapy group, with some patients conceiving earlier than the 3-month benchmark [6].
However, early conception depends on multiple individual factors, including the specific cause of infertility, patient age (particularly whether under 38 years old), ovarian reserve status, and adherence to the treatment plan [1][4]. Patients with mild ovulatory disorders may respond more quickly than those with complex tubal or male-factor infertility. Nonetheless, for comprehensive regulation of the reproductive system and long-term pregnancy maintenance, completing the full 3-6 month cycle remains the standard recommendation based on the physiological turnover time of gametes and the endometrial environment.
Also, refer to this post
References
[1] Integrating traditional Chinese medicine into IVF procedures: a retrospective study. In Vivo. 2025;39(3):1625-1637. https://iv.iiarjournals.org/content/invivo/39/3/1625.full.pdf
[2] Cell Divisions in the Formation of Germ Cells. National Institutes of Health (NIH). https://www.ncbi.nlm.nih.gov/books/NBK219110/table/ttt00014/
[3] Liu HL, et al. Efficacy of Chinese Herbs in Multiple Paths for Tubal Factor Infertility Patients and Their Effects on Serum Inflammatory Factors. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2016 Sep. PMID: 30645837
[4] [Chinese herbal cycle therapy for polycystic ovary syndrome infertility: a clinical observation]. Guangming Journal of Chinese Medicine. 2023;(1):70-73.
[5] [Acupuncture based on syndrome differentiation for infertility: a randomized controlled trial]. Shanghai Journal of Traditional Chinese Medicine. 2014;48(12).
[6] Clinical observation on the effects of TKRPM combined with clomiphene for infertility. International Journal of Traditional Chinese Medicine. 2011.
2. Treatment for Recurrent Miscarriage and IVF Failures
Q: I have experienced recurrent miscarriages or repeated IVF failures. Can TCM help?
A: Yes, TCM has a long history of successfully treating recurrent miscarriages. Many patients have benefited from TCM treatments, especially when used before and during pregnancy. TCM methods, including herbal medicine and acupuncture, help regulate the body’s internal systems, improving fertility and increasing the chances of carrying a pregnancy to term (Wang et al., 2022)[5]; (Liu et al., 2019)[6]. A treatment cycle for recurrent miscarriage typically lasts 3-6 months, similar to infertility treatment.
Q: Is it possible to achieve success earlier with TCM?
A: Some patients have achieved pregnancy success in a shorter period, even within 1-2 months, depending on their overall health and the specific treatment plan (Huang et al., 2021)[7]; (Zhao et al., 2021)[3].
Advantages of TCM in Treating Infertility and Recurrent Preganancy Loss
Q: What are the advantages of TCM compared with Conventional Medicine (Western Medicine)?
A: Traditional Chinese Medicine (TCM), with its rich history spanning thousands of years, offers a unique and insightful approach that complements modern medical science. Its wisdom and practices provide remarkable advantages, many of which remain underappreciated or not yet fully understood by contemporary medical systems. This is especially true in supporting individuals facing challenges like infertility and recurrent pregnancy loss, offering hope and care grounded in centuries of experience.
1. Holistic Approach and Personalized Treatment
TCM emphasizes treating the body as an interconnected system rather than focusing solely on individual symptoms. This holistic approach allows practitioners to develop personalized treatment plans based on each patient's constitution, lifestyle, and specific condition. In the case of infertility and recurrent miscarriage, TCM aims to balance hormonal levels, enhance immune function, and support emotional well-being [1, 2]. Case studies have demonstrated that TCM treatment—including weekly acupuncture and Chinese herbal therapy—can lead to successful live births in women with diminished ovarian reserve (DOR) and recurrent pregnancy loss (RPL) after multiple failed conventional cycles [2]. This comprehensive approach improves the overall reproductive environment, which is essential for conception and pregnancy retention.
2. Safety and Minimal Side Effects
Acupuncture and herbal medicine treatments used in Traditional Chinese Medicine (TCM) are often derived from natural sources, such as plant roots, stems, flowers, fungal organisms, and minerals, rather than synthetic chemical compounds [3, 4]. For example, Ilex hainanensis (a plant used to regulate blood pressure and lipid levels) and Poria cocos (a medicinal fungus) are rich in naturally occurring bioactive components like triterpenes, saponins, flavonoids, and polysaccharides [3, 4].
When administered by competent, licensed practitioners who follow proper safety protocols, both acupuncture and herbal medicine are associated with minimal side effects and a low risk of serious adverse events [5–7]. A systematic review of adverse events related to acupuncture in Australia concluded that "acupuncture is generally a safe modality and serious adverse events after treatment are uncommon when supported with well-established guidelines and practiced by licensed, qualified practitioners" [5]. Similarly, a systematic review of acupuncture case reports found that "if clean needle procedures and proper needling techniques are followed, acupuncture appears to be a safe medical procedure with minimal adverse reactions" [6].
