Couples who face challenges on the path to parenthood often explore Western medical solutions such as In Vitro Fertilisation (IVF) and Intrauterine Insemination (IUI). While these assisted reproductive technologies focus on specific physiological parameters—including age, ovulation timing, hormone levels, and sperm or egg quality—Traditional Chinese Medicine (TCM) takes a whole-body, systems-based approach to fertility care, aiming to optimise the internal environment in which conception occurs.
TCM fertility support is one of EMW TCM’s core clinical specialties. Our MOH-certified TCM physicians integrate classical Chinese medicine principles with modern, evidence-informed practice, working closely with individuals and couples who are preparing for natural conception, IVF, or IUI, or seeking supportive care alongside fertility treatments.
TCM Perspectives on the Causes of Infertility in Men and Women
According to TCM theory, fertility reflects the overall balance and vitality of the body. Rather than isolating infertility to a single reproductive organ, TCM views reproductive health as dependent on the harmonious flow of Qi (气), Jīng (精), and Blood (血) through the Kidney, Liver, and Spleen organ systems.
Imbalances within these systems may affect menstrual regularity, ovulation, sperm parameters, implantation, and pregnancy maintenance. An individual may present with one dominant pattern or a combination of patterns, depending on constitution, lifestyle, stress levels, and medical history.
Common TCM Patterns Associated With Fertility Challenges
Liver Qi Stagnation
Chronic emotional stress, mental strain, or prolonged tension may lead to Liver Qi stagnation. In TCM, this can impair circulation to the reproductive organs and disrupt hormonal signalling. Clinically, this pattern is often associated with irregular cycles, ovarian cysts, PMS, or reduced sperm quality, as discussed in published acupuncture research [1].
Kidney Yin and Kidney Yang Deficiency
In TCM, the Kidneys store Jīng (essence) and govern reproduction, growth, and development.
- Kidney Yin nourishes eggs, sperm, and uterine tissues
- Kidney Yang supports ovulation, fertilisation, and implantation
Deficiencies in one or both may present as poor egg or embryo quality, delayed ovulation, low sperm count or motility, recurrent implantation failure, or early pregnancy loss [2].
Spleen Qi Deficiency
The Spleen governs digestion and the production of Qi and Blood from food. When Spleen Qi is weak, the body may struggle to adequately nourish the uterus and reproductive tissues, affecting implantation and early pregnancy support. Clinically, this pattern may coexist with fatigue, bloating, loose stools, or low luteal support.
How TCM Can Support IVF Treatment
IVF outcomes depend not only on laboratory procedures, but also on uterine receptivity, blood flow, hormonal regulation, and nervous system balance. TCM aims to prepare the body ahead of time, rather than intervening only during the treatment window.
Clinically, we recommend starting TCM support approximately three months before an IVF cycle, aligning with the maturation cycle of eggs and sperm.
Research suggests that acupuncture and moxibustion may enhance uterine blood flow and support embryo transfer outcomes [3]. Additional studies indicate that TCM interventions may help modulate gonadotropin-releasing hormone (GnRH), support ovulation, and influence endometrial changes during menstruation, all of which are relevant to IVF preparation [4].
How TCM Can Support IUI Treatment
In IUI, prepared sperm is inserted directly into the uterus during ovulation to increase the chances of fertilisation. As a complementary approach, TCM focuses on improving sperm quality and motility, regulating ovulation, and optimising the uterine environment for implantation.
Evidence suggests that women receiving acupuncture and Chinese herbal medicine alongside IUI may experience higher pregnancy rates compared to IUI alone [5]. Similar to IVF, starting TCM care about three months before an IUI cycle allows adequate time for physiological changes to take effect.
How Acupuncture Is Timed During IVF or IUI Cycles
The timing of fertility acupuncture is individualised and aligned with each stage of treatment. At EMW TCM, treatment plans are customised according to cycle phase, medical protocols, and lifestyle demands.
