期刊
JOURNAL OF CLINICAL MEDICINE
卷 10, 期 10, 页码 -出版社
MDPI
DOI: 10.3390/jcm10102182
关键词
acupuncture; network analysis; poor ovarian response; oocyte retrieval; in vitro fertilization
资金
- Korea Institute of Oriental Medicine [KSN2021240]
- National Research Council of Science & Technology (NST), Republic of Korea [KSN2021240] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)
The study showed that network-optimized acupuncture followed by IVF treatment significantly increased the number of retrieved mature oocytes in women with poor ovarian response, especially in those aged over 37 years and undergoing multiple controlled ovarian hyperstimulation cycles. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the acupuncture + IVF group, suggesting that acupuncture may be considered as a beneficial treatment option for women facing poor ovarian response and advanced maternal age or multiple IVF cycles.
Acupuncture is believed to improve ovarian reserve and reproductive outcomes in women undergoing in vitro fertilization (IVF). This study was conducted to evaluate the effect of network-optimized acupuncture followed by IVF on the oocyte yield in women showing a poor ovarian response. This study was an exploratory randomized controlled trial conducted from June 2017 to January 2020 at the Pusan National University Hospital. Women diagnosed with poor ovarian response were enrolled and randomly divided into two groups: IVF alone and Ac + IVF groups (16 acupuncture sessions before IVF treatment). Eight acupoints with high degree centrality and betweenness centrality were selected using network analysis. Among the participants, compared with the IVF treatment alone, the acupuncture + IVF treatment significantly increased the number of retrieved mature oocytes in women aged more than 37 years and in those undergoing more than one controlled ovarian hyperstimulation cycle. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the Ac + IVF group irrespective of the maternal age. These findings suggest that physicians can consider acupuncture for the treatment of women with poor ovarian response and aged > 37 years or undergoing multiple IVF cycles.
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