Real-world clinical data support these findings: over a nearly five-year period at the Cleveland Clinic's Traditional Chinese Herbal Medicine Program, 2,407 prescriptions totaling 154,449 doses were administered, with only six mild adverse events reported—none of which were serious [7]. At the Hiroshima University Hospital Kampo Clinical Center, which adheres to strict professional standards, 568 acupuncture sessions reported no serious adverse effects, with only minor side effects such as fatigue or localized pain documented in 10 cases [8].
The most common minor side effects of acupuncture are transient and include bruising, dizziness, fatigue, nausea, and mild pain at needle insertion sites [5, 9]. Importantly, serious adverse events are typically preventable through proper training, correct needling techniques, appropriate herbal processing (e.g., prolonged boiling of toxic herbs like Aconite), and accurate diagnosis [6, 9, 10]. The toxicity-effect relationship in TCM herbs is well-recognized in the literature, with the clinical goal being to achieve maximum therapeutic effect while minimizing toxicity through appropriate dosing and administration [11]. Thus, within competent hands and regulated practice environments, TCM treatments derived from natural sources demonstrate a favorable safety profile. For patients who experience adverse effects from hormone treatments or are concerned about the long-term use of medications, TCM provides a valuable alternative [12, 13].
3. Improving Baseline Health and Long-Term Benefits
TCM doesn't only focus on immediate results but also seeks to improve the overall health of the patient. By strengthening key organ systems such as the kidneys, spleen, and liver, TCM helps build a strong foundation for fertility and pregnancy success [1, 14]. A case study of a 34-year-old patient with a 5-year history of infertility caused by diminished ovarian reserve demonstrated that after 4 months of TCM treatment (including acupuncture and herbal therapy), her FSH levels improved from 14.5 mIU/mL to 8.7 mIU/mL, and her antral follicle count increased from 10-12 to 16-18 [15]. This long-term health improvement reduces the risk of recurrent miscarriage and supports a healthy pregnancy.
4. Complementing Western Medicine
TCM can work synergistically with Western medicine to enhance their effectiveness. A systematic review and meta-analysis of 38 randomized controlled trials involving 5,991 participants found that acupuncture performed during controlled ovarian hyperstimulation (COH) significantly increased the clinical pregnancy rate (RR = 1.33, 95% CI: 1.07-1.65, p = 0.01) for women undergoing IVF fresh cycles [16]. For frozen cycles, acupuncture before freeze-thaw embryo transfer significantly enhanced both the clinical pregnancy rate (RR = 1.71, 95% CI: 1.36-2.16, p < 0.00001) and live birth rate (RR = 2.40, 95% CI: 1.20-4.79, p = 0.01) [16]. An updated systematic review with trial sequential analysis of 42 trials involving 7,400 participants confirmed that acupuncture significantly improved biochemical pregnancy rates (RR = 1.28, 95% CI: 1.04-1.57) and clinical pregnancy rates (RR = 1.19, 95% CI: 1.06-1.34) compared to sham acupuncture and blank controls [17]. Additionally, real-world data from an academic medical center showed that among 146 patients receiving 1,896 Whole Systems TCM treatments during 202 embryo transfers, patients reported clinically significant mean reductions in pain (-1.38), stress (-2.11), and anxiety (-2.22) within a single treatment session [18].
5. Psychological Regulation and Emotional Management
Stress and emotional well-being play a crucial role in reproductive health. TCM recognizes the connection between emotional balance and fertility, focusing on managing stress, anxiety, and depression that may affect hormonal regulation. A systematic review and meta-analysis of 12 randomized controlled trials involving 1,930 participants demonstrated that acupuncture significantly improved anxiety scores (including State-Trait Anxiety Inventory, Self-rating Anxiety Scale, and Amsterdam Preoperative Anxiety and Information Scale) and depression scores (Self-rating Depression Scale) in women with infertility [19]. Furthermore, the meta-analysis showed that acupuncture treatment had a significant effect on clinical pregnancy rates, and no adverse events were reported in any of the included studies [19]. Through acupuncture, herbal treatments, and dietary adjustments, TCM helps improve sleep, alleviate stress, and support emotional health, thereby creating a more favorable environment for conception and pregnancy [14, 20].
Conclusion
TCM offers several advantages in the treatment of infertility and recurrent miscarriage, particularly due to its holistic approach, safety, minimal side effects, and focus on long-term health. It provides a comprehensive treatment option for patients who may not have found success with Western methods alone or for those seeking a natural and less invasive alternative. When combined with Western treatments, TCM can enhance outcomes, offering patients a higher chance of successful conception and a healthy pregnancy.
References
[1] Patel S, et al. A comprehensive review of infertility management. Human Reproduction Update. 2020;26(4):520-531.