Pre-Egg Retrieval / Pre-Ovulation Phase
- Supports follicular blood flow
- Helps regulate stress hormones
- Calms the nervous system during stimulation or ovulation induction
Embryo Transfer Phase
- Acupuncture performed within 24 hours before and/or after embryo transfer may support uterine receptivity and relaxation, creating a more favourable environment for implantation.
Luteal Phase
- Supports progesterone regulation
- Reduces cortisol levels
- Promotes parasympathetic (rest-and-digest) nervous system activity
Our physicians work closely with patients to coordinate acupuncture sessions around IVF or IUI schedules, ensuring safety and continuity of care.
Important Disclaimer on the Use of TCM During Fertility Treatments
Individuals considering acupuncture or Chinese herbal medicine during fertility treatments should consult a qualified, licensed TCM practitioner and inform their fertility specialist. TCM herbs and therapies may not be suitable for everyone, and certain formulations may interact with medications or underlying health conditions.
The information provided in this article is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment.
Frequently Asked Questions (FAQ)
Can I do acupuncture while undergoing IVF or IUI?
Yes, acupuncture is commonly used as a complementary therapy during IVF and IUI. Treatment timing and frequency should be guided by a licensed TCM physician familiar with fertility protocols.
How early should I start TCM before IVF or IUI?
Ideally, TCM care begins three months before your planned cycle, as this aligns with egg and sperm development timelines.
Are Chinese herbs safe during fertility treatments?
Herbal prescriptions must be individualised and professionally supervised. Not all herbs are suitable during stimulation or transfer phases, and coordination with your fertility doctor is essential.
Can TCM improve egg or sperm quality?
TCM aims to support overall reproductive health by improving circulation, hormonal balance, and systemic vitality, which may positively influence egg and sperm parameters over time.
Do I need to stop Western fertility treatments if I do TCM?
No. TCM is commonly used alongside Western fertility treatments as supportive care, not as a replacement.
If you would like personalised guidance on TCM fertility support alongside IVF or IUI, feel free to contact EMW TCM Clinic. Our team will be happy to support you throughout your fertility journey.
Supporting Your Fertility Journey with EMW TCM
At EMW TCM, fertility care is personalised, physician-led, and integrative. We support both women and men through Chinese herbal medicine, acupuncture, and lifestyle-based fertility optimisation, whether you are trying naturally or preparing for assisted reproductive treatment.
Contact EMW TCM to discuss how an integrative TCM approach may support your fertility journey safely and effectively.
Why Patients Choose EMW TCM for Fertility Care in Singapore
Patients often tell us they choose EMW TCM because:
- They want structured, personalised fertility care rather than generic treatments
- They value a calm, evidence-based clinical approach
- They want TCM that works with IVF, not against it
- They appreciate clear explanations without false promises
Our focus is not on doing more, but on doing what is appropriate, timely, and clinically justified.
You can explore more educational resources through our Fertility Support Guide
How EMW TCM Help Your IVF Success
From a biomedical perspective, acupuncture for fertility improves ovarian and uterine blood flow, regulates the hypothalamic-pituitary-ovarian axis, lowers cortisol, reduces inflammation, and supports hormonal balance. These effects complement TCM principles and help enhance egg development, implantation, and reproductive function.
1. Comprehensive Assessment
Your first consultation includes:
Cycle assessment
Digestion and hormonal review
Energy and stress evaluation
Sleep and lifestyle factors
Male fertility screening when relevant
2. Evidence-Based TCM Diagnosis
Qi stagnation
Blood deficiency
Spleen Qi weakness
Kidney Yin/Yang imbalance
Liver Qi constraint
Dampness and inflammation
3. Personalised Fertility Treatment Plan
Weekly fertility acupuncture
Customised herbal formulas
Stress reduction strategies
Lifestyle recommendations
TCM Acupuncture for Fertility Treatments
Acupuncture, one of the most researched TCM fertility tools, has been found to influence several physiological pathways related to reproduction.
A review published in Fertility and Sterility (2019) reported that acupuncture may improve blood flow to the uterus and ovaries, modulate stress hormones, and enhance endometrial receptivity. Another meta-analysis in Integrative Medicine Research (2021) concluded that acupuncture used alongside conventional fertility treatment can improve pregnancy outcomes and reduce anxiety levels in women undergoing IVF.
