Surgery or procedure

Medium cost

Acupuncture for IVF

Insertion of thin needles into specific points on the body

Relevant for

General IVF population

Also known as:

Needle therapy , Needling

Quick evidence overview

Last updated 13 Jan 26

Live birth

No effect

Acupuncture doesn’t make a difference to the chance of having a baby from IVF

Pregnancy

No effect

Acupuncture doesn’t make a difference to the chance of getting pregnant from IVF

Miscarriage

Unclear

It is unclear whether acupuncture affects the chance of miscarriage from IVF

What is fertility acupuncture?

Fertility acupuncture involves the insertion of thin needles into specific points on the body with the aim of increasing the chance of conception.

  • Acupuncture is a type of complementary medicine which was originally part of traditional Chinese medicine (sometimes called TCM).
  • Acupuncture involves the insertion of thin needles into specific points on the body, known as acupuncture points.
  • Acupuncture needles can be stimulated manually (movement by the acupuncturist) or with a small electric current, known as electro‐acupuncture.
  • Traditional acupuncture is based on the concept of “Qi” flowing through channel pathways in the body. The existence of Qi has not been proven scientifically.
  • Acupuncture has been shown to release natural substances into the body, such as endorphins, which induce relaxation and relieve stress and pain.
  • Fertility acupuncture is a broad term including acupuncture aimed at regulating menstrual cycles, improving blood flow to reproductive organs, and improving semen quality in men. The below information focusses on fertility acupuncture performed on the female IVF patient.

This IVF option refers to the use of traditional acupuncture with needles performed on the female IVF patient. It does not include acupuncture using acupressure, laser or electrical pulses (transcutaneous electrical acupuncture stimulation) or acupuncture aimed at improving sperm count or motility.


Why might fertility acupuncture improve IVF outcomes?

  • Acupuncture may increase blood flow to reproductive organs including the lining of the uterus (endometrium) and the ovaries.
  • Some research suggests that acupuncture can affect hormones related to fertility, which could help with things like making menstrual cycles more regular.
  • IVF can be a stressful experience. Acupuncture during fertility treatment may reduce stress and anxiety levels, helping people to feel more relaxed and improving mental and physical health.

Why might fertility acupuncture not improve IVF outcomes?

  • The existence of Qi and energy pathways in the body have not been proven scientifically.
  • Benefits from acupuncture on feelings of stress may be due to the relaxing experience that accompanies an acupuncture treatment session – like the experience of receiving a massage. These benefits may not actually be related to the acupuncture itself.
  • While acupuncture may increase blood flow and promote relaxation, this does not necessarily mean it will improve your chances of becoming pregnant.
  • It is important to remember that most embryo transfers don’t result in pregnancy. Most of the time when embryos fail to implant it is due to genetic or chromosomal problems in the embryo itself, rather than issues with the endometrial lining or general health of the patient. Therefore, acupuncture may not be expected to make much difference to the chance of successful implantation.

Who might consider fertility acupuncture for IVF?

Anyone having IVF can consider using acupuncture

Learn more about common IVF issues and challenges


Does acupuncture for IVF work? What the evidence says

Acupuncture doesn’t seem to make a difference to the chance of getting pregnant or having a baby from IVF. The evidence is judged as low quality, as although many trials were available, they often reported conflicting results and the combined result from multiple studies was imprecise.

Live birth

No effect

Acupuncture does not make a difference to the chance of having a baby from IVF

10 randomised trials 3,735 participants

Quality of evidence

Low

The results of trials vary a bit and are imprecise

Pregnancy

No effect

Acupuncture does not make a difference to the chance of getting pregnant from IVF

21 randomised trials 4,947 participants

Quality of evidence

Low

The results of trials vary a bit and are imprecise

Miscarriage

Unclear

It is unclear whether acupuncture affects the chance of having a miscarriage from IVF