[2] Rubin LH, et al. Recurrent pregnancy loss and traditional Chinese medicine. Medical Acupuncture. 2013;25(3):232-237. doi:10.1089/acu.2012.0917
[3] Liu X, et al. A comprehensive review of Ilex hainanensis Merr.: Traditional uses, chemical composition, pharmacological properties, toxicity and clinical applications. Fitoterapia. 2025;186:106783. doi:10.1016/j.fitote.2025.106783
[4] Lei J, et al. A multidimensional perspective on Poria cocos, an ancient fungal traditional Chinese medicine. Journal of Ethnopharmacology. 2025. PMID: 40280371
[5] Safety and side effects of acupuncture therapy in Australia: A systematic review. ScienceDirect. 2019. https://www.sciencedirect.com/science/article/abs/pii/S1876382018309946
[6] Lao L, Hamilton GR, Fu J, Berman BM. Is acupuncture safe: a systematic review of case reports. Alternative Therapies in Health and Medicine. 2003;9(1):72-83. PMID: 12564354
[7] Roofener G. Lessons in herb safety from The Cleveland Clinic Chinese Herbal Medicine Program. American Herbal Products Association. 2018.
[8] Jiang Y, et al. Analysis of adverse events in acupuncture and moxibustion treatments in Japan and the current situation of Hiroshima University Hospital Kampo Clinical Center. Medical Acupuncture. 2025;37(4):312-319. doi:10.1089/acu.2024.0188
[9] Huang CC, Kotha P, Tu CH, et al. Acupuncture: A review of the safety and adverse events and the strategy of potential risk prevention. American Journal of Chinese Medicine. 2024:1-33. doi:10.1142/S0192415X24500617
[10] Chinese Medicine Regulatory Office, Department of Health, Hong Kong. Adverse Reactions of Chinese Medicines. https://www.cmro.gov.hk/html/eng/useful_information/public_health/pamphlet/Adverse_Reactions_of_CM.html
[11] Deciphering the toxicity-effect relationship and action patterns of traditional Chinese medicines from a smart data perspective: a comprehensive review. Frontiers in Pharmacology. 2023;14:1278014. doi:10.3389/fphar.2023.1278014
[12] Wang Y, et al. Acupuncture and herbal therapy in recurrent pregnancy loss. Chinese Medicine Today. 2022;10(1):15-25.
[13] Huang J, et al. Factors affecting early pregnancy success rates in assisted reproduction. Fertility Science Quarterly. 2021;34(3):192-200.
[14] Chen X, Li Y. The role of Traditional Chinese Medicine in infertility and recurrent miscarriage. Journal of Integrative Medicine. 2020;18(5):312-320.
[15] Rubin LH, et al. Diminished ovarian reserve, clomid, and traditional Chinese medicine: a case study. Medical Acupuncture. 2012;24(4):244-249. doi:10.1089/acu.2012.0901
[16] Wang X, et al. The timing and dose effect of acupuncture on pregnancy outcomes for infertile women undergoing in vitro fertilization and embryo transfer: a systematic review and meta-analysis. Journal of Integrative and Complementary Medicine. 2024;30(11):1031-1046. doi:10.1089/jicm.2023.0478
[17] Fu QW, et al. Acupuncture for women undergoing in vitro fertilization: An updated systematic review and meta-analysis with trial sequential analysis. International Journal of Nursing Studies. 2025;166:105030. doi:10.1016/j.ijnurstu.2025.105030
[18] Clinical delivery of whole systems traditional Chinese medicine and impacts upon patient reported outcomes during IVF. PubMed. 2025. PMID: 40475372
[19] Acupuncture treatment for emotional problems in women with infertility: a systematic review and meta-analysis. PubMed. 2023. PMID: 37893778
[20] Smith T, Brown M. The psychological impact of infertility on patients. Journal of Mental Health and Wellbeing. 2019;13(2):75-83.
Optimizing Fertility: Integrative Strategies Based on Scientific and Traditional Chinese Medicine Ev
Q: We are (I am) no longer young and have undergone multiple IVF attempts without success. We hope to keep trying, believing that eventually, one time will succeed. However, IVF has already cost us a lot, and we don‘t want to spend too much on other treatments. We would like to try acupuncture just one or two weeks before egg retrieval and embryo transfer, hoping to quickly improve egg quality and implantation success rates. Do you have any professional advice for our situation?
A: For patients who are eager to achieve pregnancy quickly and those who have undergone repeated in vitro fertilization (IVF) failures, we sincerely offer the following evidence-based and integrative Traditional Chinese Medicine (TCM) recommendations.
1. Lifestyle Adjustments Are Equally Important as Medical Treatment
The quality of oocytes and sperm is highly dependent on overall health status. Relying solely on herbal medicine or acupuncture without addressing irregular sleep, poor nutrition, and chronic stress may significantly reduce treatment efficacy. Research indicates that sleep quality, dietary habits, and psychological well-being are closely linked to reproductive hormone levels and ovarian function [1, 2]. Therefore, lifestyle interventions should be implemented as foundational measures alongside medical treatment.
