Perimenopause, the often-misunderstood transition leading up to menopause, can be a challenging time for many women. During this time, hormones fluctuate and bring many unpleasant symptoms like hot flashes, sleepless nights, emotional ups and downs, and constant tiredness. Conventional medicine primarily treats separate symptoms, but acupuncture, rooted in Traditional Chinese Medicine (TCM), works to rebalance the body and ease many discomforts related to perimenopause. Experiencing perimenopause does not always require suffering its challenges. Acupuncture may alleviate some symptoms by helping your body function normally, making it easier for you to feel better and more energized throughout your transition.
Below is a look at the 5 ways acupuncture can help with perimenopause.
Relief From Hot Flashes and Heavy Night Sweats
Many women go through the unfortunate and sometimes embarrassing heat challenges of perimenopause. Imagine that you suddenly feel an intense wave of heat, your face turns red, and you start sweating a lot, even if the room is cool. These are hot flashes, and when they happen during sleep, they become heavy night sweats that keep you from resting and make you feel exhausted. The constant heat may impact daily activities, social interactions, and overall well-being.
According to Western medicine, swings in estrogen are the main reason behind hot flashes and night sweats, and these can disrupt the hypothalamus, the area responsible for temperature regulation. A drop in estrogen makes the hypothalamus more aware of small changes in body temperature, which triggers the body to cool down by making us sweat and widening blood vessels.
Traditional Chinese Medicine provides a more detailed explanation of these symptoms, in particular, "Yin Deficiency," which means not enough of the cooling and moistening energy in the body. Just as a car needs coolant, your body needs Yin to cool things down, or you may experience symptoms like hot flashes, night sweats, and a dry mouth.
Sometimes, "Liver Qi Stagnation generating heat" happens, meaning a blockage in liver energy creates heat inside the body.
Acupuncture works in several ways to manage these symptoms. It could calm the sympathetic (fight-or-flight) response system, encourage the parasympathetic (rest-and-digest) nervous system, and help stabilize body temperature. Although it does not introduce hormones, it can help the body regulate its hormonal signals. Some studies indicate that acupuncture can help reduce inflammation, which may be helpful for heat symptoms.
Depending on the diagnosis, acupuncturists in TCM use different points to nourish Yin, clear Empty Heat, soothe the liver, or tonify Kidney Essence. For example:
- Kidney 6 (KD6) is often chosen to nourish the Yin
- Spleen 6 (SP6) to support the Yin and blood
- Large Intestine 4 (LI4) to clear heat and calm the mind
- Heart 6 (HT6) to address night sweats and calm the spirit
Treatment is always individualized.
Acupuncture shows great promise in helping reduce the number and intensity of hot flashes. The National Center for Complementary and Integrative Health (NCCIH) and other reputable sources consider acupuncture a promising approach for managing hot flashes. You can help your treatment by noting the details of your hot flashes in a diary and letting your acupuncturist help you address the issue by tailoring your treatment plan.
Restoring Restful Nights by Dealing With Perimenopausal Insomnia
Women often have trouble sleeping during perimenopause due to difficulty falling asleep, waking up multiple times during the night, waking up early, and having restless nights with night sweats. Because of poor sleep, women end up feeling very tired during the day, get irritated easily, and suffer from frustrating cognitive fog.
There are many different causes for the sleep problems seen in perimenopause. Hormones like progesterone and estrogen have a strong influence. A decrease in progesterone and the irregular changes in estrogen can mess with the neurotransmitters that help with sleep regulation. Furthermore, some perimenopausal symptoms like night sweats, anxiety, and racing thoughts disrupt and lower the quality of sleep.
Dealing with the underlying issues helps acupuncture lead to more restful sleep. The Shen (mind/spirit) is thought to live in the heart according to TCM. Acupuncture works to soothe the Shen, which helps calm anxiety and reduce restlessness and racing thoughts so that sleep can be peaceful. Specific points like Heart 7 (HT7), also known as "Spirit Gate," and Yintang, an extra point between the eyebrows, are used for their strong calming benefits.
