{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T14:05:43Z","timestamp":1779199543049,"version":"3.51.4"},"reference-count":79,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1,30]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acupuncture has been increasingly studied as an adjunctive treatment strategy for improving pregnancy outcomes in patients with poor ovarian response (POR). However, the effectiveness of different acupuncture types remains controversial. The purpose of this paper was to assess the effects of transcutaneous electrical acupoint stimulation (TEAS), manual acupuncture (MA) and electroacupuncture (EA) on the pregnancy outcomes of patients with POR who underwent in vitro fertilization and embryo transplantation (IVF-ET) in order to clarify the differences in efficacy of the different acupuncture methods and to provide scientific evidence for the clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched 8 databases up to September 10, 2023. We included randomized controlled trials (RCTs) of the use of TEAS, MA or EA before IVF-ET to improve pregnancy outcomes in patients with POR, with the control group using only the conventional controlled ovarian stimulation protocol. The Cochrane Risk of Bias Assessment Tool was used to evaluate the methodological quality of the included studies. Surfaces under the cumulative ranking curves (SUCRAs) were used to provide summary statistics for the cumulative ranking of each outcome indicator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifteen RCTs (1195 women) were included in a network meta-analysis. TEAS was superior to EA [mean difference (MD)\u2005=\u20051.85, 95% confidence intervals (CI)\u2005=\u2005(0.86, 2.84)], MA [MD\u2005=\u20052.31, 95% CI\u2005=\u2005(1.43, 3.19)] and control [MD\u2005=\u20052.22, 95% CI\u2005=\u2005(1.59, 2.85)] in increasing the number of oocytes. TEAS was superior to MA [MD\u2005=\u20050.99, 95% CI\u2005=\u2005(0.32, 1.65)], EA [MD\u2005=\u20051.61, 95% CI\u2005=\u2005(0.55, 2.67)] and control [MD\u2005=\u20051.46, 95% CI\u2005=\u2005(1.06, 1.86)] in terms of increasing antral follicle count. MA was superior to control [MD\u2005=\u20050.66, 95% CI\u2005=\u2005(0.08, 1.25)] in increasing the number of mature oocytes. The results of the remaining treatments were similar when the 2 groups were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>From the current evidence, the adjunctive use of acupuncture prior to IVF all have positive effects and a high safety profile in improving pregnancy outcomes in patients with POR, and TEAS appears to be more promising. However, there is still insufficient evidence of differences between acupuncture methods in improving clinical pregnancy rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000046728","type":"journal-article","created":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T17:01:44Z","timestamp":1769965304000},"page":"e46728","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Acupuncture in patients with the poor ovarian response on IVF-ET: A systematic review and network meta-analysis"],"prefix":"10.1097","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6123-9834","authenticated-orcid":false,"given":"Junqian","family":"Liu","sequence":"first","affiliation":[{"name":"Preventive Treatment Department, Guanghan Municipal Hospital of Traditional Chinese Medicine, Deyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianyong","family":"Mai","sequence":"additional","affiliation":[{"name":"Preventive Treatment Department, Guanghan Municipal Hospital of Traditional Chinese Medicine, Deyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengya","family":"Zhu","sequence":"additional","affiliation":[{"name":"College of Acupuncture and Massage, Chengdu University of TCM, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Ma","sequence":"additional","affiliation":[{"name":"China Academy of Chinese Medical Sciences, Guang\u2019anmen Hospital, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Liu","sequence":"additional","affiliation":[{"name":"Integrated Traditional Chinese and Western Medicine School, Capital Medical University, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Liu","sequence":"additional","affiliation":[{"name":"College of Acupuncture and Massage, Chengdu University of TCM, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Ouyang","sequence":"additional","affiliation":[{"name":"College of Acupuncture and Massage, Chengdu University of TCM, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Wu","sequence":"additional","affiliation":[{"name":"Preventive Treatment Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20260519","first-page":"835","article-title":"Assisted reproductive