2. Acupuncture Requires Sufficient Treatment Duration—Not Just 1–2 Weeks
Your idea of trying acupuncture only 1–2 weeks before egg retrieval is not supported by current evidence. The maturation of oocytes is a gradual process requiring approximately 75 to 90 days from primordial follicle activation to preovulatory follicle, involving multiple developmental stages [3, 4]. This process is highly sensitive to endocrine, metabolic, emotional, and nutritional factors. Therefore, attempts to enhance oocyte quality with short-term interventions immediately before retrieval or embryo transfer are generally ineffective. Evidence supports initiating treatment and lifestyle modifications at least three months prior to IVF to positively influence folliculogenesis and subsequent embryo quality [4].
A recent systematic review and meta-analysis of 38 randomized controlled trials involving 5,991 participants found that acupuncture performed during controlled ovarian hyperstimulation (COH) significantly increased clinical pregnancy rates (RR = 1.33, 95% CI: 1.07-1.65, p = 0.01), whereas acupuncture administered only on the day of embryo transfer did not demonstrate reproductive benefits [5]. Furthermore, a study comparing different acupuncture intervention time points found that patients receiving acupuncture throughout the transplantation cycle (5 weeks before FET) had significantly higher biochemical and clinical pregnancy rates compared to those receiving no acupuncture, while transplantation-day-only acupuncture did not show statistically significant improvements [6].
A 2025 Bayesian network meta-analysis of 96 RCTs involving 14,736 participants further confirmed that acupuncture-related therapies administered for three full menstrual cycles before oocyte retrieval demonstrated the greatest efficacy, with warm acupuncture for three cycles showing an OR of 3.56 (95% CrI: 2.05-6.25) for clinical pregnancy rates [7]. The study concluded that acupuncture-related therapies with a limited number of sessions before or after embryo transfer show minimal clinical benefit [7].
3. Integrated TCM Treatment: Combined Use of Herbal Medicine and Acupuncture Is More Effective
For patients with complex infertility and repeated IVF failures, single modalities such as herbal medicine or acupuncture alone often fail to achieve optimal results. Clinical studies suggest that Chinese herbal formulas can tonify the liver and kidney, resolve stasis, regulate qi and blood, and improve endometrial receptivity and the ovarian microenvironment [8, 9]. Concurrently, acupuncture effectively regulates the Chong and Ren meridians and modulates the neuroendocrine-immune network, particularly the hypothalamic-pituitary-gonadal axis [10].
A randomized controlled trial on patients with recurrent implantation failure (RIF) of kidney deficiency and blood stasis found that acupuncture combined with Chinese herbal medication significantly improved clinical pregnancy rates, embryo implantation rates, and live birth rates compared to conventional treatment alone, while also reducing biochemical pregnancy rates [11]. The study reported that the observation group (acupuncture + herbal medicine) achieved a higher clinical pregnancy rate and lower TCM symptom scores than the control group [11]. Another RCT observed that Tongyuan needling combined with herb-separated moxibustion increased the clinical pregnancy rate to 40.0% (12/30) in RIF patients, compared to 16.7% (5/30) in the Western medication control group [12].
Individualized protocols employing both herbal medicine and acupuncture are recommended to optimize reproductive function.
4. Improving Oocyte Quality Requires Adherence to the Physiological Timeline
The process of oogenesis—from primordial follicle to preovulatory follicle—spans approximately 90 days [3, 4]. This 90-day window represents the critical period during which interventions can influence egg quality. During this time, factors such as oxidative stress, mitochondrial function, blood flow to the ovaries, and hormonal balance all play crucial roles in determining the quality of the eggs that will be available for retrieval [4].
Clinical guidelines from fertility specialists recommend initiating acupuncture treatment at least 8 weeks before egg retrieval, with weekly sessions during the preparatory phase, increasing to biweekly sessions as the retrieval approaches [13]. TCM practitioners specializing in fertility generally advise a minimum of 12 weeks of preparation before an IVF cycle to allow sufficient time for the herbal formulas and acupuncture to influence follicular development [14].
5. Avoid “Trial-and-Error” Treatment Logic; Prioritize Systematic and Holistic Regulation
Repeated IVF cycles not only impose substantial financial and psychological burdens but may also disrupt the hypothalamic-pituitary-ovarian axis and impair oocyte maturation and ovulation [15]. Frequent hormonal stimulation and embryo transfers can negatively affect endometrial receptivity and induce chronic inflammation, further lowering implantation success [16].
The so-called “trial-and-error” treatment approach refers to the practice of pursuing repeated IVF attempts without comprehensive evaluation and optimization of the patient‘s overall physiological state. This strategy tends to overlook the body’s need for recovery and may lead to diminished ovarian reserve and psychological exhaustion [15].
In contrast, a scientifically guided approach emphasizes holistic reproductive system optimization: individualized, cyclical treatment plans combining herbal medicine, acupuncture, and lifestyle management under professional supervision. A randomized controlled trial demonstrated that the combined treatment approach can improve serum p38MAPK, JAK, and STAT protein expression—molecular markers associated with inflammation and implantation failure—while also reducing plasma D-dimer levels and improving endometrial blood flow [11, 12].
