Karisa Grudi, one of our licensed acupuncturists at Pulling Down the Moon Shady Grove, sat down with us to discuss a little bit about the German Protocol and why it is so important for women who have embryo transfers:

Q. Karisa, can you give us an idea of what the German Protocol is?

A. The German Protocol is a series of two acupuncture treatments that are performed on the day of IVF transfer.  The treatments are scheduled before and after the embryo transfer on the same day.  The German Protocol is based off of a study that was performed in Germany, 2006.  In the study of 160 participants, one group received IVF transfer only while the second group received IVF transfer with two acupuncture treatments (before and after transfer).  The pregnancy results showed 42% in the acupuncture group compared to 26% in the control group.

Q. How does this particular type of acupuncture help increase a couple’s chances of conceiving?

A. In the German study, a select number of acupuncture points were used to help with the efficacy of pregnancy.   Those same points from the study are used in the clinic.  Certain points on the leg have a direct connection to the uterus and ovaries.  Those points help to bring blood flow locally to the uterus to help lessen contractions associated with the actual implantation of the embryo.  Points are also selected to decrease stress and help relax the body and mind.  In addition, points are selected on the ear to further help with relaxation, uterine blood flow and endocrine functioning.

Q. Is it helpful for all types of cycles in which an embryo transfer is taking place?

A. Yes, it is definitely helpful for all IVF cycles, including those with donor egg and/or donor sperm.  Again, the focus is the same on the day of IVF transfer – to bring blood flow locally to the uterus, to help relax the body and mind, and to help with endocrine functioning.

At Pulling Down the Moon Shady Grove, Karisa and our other licensed acupuncturists strive to provide everyone with individualized care, whatever their circumstances may be. The German Protocol is just one of the many ways acupuncture can help you on your journey. We hope you will join us!

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We are thrilled to announce that TCM fertility and women’s health specialist Pamela Policastro LAc has expanded her hours to see patients at our River North center.  Pam will be working on Mondays and Saturdays in the City.  Pam has been a star practitioner at our Arlington Heights location for many years and we are excited to bring her strong clinical presence to our Chicago location.  Pam will continue to treat patient in Arlington Heights on Thursdays.

“There is a soul force in the universe which, if we permit it, will flow through us and produce miraculous results.” Ghandi

This beautiful quote is Pam’s motto.  Pam received her Masters Degree in Traditional Chinese Medicine from Southwest Acupuncture College in Santa Fe, N.M. She is nationally certified by the NCCAOM (National Certification Commission for Acupuncture and Oriental Medicine), and is a licensed acupuncturist in the state of Illinois. She received her Bachelors Degree in psychology from SUNY (State University of New York) at Stonybrook, N.Y. Additionally, Pam has studied Chinese Herbal Medicine, Oncology Acupuncture at Memorial Sloan Kettering, N.Y.C., and fertility with Dr. Berkley from The Berkley Center for Reproductive Wellness, N.Y.C.

Pam is also nationally certified in Chinese Herbal Medicine. Combining herbs with acupuncture, Pam strives to attain the best possible results with all her patients. She specializes in all aspects of fertility and pregnancy; female and male infertility, menstrual irregularities, pre-menstrual syndrome (PMS), polycystic ovarian syndrome (PCOS), and endometriosis. Pam works with each person’s individual needs to provide a personalized treatment plan to optimize natural conception and/or assisted reproductive therapy. She is also affiliated with Mercy Hospital.

Read some of Pam’s contributions to our blog here:

TCM Perspective of Physical Exercise

Acupuncture and Miscarriage Prevention

Fire Cupping and Fertility

What Are You Smoking??? Moxa and Fertility

by Anna Pyne LAc FABORM

One aspect of medical theory in Traditional Chinese Medicine (TCM) includes the system of the five elements; wood, fire, earth, metal, and water. They can be used to differentiate TCM physiology, pathology, and treatment plan.  Each element corresponds to a specific emotion and an individual TCM organ.  The Earth element is affiliated with the worry or rumination emotion.  When our minds are busy over-thinking it hinders us from being grounded and impairs harmony between the mind-body connection.  The earth element is also associated with the spleen (not the same as Western medical spleen), which has to do in part with the digestive system.  A person with a poor digestive system usually cannot think clearly, hence the importance of a well functioning spleen.   When the spleen is working properly it means the earth element is being sufficiently nourished so that the mind can remain grounded.   This enables us to reduce stress, keep life in perspective when it gets tough, and can help maintain optimal physical health.

