RECONHECIMENTO MUNDIAL DO TRABALHO PUBLICADO PELO DR DECIO

 

 

 

 

JANE LYTTLETON - uma das principais referências no tratamento da infertilidade pela medicina chinesa

Atualmente, Jane Lyttleton é considerada uma das pesquisadoras de maior renome no tratamento da infertilidade pelo uso da acupuntura em todo o mundo. Sua clínica se localiza em Sydney, Australia.

 

Jane Lyttleton publicou em 2004 seu livro: "Tratamento da infertilidade pela Medicina Chinesa" da editora Elsevier. Ele foi publicado em vários idiomas e é considerado uma das principais referências no Brasil para a formação de acupunturistas que desejam se especializar no tratamento da infertilidade pela acupuntura e medicina chinesa.

 

Em seu site, Jane Lyttleton, cita os principais trabalhos científicos na área de acupuntura e infertilidade. O trabalho publicado no Congresso Americano de Reprodução Assistida (ASRM) pelo Dr Decio Teshima em 2007, na cidade de Washington (United States) também foi lembrado.

 

Isso confirma a importância do trabalho publicado pelo Dr Decio Teshima, sendo o único trabalho brasileiro citado nas referências de Jane Lyttleton. Atualmente, o Dr Decio é considerado um dos principais especialistas no tratamento da infertilidade pela acupuntura no Brasil.

 

 

veja parte do site de Jane Lyttleton:

www.acupunctureivf.com.au

 

 

 



Acupuncture and embryo transfer

 Fertility and Sterility, the official publication of the American Society for Reproductive Medicine publishes juried original articles of scientific excellence in clinical and laboratory research relevant to reproductive endocrinology and physiology.

The studies below have all appeared in the journal Fertility and Sterility. Ten of them found that acupuncture performed close to the time of embryo transfer improved chances of pregnancy. Three reported no effect, and one found a negative effect (which was put down to the fact that the patients had to drive across town after their embryo transfer to reach the acupuncture clinic). More studies are underway to investigate the mechanism behind the effect of acupuncture on implantation of the embryo.

If any provisional conclusions are to be drawn at this stage, it is that acupuncture appears to confer an advantage to clinical trial groups which have an expected pregnancy rate of around 35% or less. Where chance of pregnancy is 50 - 60% then acupuncture applied at the time of embryo transfer may not offer so much benefit. 

Acupuncture and Embryo Transfer Studies
Authors and References   Effect of acupuncture on pregnancy rate
Paulus W et al, Fertil Steril 2002 Vol 77, pg 721-724   +ve
Smith C et al, Fertil Steril 2006 Vol 85, pg 1352-1358   +ve
Westergaard L et al, Fertil Steril 2006 Vol 85, pg 1341-1346  
+ve
Dieterle S et al, Fertil Steril 2006 Vol 85, pg 1347-1351   +ve
Benson M. R. et al, Fertil Steril 2006 Vol 86, Suppl 1, pg S135   +ve
Udoff L. C. et al, Fertil Steril 2007 Vol 86, Suppl 1, pg S145   +ve
Teshima D.R.K et al, Fertil Steril 2007 Vol 88, Suppl 1,pg S330   +ve
Magarelli P,Cridennda D,Fertil Steril 2004Vol 81,Suppl 3,pgS20   +ve
Quintero R et al, Fertil Steril 2004 Vol 81 Suppl 3, pg S11-12   +ve
Youran D et al, Fertil Steril 2008 Vol 90 Suppl 1, pg S240   +ve
Domar A et al, Fertil Steril 2006 Vol 86 Suppl 2, pg S379   =
Domar A et al Fertil Steril on line 2008 In press.    =
Fratterelli JL et al Fertil Steril 2008 Vol 90 Suppl 1, pg S105
                     =
Craig L. B et al, Fertil Steril 2007 Vol 88, Suppl 1, pg S40   -ve

 

 

 

 

 

livro de Jane Lyttleton

The effect of acupuncture in assisted reproduction techniques

Teshima D. R. K et al, Fertil Steril 2007 Vol 88, Suppl 1, pg S330
Fertility and Sterility

Abstract

OBJECTIVE: The aim of this study was to evaluate the effects of acupuncture on embryo transfer by comparing the rates of clinical pregnancy.

DESIGN: Retrospective, interventional and longitudinal study.

MATERIALS AND METHODS: Study with a total of 111 cycles of patients who underwent assisted reproduction techniques: in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) from June/2005 to January/ 2007: 52 cycles with acupuncture and 59 cycles without acupuncture. Acupuncture was performed, in specific points of the body including the ear, immediately before and after the embryo transfer procedure and the needles were retained for 30 minutes per session. The embryo transfer was carried out under ultrasound guidance and luteal phase support was given by trans-vaginal progesterone administration (Utrogestan) and intramuscular progesterone. Outcome measure was clinical pregnancy rate.

RESULTS: The clinical pregnancy rate per cycle was observed in 27 of 52 (51.9%) patients in the acupuncture group and 21 of 59 (35.6%) patients in the control group (P 1⁄40,083). The mean age was 36.1 6.1 years in the control group and 36.4 years in the acupuncture group (P1⁄40.785). The mean number of embryo transferred was 3.3 in the control group and 3.6 in the acupuncture group (P1⁄40.462). The technique of embryo transfer was 5 cycles of IVF and 54 cycles of ICSI in the control group and 5 cycles IVF and 47 cycles of ICSI in the acupuncture group (P 1⁄41.000). Both groups did not show statistics difference in the mean age, number of embryo transferred and the technique procedure.

CONCLUSIONS: Although there was a higher pregnancy rate in the acupuncture group, this difference was not statistically significant, probably because of the small number of patients in both group. Acupuncture seems to be an important coadjuvant in the treatment of infertility with IVF or ICSI, and further research is needed to demonstrate its precisely effect.

 

 

 

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