Quick evidence overview
Last updated 13 Jan 26
Live birth
Acupuncture doesn’t make a difference to the chance of having a baby from IVF
Pregnancy
Acupuncture doesn’t make a difference to the chance of getting pregnant from IVF
Miscarriage
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
Acupuncture does not make a difference to the chance of having a baby from IVF
Quality of evidence
The results of trials vary a bit and are imprecise
Pregnancy
Acupuncture does not make a difference to the chance of getting pregnant from IVF
Quality of evidence
The results of trials vary a bit and are imprecise
Miscarriage
It is unclear whether acupuncture affects the chance of having a miscarriage from IVF
Quality of evidence
The results of trials are very imprecise
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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 2025 Possible 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).
Unsure about some of the terms we have used? Use our glossary to understand scientific or unfamiliar terms.
Explore other IVF optional extras
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IVF optional extras
Information about IVF treatment options and add-ons, and the evidence for their effectiveness and safety
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EmbryoGlue in IVF
Embryo transfer media containing hyaluronic acid
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Intralipid infusion for IVF
Intravenous infusion of a liquid containing lipids (fats)
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Preimplantation Genetic Testing for Aneuploidy (PGT-A testing) in IVF
Testing embryos to check whether they have the expected number of chromosomes
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.
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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