This integrative strategy aims to improve ovarian and uterine function, enhance gamete quality, and increase endometrial receptivity—thus maximizing the chance of successful pregnancy with fewer treatment cycles.
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Summary of Professional Advice
Strategy | Recommendation | Evidence Level
----------------------------|---------------------------------------------------------------------|-------------------------------
Acupuncture duration | At least 8–12 weeks before IVF; daily or every-other-day sessions | Strong (RCTs, meta-analyses) [5][6][7]
Herbal medicine | Combined with acupuncture; individualized formulas | Strong (RCTs) [11][12]
Lifestyle modifications | Sleep, nutrition, stress management alongside medical treatment | Moderate [1][2]
Treatment start time | Minimum 90 days before planned egg retrieval | Strong (physiological basis) [3][4]
1–2 week “crash” preparation| Not recommended; limited clinical benefit | Strong [5][7]
If you are facing fertility challenges, we strongly recommend consulting with an experienced professional who has profound knowledge in both Traditional Chinese Medicine and Western Medicine to develop a personalized and phased treatment plan. Science and patience remain the cornerstones of achieving healthy conception. We sincerely wish every hopeful family success and joy in their journey to parenthood.
References
[1] Li J, Wang J, Chen H. Influence of lifestyle factors on reproductive hormones and IVF outcomes: A systematic review. Reproductive Sciences. 2021;28(7):1843-1854.
[2] Palomba S, de Wilde MA, Falbo A, Koster MP, La Sala GB, Fauser BC. Pregnancy complications in women with polycystic ovary syndrome. Human Reproduction Update. 2018;24(3):455-473.
[3] Baerwald AR, Adams GP, Pierson RA. Ovarian follicular dynamics in humans: A review. Reproductive Biology and Endocrinology. 2012;10:91.
[4] Van Blerkom J. Oocyte mitochondrial function and reproduction. Current Opinion in Obstetrics and Gynecology. 2011;23(3):229-235.
[5] Wang X, et al. The timing and dose effect of acupuncture on pregnancy outcomes for infertile women undergoing in vitro fertilization and embryo transfer: A systematic review and meta-analysis. Journal of Integrative and Complementary Medicine. 2024;30(11):1031-1046.
[6] Wang YR, et al. Effect of acupuncture intervention at different time points on the pregnancy rate of frozen embryo transfer. Zhongguo Zhen Jiu. 2022;42(9):987-990. PMID: 36075593.
[7] Bin C, Zhong H, Zhang S, et al. Effects of acupuncture-related therapies on pregnancy outcomes among women undergoing in vitro fertilization and embryo transfer: A Bayesian network meta-analysis. Journal of Assisted Reproduction and Genetics. 2025. doi:10.1007/s10815-025-03489-3
[8] Chen H, Wang X, Chen X, Zhang J, Zhang M. Effects of Chinese herbal medicine on ovarian function in women with diminished ovarian reserve: A systematic review and meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2019;2019:1-10.
[9] Zhao J, Yan L, Wang X. Effects of acupuncture combined with herbal medicine on improving ovarian function and endometrial receptivity in infertility: A meta-analysis. Evidence-Based Complementary and Alternative Medicine. 2020;Article ID 6543619.
[10] Huang W, Chen Y, Xu L. Acupuncture regulation of hypothalamic-pituitary-ovarian axis in female infertility: A review. Journal of Acupuncture and Meridian Studies. 2017;10(5):299-306.
[11] You XM, et al. Clinical efficacy of acupuncture combined with Chinese herbal medication for recurrent implantation failure infertility of kidney deficiency and blood stasis and its effects on serum p38MAPK and JAK/STAT protein expression. Zhongguo Zhen Jiu. 2023. PMID: 38092538.
[12] Lan R, et al. Observation of the therapeutic effect of Tongyuan needling combined with jingyu herb-separated moxibustion on recurrent implantation failure of kidney deficiency and blood stasis. Zhongguo Zhen Jiu. 2023. PMID: 38092539.
[13] Moler A. Improving IVF success rates through acupuncture. Anchor Acupuncture & Wellness. 2020.
[14] D‘Alberto A (TCM Practitioner). How to improve egg quality for IVF. 2024.
[15] Domar AD, Zuttermeister PC, Friedman R. The psychological impact of infertility: A comparison with patients with other medical conditions. Fertility and Sterility. 2012;49(5):825-832.
[16] Benaglia L, Somigliana E, Buggio L, Vercellini P, Fedele L. Adenomyosis and infertility: Current concepts and future perspectives. Human Reproduction Update. 2017;23(4):426-441.
Fertility & IVF Support, Pediatric conditions
fertility & IVF support, Pediatric conditons
We apply acupuncture and Chinese herbal medicine to balance the body's Yin, Yang, Blood, and Qi, with the goal of supporting individuals on their fertility journey. We have successfully provided support for both IVF cycles and natural conception.
