Acupuncture for IVF and Assisted Reproduction

Lianne Aquilina, Irina Szmelskyj

Description

The management of infertility using acupuncture is an expanding area of practice and one which is frequently rewarding for TCM acupuncture practitioners.

Acupuncture for IVF and Assisted Reproduction has been specially prepared to meet the growing demand for information in this area and draws upon 20 years combined experience of the authors together with the latest evidence from both orthodox medicine and TCM.

Richly illustrated and clearly written throughout, the book takes the reader through the anatomy and physiology of reproductive medicine (from both an orthodox and TCM perspective) and explains the underlying basis of orthodox medical fertility tests and investigations. The volume then explores the pathology and aetiology of TCM syndromes and shows how common fertility-related conditions, such as endometriosis and male factor infertility, affect Assisted Reproductive Technology (ART) success rates. It explains in great detail how to take a reproductive medical history and successfully diagnose TCM syndromes. Acupuncture for IVF and Assisted Reproduction also provides guidelines on how to regulate the menstrual cycle in preparation for IVF treatment and shows how lifestyle can affect fertility and ART success rates.

Placing a strong emphasis on the practical aspects of patient care, Acupuncture for IVF and Assisted Reproduction contains an abundance of case history templates, algorithmic acupuncture treatment pathways and patient fact sheets and will be ideal for all acupuncture practitioners working in this field.

"A must have for the bookshelf of any acupuncturist who is ever called upon to treat fertility issues - if you have room for one book this surely must be it." Reviewed by The Acupuncture Fertility Centre March 2015

"Practitioners of all levels of experience and TCM students should find it compelling reading and an invaluable companion to their learning." Reviewed by Stephen Clarke, Journal of the Australian Traditional Medicine Society May 2015

"This book is extremely well re-searched and referenced." Reviewed by Danny Maxwell on behalf of Journal of Chinese Medicine, February 2015

Sujets

• Médecine
• Médecine Générale
• Complementary Medicine
• Alternative Medicine
• Medical

Informations

• Publié par: Churchill Livingstone
• Date de parution: 18 septembre 2014
• Nombre de lectures: 0
• EAN13: 9780702061189
• Langue: English
• Poids de l'ouvrage: 6 Mo

Extrait

Acupuncture for IVF and Assisted Reproduction
An integrated approach to treatment and management
Irina Szmelskyj, DipAc MSc MBAcC
Lead Clinician, True Health Clinics and Founder of The Fertility Foundation, Godmanchester, Huntingdon
Module Leader, Lecturer and MSc Supervisor, Northern College of Acupuncture, York
Guest Lecturer, University of Lincoln, Lincoln, UK
Lianne Aquilina, DipAyuT APA BSc(Hons) MBAcC ATCM
Lead Clinician, Aquilia Acupuncture and Director of Aquilia Fertility, Stamford, Lincolnshire
BSc(Hons) Acupuncture Clinical Supervisor, University of Lincoln, Lincoln
Subject Specialist Guest Lecturer: Traditional Chinese Medicine in Fertility and IVF, University of Lincoln and Visiting Guest Lecturer, Northern College of Acupuncture, York, UK

Edited by
Alan O. Szmelskyj, Do MSc AdvDipClinHyp FRSPH
Senior Clinician, True Health Clinics, Godmanchester, Huntingdon
Scientific Advisor, The Stress Management Foundation, Godmanchester, Huntingdon, UK

