Infertility Clinical Trial
Official title:
Acupuncture for Infertility Patients: The Effect on IVF
Infertility is a common problem with increased incidence. In-vitro fertilization (IVF) is by far the most commonly used treatment. The success rate of IVF is still low. This study examines the effect of acupuncture on IVF pregnancy rate, as well as possible mechanisms. It is hypothesized that acupuncture can significantly increase the IVF pregnancy rate.
Infertility is a common health problem in the United States with approximately 15% of women
of childbearing age receiving care for this disorder. One of the most successful and commonly
utilized treatment options is in-vitro fertilization (IVF). Data collected by the Center for
Disease Control (CDC) and the Society for Assisted Reproduction (SART) showed that in the
year 2001, over 100,000 IVF treatment cycles were performed through the more than 400 IVF
centers in the U.S. Despite many recent technological advances, pregnancy rates with IVF
remain limited with the most recent CDC/SART data reporting that only 27% of treatment cycles
result in a live birth. Acupuncture has been utilized in China for centuries to regulate the
female reproductive system and has in recent years become a popular option for infertile
couples in the States. Though acupuncture has been studied in other infertility settings, IVF
is chosen because:
1. IVF is one of the most common infertility treatments as well as the most resource
intensive treatment option. Therefore, an improvement in IVF success will provide the
greatest benefit to patients and society.
2. IVF affords a unique opportunity to gather the most data regarding the reproductive
process and to investigate putative acupuncture related physiological changes.
We propose a randomized, sham controlled feasibility study on the effect of acupuncture on
IVF. Sixty IVF patients will be recruited into the study to accomplish the following aims:
1. To examine the feasibility of recruiting and retaining a sufficient number of patients
for an adequate powered study,
2. To identify issues related to the multicenter approach that could alter study endpoints,
3. To examine the effect size of the treatment group as compared to the sham group,
4. To examine whether acupuncture is a safe procedure for women undergoing IVF,
5. To examine the effect of acupuncture on clinical IVF outcomes, and
6. To examine the physiological and psychological impact of acupuncture on IVF patients.
Results obtained from the study will provide necessary information for a larger, definitive
study, as well as knowledge regarding the broad mechanism of acupuncture on female
reproductive function.
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