technology: translational medicine from basic to clinical.","volume":"45","author":"Jie","year":"2013","journal-title":"Peking University School J"},{"key":"R2-20260519","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1001\/jama.2021.4788","article-title":"Diagnosis and management of infertility.","volume":"326","author":"Carson","year":"2021","journal-title":"JAMA"},{"key":"R3-20260519","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/humrep\/deaa283","article-title":"Female causes of infertility are associated with higher risk of preterm birth and low birth weight: analysis of 117,401 singleton live births following IVF.","volume":"36","author":"Sunkara","year":"2020","journal-title":"Hum Reprod"},{"key":"R4-20260519","first-page":"1684","article-title":"Treatment of the ovarian hyporesponsive population under the boseidon grouping criteria.","volume":"30","author":"Zhang","year":"2021","journal-title":"J Reprod Med"},{"key":"R5-20260519","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1093\/humrep\/der092","article-title":"ESHRE consensus on the definition of \u201cpoor response\u201d to ovarian stimulation for in vitro fertilization: the Bologna criteria.","volume":"26","author":"Ferraretti","year":"2011","journal-title":"Hum Reprod"},{"key":"R6-20260519","first-page":"71","article-title":"Expert consensus on ovarian hyporesponse.","volume":"35","author":"Wu","year":"2015","journal-title":"Reprod Contraception"},{"key":"R7-20260519","doi-asserted-by":"crossref","first-page":"253","DOI":"10.3109\/09513590.2014.987228","article-title":"Poor responders in IVF: an update in therapy.","volume":"31","author":"Giovanale","year":"2014","journal-title":"Gynecol Endocrinol"},{"key":"R8-20260519","doi-asserted-by":"crossref","first-page":"e022658","DOI":"10.1161\/JAHA.121.022658","article-title":"In-hospital complications in pregnancies conceived by assisted reproductive technology.","volume":"11","author":"Wu","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"R9-20260519","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1093\/humrep\/deae039","article-title":"Economic evaluations of assisted reproductive technologies in high-income countries: a systematic review.","volume":"39","author":"Olive","year":"2024","journal-title":"Hum Reprod"},{"key":"R10-20260519","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.fertnstert.2018.05.004","article-title":"Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome.","volume":"110","author":"Teede","year":"2018","journal-title":"Fertil Steril"},{"key":"R11-20260519","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s40258-022-00764-7","article-title":"What features of fertility treatment do patients value? Price elasticity and willingness-to-pay values from a discrete choice experiment.","volume":"21","author":"Keller","year":"2023","journal-title":"Appl Health Econ Health Policy"},{"key":"R12-20260519","doi-asserted-by":"crossref","first-page":"2969","DOI":"10.1093\/humrep\/dei219","article-title":"Does psychological stress affect the outcome of in vitro fertilization?","volume":"20","author":"Anderheim","year":"2005","journal-title":"Hum Reprod"},{"key":"R13-20260519","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1186\/s12916-024-03680-w","article-title":"Adverse pregnancy outcomes and multiple cancers risk in both mother and offspring: an umbrella review of systematic reviews with meta-analyses of observational studies.","volume":"22","author":"Liu","year":"2024","journal-title":"BMC Med"},{"key":"R14-20260519","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s10815-023-02988-5","article-title":"Long-term health risk of offspring born from assisted reproductive technologies.","volume":"41","author":"Zhang","year":"2024","journal-title":"J Assist Reprod Genet"},{"key":"R15-20260519","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/humupd\/dmac034","article-title":"Efficacy of psychological interventions for mental health and pregnancy rates among individuals with infertility: a systematic review and meta-analysis.","volume":"29","author":"Dube","year":"2023","journal-title":"Hum Reprod Update"},{"key":"R16-20260519","doi-asserted-by":"crossref","first-page":"959","DOI":"10.3906\/sag-1905-179","article-title":"Ovarian stimulation modalities in poor responders.","volume":"49","author":"\u00d6zkan","year":"2019","journal-title":"Turk J Med Sci"},{"key":"R17-20260519","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.3390\/ijms21062110","article-title":"Novel physiology and definition of poor ovarian response; clinical recommendations.","volume":"21","author":"Abu-Musa","year":"2020","journal-title":"Int J Mol Sci"},{"key":"R18-20260519","first-page":"3","article-title":"Research