Acupuncture for Menopause
Menopause is a hormonal transition period that is a normal part of our journey through womanhood. The menopausal transition most often begins when women are between 45 and 50 years of age. This period of time may last about 7 years. These changes can lead to a multitude of physical and mental challenges. A great review was published in 2016 in the Journal of Women's Health. We will explore ten of the most common challenges faced during peri-menopause and ways that holistic remedies may provide relief.
Hot Flashes and Night Sweats
Hot flashes and night sweats are among the most prevalent symptoms of peri-menopause, affecting up to 75% of women. These sudden feelings of intense heat can disrupt daily activities and sleep. A number of studies have been performed comparing acupuncture to traditional hormone replacement therapy. Two recent meta-analyses one published in 2021 and one in 2022 demonstrated that Acupuncture can be as effective as hormone replacement therapy at improving hot flashes. Acupuncture is believed to regulate the hypothalamus, the part of the brain responsible for temperature control, thereby reducing the severity of hot flashes. Combining acupuncture with lifestyle modifications such as maintaining a cool sleeping environment and wearing breathable fabrics can further enhance relief.
Mood Swings and Irritability
Hormonal fluctuations during peri-menopause can lead to mood swings and irritability, impacting our ability to function and interact with others. Acupuncture, helps stabilize mood by regulating neurotransmitters such as serotonin and dopamine. A randomized controlled trial published in Climacteric (International Menopause Society) demonstrated that acupuncture with and without herbal remedies resulted in improved self-reported scores for depression and anxiety, compared to no acupuncture. Incorporating herbal remedies like black cohosh and evening primrose oil together with acupuncture can help balance hormone levels naturally.
Sleep Disturbances
Sleep disturbances, including insomnia and frequent awakenings, are common during peri-menopause and can lead to daytime fatigue and overall decrease in quality of life. Acupuncture has been shown to improve sleep quality in a study published in Sleep Medicine Reviews. This study highlighted that acupuncture alters neuro-transmitters, inflammatory cytokines, gut microbiota and other cellular events.
Weight Gain
Weight gain during peri-menopause is often due to a slower metabolism and hormonal changes. Acupuncture can aid in weight management by boosting metabolism and reducing stress-induced eating behaviors. A review in Frontiers in Endocrinology showedthat acupuncture could influence the endocrine system along the neuro-endocrine-immune axis, helping to regulate appetite and improve metabolic function. Nutritional counseling, focusing on a balanced diet rich in whole foods, and regular physical activity are essential complements to acupuncture, promoting sustainable weight management and overall health.
Fatigue
Persistent fatigue is a common complaint among peri-menopausal women, often exacerbated by sleep disturbances and hormonal changes. Acupuncture can enhance energy levels by improving blood circulation and reducing stress.
Decreased Libido
A decrease in sexual desire is a frequently reported issue during peri-menopause, often related to hormonal changes and stress. Acupuncture can help enhance libido by balancing hormones and improving overall energy flow. A study in Sexual Medicinereported that women receiving acupuncture twice-weekly for 5 weeks experienced significant improvements in sexual function and desire.
Joint Pain
Joint pain and stiffness can become more pronounced during peri-menopause due to decreased estrogen levels, which play a protective role in joint health. Inflammation may increase and the risk for osteoarthiritis and osteoporosis may result in increased pain. Acupuncture can alleviate joint pain by reducing inflammation and even by simulating an increase in blood serum estrogen, particularly with stimulation of point SP6, located on the inside aspect of the lower leg above the ankle (2018, Scientific Reports). Anti-inflammatory herbs like turmeric and ginger can complement acupuncture by further reducing inflammation and promoting joint health.
Vaginal Dryness
Vaginal dryness is a common and uncomfortable symptom of peri-menopause, resulting from decreased estrogen levels. Acupuncture may help by improving circulation and stimulating an increase in estrogen (above reference), thereby alleviating dryness and discomfort. Topical applications of natural lubricants, such as those containing hyaluronic acid, and ensuring adequate hydration can further enhance the relief provided by acupuncture.