Can acupuncture be used to treat infertility?
                         Acupuncture, frequently combined with herbal medicine, has been               used for centuries to treat some causes of infertility. For example,               acupuncture and herbs will not work to address tubal adhesions which               can occur as a result of pelvic inflammatory disease or endometriosis.               However, in this situation, an individual could still benefit from               acupuncture and herbs because of the potential effect of improved               ovarian and follicular function. Additionally, it is shown that acupuncture               can increase blood flow to the endometrium, helping to facilitate               a thick, rich lining.
                        When should acupuncture treatment begin?
                        Acupuncture is similar to physical therapy in that it is a process               oriented method of medical intervention. It is better to do more than               less. Patients are commonly treated for three to four months before               an insemination, in vitro fertilization (IVF), or donor-egg transfer.               This period of treatment seems to have a therapeutic effect. 
                        In a study by Stener-Victorin et al from the Departments of Obstetrics               and Gynecology Fertility Centre, Scandinavia and University of Gothenburg,               women are encouraged to receive acupuncture treatments pre and post               embryo transfer. Clinical observations from the Berkley Center for               Reproductive Wellness suggest that the most effective fertility treatments               involve a combination of acupuncture, herbal medicine, and traditional               medical interventions. However, conception does sometimes occur when               acupuncture and herbal medicines are used without traditional medical               interventions.
                        When should I stop getting acupuncture?
                         Typically most miscarriages occur within the first three months               of pregnancy. Therefore, treatment of patients may often last through               week twelve to help prevent miscarriage.
                        Are the acupuncture points different after an insemination, IVF,               or donor-egg transfer than before?
                         Your acupuncturist should not place needles in the abdomino-pelvic               area after insemination or transfer. There are 6 contraindicated acupuncture               points which should be avoided when the patient is pregnant or pregnancy               is suspected. These include Gallbladder 21, Stomach 12, Large Intestine               4, Spleen 6, Bladder 60, Bladder 67 and any points on the lower abdomen. 
                        What are the risks of using acupuncture?
                         There are minimal risks when using acupuncture for fertility treatment.               A risk of miscarriage may develop if incorrect acupuncture points               are used when a woman is pregnant. This is one reason why those wishing               to include acupuncture in their treatment regimen should only be treated               by an acupuncturist who specializes in treating fertility disorders.               Acupuncture is not contraindicated for anyone regardless of their               pathology or what medications they are taking.
                        What types of fertility patients typically get acupuncture?
                         Acupuncture can be used to treat any type of fertility disorder               including spasmed tubes. (Spasmed tubes are often de-spasmed with               acupuncture, though blocked tubes will not respond to acupuncture).               Acupuncture is often combined with herbs to treat elevated follicle               stimulating hormone (FSH), repeated pregnancy loss, unexplained (idiopathic)               infertility, luteal phase defect, hyperprolactinemia (when not caused               by a prolactinoma), polycystic ovarian syndrome (PCOS) with annovulatory               cycles, and male factor including men affected with sperm-DNA-fragmentation.