progress on the treatment of low ovarian response in in vitro fertilization-embryo transfer.","volume":"25","author":"Wang","year":"2017","journal-title":"Chin J Eugenics Genetics"},{"key":"R19-20260519","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1186\/s12884-023-06112-4","article-title":"Analysis of controlled ovarian hyperstimulation protocols in women over 35 years old with poor ovarian response: a real-world study.","volume":"23","author":"Duan","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"R20-20260519","doi-asserted-by":"crossref","first-page":"26334941211062026","DOI":"10.1177\/26334941211062026","article-title":"Poor ovarian response and the possible role of natural and modified natural cycles.","volume":"16","author":"Di Guardo","year":"2022","journal-title":"Ther Adv Reprod Health"},{"key":"R21-20260519","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/GCO.0000000000000452","article-title":"What is new in the management of poor ovarian response in IVF?","volume":"30","author":"Vaiarelli","year":"2018","journal-title":"Curr Opin Obstet Gynecol"},{"key":"R22-20260519","doi-asserted-by":"crossref","first-page":"687","DOI":"10.3390\/diagnostics10090687","article-title":"The conundrum of poor ovarian response: from diagnosis to treatment.","volume":"10","author":"Giannelou","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"R23-20260519","doi-asserted-by":"crossref","first-page":"2633494120941480","DOI":"10.1177\/2633494120941480","article-title":"Update on the management of poor ovarian response in IVF: the shift from Bologna criteria to the POSEIDON concept.","volume":"14","author":"Drakopoulos","year":"2020","journal-title":"Ther Adv Reprod Health"},{"key":"R24-20260519","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1186\/1745-6215-15-162","article-title":"The effect of transcutaneous electrical acupoint stimulation on pregnancy rates in women undergoing in vitro fertilization: a study protocol for a randomized controlled trial.","volume":"15","author":"Zheng","year":"2014","journal-title":"Trials"},{"key":"R25-20260519","first-page":"233","article-title":"Assisted reproductive technology in Europe, 2011: results generated from European registers by ESHRE.","volume":"31","author":"Kupka","year":"2016","journal-title":"Hum Reprod"},{"key":"R26-20260519","doi-asserted-by":"crossref","first-page":"315","DOI":"10.4274\/tjod.galenos.2022.04752","article-title":"Systematic review and meta-analysis of the efficacy of acupuncture as an adjunct to IVF cycles in China and the world.","volume":"19","author":"Masoud","year":"2022","journal-title":"Turk J Obstet Gynecol"},{"key":"R27-20260519","doi-asserted-by":"crossref","first-page":"1925","DOI":"10.1007\/s10815-025-03489-3","article-title":"Effects of acupuncture-related therapies on pregnancy outcomes among women undergoing in vitro fertilization and embryo transfer: a Bayesian network meta-analysis.","volume":"42","author":"Bin","year":"2025","journal-title":"J Assist Reprod Genet"},{"key":"R28-20260519","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1142\/S0192415X18500738","article-title":"The most commonly treated acupuncture indications in the United States: a cross-sectional study.","volume":"46","author":"Wang","year":"2018","journal-title":"Am J Chin Med"},{"key":"R29-20260519","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/1745-6215-13-60","article-title":"Acupuncture to improve live birth rates for women undergoing in vitro fertilization: a protocol for a randomized controlled trial.","volume":"13","author":"Smith","year":"2012","journal-title":"Trials"},{"key":"R30-20260519","doi-asserted-by":"crossref","first-page":"101224","DOI":"10.1016\/j.eujim.2020.101224","article-title":"Effectiveness of different acupuncture for infertility: overview of systematic reviews and network meta-analysis.","volume":"40","author":"Zhang","year":"2020","journal-title":"Eur J Integr Med"},{"key":"R31-20260519","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S1003-5257(17)30068-5","article-title":"A survey of acupuncture effect on the result of invitro fertilization.","volume":"26","author":"Peyvandi","year":"2016","journal-title":"World J Acupuncture - Moxibust"},{"key":"R32-20260519","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/s12906-019-2523-7","article-title":"The effects of acupuncture on pregnancy outcomes of in vitro fertilization: a systematic review and meta-analysis.","volume":"19","author":"Xie","year":"2019","journal-title":"BMC Complement Altern Med"},{"key":"R33-20260519","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1089\/acu.2021.0019","article-title":"The limitation of randomized control trials on the influence of