Besides relaxing the mind, acupuncture will help regulate sleep-related neurotransmitters, which could help control melatonin and serotonin levels, which regulate sleep and mood.
TCM identifies specific imbalances that are often responsible for insomnia in perimenopause. These include:
- Heart blood or Yin deficiency — When the Heart Blood is low, the Shen cannot be nourished, and you may feel palpitations and anxiety, and have disturbed sleep
- Liver Fire or Qi Stagnation — This shows itself as irritability, anger, and racing thoughts that make sleeping difficult
- Kidney Yin deficiency with empty heat — If there is both Kidney Yin deficiency and Empty Heat, it can make people sweat at night and feel restless, which affects their ability to get enough sleep
- Spleen Qi Deficiency with dampness — May result in overthinking, having confused thoughts, and not sleeping well.
A proper diagnosis by an acupuncturist allows them to select the best points and ways to treat the key cause of insomnia. In addition to its role in the clinic, acupuncture works synergistically with good sleep habits. Establishing regular sleep time, calming your bedroom, making it quiet and dark, cutting down on caffeine and alcohol, and having a relaxing evening routine, can make acupuncture work better for better sleep.
Regulating Mood Swings, Anxiety, and Irritability
The ups and downs of perimenopause can be tough for women to deal with. You could suddenly feel sad, angry, or worried, or find life’s stresses too much. These feelings may cause problems in your relationships and quality of life.
Hormonal changes are the main reason for these mood changes in perimenopause. These hormonal changes directly affect key brain chemicals that regulate mood, like serotonin, dopamine, and norepinephrine. Moreover, perimenopause could occur during other important life events, like caring for aging parents, moving jobs, or having children leave home, which can compound emotional vulnerability. The discomfort of symptoms like poor sleep and hot flashes can also have an adverse effect, leading to more mood issues.
Acupuncture helps to calm the emotions by working in several ways. It may regulate the hypothalamic-pituitary-adrenal (HPA) axis, responsible for the body’s primary stress response. Acupuncture helps to regulate the HPA axis, which could lower cortisol, the primary stress hormone. Stimulating specific acupuncture points can make the body produce endorphins, which help ease pain and improve our mood.
In TCM, the emotional balance relates to the smooth flow of Qi and the balanced function of the organs.
- Smoothing Liver Qi — Qi and emotions flow smoothly if the liver is healthy. A buildup of Qi, which might happen due to stress or hormones, can lead to frustration, irritability, anger, and possibly depression. Soothe the Liver and Move Qi are the main aims of acupuncture for these symptoms. For this reason, Liver 3 (LV3), also known as Taichong, is a popular point for this.
- Nourishing the heart —The heart (Shen) is important for emotions and is where the mind and spirit are found. Some imbalances in the heart, like deficiency of Heart Blood or Yin, may be treated with acupuncture, and this can help with anxiety, palpitations, and emotional sensitivity.
- Strengthening the spleen — TCM links excessive worry and overthinking to a weak spleen. A strong spleen supports clear thoughts, stable emotions, and strong resistance.
Acupuncture for emotional regulation is not only about making negative emotions go away. It increases feelings of calm and strength and better handles mood changes. Acupuncture helps correct the imbalances in the body, which allows women to feel more relaxed and more balanced during perimenopause.
Returning to Rhythm by Managing Irregular Periods and Heavy Bleeding
The ups and downs are a prominent feature of perimenopause. A lot of women see changes like shorter or longer menstrual cycles, a heavier or lighter flow, missed periods, occasional spotting, or sometimes heavy bleeding.
These changes happen mainly because of the hormonal upheaval during perimenopause. When estrogen and progesterone levels increase or decrease, the uterine lining (endometrium) is affected in its growth and shedding. A drop in ovarian function disrupts the balance among these hormones, resulting in irregular and sometimes heavy or lengthy menstrual periods.
