Objective: To investigate the effect and safety of acupuncture with regulating menstruation to promote pregnancy for diminished ovarian reverse (DOR).
Methods: According to prospective case series, 46 patients were observed and finally 40 cases were included. The acupoints were ① Baihui (GV 20), Shenting (GV 24), Guanyuan (CV 4) and bilateral Benshen (GB 13), Huangshu (KI 16), Dahe (KI 12), Luanchao (Extra), Zusanli (ST 36), Sanyinjiao (SP 6), Taixi (KI 3), Taichong (LR 3) and ② bilateral Shenshu (BL 23) and Ciliao (BL 32). The points in the two groups were used alternately. Acupuncture was given for 3 courses, 12 times as a course and 3 times a week. Before and after treatment, and 3 months after treatment, follicle-stimulating hormone (FSH), follicle-stimulating hormone/luteinizing hormone (FSH/LH), estradiol (E2), antral follicle count (AFC) and TCM symptom score were observed. The safety was evaluated.
Results: Compared with before treatment, the levels of FSH, FSH/LH decreased, and the levels of E2 and AFC increased after treatment and at follow-up (all P<0.05). And the TCM symptom scores were significantly lower than those before treatment (both P<0.05). The rate of pregnancy after treatment was 15% (6/40). There was no infection and organ injury.
Conclusion: Acupuncture with regulating menstruation to promote pregnancy can safely improve the ovarian reserve of patients with DOR.
Keywords: acupuncture; diminished ovarian reverse; prospective case series study.