acupuncture and in vitro fertilization: a literature review.","volume":"34","author":"Wang","year":"2022","journal-title":"Med Acupunct"},{"key":"R34-20260519","doi-asserted-by":"crossref","first-page":"3595033","DOI":"10.1155\/2022\/3595033","article-title":"Acupuncture as treatment for female infertility: a systematic review and meta-analysis of randomized controlled trials.","volume":"2022","author":"Quan","year":"2022","journal-title":"Evid Based Complement Alternat Med"},{"key":"R35-20260519","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1016\/j.fertnstert.2011.09.048","article-title":"A systematic review of randomized trials for the treatment of poor ovarian responders: is there any light at the end of the tunnel?","volume":"96","author":"Polyzos","year":"2011","journal-title":"Fertil Steril"},{"key":"R36-20260519","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1007\/s10815-015-0595-y","article-title":"Diminished ovarian reserve, premature ovarian failure, poor ovarian responder \u2013 a plea for universal definitions.","volume":"32","author":"Cohen","year":"2015","journal-title":"J Assist Reprod Genet"},{"key":"R37-20260519","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1093\/humupd\/dmt037","article-title":"Individualization of controlled ovarian stimulation in IVF using ovarian reserve markers: from theory to practice.","volume":"20","author":"La Marca","year":"2014","journal-title":"Hum Reprod Update"},{"key":"R38-20260519","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s10815-017-1058-4","article-title":"Reproductive ovarian testing and the alphabet soup of diagnoses: DOR, POI, POF, POR, and FOR.","volume":"35","author":"Pastore","year":"2017","journal-title":"J Assist Reprod Genet"},{"key":"R39-20260519","doi-asserted-by":"crossref","first-page":"100395","DOI":"10.1016\/j.imr.2020.02.003","article-title":"Acupuncture for in vitro fertilization in women with poor ovarian response: a systematic review.","volume":"9","author":"Jang","year":"2020","journal-title":"Integr Med Res"},{"key":"R40-20260519","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/2046-4053-4-1","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement.","volume":"4","author":"Moher","year":"2015","journal-title":"Syst Rev"},{"key":"R41-20260519","doi-asserted-by":"crossref","first-page":"777","DOI":"10.7326\/M14-2385","article-title":"The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations.","volume":"162","author":"Hutton","year":"2015","journal-title":"Ann Intern Med"},{"key":"R42-20260519","doi-asserted-by":"crossref","first-page":"76654","DOI":"10.1371\/journal.pone.0076654","article-title":"Graphical tools for network meta-analysis in STATA.","volume":"8","author":"Chaimani","year":"2013","journal-title":"PLoS One"},{"key":"R43-20260519","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.1001\/jama.2016.7602","article-title":"Association of pharmacological treatments for obesity with weight loss and adverse events.","volume":"315","author":"Khera","year":"2016","journal-title":"JAMA"},{"key":"R44-20260519","first-page":"775","article-title":"Effects of electroacupuncture on in vitro fertil ization-embryo transfer (IVF-ET) of patients with poor ovarian response.","volume":"29","author":"Chen","year":"2009","journal-title":"Chin Acupuncture"},{"key":"R45-20260519","first-page":"22","article-title":"Effect of transcutaneous acupoint electrical stimulation on embryo quality and pregnancy outcome in low ovarian reaction patients.","volume":"21","author":"Qiu","year":"2012","journal-title":"Chin Sex Sci"},{"key":"R46-20260519","first-page":"155","article-title":"Analysis of related effects of transcutaneous electrical acupoint stimulation on embryo quality and pregnancy outcome in patients with ovarian hyporesponsiveness.","volume":"9","author":"Yao","year":"2014","journal-title":"Chin Pract Med"},{"key":"R47-20260519","first-page":"3434","article-title":"Effect of low frequency treatment of midnight -noon ebb-flow acupuncture on assisted reproductive outcomes in poor ovarian responders.","volume":"36","author":"Liu","year":"2020","journal-title":"J Pract Med"},{"key":"R48-20260519","first-page":"57","article-title":"Clinical efficacy of acupuncture combined with herbal artificial cycle therapy in treating patients with low ovarian response to in vitro fertilization.","volume":"35","author":"Gao","year":"2017","journal-title":"J Foshan Univ (Natural Sciences Edition)"},{"key":"R49-20260519","first-page":"118","article-title":"Analysis of the effect of adjuvant traditional acupuncture therapy in the in vitro fertilization-embryo transfer antagonist regimen for young POR patients.","volume":"15","author":"Yang","year":"2021","journal-title":"Health