Evidence map›Paper›PMID 40508938›Full record

ReviewHealthcare (Basel, Switzerland)2025

Integrating Acupuncture and Herbal Medicine into Assisted Reproductive Technology: A Systematic Review and Meta-Analysis of East Asian Traditional Medicine.

Xiangping Peng, Bo Wu, Siyu Zhou, Yinghan Xu, Atsushi Ogihara, Shoji Nishimura, Qun Jin, Gerhard Litscher

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiangping PengAdvanced Research Center for Human Sciences, Waseda University, Tokorozawa 359-1192, Japan.ORCID 0000-0002-5282-3450
Bo WuSchool of Computer Science, Tokyo University of Technology, Hachioji 192-0982, Japan.ORCID 0000-0002-1971-595X
Siyu ZhouSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, China.ORCID 0000-0001-7946-8172
Yinghan XuGraduate School of Human Sciences, Waseda University, Tokorozawa 359-1192, Japan.ORCID 0000-0002-7811-453X
Atsushi OgiharaFaculty of Human Sciences, Waseda University, Tokorozawa 359-1192, Japan.ORCID 0000-0002-3049-3446
Shoji NishimuraFaculty of Human Sciences, Waseda University, Tokorozawa 359-1192, Japan.ORCID 0000-0001-5975-2002
Qun JinFaculty of Human Sciences, Waseda University, Tokorozawa 359-1192, Japan.ORCID 0000-0002-1325-4275
Gerhard LitscherSwiss University of Traditional Chinese Medicine (SWISS TCM UNI), High-Tech Acupuncture and Digital Chinese Medicine, 5330 Bad Zurzach, Switzerland.ORCID 0000-0001-6287-0130

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssisted reproductive technologies (ARTs) are essential in treating infertility but often face limited success due to low implantation and live birth rates. East Asian traditional medicine (EATM), including acupuncture and herbal medicine (HM), may enhance physiological responses during ART cycles. This study evaluated the effectiveness and safety of EATM in improving clinical pregnancy and live birth outcomes in women undergoing ART.

methodsThis review, registered in PROSPERO (CRD42023411712), systematically searched 11 databases up to 31 March 2023. We included randomized controlled trials (RCTs) comparing EATM interventions to control groups. Data extraction and quality assessment were performed independently by two authors. Meta-analysis used the inverse-variance method in Stata 12.0. A total of 37 RCTs involving 10,776 women (aged 29-38) were analyzed. Studies addressed infertility causes including polycystic ovary syndrome, tubal blockage, diminished ovarian reserve, and unexplained infertility. Acupuncture therapies included body, electro-, laser, and auricular acupuncture. Herbal treatments were administered as powders, pills, granules, decoctions, and ointments based on traditional Chinese formulas.

resultsEATM interventions were associated with significant improvements in clinical pregnancy and live birth rates. Acupuncture increased clinical pregnancy rates (CPR: RR 1.316, 95% CI 1.171-1.480) and live birth rates (LBR: RR 1.287, 95% CI 1.081-1.533). HM also enhanced CPRs (RR 1.184) and LBRs (RR 1.147). Subgroup analysis showed true acupuncture and HM were more effective than sham or placebo. No significant differences in adverse events were found.

conclusionsEATM, particularly acupuncture and HM, appears to be a safe and effective complementary therapy that can be used to improve ART outcomes. Future research should focus on developing standardized acupuncture and herbal protocols to optimize integration with ART.

Indexed as

assisted reproductive technologyclinical pregnancy ratesEast Asian traditional medicineinfertilityintegrative medicinein vitro fertilizationlive birth ratesrandomized controlled trialssystematic review and meta-analysis

Identifiers

PMID40508938
PMCPMC12155192

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.