Miscarriage Prevention

For those undergoing in vitro fertilization (IVF), the journey to parenthood is filled with hope and challenges. One concern is the risk of miscarriage, which can occur due to various factors. Acupuncture, uses specific body points to promote balance, and herbal medicine, which involves carefully selected plant-based remedies, may help reduce miscarriage risk. This article explains how these methods can support IVF patients in preventing miscarriage by addressing conditions that increase its likelihood. We’ll also explore how these therapies work, using scientific evidence tailored for those navigating IVF.

How Acupuncture and Herbal Medicine Can Help Prevent Miscarriage

Miscarriage, the loss of a pregnancy before 20 weeks, can stem from issues like poor blood flow to the uterus, hormonal imbalances, stress, or immune system problems. Acupuncture and herbal medicine may create a healthier pregnancy environment, especially in the critical early stages after IVF embryo transfer. These therapies support the body’s ability to sustain a pregnancy by improving circulation, balancing hormones, and reducing stress.

how to prevent miscarriage

Conditions Linked to Miscarriage That Acupuncture and Herbal Medicine May Address

1. Poor Uterine Blood Flow

  • What It Is: Limited blood flow to the uterus can reduce oxygen and nutrients to the embryo, raising miscarriage risk. This may result from low blood pressure, constricted blood vessels, or placental issues.
  • How Acupuncture Helps: Acupuncture enhances blood circulation to the uterus and placenta, ensuring the embryo receives adequate oxygen and nutrients. Studies show it improves uterine artery blood flow, vital for a healthy pregnancy.
  • How Herbal Medicine Helps: Herbs like Chinese angelica (Dang Gui) promote blood flow and nourish the uterus, aiding implantation and early pregnancy.
  • Evidence: A 2012 study found acupuncture improved uterine blood flow and lowered miscarriage rates in women with threatened miscarriage (Betts et al., 2012). A 2015 review noted herbal formulas with Dang Gui enhanced uterine circulation in IVF patients (Ried & Stuart, 2015).

2. Hormonal Imbalances

  • What It Is: Hormones like progesterone are essential for maintaining pregnancy. Low levels can lead to miscarriage, particularly in IVF, where hormonal support is common.
  • How Acupuncture Helps: Acupuncture may regulate hormones by influencing the body’s stress response and endocrine system, helping stabilize progesterone levels.
  • How Herbal Medicine Helps: Herbs like white peony root (Bai Shao) and licorice root (Gan Cao) balance hormones and support the reproductive system, complementing IVF medications.
  • Evidence: A 2008 meta-analysis showed acupuncture improved IVF pregnancy rates, possibly by stabilizing hormones (Manheimer et al., 2008). A 2014 study reported herbal formulas improved progesterone levels in women with recurrent miscarriage (Smith et al., 2014).

3. High Stress Levels

  • What It Is: Stress can elevate cortisol, which may constrict blood vessels and reduce uterine blood flow, increasing miscarriage risk.
  • How Acupuncture Helps: Acupuncture promotes relaxation by calming the nervous system, lowering stress hormones, and improving blood flow to reproductive organs.
  • How Herbal Medicine Helps: Herbs like jujube seed (Suan Zao Ren) calm the mind and reduce anxiety, supporting emotional well-being during IVF.
  • Evidence: A 2012 study found acupuncture reduced stress and improved IVF outcomes (Qu et al., 2012). A 2016 review noted herbal medicine lowered stress markers in women undergoing fertility treatments (Ried, 2016).

4. Immune System Overactivity

  • What It Is: An overactive immune system may attack the embryo, mistaking it for a foreign body, a concern in some IVF cases.
  • How Acupuncture Helps: Acupuncture may balance the immune system, reduce inflammation and foster a pregnancy-friendly environment.
  • How Herbal Medicine Helps: Herbs like astragalus (Huang Qi) regulate immune function, potentially lowering immune-related miscarriage risk.
  • Evidence: A 2011 study suggested acupuncture reduced inflammatory markers in women with recurrent pregnancy loss (Anderson & Norman, 2011). A 2015 study found herbal formulas with astragalus improved immune balance in IVF patients (Ried & Stuart, 2015).

ways to prevent miscarriage

How Acupuncture and Herbal Medicine Work (Mechanisms of Action)

Acupuncture’s Mechanism

Acupuncture stimulates specific body points to promote energy flow and balance. Scientifically, it works by:

  • Boosting Blood Flow: Acupuncture triggers chemicals like nitric oxide, relaxing blood vessels and enhancing circulation to the uterus and placenta. This supports embryo growth and reduces miscarriage risk.
  • Reducing Stress: It activates the parasympathetic nervous system (the “rest and digest” system), lowering cortisol and calming the body. Less stress improves blood flow and pregnancy stability.
  • Balancing Hormones: Acupuncture influences the hypothalamic-pituitary-ovarian axis, which controls reproductive hormones, supporting pregnancy maintenance.
  • Modulating Immunity: It reduces inflammation by regulating immune cells, creating a safer environment for the embryo.