Manage"},{"key":"R50-20260519","first-page":"52","article-title":"Effect of electroacupuncture intervention on the number of oocytes retrieved in controlled ovarian hyperstimulation cycle in patients with low ovarian response: clinical data of 35 cases.","volume":"54","author":"Gu","year":"2022","journal-title":"Jiangsu Trad Chin Med"},{"key":"R51-20260519","doi-asserted-by":"crossref","first-page":"2182","DOI":"10.3390\/jcm10102182","article-title":"Acupuncture for poor ovarian response: a randomized controlled trial.","volume":"10","author":"Kim","year":"2021","journal-title":"J Clin Med"},{"key":"R52-20260519","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1111\/jog.12810","article-title":"Effects of transcutaneous electrical acupoint stimulation on ovarian reserve of patients with diminished ovarian reserve in in vitro fertilization and embryo transfer cycles.","volume":"41","author":"Zheng","year":"2015","journal-title":"J Obstet Gynaecol Res"},{"key":"R53-20260519","first-page":"949","article-title":"Study on the influence of Traditional Chinese Medicine intervention on the outcome of IVF-assisted pregnancy in DOR women.","volume":"34","author":"Li","year":"2023","journal-title":"Mod Diagn Treat"},{"key":"R54-20260519","first-page":"879","article-title":"Effects of electroporation on endometrial receptivity and IVF-ET pregnancy outcomes in patients with decreased ovarian reserve.","volume":"42","author":"Shen","year":"2022","journal-title":"Chin Acupuncture"},{"key":"R55-20260519","first-page":"419","article-title":"Effects of acupuncture on embryo quality and clinical pregnancy rate in patients with poor ovarian response to in vitro fertilization-embryo transfer.","volume":"38","author":"Xie","year":"2023","journal-title":"CJTCMP"},{"key":"R56-20260519","first-page":"419","article-title":"Effects of electroacupuncture on pregnancy outcome in poor ovarian responce patients of kidney essence deficiency and undergoing in vitro fertilization-embryo transfer.","volume":"38","author":"Zhong","year":"2023","journal-title":"Acupuncture Res"},{"key":"R57-20260519","first-page":"392","article-title":"Clinical study on acupuncture for infertility induced by diminished ovarian reserve.","volume":"48","author":"Wen","year":"2023","journal-title":"New Chin Med"},{"key":"R58-20260519","first-page":"96","article-title":"Clinical study on improving ovarian reserve function by regulating menstruation and promoting pregnancy by thirteen acupuncture in assisted reproductive technology.","volume":"30","author":"Zhang","year":"2021","journal-title":"Chin J Human Sexuality"},{"key":"R59-20260519","first-page":"CD010537","article-title":"Assisted reproductive technology: an overview of Cochrane Reviews.","volume":"8","author":"Farquhar","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"R60-20260519","first-page":"784","article-title":"Application of acupuncture, moxibustion in in vitro fertilization-embryo transfer.","volume":"38","author":"Xia","year":"2018","journal-title":"Chin J Reprod Contracep"},{"key":"R61-20260519","first-page":"1959","article-title":"Circular RNA sequencing reveals the molecular mechanism of the effects of acupuncture and moxibustion on endometrial receptivity in patients undergoing infertility treatment.","volume":"20","author":"Shen","year":"2019","journal-title":"Mol Med Rep"},{"key":"R62-20260519","doi-asserted-by":"crossref","first-page":"892973","DOI":"10.3389\/fpubh.2022.892973","article-title":"Transcutaneous electrical acupoint stimulation for pregnancy outcomes in women undergoing in vitro fertilization-embryo transfer: a systematic review and meta-analysis.","volume":"10","author":"Yang","year":"2022","journal-title":"Front Public Health"},{"key":"R63-20260519","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1007\/s11655-021-3457-8","article-title":"Effects of transcutaneous electrical acupoint stimulation on ovarian responses and pregnancy outcomes in patients undergoing IVF-ET: a randomized controlled trial.","volume":"28","author":"Zhai","year":"2022","journal-title":"Chin J Integr Med"},{"key":"R64-20260519","doi-asserted-by":"crossref","first-page":"34","DOI":"10.3892\/ijmm.2024.5475","article-title":"Impact of psychological stress on ovarian function: insights, mechanisms and intervention strategies (review).","volume":"55","author":"Hu","year":"2025","journal-title":"Int J Mol Med"},{"key":"R65-20260519","doi-asserted-by":"crossref","first-page":"2418110","DOI":"10.1080\/0167482X.2024.2418110","article-title":"The relationship between psychological stress and ovulatory disorders and its molecular mechanisms: a narrative review.","volume":"45","author":"Han","year":"2024","journal-title":"J Psychosom Obstet