Acupuncture helps to support normal menstruation during this change. It will not stop ovarian aging, but it may improve how the ovaries function and help maintain a balanced level of hormones. When blood flow to the uterus is improved by acupuncture, it may help the uterus stay healthier and support regular shedding of the lining, which can help reduce heavy bleeding and give cycles more predictability.
TCM links menstrual health to the balance of Qi, blood, and several meridian systems.
- Balancing chong and ren meridians — Reproductive health and menstruation depend significantly on the balance of Chong and Ren Meridians. Acupuncture helps the free flow and proper nourishment of qi and blood, which are key to the normal functioning and quality of the menstrual cycle.
- Regulating Qi and blood —Normally, Spleen Qi is responsible for holding blood in the body. If the spleen is weak, then blood can leak. Spleen Qi deficiency may cause heavy bleeding, while low blood can make periods scanty. On the other hand, blood stasis can cause your periods to be painful and clotted.
- Tonifying kidney essence — TCM views the kidneys as the primary source of life force and is responsible for reproduction. Properly supporting Kidney Qi and nature is essential for normal menstruation and good reproductive health, like perimenopause.
You should visit a gynecologist if you notice that your periods have become significantly different, especially if they are heavy, last too long, or happen after menopause. Acupuncture can be used together with regular medical treatments. Tracking your menstrual details, including length, flow, clotting, and pain, is helpful for your doctor and acupuncturist. This data gives valuable advice for both diagnosing and planning treatments.
Getting Your Spark Back by Helping Fight Perimenopausal Fatigue
The constant exhaustion of perimenopause is usually stronger than regular tiredness and can influence mood, ability to work, and mental clarity.
The extreme tiredness women experience can make them feel powerless and unable to fully participate in their lives. Several factors can cause the fatigue women experience during perimenopause. Hormones play a direct role in how the body uses energy. Lack of sleep, a typical sign of perimenopause, is a primary reason for daytime tiredness. Too much anxiety or moodiness can take away a person’s energy easily. Hot flashes and heavy bleeding may also result in anemia, which can further exacerbate fatigue.
Acupuncture boosts energy by treating these related factors holistically. Better sleep leads to more energy during the day, thanks to acupuncture. Furthermore, by calming the nervous system, acupuncture releases tension and energy previously used to face stress and negative emotions.
In TCM, the spleen is an important organ that helps make Qi (energy) and blood from food. Acupuncture allows the spleen to work better, improving nutrient absorption and increasing energy. In TCM, fatigue is often treated by strengthening Spleen Qi. Acupuncture improves vital energy and nourishment weaknesses by boosting Qi and blood at particular acupuncture points and with specific techniques. Some of these techniques are intended to strengthen the Kidneys, which are thought to be the source of vitality and related to adrenal function, allowing the body to deal with stress more efficiently. When Qi and blood move better, all organs and tissues are nourished, strengthening the person.
Understanding that acupuncture for fatigue is best used as a part of a wider energy plan is essential. Acupuncture works better when you support it with:
- A healthy diet — Stay away from too much sugar and processed foods
- Gentle exercises
- Staying well hydrated
Using these techniques together, women may find that their energy and vitality go up for a long time.
Find an Acupuncturist Near Me
Going through perimenopause does not mean you have to face its challenges alone. We have seen that acupuncture is a strong and natural way to restore well-being as ladies undergo this significant life change. Acupuncture helps soothe hot flashes, improves sleep, eases mood swings, and increases energy, all of which are problems related to perimenopause.
Perimenopause is a unique experience, and at Trinity Acupuncture, we focus on giving caring and personalized support. We encourage you to take the next step if you want to find out how acupuncture can help you feel better. Contact our Torrance team at 310-371-1777 for more information and to schedule your consultation. Let us make this change easier and more confident for you.