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Transcutaneous Electrical Acupoint Stimulation Improves the Outcomes of In Vitro Fertilization: A Prospective, Randomized and Controlled Study

Qu, F; Wang, F-F; Wu, Y; Zhou, J; Robinson, N; Hardiman, PJ; Pan, J-X; ... Ye, Y-H; + view all (2017) Transcutaneous Electrical Acupoint Stimulation Improves the Outcomes of In Vitro Fertilization: A Prospective, Randomized and Controlled Study. Explore: The Journal of Science and Healing , 13 (5) pp. 306-312. 10.1016/j.explore.2017.06.004. Green open access

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Abstract

Objectives: To explore whether transcutaneous electrical acupoint stimulation (TEAS) can improve the outcomes of in vitro fertilization (IVF). // Design: A prospective, randomized, and controlled study. // Setting: IVF center in a university hospital. // Participants: Four hundred and eighty-one infertile patients with bilateral tubal blockage who were referred for IVF. Patients were randomized into four groups. // Intervention: TEAS was administered for 30 min, respectively, at 24 h before TVOR and two hours before ET. The acupoints included SP10 (Xuehai, bilateral), SP8 (Diji, bilateral), LR3 (Taichong, bilateral), ST36 (Zusanli, bilateral), EX-CA1 (Zigong, bilateral), RN4 (Guanyuan), PC6 (Neiguan, bilateral), and RN12 (Zhongwan). Based on different frequencies of TEAS, patients were grouped into a TEAS-2 Hz group, a TEAS-100 Hz group and a TEAS-2/100 Hz group. Patients in the control group only received routine IVF treatment and no TEAS was applied on them. // Primary and Secondary Outcome Measures: The number of mature oocytes, normally fertilized oocytes and good-quality embryos were used to evaluate oocyte developmental competence of the patients. Data of clinical pregnancy rate (CPR), implantation rate (IR), and live birth rate (LBR) were also obtained. The levels of neuropeptide Y (NPY), transforming growth factor alpha and granulocyte colony-stimulating factor in the follicular fluids were measured with enzyme-linked immunosorbent assay (ELISA). // Results: No significant differences were found between the control, TEAS-2 Hz, TEAS-100 Hz and TEAS-2/100 Hz groups on the numbers of metaphase II oocytes, normally fertilized zygotes, early cleavage embryos or good quality embryos (P > .05). However, the CPR, IR and LBR of the TEAS-2/100 Hz group were significantly higher than those of the other groups, respectively (P < .05). The NPY levels in the follicular fluids of TEAS-2/100 Hz group were significantly higher than those of the other groups (P < .05). // Conclusion: TEAS using a frequency of 2/100 Hz could help to improve the IVF outcomes partly by increasing NPY levels in the follicular fluids.

Type: Article
Title: Transcutaneous Electrical Acupoint Stimulation Improves the Outcomes of In Vitro Fertilization: A Prospective, Randomized and Controlled Study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.explore.2017.06.004
Publisher version: https://doi.org/10.1016/j.explore.2017.06.004
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: In Vitro Fertilization, Infertile, Acupuncture, Transcutaneous, Electrical, Acupoint, Stimulation, Pregnancy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health
URI: https://discovery.ucl.ac.uk/id/eprint/10080277
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