From a clinical standpoint, acupuncture helps regulate the hypothalamic-pituitary-ovarian axis, improving hormone balance and menstrual regularity. It can also reduce cortisol levels, encouraging the parasympathetic or “rest-and-rebuild” state which supports implantation and early pregnancy.
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When to Seek Professional TCM Fertility Help
Fertility is not just a matter of age or hormones. It is a reflection of the body’s internal harmony. Traditional Chinese Medicine provides an integrative and natural way to restore this balance, supporting both physical and emotional readiness for conception.
At EMW TCM Singapore, our team of experienced physicians brings together centuries-old wisdom and modern evidence to guide your fertility journey. Whether you are trying naturally or preparing for IVF, we are here to help you create the best internal environment for new life to begin.
If you have been trying to conceive for more than six to twelve months, experience irregular menses, painful periods, or have been diagnosed with PCOS, endometriosis, or low sperm count, consider a consultation. Professional TCM fertility care aims to correct the underlying imbalance rather than simply forcing ovulation or hormone production.
Check out our links below to book your fertility consultation and begin your holistic journey toward conception.
EMW TCM Clinics
Scotts Medical Centre Branch
9 Scotts Road #10-04, Scotts Medical Centre @ Pacific Plaza,
Singapore 228210
Book Your Appointment With Us Here: +65 89585869
International Building Branch
360 Orchard Road, International Building #02-05/06
Singapore 238869
Book Your Appointment With Us Here: +65 89585869
Our Physicians
Principal TCM Physician
- M.Med(TCM Gynaecology)
- B.Sc(Hons) Biomedical Sciences
- Dip. Naturopath
- Ayurvedic Therapist(500hrs)
- Registered TCM Physician (Singapore MOH)
Senior TCM Physician
- M.Med(TCM Acupuncture & Moxibustion)
- B.Sc(Hons) Biomedical Sciences
- Certified Aromatherapist
- Registered TCM Physician (Singapore MOH)
TCM Physician
- M.Med(TCM Gynaecology)
- B.Sc(Hons) Biomedical Sciences
- Registered TCM Physician (Singapore MOH)
TCM Physician
- B.Med(TCM)
- B.Sc(Hons) Biomedical Sciences
- International Board-Certified Lactation Consultant (IBCLC)
- Registered TCM Physician (Singapore MOH)
References
- Zhu, J., Arsovska, B., & Kozovska, K. (2018). Acupuncture Treatment for Fertility. Open access Macedonian journal of medical sciences, 6(9), 1685–1687. https://doi.org/10.3889/oamjms.2018.379
- Zhou, S. H., Deng, Y. F., Weng, Z. W., Weng, H. W., & Liu, Z. D. (2019). Traditional Chinese Medicine as a Remedy for Male Infertility: A Review. The world journal of men’s health, 37(2), 175–185. https://doi.org/10.5534/wjmh.180069
- Mao, R. Y., Wang, A. L., Zhao, Y., Wang, S. Y., Yang, Z. Y., Xia, Y. B., & Xu, T. C. (2025). Acupuncture-assisted embryo transfer techniques: Research frontiers and future directions. World journal of transplantation, 15(3), 102536. https://doi.org/10.5500/wjt.v15.i3.102536
- Zhang, Y., Fu, Y., Han, F., Kuang, H., Hu, M., & Wu, X. (2014). The effect of complementary and alternative medicine on subfertile women with in vitro fertilization. Evidence-based complementary and alternative medicine : eCAM, 2014, 419425. https://doi.org/10.1155/2014/419425
- Sela, K., Lehavi, O., Buchan, A., Kedar-Shalem, K., Yavetz, H., & Lev-ari, S. (2011). Acupuncture and Chinese herbal treatment for women undergoing intrauterine insemination. European Journal of Integrative Medicine, 3(2), e77–e81. https://doi.org/10.1016/j.eujim.2011.04.020