At Pulling Down the Moon we have numerous treatment modalities to ensure that the earth element comes into and stays in balance.  The therapies offered are acupuncture, herbal therapy, yoga, meditation, diaphragmatic breathing exercises, reiki, massage, and nutrition all of which can be used either individually or in combination.  If you have any questions regarding the earth element according to TCM, feel free to contact me via email (anna@pullingdownthemoon.com) or make an appointment for acupuncture/herbal therapy by calling the office.

Anna Pyne, LAc, MSOM, FABORM

A question I frequently get asked in my acupuncture practice is “Can acupuncture help improve egg quality?”  From my own clinical experience the answer is, it can.   Acupuncture and herbal therapy help improve the environment of the ovary enabling it to function optimally and properly, therein allowing it to make good quality eggs.  An example of this is with Polycystic Ovarian Syndrome (PCOS) where the problem is a functional disorder of the entire system that is affecting the ovary.  In other words, the issue is not with that single organ alone.  Since the body systemically is not working properly it is not able to nourish the ovary.  Therefore many immature follicles develop within the ovary impeding the process to fully grow one or two healthy quality eggs, as is the case in a normal cycle.  There are many treatment strategies that traditional Chinese medicine (TCM) offers to help regulate the body’s functioning in PCOS, so that the ovary is being supplied the energy and blood it needs to be able to produce an exceptional egg.

Another instance in which I have seen an improvement in egg quality is with endometriosis.  The explanation is a bit simpler to understand than in PCOS.  Generally speaking, with endometriosis the condition is one of blood stasis, a problem that can hinder fresh, oxygenated, nutrient rich blood from reaching the ovary thereby having a negative effect on its function of making a good quality egg.  Here again there are many options in which TCM can help treat blood stasis so that the ovary is being thoroughly supported to produce a good egg.

Though there is no data via research studies presently to support this claim directly, there is much that I have seen in my clinical experience to believe it to be true.  If you have any questions regarding egg quality and how TCM can help please feel free to contact me or book an appointment!

When you walk into our new River Walk center you will see mehndi designs on the walls.  Mehndi is the name for the temporary henna tattoos that women from India and Pakistan wear on their hands and feet at weddings and other celebrations.  The mehndi tradition is synonymous with women, community and joy.  Our new River Walk center is “tattooed” with mehndi designs as a celebration of women, their beauty and their innate ability to support and heal each other through community.  We thought we’d share this video, from the movie “Monsoon Wedding” because it is filled with that kind of joy.

We will begin seeing patients at our new space on Sunday, January 23.  Call 312-321-0004 to book your fertility acupuncture, yoga for fertility, FEM protocol or nutrition consult.  We are Chicago’s specialists for the holistic care of women’s health, fertility and pregnancy.

PDtM Acupuncturist Anna Pyne has this fabulous self-care suggestion for fertility.  Read her post on Pulling Down the Moon’s blog at Fertility Authority!

And for more about those sweet little piggies…check out this previous post on our FA blog about the importance of feet for fertility.

 By Anna Pyne, L.Ac.A TCM

Polycystic ovarian syndrome (PCOS) is a common reproductive endocrine disorder and something we frequently treat at Pulling Down the Moon. Up to 75% of women with this diagnosis do not ovulate, which is hardly ideal when trying to conceive.   In fact, it’s not until they have trouble conceiving that many women learn they have PCOS, which in addition to causing infertility can also have negative long-term health consequences including heart disease and diabetes.

In Traditional Chinese Medicine, PCOS is considered an anovulation disorder related to ovarian insulin resistance.*  Chinese medicine initially acknowledged PCOS in the 1200’s describing it as a “Tian Gui” disorder, meaning a genetic disorder with the main symptoms being cycle irregularity and infertility due to anovulation.  There are a number of TCM patterns of diagnosis to describe PCOS, the main one being a (Chinese) Kidney Deficiency. The kidney in TCM is the organ system that is regarded with any genetic disorder and considered the root cause in PCOS.  The absence of the period, and therefore the absence of ovulation is a kidney pathology.  Interestingly, modern science has just recently identified a genetic component to PCOS and now think of PCOS as a hereditary problem in which symptoms often do not present until later in life.