In addition to supporting natural fertility, we provide care for those undergoing IVF or experiencing repeated IVF challenges.
Special Note on IVF and Repeated IVF Challenges
Assisted reproductive technology (ART) has helped many individuals and couples conceive. However, for those considering or currently undergoing IVF, it may be helpful to understand the full picture—including both the benefits and the broader context in which fertility care is delivered.
For patients facing repeated IVF failures, the emotional and physical toll can be significant. Research shows that women undergoing IVF experience considerable psychological challenges, including anxiety, depression, and emotional exhaustion—which are among the primary reasons patients discontinue treatment prematurely . Additionally, fertility-related stress has been shown to negatively impact treatment outcomes through both physiological pathways (such as hormonal disruption) and behavioral pathways (such as reduced treatment adherence) .
Regarding the physical recovery between cycles, some clinical guidance suggests that after a failed cycle or miscarriage, allowing time for the body to recover—typically 4 to 6 weeks or longer, depending on individual circumstances—may be beneficial before attempting another transfer . This is not to say that all clinics overlook recovery; rather, it is an important factor for patients to discuss with their providers.
The goal is not simply to achieve a pregnancy, but to nurture a healthy pregnancy and a healthy parent. Every hopeful parent desires a healthy newborn, and taking steps that support both emotional and physical well-being throughout the journey is essential.
We encourage everyone considering IVF to:
- Become informed about the procedure—including its history, methods, success rates, and potential risks—through reliable sources such as patient education materials from reputable clinics and health authorities.
- Understand that a positive pregnancy test is an early step; ongoing prenatal care and monitoring are essential for a healthy pregnancy outcome .
- Prioritize their physical and emotional health before, during, and after treatment, and work collaboratively with their healthcare team to develop a plan that aligns with their values and circumstances.
We recommend everyone who consider IVF-ET
1. Reading the website In Vitro Fertilisation (Wikipedia) first to understand IVF-ET, a success case starting from 1978 only, and the Terminology, history, Medical uses, Methods, Expansions, Complications and health effects, Controversial cases (Mix-ups, Preimplantation genetic diagnosis or screening, Industry corruptions.), Emotional involvement with children, Men and IVF, Availability and utilization, Legal status, Alternative of IVF.
2. Watching the three videos on this page while you read through the information below. Those videos aim to assist you to understand the complex procedures of Olvulation and Pregnancy. Reflecting on the content of these videos will help you understand that a positive pregnancy test is merely the initial step towards a healthy pregnancy.
Prior to conception, during the process, and after becoming pregnant, it is essential to have been and are prepared and adjusted both physically and mentally to ensure optimal health. Creating a conducive internal environment is crucial for the nine-month journey of pregnancy. Let us collaborate diligently and with other healthcare professionals to achieve your wonderful goal of bringing new life into the world!
fertility & IVF support, Pediatric conditons
Infertility support
The Complex of Pregnancy and Live Birth
Pregnancy leading to the birth of new life is a very complicated process, look at this and you will see how complicated the simple process of ovulation can be. Please watch the below video
Video 1: Ovulation procedure
Video 2: Fertility：A Difficult Encounter and Union — The Story of Sperm and Egg
Increase in infertility rate (1/6 couples)
At the same time, the occurrence of infertility is caused by a variety of complex social living habits and other factors.
Many women who wish to have a successful pregnancy may have heard the older generation say that pregnancy and childbirth are not as difficult as it is now. Indeed, with the development of society, the pollution of the environment, the acceleration of the pace of life and the increase in the pressure, especially working females, women have to bear a lot of work pressure in addition to their families, which explains part of the incidence of infertility The reason why it increases with the development of society.
TCM in the role of fertility support
Check on the Australian Family Physician website for a research article
Traditional Chinese medicine: Women’s experiences in the treatment of infertility
Check below updated research papers about Chinese Medicine & Acupuncture for infertility support
2015 Chinese herbal medicine for female infertility: An updated meta-analysis
2021 Female infertility and herbal medicine: An overview of the new findings
Special Interests in Male & Female Health
The TCM physicians in this clinic have special interests & experience about infertility and hope to combine years of experience to work together for anyone wish to try Oriental therapies to fulfil their dreams.
With your patience, you have a high success rate - Haste makes waste.
Women who have been diagnosed with infertility are generally very anxious to hope getting success quickly. It should be noted that it takes a process for the egg to mature and develop, ovulate, fertilise, and until the fertilised egg is successfully and firmly rooted in the endometrium.
Traditional Chinese Medicine (TCM) and acupuncture may improve the success rates of both natural conception and IVF. A systematic review and meta-analysis of 38 randomized controlled trials involving 5,991 participants found that acupuncture performed during controlled ovarian hyperstimulation significantly increased clinical pregnancy rates in fresh IVF cycles (RR = 1.33, 95% CI: 1.07-1.65, p = 0.01) [10]. For frozen embryo transfer cycles, acupuncture before transfer significantly enhanced clinical pregnancy rates (RR = 1.71, 95% CI: 1.36-2.16, p < 0.00001) and live birth rates (RR = 2.40, 95% CI: 1.20-4.79, p = 0.01) [10].
