Acupuncture Before and After Embryo Transfer: What to Expect
Fertility

Acupuncture Before and After Embryo Transfer: What to Expect

In short

What happens when I have acupuncture around embryo transfer?

An appointment can be arranged before transfer, afterwards, or on the day before if that is easier. It offers a calm, individualised pause around an emotionally significant procedure, with timing shaped around your clinic instructions and what would feel most supportive rather than a fixed protocol.

Rozelle Acupuncture & Chinese Medicine Centre · Clinic team

  • Care provided by AHPRA registered Chinese medicine practitioners
Published
Last updated

Why do people book acupuncture around embryo transfer?

Transfer day can feel both brief and enormous. There may be an early clinic appointment, a full bladder, changing instructions and then the sudden quiet of going home to wait. Some patients choose acupuncture because they value a familiar practitioner and a calm appointment around that transition.

The appointment is complementary care. Your fertility clinic remains responsible for the transfer, medication and medical advice, and acupuncture should not require any change to its protocol. This article goes deeper into the transfer research than our main guide does; for the wider picture of acupuncture alongside IVF, start with Acupuncture and IVF.

Should I book before transfer, after transfer, or both?

Common transfer-day options
OptionWhen it may suit youPractical consideration
The day beforeYour transfer is early, the time is uncertain or extra travel on the day would feel burdensomeA simple option that leaves transfer day clear
Before transferYou would value time to settle before going to the IVF clinicAllow enough travel time and follow the clinic's instructions about arrival and bladder preparation
After transferYou prefer to complete the medical procedure firstChoose this only if another appointment and the journey home still feel manageable
Before and afterYou actively prefer two appointments and the logistics are easyTwo sessions are optional, not a requirement
No transfer-day sessionYou want rest, privacy or fewer commitmentsA completely reasonable choice

There is no need to force the original before-and-after format into a day that is already crowded. We can help you choose the least complicated option once your clinic gives you a provisional time.

What happens at the appointment?

  1. A short update. We confirm the transfer plan, current medication, how you are feeling and any instructions from your fertility clinic.
  2. An individualised treatment. Point selection is based on your presentation and adapted because pregnancy is possible; it is not a standard protocol copied from a research paper.
  3. Time resting on the table. The room is quiet and the appointment is paced so you are not rushing to or from the clinic.
  4. A practical check before you leave. We confirm your next medical step and whether you want any follow-up during the wait.

Tell Maria if you take aspirin, heparin or another anticoagulant, have a bleeding disorder, feel faint around needles, or have received new advice from your fertility team.

How do appointments work when transfer timing changes?

Short-notice changes are normal. Embryo development, scan results and the IVF clinic's procedure list can all affect timing. Call or text 0499 911 552 during transfer week rather than relying on a standard online slot. We can work with a provisional time and adjust it when your clinic confirms.

What does the research say?

Early trials reported higher pregnancy rates when acupuncture was compared with no additional treatment. Later studies used sham acupuncture so participants received similar time, attention and an apparently similar procedure. In the largest trial, conducted across 16 Australian and New Zealand IVF centres, live birth was 18.3% with acupuncture and 17.8% with sham, with no statistically significant difference.

A 2025 transfer-day review found the same broad pattern: results differed according to whether the comparison group received no extra care or sham acupuncture. This is why we do not present a transfer-day appointment as a way to improve the outcome of the cycle.

A pre-specified secondary analysis of the Australian trial found a small reduction in anxiety after transfer with real acupuncture compared with sham, while overall quality of life did not differ. That finding relates to the experience of the day, not pregnancy or live birth.

A 2022 systematic review of eight trials also reported a small average difference in IVF-related state anxiety when all comparison groups were pooled (standardised mean difference −0.21, 95% CI −0.39 to −0.04). The authors rated the evidence very low certainty, and the difference was not statistically significant when the analysis was limited to sham acupuncture comparisons. This suggests a possible short-term supportive effect, not a treatment for an anxiety disorder or a fertility benefit.

Is acupuncture around transfer safe?

Acupuncture is generally low risk when provided by a registered practitioner, but temporary bruising, tenderness, tiredness, dizziness or nausea can occur. Point selection is modified when pregnancy is possible, and your current medications and medical history need to be considered.

How do I decide whether it is worth booking?

Ask a simple question: would a quiet, individualised appointment make transfer day feel more manageable, or would another booking make it harder? Your answer may change between cycles. You do not need a transfer-day session to complete a program, and you do not need two sessions because an old protocol used two.

If you are unsure, discuss the options in an initial consultation or choose the day-before appointment, which is often easier to plan. You can also read our stage-by-stage IVF timeline or book a consultation.

About the author

This guide is published by Rozelle Acupuncture & Chinese Medicine Centre. Every clinical statement in it is drawn from the clinic's verified evidence brief, with sources linked so you can read them in context. Treatment at the clinic is provided by practitioners registered with the Chinese Medicine Board of Australia under AHPRA.

Meet our practitioners

Sources

  1. Paulus et al., Influence of acupuncture on the pregnancy rate in patients who undergo assisted reproduction therapy (Fertility and Sterility) (2002)
  2. Westergaard et al., Acupuncture on the day of embryo transfer significantly improves the reproductive outcome in infertile women (Fertility and Sterility) (2006)
  3. Smith et al., Effect of acupuncture vs sham acupuncture on live births among women undergoing in vitro fertilization: a randomized clinical trial (JAMA) (2018)
  4. Smith et al., The effects of acupuncture on the secondary outcomes of anxiety and quality of life for women undergoing IVF (Acta Obstetricia et Gynecologica Scandinavica) (2019)
  5. Hullender Rubin et al., Effect of acupuncture on IVF-related anxiety: a systematic review and meta-analysis (Reproductive BioMedicine Online) (2022)
  6. Cochrane: Acupuncture and assisted reproductive technology (CD006920.pub3), plain-language summary (2013)
  7. Cochrane CD006920.pub3 full review, including the live birth subgroup analyses by control type (2013)
  8. Wang et al., Acupuncture as an adjunctive therapy on embryo transfer day: a systematic review and meta-analysis (Frontiers in Reproductive Health) (2025)
  9. Fu et al., Acupuncture for women undergoing in vitro fertilization: an updated systematic review and meta-analysis with trial sequential analysis (International Journal of Nursing Studies) (2025)
  10. Cochrane: Acupuncture for polycystic ovary syndrome (CD007689.pub5), adverse event data (2025)
  11. HFEA: Complementary and alternative therapies (2026)

Common questions

No. You may choose before, after, the day before, or no transfer-day session. The best option is the one that fits your clinic timing and does not add pressure.
Yes. Call or text 0499 911 552 with the provisional date. We can adjust the appointment when your fertility clinic confirms the time, including for Sunday transfers where possible.
Bring or send your current medication list, the transfer time and any instructions from your fertility clinic. Wear comfortable clothing and allow enough travel time if the session is before the procedure.
The day before can suit an early or uncertain transfer time and keeps the procedure day simpler. It can also be easier when travel between the acupuncture clinic and IVF clinic would add pressure.
It is generally low risk with a registered practitioner, and treatment is adapted because pregnancy is possible. Tell the practitioner about all medication and contact your fertility clinic for bleeding, significant pain or any concerning symptom.

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