The mental and emotional impacts of a course of acupuncture are apparent to clinicians. Every day people emerge more relaxed from an acupuncture session. Women undertaking ART therapies to assist their fertility report the experience as stressful in itself and a burden above and beyond their emotional response to fertility challenges. This article explores the evidence that connects using acupuncture to better manage the ART/IVF process and whether it is acupuncture’s effect on mental health which impacts on fertility outcomes.