A secondary pattern in TCM is Spleen Deficiency, which has to do with the insulin resistance part of the PCOS diagnosis. The Chinese spleen is responsible for the metabolism of nutrients from foods, as well as the transformation and transportation of fluids in the body. In patients with actual cysts in the ovaries, TCM considers the spleen to be dysfunctional. This is also the organ that relates to weight gain. Obesity is seen in 30%-60% of patients with PCOS. By improving the function of the spleen we help regulate blood sugar and resolve the excess fluid accumulation from ovarian cysts and/or fat from weight gain.  A third, related TCM pattern is Liver Stagnation, which can manifest as blood stasis or excess heat in the channels. Blood Stasis in the channels causes hair follicles to be nourished excessively creating coarse unwanted hair. This represents the hirsutism symptom, of which 70% of patients with PCOS have. Excess heat in the channels also promotes the acne component of PCOS.

When trying to improve fertility in patients with PCOS the primary focus is to induce ovulation.  According to TCM pattern diagnosis, the main organs treated for this condition are the kidney, spleen, and liver.  Treatment using TCM pattern diagnosis is greatly successful in inducing ovulation and a skilled TCM practitioner can use a combination of acupuncture, electro-acupuncture, moxabustion and herbal therapy to treat Polycystic Ovarian Syndrome. 

*Different phenotypes of polycystic ovary syndrome by Rotterdam criteria are differently steroidogenic but similarly insulin resistant. Fertil Steril. 2010 Mar 1;93(4):1362-5. Epub 2009 Sep 26.

Book an initial consultation with Anna Pyne in Chicago here.

By Pamela Policastro, L.Ac.

So, when you go for your weekly fertility acupuncture treatment and your practitioner breaks out the little cups, she’s not proposing a toast (unless you’ve just gotten a + Beta!).   When the cups come out, it’s likely she’s looked at your tongue, taken your pulse and identified excess heat or stagnant energy that needs to be shaken up or dispelled from your system.

Fire cupping is a form of  traditional medicine found in many cultures around the world.  It involves placing cups containing reduced air pressure(suction)onto the skin.  The earliest record of cupping is in Ebers Papyrus, one of the oldest medical textbooks in the world.  It describes that in 1,550 BC, Egyptians used cupping.  Archaeologists have found evidence in China of cupping dating back to 1,000 BC.  In ancient Greece,  Hippocrates used cupping for internal disease and structural problems.

In traditional Chinese medicine(TCM), cupping is a method of applying acupressure by creating a vacuum on the patient’s skin.  The therapy is used to dispel stagnation, stagnant blood and lymph, thereby improving qi flow.  Cupping is used to treat respiratory diseases such as common cold, pneumonia and bronchitis.  It is also used on back, neck, shoulder and other musculoskeletal  conditions.  Cupping  can be a very useful technique for women going through Assisted Reproductive Technology (ART), too.  I use cupping on fertility patients to release excess heat if overstimulation occurs during an IUI or IVF cycle.

The cups themselves are of various shapes and sizes.  Plastic and glass are the most common materials used today, replacing the horn, pottery, bronze and bamboo cups used in earlier times.  The low air pressure required may be created by heating the cup or the air inside it with an open flame or a bath in hot scented oils, then placing it against the skin.  As the air inside the cup cools, it contracts and draws the skin slightly inside.  Cups are normally used only on softer tissue that can form a good seal with the edge of the cup.  They may be used singly or in large number to cover a larger area.  They may be used by themselves or placed over an acupuncture needle.  Skin may be lubricated, allowing the cup to be moved across the skin slowly.

Depending on the specific treatment, skin marking is common after the cups are removed.  This can vary from a simple red ring that disappears quickly to a bruise that fades within a few days.  Gweneth Paltrow has been sighted with cupping marks on her back…smart girl!

About Pam:

Pamela received her Masters Degree in Traditional Chinese Medicine from Southwest Acupuncture College in Santa Fe, N.M.  She is nationally certified by the NCCAOM in Oriental Medicine, and is a licensed acupuncturist in the state of Illinois.  She received her Bachelors Degree in psychology from SUNY at Stonybrook, N.Y.  Additionally, Pamela has studied Chinese Herbal Medicine, Oncology Acupuncture at Memorial Sloan Kettering, N.Y.C., and fertility with Dr. Berkley from The Berkley Center for Reproductive Wellness, N.Y.C.

Pamela is also nationally certified in Chinese Herbal Medicine.  Combining herbs with acupuncture, Pamela strives to attain the best possible results with all her patients.  Specializing in fertility, Pamela works to restore a mind/body balance to optimize natural conception and assisted reproductive therapy.  She is also affiliated with Mercy Hospital.

“There is a soul force in the universe which, if we permit it, will flow through us and produce miraculous results.”   Ghandi

If you would like to book an appointment with Pam for acupuncture, click here.