The Role of Acupuncture in Women's Health Management and Infertility
Acupuncture plays a significant role in managing women's health and infertility. Traditional Chinese medicine and Western medical acupuncture offer holistic approaches with proven scientific evidence. Needle punching triggers changes in various biomedical systems, enhancing the healing process. Evidence-based complementary and alternative medicine explores the neuroanatomical basis of acupuncture treatment for common illnesses, supported by neural pathways research. Clinical trials, meta-analyses, and experimental studies demonstrate the effectiveness of acupuncture in improving gynecological conditions, infertility, ovulatory dysfunction, menopausal symptoms, and more.
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Presentation Transcript
THE ROLE OF ACUPUNCTURE IN MANAGEMENT OF WOMEN S HEALTH AND INFERTILITY Nata a emni ki, MD ginecologyst, acupuncturist Zagreb, Croatia ICMART, Mexico City 2.6.2017.
TCM; WESTERN MEDICAL ACUPUNCTURE o Acupuncture is a part of Traditional Chinese medicine (TCM) ; gynecology is one of four major clinical sciences o TCM and acupuncture evolved from a holistic, macroscopic perspective, empirically proven o Western medical acupuncture is based on wide and strong scientific and clinical evidence
ACUPUNCTURE; MECHANISM Needle punching promotes the healing process Detected changes are in the cells and molecules of neurological, hormonal, immune, cardiovascular, gastrointestinal and other biomedical systems These biomedical correlates of acupuncture actions improve the design of scientific research
NEURAL ACUPUNCTURE UNIT EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE NEUROANATOMICAL BASIS OFACUPUNCTURETREATMENT FOR SOME COMMON ILLNESSES JAMES CHENG
NEURAL PATHWAYS Schematic illustration of multiple central neural pathways transmitting NAU afferent impulses from different parts of the body. The brain areas commonly observed in neuroimaging response to acupuncture stimulation are indicated with gray shadow. DCEAS: dense cranial electroacupuncture stimulation.
ACUPUNCTURE; SCIENCE Evidence of acupuncture treatment effectiveness Randomized controlled trials; Meta-analysis Clinical trials Experimental studies, Reports focused on acupuncture research methodology Case reports, Qualitative research reports, Commentaries
ACUPUNCTURE; WOMENS HEALTH Researchs evidence for impruving gynecological conditions Infertility and ART (IVF-ET), Ovulatory disfunction with or without PCOS, Dymenorrhea, Menopausal symptoms, Abnormal uterine bleeding-dysfunctional/organic, PMS,
ACUPUNCTURE; INFERTILITY, IVF-ET Inhibition of central and peripheral sympathetic nerve activity, increases blood flow to the uterus and ovaries, promotes endometrium receptivnes, better quality eggs Hypothalamic -endorphin impact on function HPO and HPA axis and hormone levels: GnRH, LH, FSH, E2, P4, androgens, cortisol, prolactin
ACUPUNCTURE; INFERTILITY, IVF-ET Affecting limbic-paralimbic-neocortical network, result in psychological effect, sedation and regulation of stress hormone response Inducing visceral and somatic signals transmitted to the central nervous system brings anti-inflammatory effect through both humoral and neural mechanisms
E. Stener-Victorin, X. Wu / Autonomic Neuroscience: Basic and Clinical 157 (2010) 4651
Elisabet Stener-Victorin Protocol for Induction ovulation: alternately twice a week Protocol 1 Protocol 2 CV3/CV6 (EA) CV3/CV6 (manual, de qi x4) ST29 (EA) ST25/ST29 (EA) Elektroakupunktura: 2Hz frekvencija, 0.3ms trajanje SP6/SP9 (EA) SP6/LR3 (EA) GV20 (manual, de qi x4) GV20 (manual, de qi x4) LI4 (manual, de qi x4) PC6 (manual, de qi x4)
Acupuncture before and after ET: ACUPUNCTURE ( 2 x 25min) n=80 42.5% n=160 The rate of clinical pregnancy CONTROL (without tretman 25min rest in bed) n=80 26.3% p=0.03 Before ET (25 min) PC6 SP8 LR3 GV20 ST29 Ear Shenmen (right) Ear Zhigong (right) Ear Neifenmi (left) Ear Naodian (left) After ET (25 min) ST36 SP6 SP10 LI4 - Ear Shenmen (left) Ear Zhigong (left) Ear Neifenmi (right) Ear Naodian (right) PAULUS PROTOCOL VERSUS STANDARD PROCEDURE Paulus et al. 2002 Fertil Steril 77: 721-724
ACUPUNCTURE; OVULATION; PCOS Modulation of sympathetic output at segmental and suprasegmental level affects the target organs inducing ovarian blood flow regulating steroid hormone/peptide receptors adipose tissue gene expression associated with insulin resistance, obesity, and inflammation
Hypothalamic -endorphins modulates autonomic and limbic system inhibitory modulator of the GnRH pulse generator reproductive function via LH and FSH, androgens adrenal function via ACTH, cortisol, DHEA pancreatic function (circulating -endorphins) Affecting the hormones and metabolism leads to reduction of androgens
ACUPUNCTURE; POI, MENOPAUSAL SYMPTOMS HPOA hypothesis and modulation of autonomic function increasing ovarian blood flow lower FSH levels, higher E2 resumption of menstruation reduction menopausal symptoms - Kupperman index was reduced significantly
ACUPUNCTURE; DYSMENORRHEA Neuroendocrine opioid effect reducing the pain in all levels, segmental, suprasegmental and central part of neural sistem blocking the passage of painful impulse Descending pain modulation with anxiolytics effect Decreasing sympathetic nerve reflex with effects on uterine blood flow and cramps (prostaglandin levels)
ACUPUNCTURE; PMS Significantly improved symptoms comparing with pharmaceutical approaches or sham acupuncture Impact on the activity of autonomic nervous system Hypotalamus -limbic network produce body s communication substances-opioids, hormones and neurotransmitters
ACUPUNCTURE; AUB Invigorating the ovarian blood supply Balance HPO axis, lower FSH levels, promote ovulation, regulate menstrual cycles, controls the levels of E2 and Pr Decreasing uterine artery blood flow with EA improved menorrhagia due to uterine fibroma
James Cheng,Neurobiological Mechanisms of Acupuncture for Some Common Illnesses: A Clinician's Perspective, Journal of Acupuncture and Meridian Studies, Volume 7, Issue 3, 2014, 105 114, http://dx.doi.org/10.1016/j.jams.2013.07.008
Thank you for your attention