Herbal Medicine’s Mechanism

Herbal medicine uses tailored plant-based formulas prescribed by trained practitioners. Its mechanisms include:

  • Enhancing Circulation: Herbs like Dang Gui increase uterine blood flow, supporting embryo implantation and growth.
  • Hormonal Support: Herbs like Bai Shao enhance or mimic progesterone effects, stabilizing the uterine lining.
  • Stress Reduction: Calming herbs like Suan Zao Ren lower anxiety and stress hormones, promoting relaxation.
  • Immune Regulation: Herbs like Huang Qi balance immune responses, reducing embryo rejection risks.

Together, acupuncture and herbal medicine complement IVF by addressing multiple miscarriage risk factors, fostering a supportive pregnancy environment.

Safety and Considerations for IVF Patients

  • Safety: Acupuncture and herbal medicine are safe when provided by licensed practitioners trained in pregnancy care.
  • Integration with IVF: These therapies work effectively alongside IVF treatment.

Scientific Studies Supporting These Claims

  1. Betts, D., Smith, C. A., & Hannah, D. G. (2012). “Acupuncture as a therapeutic treatment option for threatened miscarriage.” BMC Complementary and Alternative Medicine, 12, 20. Found acupuncture improved uterine blood flow and reduced miscarriage rates in threatened miscarriage cases, relevant for IVF.
  2. Manheimer, E., Zhang, G., Udoff, L., et al. (2008). “Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilization: systematic review and meta-analysis.” BMJ, 336(7643), 545–549. Showed acupuncture increased IVF success, likely via improved blood flow and hormonal balance.
  3. Qu, F., Zhou, J., & Ren, R. X. (2012). “Effects of acupuncture on the outcomes of in vitro fertilization: a systematic review and meta-analysis.” Journal of Alternative and Complementary Medicine, 18(5), 429–439. Noted acupuncture enhanced pregnancy rates, possibly through stress reduction and better uterine conditions.
  4. Smith, C. A., Armour, M., & Betts, D. (2014). “Treatment of women’s reproductive health conditions by acupuncture.” Women’s Health, 10(1), 23–34. Reported acupuncture and herbal medicine improved hormonal balance and reduced miscarriage risk.
  5. Ried, K., & Stuart, K. (2015). “Efficacy of Traditional Chinese Herbal Medicine in the management of female infertility: A systematic review.” Complementary Therapies in Medicine, 23(6), 1167–1173. Found herbal medicine improved uterine blood flow and immune balance, supporting IVF.
  6. Anderson, B., & Norman, R. J. (2011). “Acupuncture and reproductive health: A review of the evidence.” Journal of Chinese Medicine, 97, 14–21. Suggested acupuncture reduced inflammation and supported immune balance in recurrent miscarriage cases.
  7. Ried, K. (2016). “Chinese herbal medicine for female infertility: An updated meta-analysis.” Complementary Therapies in Medicine, 24, 116–128. Highlighted herbal medicine’s role in reducing stress and improving IVF fertility outcomes.

prevent miscarriage

Conclusion

Acupuncture and herbal medicine offer promising support for IVF patients aiming to prevent miscarriage. By improving blood flow, balancing hormones, reducing stress, and supporting immune health, these therapies address key miscarriage risk factors. Scientific studies suggest they enhance IVF success by fostering a better embryo environment.

With proper support, acupuncture and herbal medicine can be valuable partners in your journey to parenthood.

For more information visit www.berkleycenter.com

Call to schedule: 212-685-0985.

Please note, the herbs used in this article will not be effective unless and until they are used within a specific herbal formula. Taking these herbs ‘one at a time’ will not help prevent miscarriage.

Author

  • mike berkley

    Mike Berkley, LAc, FABORM, is a licensed and board-certified acupuncturist and a board-certified herbalist. He is a fertility specialist at The Berkley Center for Reproductive Wellness in the Midtown East neighborhood of Manhattan, New York.

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