Support for Perimenopause and Menopause

Blue Wren Acupuncture

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The traditional Chinese medicine approach for Perimenopause and Menopause

Menopause is a natural transition in a woman’s life marking the end of her reproductive years. In Traditional Chinese medicine (TCM), this phase is known as “Lao Gui,” which translates to “decline of the menstrual flow.” It is a time of change and transformation, where the body’s energy dynamics shift, leading to various physical and emotional changes.

According to TCM principles, the balance of Yin and Yang, as well as the smooth flow of Qi (vital energy) and Blood, are crucial for overall health. Menopause most often corresponds to the decline of the woman’s Yin energy. Yin describes qualities of nourishment, moistness, cooling, and calming so with the decrease in Yin, there is a relative increase in Yang energy, which is more active, warming, and transformative. 

By applying key TCM concepts to menopause, we are able to differentiate between the different experiences of individuals as they move through this new phase of life:

  • Kidney Yin Deficiency: The Kidneys are considered the foundation of Yin and Yang in the body. As a woman reaches menopause, her Kidney Yin starts to decline, leading to symptoms like hot flashes, night sweats, dryness (vaginal dryness, dry skin), and irritability.

  • Liver Qi Stagnation: Emotional changes, mood swings, and irritability during menopause can be attributed to Liver Qi stagnation. The Liver in TCM is responsible for the smooth flow of Qi throughout the body, and when it becomes stagnant, emotional imbalances may arise.

  • Blood Stasis: Menopause can lead to a stagnation of Blood flow, resulting in symptoms like irregular or heavy periods, and potentially contributing to conditions like fibroids or endometriosis.

  • Spleen Qi Deficiency: The Spleen is responsible for transforming food into nutrients and Qi. With Spleen Qi deficiency, women may experience digestive issues, fatigue, and weight gain.

Acupuncture and Chinese herbal medicine are commonly used to restore the balance of Yin and Yang, regulate Qi and Blood flow, and address specific patterns of disharmony. Many herbal remedies for menopausal symptoms utilise Chinese herbal medicines. There is significant research on the potential benefits of plants such as Dang Gui (also called Dong Quai), which contain phytoestrogens, to provide some relief for menopausal symptoms. 

The transition through perimenopause and menopause need not be distressing, but rather a time of personal empowerment and positivity. If you would like support during this time to emerge wiser, healthier, and stronger in both mind and body than ever before, then we’d be happy to answer any questions you may have. 

Whether you are considering TCM as an alternative approach, or as an adjunct to conventional treatment when other treatments such as hormone replacement therapy have not fully resolved your symptoms, our experienced practitioners would be happy to guide you through the different options for you.

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M-n. Chen,C-c. Lin &C-f. Liu (2014) Efficacy of phytoestrogens for menopausal symptoms: a meta-analysis and systematic review

Fatemeh Abdi, Fatemeh Alsadat Rahnemaei, Nasibeh Roozbeh, Reza Pakzad, Impact of phytoestrogens on treatment of urogenital menopause symptoms: A systematic review of randomized clinical trials, European Journal of Obstetrics & Gynecology and Reproductive Biology, Volume 261, 2021, Pages 222-235, ISSN 0301-2115,

Wolters, Maike PhD1; Dejanovic, Gordana M. MD2,∗; Asllanaj, Eralda MD, DSc3,4,∗; Günther, Kathrin PhD1; Pohlabeln, Hermann PhD1; Bramer, Wichor M. MSc5; Ahrens, Jenny BA1; Nagrani, Rajini PhD1; Pigeot, Iris PhD1; Franco, Oscar H. MD, PhD6; Ahrens, Wolfgang PhD1; Muka, Taulant MD, PhD6; Glisic, Marija MD, PhD1,6,7. Effects of phytoestrogen supplementation on intermediate cardiovascular disease risk factors among postmenopausal women: a meta-analysis of randomized controlled trials. Menopause 27(9):p 1081-1092, September 2020. | DOI: 10.1097/GME.0000000000001566M-n. Chen,C-c. Lin &C-f. Liu (2014) Efficacy of phytoestrogens for menopausal symptoms: a meta-analysis and systematic review

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