Gynaecol"},{"key":"R66-20260519","first-page":"1253","article-title":"Investigations of correlation factors and mental health in patients with decreasing ovarian reserve.","volume":"17","author":"Chen","year":"2011","journal-title":"Med Recapitulate"},{"key":"R67-20260519","doi-asserted-by":"crossref","first-page":"796","DOI":"10.2466\/PR0.104.3.796-806","article-title":"Association of depression and anxiety with oocyte and sperm numbers and pregnancy outcomes during in vitro fertilization treatment.","volume":"104","author":"G\u00fcrhan","year":"2009","journal-title":"Psychol Rep"},{"key":"R68-20260519","doi-asserted-by":"crossref","first-page":"1225253","DOI":"10.1155\/2022\/1225253","article-title":"The effects of transcutaneous acupoint electrical stimulation on cancer-related fatigue and negative emotions in cancer patients: a systematic review and meta-analysis of randomized controlled trials.","volume":"2022","author":"He","year":"2022","journal-title":"Contrast Media Mol Imaging"},{"key":"R69-20260519","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/pcn.12810","article-title":"Transcutaneous electrical acupoint stimulation for post-traumatic stress disorder: assessor-blinded, randomized controlled study.","volume":"73","author":"Feng","year":"2019","journal-title":"Psychiatry Clin Neurosci"},{"key":"R70-20260519","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.rbmo.2022.02.002","article-title":"Effect of acupuncture on IVF-related anxiety: a systematic review and meta-analysis.","volume":"45","author":"Hullender Rubin","year":"2022","journal-title":"Reprod Biomed Online"},{"key":"R71-20260519","article-title":"A DNA methylation study of acupuncture to improve the quality of IVF-derived oocytes in patients with ovarian hyporesponsiveness.","author":"Zhu","year":"2021","journal-title":";"},{"key":"R72-20260519","first-page":"98","article-title":"Regulatory mechanism of EA in treating EMs related infertility.","volume":"38","author":"Peng","year":"2022","journal-title":"JCAM"},{"key":"R73-20260519","first-page":"92","article-title":"An overview of experimental research on the regulation of hypothalamic-pituitary-ovarian axis by different applied factors.","volume":"35","author":"Zhao","year":"2018","journal-title":"J Gansu Univ Trad Chin Med"},{"key":"R74-20260519","doi-asserted-by":"crossref","first-page":"1136121","DOI":"10.3389\/fendo.2023.1136121","article-title":"Clinical efficacy of acupuncture for diminished ovarian reserve: a systematic review and meta-analysis of randomized controlled trials.","volume":"14","author":"Lin","year":"2023","journal-title":"Front Endocrinol (Lausanne)"},{"key":"R75-20260519","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.rbmo.2013.11.010","article-title":"Live birth rates in Bologna poor responders treated with ovarian stimulation for IVF\/ICSI.","volume":"28","author":"Polyzos","year":"2014","journal-title":"Reprod Biomed Online"},{"key":"R76-20260519","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.ejogrb.2024.11.045","article-title":"The impact of age and number of oocytes retrieved on the cumulative live birth rate in women with poor ovarian response: a 15-year study.","volume":"305","author":"Polanski","year":"2025","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R77-20260519","doi-asserted-by":"crossref","first-page":"e064711","DOI":"10.1136\/bmjopen-2022-064711","article-title":"Correlation of IVF outcomes and number of oocytes retrieved: a UK retrospective longitudinal observational study of 172,341 non-donor cycles.","volume":"13","author":"Bahadur","year":"2023","journal-title":"BMJ Open"},{"key":"R78-20260519","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ajog.2017.02.027","article-title":"Ovarian reserve testing: a user\u2019s guide.","volume":"217","author":"Tal","year":"2017","journal-title":"Am J Obstet Gynecol"},{"key":"R79-20260519","doi-asserted-by":"crossref","first-page":"465","DOI":"10.21451\/1984-3143-AR2019-0062","article-title":"DNA methylation, environmental exposures and early embryo development.","volume":"16","author":"Breton-Larriv\u00e9e","year":"2019","journal-title":"Anim Reprod"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000046728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:05:43Z","timestamp":1779195943000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000046728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":79,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000046728","relation":{},"ISSN":["0025-7974","1536-5964"],"issn-type":[{"value":"0025-7974","type":"print"},{"value":"1536-5964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]},"assertion":[{"value":"2024-03-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}