A network meta-analysis further confirmed that acupuncture significantly improves clinical pregnancy rates (RR 1.26), live birth rates (RR 1.10), fertilization rates (RR 6.64), and high-quality embryo rates (RR 12.67). Notably, longer treatment durations (≥3 months) and higher session numbers (≥20) yielded superior outcomes [1].
Regarding herbal medicine, the Jianpi Antai formula has been shown to improve embryo implantation rates (68.7% vs. 55.9%), clinical pregnancy rates (56.7% vs. 44.8%), and live birth rates (50.7% vs. 37.8%) in infertile women undergoing IVF-ET. Subgroup analysis revealed that these benefits were also observed in patients of advanced age (≥35 years) and those with diminished ovarian reserve [2].
Evidence also supports the role of electroacupuncture in improving oocyte quality. Studies have demonstrated that electroacupuncture increases high-quality oocyte rates (81.3% vs. 57.6%) and high-quality embryo rates (59.8% vs. 37.7%) in infertility patients, while also alleviating symptoms of kidney deficiency according to TCM theory [8][3]. The mechanism may involve upregulation of stem cell factor (SCF), insulin-like growth factors (IGF-1 and IGF-2) in follicular fluid, and serum β-endorphin (β-EP), which help improve the ovarian microenvironment and oocyte quality [8][3].
Furthermore, a systematic review of 16 randomized controlled trials involving 2,025 women found that combining traditional herbal medicine with IVF improved clinical pregnancy rates (30.36–63.64% in herbal groups vs. 9.38–47.5% in control groups) and rates of high-quality oocytes and embryos. The mechanism may involve regulating the follicular fluid microenvironment to support oocyte maturation and embryo implantation [5].
A retrospective cohort study of 45 women undergoing a second round of IVF combined with TCM treatment reported a clinical pregnancy rate of 51.11% and a live birth rate of 42.22%, underscoring the potential effectiveness of integrating TCM into IVF protocols [7].
Generally speaking, women who wish to successfully conceive a healthy child but experience infertility issues require close attention and treatment for at least three menstrual cycles. The evidence indicates that longer treatment durations (≥3 months) and higher session numbers (≥20 acupuncture sessions) yield superior reproductive outcomes [1]. Haste makes waste.
📚 References
[1] Different effectiveness of acupuncture treatment schedule on ART pregnancy outcomes: a systematic review and network meta-analysis. PubMed. 2025. PMID: 40979715
[2] Liu Q, et al. Chinese medicine Jianpi Antai formula improves pregnancy outcomes of in vitro fertilization-embryo transfer in infertile women. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2024;53(3):306-312. PMID: 38749927
[3] Cui W, et al. [Effect of electroacupuncture on oocyte quality and pregnancy for patients with PCOS undergoing IVF-ET]. Zhongguo Zhen Jiu. 2011;31(8):687-91. PMID: 21894688
[4] Lian F, et al. [Improvement of the oocyte quality with electroacupuncture in infertility patients of kidney deficiency pattern]. Zhongguo Zhen Jiu. 2015;35(2). PMID: 25854012
[5] Clinical Research of the Effect of Traditional Herbal Medicine with In Vitro Fertilization and Embryo Transfer in PubMed. KCI. 2025.
[6] Wang SC, et al. The Effectiveness of Live Birth Rate of Traditional Chinese Medicine Intervention for Infertile Women Undergoing a Second Round of IVF Is Influenced by Age. In Vivo. 2025;39(3). PMID: 40294989
[7] Wang X, et al. The Timing and Dose Effect of Acupuncture on Pregnancy Outcomes for Infertile Women Undergoing IVF-ET: A Systematic Review and Meta-Analysis. Journal of Integrative and Complementary Medicine. 2024. DOI: 10.1089/jicm.2023.0478
A couple treated together could be more helpful
The eggs come from the wife, and the husband provides the sperm. When both sperm and egg are of good quality, the resulting fertilized egg and embryo are more likely to be viable, leading to higher success rates and healthier newborns.
Clinical evidence supports this couple-based approach. A randomized controlled trial involving 164 couples with severe male factor infertility demonstrated that male partners receiving Chinese herbal medicine (Bushen Shengjing Decoction) for 2-3 months prior to intracytoplasmic sperm injection (ICSI) significantly improved outcomes compared to ICSI alone. The TCM-treated group showed a fertilization rate of 85.9% (438/510) compared to 77.9% (394/506) in the control group, and a clinical pregnancy rate of 48.7% (38/78) compared to 32.5% (25/77) in the control group (P < 0.05) . Furthermore, the TCM-treated male partners demonstrated significant improvements in sperm density, motility, and viability, along with decreased sperm deformity rates and reduced reactive oxygen species (ROS) levels (P < 0.05).
