Acupuncture for Perimenopause: A Natural Approach to Hormone Balance

Posted on Oct 11th, 2023.

The journey through perimenopause, the transitional phase leading to menopause, can be a challenging one for many women. 

From hot flashes and night sweats to mood swings and sleep disturbances, perimenopause can sometimes feel like a rollercoaster ride.

While hormone replacement therapy (HRT) is a conventional treatment option for perimenopausal symptoms, many women are seeking natural and holistic approaches to manage this difficult phase of life. 

Acupuncture, an ancient healing practice rooted in Traditional Chinese Medicine (TCM), is gaining recognition as an effective and natural solution for perimenopause. 

In this blog post, we'll explore the benefits of acupuncture for perimenopause and how it can help you achieve hormone balance and overall well-being.

What Is Perimenopause?

Perimenopause is a significant phase in a woman's life that marks the transition from the reproductive years to menopause. It typically begins in a woman's late 30s to early 40s, although the exact timing can vary. During this phase, the body undergoes hormonal changes, primarily a decline in estrogen levels, which leads to a range of physical and emotional transformations.

Signs of Perimenopause

Perimenopause affects each woman differently. While some may experience pronounced symptoms, others may have a relatively smooth transition. Either way, recognizing the signs of perimenopause is the first step in seeking appropriate support and management to navigate this phase of life successfully. 

These are some of the most common signs of perimenopause:

  • Irregular Periods: Menstrual cycles may become irregular, with variations in the length and flow of periods.
  • Hot Flashes: Sudden, intense feelings of heat and sweating, often accompanied by a rapid heartbeat and flushed skin.
  • Night Sweats: Similar to hot flashes, but occurring during sleep, night sweats can disrupt sleep patterns.
  • Mood Swings: Perimenopause can bring mood swings, irritability, and increased susceptibility to mood disorders such as depression and anxiety
  • Sleep Disturbances: Changes in hormone levels can lead to insomnia or disrupted sleep, leaving you feeling fatigued during the day.
  • Vaginal Dryness: Decreased estrogen levels can cause vaginal dryness and discomfort, often leading to painful intercourse.
  • Changes in Libido: Some women experience a decrease in sexual desire and changes in sexual function.
  • Urinary Symptoms: Perimenopause can increase the risk of urinary tract infections and cause urinary incontinence.
  • Bone Health: Estrogen plays a role in maintaining bone density, so its decline during perimenopause can increase the risk of osteoporosis.
  • Weight Gain: Hormonal changes can contribute to weight gain, particularly around the abdominal area.
  • Skin Changes: Perimenopause may lead to changes in skin texture and elasticity.
  • Hair Changes: Some women notice changes in hair thickness, texture, and growth patterns.

Now that we've explored the signs of perimenopause, let's delve into how acupuncture for menopause works and its potential to provide relief from these symptoms.

How Acupuncture for Perimenopause Works

Acupuncture is a key component of Traditional Chinese Medicine (TCM), which views the body as a system of interconnected channels, or meridians, through which vital energy, or Qi, flows. By inserting fine needles into specific acupuncture points along these meridians, acupuncture practitioners aim to balance the body's energy flow and promote healing.

Hormone Regulation

Acupuncture's ability to regulate hormones makes it particularly relevant for perimenopause. Studies have shown that acupuncture can influence the release of hormones like serotonin and endorphins, which play a crucial role in mood regulation. By promoting the body's natural production of these hormones, acupuncture can help alleviate perimenopausal depression.

Managing Mood Swings

One of the primary reasons women seek acupuncture for perimenopause is to manage mood swings and depressive symptoms. Acupuncture sessions focus on specific points that target emotional balance. By stimulating these points, acupuncture can help stabilize mood and reduce feelings of sadness and anxiety.

Regulating Sleep Patterns

Sleep disturbances are common during perimenopause and can exacerbate depressive symptoms. Acupuncture has been shown to improve sleep quality by addressing the root causes of insomnia and promoting relaxation.

Alleviating Hot Flashes and Night Sweats

Hot flashes and night sweats can disrupt daily life and contribute to emotional distress. Acupuncture treatments can reduce the frequency and severity of these symptoms, providing relief and improving overall well-being.

The Holistic Approach of Acupuncture

One of the key advantages of acupuncture is its holistic approach to healing. Instead of merely addressing symptoms, acupuncture aims to restore balance to the entire body.

Acupuncture practitioners take a personalized approach, considering each patient's unique constitution and symptoms. This individualized care ensures that the treatment addresses the root causes of perimenopausal symptoms.

Plus, acupuncture's ability to promote relaxation and reduce stress has a positive impact on mental health. Many women find that acupuncture not only alleviates perimenopausal depression but also enhances their overall sense of well-being.


Perimenopause is a transformative journey that, for many women, comes with a range of physical and emotional challenges. While it's a natural phase of life, the symptoms associated with perimenopause can disrupt daily routines and impact overall well-being. Fortunately, there are holistic and effective approaches to managing perimenopausal symptoms, with acupuncture emerging as a compelling option.

In this article, we've explored the significance of perimenopause, the impact of hormonal changes, and the signs to watch for. We've delved into how acupuncture for perimenopause works, highlighting its potential to alleviate symptoms and provide much-needed relief.

As you consider your path through perimenopause, remember that you're not alone. Seeking support, whether through acupuncture, lifestyle adjustments, or professional guidance, can make this transition smoother and more manageable.

At Aviva Acupuncture, we're here to partner with you on your journey to hormone balance and overall well-being. Our experienced practitioners specialize in holistic care, including pain management, chronic illness, and fertility support. If you're ready to explore the benefits of acupuncture for perimenopause or have further questions, we invite you to reach out to us.

Take the first step toward a harmonious perimenopause experience by booking an acupuncture session with us. Contact us today at (808) 797-8721 or [email protected]. Let us support you in embracing this phase of life with confidence and vitality.

Located in the Middle of Oahu

Your Questions and Concerns are Welcome!

Send a message to your Licensed Acupuncturist, Melissa Pulicicchio below and she will respond ASAP.