10 randomised trials 3,803 participants

Quality of evidence

Low

The results of trials are very imprecise

  • Trial Reason for exclusion

    Altutunji 2019

    Unclear if truly randomised

    Bashtian 2017

    Not using traditional acupuncture

    Bashtian 2018

    Not using traditional acupuncture

    Chen 2004

    Inappropriate control group

    Chen 2009

    Unclear if truly randomised

    Chen 2012

    Large number of trials from one author team – possible trustworthiness concerns

    Costa 2018

    Abstract only – too little information available

    Cui 2007

    Unclear if truly randomised

    Cui 2011

    Large number of trials from one author team – possible trustworthiness concerns

    Cui 2012

    Unclear if truly randomised

    Cui 2020

    Retracted

    Dehghani 2019

    Trial not prospectively registered

    Dong 2019

    Trial not prospectively registered

    Feliciani 2011

    Abstract only – too little information available

    Feng 2022

    Not using traditional acupuncture

    Gao 2017a

    Trial not prospectively registered

    Gao 2017b

    Trial not prospectively registered

    Gao 2019

    Trial not prospectively registered

    Guven 2020

    Trial not prospectively registered

    Kim 2021

    No reproductive outcomes reported

    Kusuma 2019

    No reproductive outcomes reported

    Li 2014

    Trial not prospectively registered

    Li 2015

    Trial not prospectively registered

    Lia 2015

    Trial not prospectively registered

    Liu 2024

    No reproductive outcomes reported

    Luo 2017

    Trial not prospectively registered

    Ma 2018

    Trial not prospectively registered

    Meng 2008

    No reproductive outcomes reported

    Meng 2009

    No reproductive outcomes reported

    Omodei 2010

    Abstract only – too little information available

    Pang 2025Possible trustworthiness concerns

    Peng 2017

    Trial not prospectively registered

    Phy 2019

    Abstract only – too little information available

    Qi 2022

    Not using only traditional acupuncture

    Qu 2014

    Not using only traditional acupuncture

    Qu 2019

    Not using only traditional acupuncture

    Quintero 2004

    Abstract only – too little information available

    Rashidi 2013

    Trial not prospectively registered

    Saffari 2018

    Trial not prospectively registered

    Shen 2022

    Trial not prospectively registered

    Shuai 2015

    Not using traditional acupuncture

    Shuai 2019

    Not using traditional acupuncture

    Stener‐Victorin 2004

    Inappropriate control group

    Su 2019

    Inappropriate control group

    Su 2020

    Inappropriate control group

    Sun 2017

    Not using traditional acupuncture

    Tian 2020

    Not using traditional acupuncture

    Ting 2022

    Trial not prospectively registered

    Wang 2018

    Trial not prospectively registered

    Wei 2010

    Unclear if truly randomised

    Wei 2011

    Unclear if truly randomised

    Wu 2019

    Trial not prospectively registered

    Wu 2022

    Trial not prospectively registered

    Xiang 2021

    Trial not prospectively registered

    Xing 2018

    Not using traditional acupuncture

    Xu 2018

    Trial not prospectively registered

    Xue 2021

    Trial not prospectively registered

    Zhai 2022

    Not using traditional acupuncture

    Yang 2015

    Large number of trials from one author team – possible trustworthiness concerns

    You 2023

    Trial not prospectively registered

    Yuan 2025

    Trial not prospectively registered

    Zhang 2011

    Not using traditional acupuncture

    Zhang 2013

    No reproductive outcomes reported

    Zhang 2014

    Not using traditional acupuncture

    Zheng 2015

    Not using traditional acupuncture

    Zhong 2019

    Not using traditional acupuncture

    Zhong 2017

    Not using traditional acupuncture

    Zhong 2023

    Trial not prospectively registered

    Zhou 2016

    Trial not prospectively registered

    Zhou 2023

    Not using traditional acupuncture

We only include data from randomised controlled trials because these studies provide the most reliable evidence about whether an IVF option is effective and safe. Learn more about our IVF research methods.

Side effects of acupuncture

Acupuncture can cause the following mild, short-term side effects in some people:

  • pain where the needles puncture the skin
  • bleeding or bruising where the needles puncture the skin
  • drowsiness
  • feeling sick
  • feeling dizzy or faint.

Serious side effects are rare. Remember that all medical procedures carry some risk.


Risks of acupuncture and long-term outcomes

There are no known risks or long-term harms from fertility acupuncture.

  • This is based on data from randomised controlled trials and input from IVF specialists. Possible risks of harm and long-term outcomes are often not reported in randomised trials and therefore it is unknown whether acupuncture poses any risk of harm to the IVF patient or the embryo/baby.

Acupuncture has been used during IVF in Australia since around 2008, and approximately 500,000 IVF cycles have used acupuncture.


Cost of acupuncture for IVF

A single fertility acupuncture session costs about $50-$150 AUD. Often, multiple acupuncture sessions may be scheduled for different time-points in an IVF or embryo transfer cycle. For patients having five sessions, the cost of acupuncture can be about $500 AUD.

Cost information is indicative only, costs can vary from clinic to clinic and depending on different circumstances.


Practical considerations about fertility acupuncture

Fertility acupuncture points

Fertility acupuncture is often suggested to be performed at multiple time-points in relation to an IVF cycle, such as: before starting IVF medication, during IVF stimulation, near the time of egg collection, on the day of embryo transfer, and after embryo transfer.

In a typical session, between 5-20 needles are inserted at various points in the body. These thin needles are typically left in place for a short period of time (20-30 minutes).

If you have a bleeding disorder, such as haemophilia, or are taking any medicines such as anticoagulant medicine, talk to your GP or acupuncture practitioner before you have acupuncture.

Acupuncture should be performed by a qualified practitioner. You should check that your acupuncture practitioner is either a regulated healthcare professional such as a doctor, nurse or physiotherapist or registered as Chinese Medicine Practitioner with the Australian Health Practitioner Regulation Agency (AHPRA).


How to talk to your IVF specialist about this research

Use our guide to help you discuss IVF options with your doctor or IVF specialist. Helping you get the facts to make an informed decision for your IVF treatments.

Questions to ask your IVF specialist

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Disclaimer: Evidence-based IVF is a web-based resource that provides evidence-based information based on research and other data. Content on the Evidence-based IVF webpage is provided for information purposes only and is not intended as a substitute for medical advice. You should consult with qualified and appropriately experienced medical professionals when considering the information from this webpage. Scientific studies and clinical trial results are continually being published. While considerable care has been taken, The University of Melbourne cannot, and does not make any representations and gives no warranties that the information associated with the Evidence-based IVF webpage is in every respect correct, current, complete, reliable, or suitable for any purpose and use is entirely at your own risk.

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