I am a Maternal-Fetal Medicine specialist who takes care of women with high-risk pregnancies with roles and a clinician, educator, and researcher. My practice is academic and evidence-based, which means I practice according to the most recent proven research/data, and I am also a researcher myself. My career and training have been spent reading the latest articles and contributing with my own research to improvements in maternal care. For the most part, my professional life has been greatly influenced by what can be proven and supported with science.
As one can imagine, when an unexpected journey infertility became my reality, my professional AND personal worlds were turned upside down. After two failed embryo transfers with five cycles of IVF and one egg donor cycle, I began to question everything I thought I knew. Although I was 39 when my journey began, I truly believed I would only need one or two cycles of IVF and be pregnant in no time. After two years of infertility treatments, it was clearly evident that ovarian aging was my problem. Not only that, but my uterine lining was never ideal for an embryo transfer. My ovaries and uterine lining were manifesting the effects of my age.
Before my experience with infertility, I was never one to entertain the idea of alternative medicine. I knew that many women going through infertility utilized various forms of alternative therapies, but it was never something I considered. I simply stuck to what I was taught as an OB/GYN and relied on the guidance of my doctors. I do remember, however, going to my infertility appointments and seeing fliers for a local practice for acupuncture and wellness medicine. I admit, I rolled my eyes a few times thinking to myself, “Whatever…this stuff doesn’t work.” For nearly a year and a half of infertility treatments, I simply took what was prescribed for each IVF cycle and trusted in the process.
In October of last year, I had a failed embryo transfer of two donor egg embryos. With this failure, I was broken. I was completely devastated. After multiple heartbreaks and many rides on the emotional roller coaster, I was desperate and confused. I second-guessed every decision I had made up to that point and wondered if I could have done anything differently to change my outcome. After many months of robotically proceeding though infertility treatments, I finally acknowledged that maybe part of the problem was me and how I handled the stress and emotional toll of my infertility journey.
I thought about those acupuncture fliers and decided to see what it was all about. A month later, I had my first visit that ended with my committing to a treatment plan for infertility.
The scientist was trying alternative medicine…
I started acupuncture treatments for stress relief, and I even agreed to taking Chinese herbs for stress relief and improving my uterine lining. I have to admit, I still wasn’t convinced that it would help, but at that point I was willing to try anything. I kept telling myself, “It’s not going to hurt. I have nothing to lose.” I only told a few people that I was doing this therapy; not because I was embarrassed. I just didn’t want to see the eye rolls or have to answer questions about my choice to pursue this option. Especially since my friends and my colleagues knew that I was not one to support such methods of treatment.
I did acupuncture and Chinese herbs from November until March, when my husband and I decided to transfer two more donor egg embryos. During these months of treatment, I can honestly say that my stress level was significantly reduced. Where I really noticed a difference was at work. My job is very fast-paced and high-stress on most days, and I seemed to come home less anxious and mentally drained. My husband noticed a difference as well.
I can’t say I went through treatment with acupuncture and Chinese herbs expecting a miracle, but I did let go and was committed to the process. I really did my part as a patient to make the most of my therapy. I can honestly say I tried.
My embryo transfer was March 11, 2016. Looking back, I was less anxious and stressed about this transfer compared to the two times before. I actually felt more at peace–at peace with whatever outcome was to come my way, good or bad. Although my uterine lining still wasn’t stellar, we proceeded anyway. It was the best it was going to get. This time I felt I was mentally and physically ready.
…and just like that, I was pregnant…with twins.
Do I credit therapy with acupuncture and Chinese herbs for my pregnancy?…I don’t know.
What I do know is that I truly believe it played a significant role in my successful embryo transfer. Looking back, I know my stress level was affecting my lack of success with infertility treatments, my overall mental well-being and my ability to handle the stress of disappointment. My choice to let go and put my scientist brain in time-out proved to be a good choice and a positive experience for me. I admit I was stubborn and close-minded about the potential benefits of alternative medicine.
When asked about acupuncture or herbal therapy, I no longer say, “It’s not going to hurt. You have nothing to lose.” I now recommend without hesitation that anyone going through infertility treatments consider using acupuncture and/or herbal therapy during their journey.
The scientist was wrong, and I have two babies on the way to prove it
by Shannon M. Clark, MD, founder of Babies After 35 and Due At 42
Prior to Conception: The Role of an Acupuncture Protocol in Improving Women's Reproductive Functioning Assessed by a Pilot Pragmatic Randomised Controlled Trial.Cochrane S1, Smith CA2, Possamai-Inesedy A3, Bensoussan A2.
The global average of couples with fertility problems is 9%. Assisted reproductive technologies are often inaccessible. Evidence points to acupuncture offering an opportunity to promote natural fertility. This study asked whether providing a multiphasic fertility acupuncture protocol to women with sub/infertility would increase their awareness of fertility and achieve normalisation of their menstrual cycle compared with a lifestyle control. In a pragmatic randomised controlled trial sub/infertile women were offered an intervention of acupuncture and lifestyle modification or lifestyle modification only. There was a statistically significant increase in fertility awareness in the acupuncture group (86.4%, 19) compared to 40% (n = 8) of the lifestyle only participants (Relative Risk (RR) 2.38, 95% confidence interval (CI) of 1.25, 4.50), with an adjusted p value of 0.011. Changes in menstrual regularity were not statistically significant. There was no statistical difference in the pregnancy rate with seven women (adjusted p = 0.992) achieving pregnancy during the course of the study intervention. Those receiving the acupuncture conceived within an average of 5.5 weeks compared to 10.67 weeks for the lifestyle only group (p = 0.422). The acupuncture protocol tested influenced women who received it compared to women who used lifestyle modification alone: their fertility awareness and wellbeing increased, and those who conceived did so in half the time.