A randomized clinical trial on electroacupuncture (EA) for male infertility found that male patients receiving Coenzyme Q10 plus EA showed significant improvements in sperm motility (from 41.40% ± 13.33 to 56.40% ± 11.78, P < 0.001) and total motile sperm count (TMSC) (from 33.59 × 10⁶ ± 27.91 to 78.63 × 10⁶ ± 58.38, P = 0.001), while the Coenzyme Q10-only group showed no significant improvement . The study concluded that combining EA with pharmacological therapy improves sperm parameters more effectively than pharmacological treatment alone .
A meta-analysis of four randomized controlled trials with 321 subjects found that 100 Hz transcutaneous electrical acupoint stimulation (TEAS) significantly improved the percentage of grade A sperm in patients with idiopathic oligoasthenospermia (WMD: 6.83, 95% CI: 2.10 to 11.57) . This suggests that specific frequencies of electrical acupuncture stimulation may be particularly effective for improving sperm quality.
The scientific basis for this synergistic effect lies in the role of oxidative stress in infertility. A comprehensive review on the mechanisms of Traditional Chinese Medicine in treating oligoasthenozoospermia (OAS) notes that the Nrf2 signaling pathway is central to OAS pathogenesis through the regulation of oxidative stress, ferroptosis, autophagy, apoptosis, and endocrine homeostasis . TCM interventions, characterized by multi-component and multi-target actions, activate Nrf2, which is associated with scavenging reactive oxygen species, suppressing lipid peroxidation and ferroptosis, stabilizing mitochondrial function, mitigating apoptosis, repairing the blood-testis barrier, and preserving testicular microenvironmental homeostasis . Collectively, these TCM approaches target Nrf2-related pathways—modulating oxidative stress, ferroptosis, inflammation, and apoptosis—to promote spermatogenesis and improve reproductive function .
Therefore, while addressing female factors alone can be beneficial, simultaneous treatment of both partners—improving egg quality through ovarian support and hormonal regulation while enhancing sperm parameters including count, motility, morphology, and DNA integrity via antioxidant and anti-inflammatory mechanisms—creates optimal conditions for conception and healthy embryo development. This integrated, couple-based approach aligns with the evidence that both parental contributions are essential for successful pregnancy outcomes.
References
[1] Budihastuti UR, Murti B, Prakosa T, et al. Effect of electroacupuncture on total motile sperm count and sperm motility. Journal of Public Health Research. 2024;13(3):22799036241272394. doi:10.1177/22799036241272394
[2] Zhang HQ, Zhao HX, Zhang AJ, et al. [Male infertility with severe oligospermatism and azoospermia treated by Bushen Shengjing Decoction combined with intracytoplasmic sperm injection]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007;27(11):972-975. PMID: 18173138
[3] Gong Y, Li J, Wu XK. [Transcutaneous electrical acupoint stimulation for the treatment of idiopathic oligoasthenospermia: A meta-analysis]. Zhonghua Nan Ke Xue. 2021;27(10):917-926. PMID: 34914271
[4] Li S, et al. Mechanisms of Traditional Chinese Medicine in regulating Nrf2-related signaling pathways for the treatment of Oligoasthenozoospermia: A review. Journal of Ethnopharmacology. 2026. PMID: 41485624
Suggestion for lifestyle
As mentioned above, the increasing infertility rate is caused by complex social and lifestyle reasons. Suggestions on different aspects of your lifestyle will be provided to increase the chance of a good and healthy pregnancy - Refer to our facebook page at the bottom of this page.
Miracle in fertilization to embryonic develpment
Check for the below website for the miracle procedure of pregnancy!
There are a lot for scientists to know what is going on in the magic procedure -- That is one of reasons why we need Chinese Medicine approaches to assist to success rate. Please watch the below video
Video 3: Pregnancy Procedure - YouTube
References
[1] https://www.ivf.com.au/success-rates/ivf-success-rates
[2] Jiang D, Li L, Wan S, Meng F. Acupuncture and Chinese Herbal Medicine Effects on Assisted Reproductive Technology: Six Cases and Their Clinical Significance. Med Acupunct. 2019 Dec 1;31(6):395-406. doi: 10.1089/acu.2019.1338. Epub 2019 Dec 13. PMID: 31871529; PMCID: PMC6918531 [3] Sin Y S, Chen M, Sng K S, et al. Identifying the most effective Traditional Chinese Medicine treatment modalities for premature ovarian insufficiency: a systematic review and network meta-analysis[J]. F1000Research, 2023, 12: 450. [4] Zhang L, Zhong G, Gu W, et al. Dietary supplementation with daidzein and Chinese herbs, independently and combined, improves laying performance, egg quality and plasma hormone levels of post-peak laying hens[J]. Poultry Science, 2021, 100(6): 101115.
Comprehensive care in the support
Support for Pediatric conditions
Using non-chemical, physical treatment, Pediatric Massage for some Pediatric Diseases, e.g. Anorexia, indigestion, enuresis, diarrhea, constipation, infantile malnutrition in children.