Foreword by
Giovanni Maciocia, CAc (Nanjing)
Acupuncturist and Medical Herbalist Visiting Professor, Nanjing University of Traditional Chinese Medicine, Nanjing, People’s Republic of China
Table of Contents
Cover image
Title page
Dedication
Copyright
Biographies
Irina Szmelskyj
Lianne Aquilina
Alan Szmelskyj
Foreword
Preface
Acknowledgements
Chapter 1: Subfertility overview
Introduction
Definition of Infertility Disorder
Prevalence of Infertility
Major Causes of Subfertility from an Orthodox Medical Point of View
Contributory Subfertility Factors: The Orthodox Medical Perspective
Causes of Subfertility from the TCM Point of View
Reproductive History and Development from an Orthodox Medical Perspective
Reproductive History and Development from a TCM Perspective
Summary
Chapter 2: Anatomy and physiology of the reproductive system: Prerequirements for conception
Functional Anatomy of the Reproductive System from an Orthodox Medical Perspective
Sperm and Egg Production
Reproductive Physiology from an Orthodox Medical Perspective
Reproductive Physiology from a TCM Perspective
Summary
Chapter 3: The magic of conception
Acknowledgement
Sexual Intercourse
Sperm Transportation up the Female Reproductive Tract
Prefertilization Sperm Changes
Egg Maturation and Ovulation
Egg Fertilization
Transportation of the Embryo Down the Female Reproductive Tract
Comparison of Natural Fertilization ( In Vivo ) with ART Fertilization ( In Vitro )
Embryogenesis
Implantation: The First Communication Between the Mother and Her Embryo
Conception from the TCM Point of View
Summary
Chapter 4: Orthodox medical tests and investigations: Optimizing patient care
The Initial Consultation
Tests and Investigations Overview
Tests and Investigations: Female
Tests and Investigations: Male
Summary
Chapter 5: Investigations from a TCM perspective
Medical and Fertility History Taking
Clinical Observations
TCM Syndromes Diagnosis in Subfertile Patients
BBT Charting as a Diagnostic Aid
Summary
Chapter 6: The fundamentals of ART
Introduction
Types of ART Treatment
Pharmacological Drugs Used in ART
Embryo Grading
Advanced ART Techniques
The Role of Acupuncture in ART
Future Advances in ART: A Potential Role for Acupuncture?
Summary
Chapter 7: Preconception care in preparation for ART
Weight
Smoking
Alcohol
Caffeine
Recreational Drugs
Medication
Environmental and Occupational Factors
Nutrition and Supplementation
Exercise and Rest
Stress
Relationship and Sexual Issues
Summary
Chapter 8: Identification and management of conditions detrimental to IVF outcome
Tubal Pathology
Ovulatory Disorders
Polycystic Ovary Syndrome
Thyroid Disease
Endometriosis
Unexplained Subfertility
Secondary Subfertility
Male Factor Subfertility
Regulating the Menstrual Cycle with Acupuncture
Treatment Planning: Setting Realistic Goals
Summary
Chapter 9: Acupuncture during ART
Treatment During IVF
Adapting Treatment Principles to Natural IVF
Adapting Treatment Principles to Mild IVF
Adapting Treatment Principles to Frozen Embryo Transfer
Adapting Treatment Principles to Ovulation Induction
Adapting Treatment Principles to IUI
Adapting Treatment Principles to Egg Donor IVF
Adapting Treatment Principles to Surrogacy and Gestational Carrier
Adapting Treatment Principles to ZIFT/GIFT
Adapting Treatment Principles to IVM
Summary
Chapter 10: Clinical issues during ART
Poor Follicular Development
Immature or No Eggs
Suboptimal Endometrial Lining
No Sperm
Fertilization Failure
Poor Embryo Growth or Growth Arrest
Difficult Embryo Transfer
Summary
Chapter 11: ART complications
Ovarian Hyper-Stimulation Syndrome
Multiple Gestation
Summary
Chapter 12: Managing the patient with a complex medical history
Repeated Implantation Failure
Miscarriages and Pregnancy Loss
Reproductive Immunology
Reproductive Immunology from a TCM Point of View
Implications for Acupuncturists: To Refer or not to Refer?
Summary
Chapter 13: The therapeutic relationship in acupuncture practice
Mutuality
Trust
Care
Challenge and Performance
Return to Mutuality
Measuring the Success of Acupuncture Treatment
The Effect of Subfertility on Patients
Legal and Ethical Considerations
Summary
Chapter 14: Aftercare
Negative Outcome
Positive Outcome: Healthy Transition from Subfertility to Pregnancy
Acupuncturist’s Self-Care: Saying Goodbye to Patients
Summary
Appendix I: Templates
Appendix II: Basal body temperature (BBT) chart template and instructions
Basal Body Temperature (BBT) Template
Appendix III: Investigation reference ranges at a glance
Appendix IV: Fertility factsheets
Optimizing Female Fertility
Optimizing Male Fertility
Appendix V: Commonly used medications in ART
Appendix VI: Medications known to adversely affect fertility
Glossary of Orthodox medical terms
Glossary of Traditional Chinese Medicine (TCM) terms
Index
Dedication
To my husband Alan and my children Daniel and Matthew. My life would not be complete without you!
Irina Szmelskyj
To my son Oliver Jacob Aquilina-Ford.
Also in the loving memory of my baby nephew Georgio Aquilina, and Indie.
Lianne Aquilina
Copyright

© 2015 Elsevier Ltd. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
The right of Irina Szmelskyj and Lianne Aquilina to be identified as the authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.
ISBN 978-0-7020-5010-7
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
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With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
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Printed in China
Biographies
Irina Szmelskyj
Irina Szmelskyj is the co-director and lead clinician of True Health Clinics and is the founder of The Fertility Foundation.
With more than a decade of experience specializing in reproductive healthcare, including the healthcare needs of patients with infertility issues and the use of acupuncture in the clinical management of patients undergoing assisted reproductive treatments such as In Vitro Fertilization (IVF), Irina’s method of managing subfertile patients is based on a thorough understanding of the value of combining the best of Traditional Chinese Medicine (TCM) and conventional medicine.
Her unique approach emphasizes the clinical utility of integrating both classically based traditional acupuncture treatment techniques and concepts with the practical clinical application of contemporary evidence-based advances, from the rapidly changing landscape of reproductive medicine research.
In addition to her cl