Perimenopause is defined as the transitional years between reproduction and menopause, where periods occur, but ovarian function declines and estrogen levels begin to drop. Many women begin experiencing this change in their 30s or 40s, starting about 8-10 years before menopause.
Menopause is defined as beginning after one year without menstruation. While menopause is synonymous with its infamous symptoms of hot flashes, irregular periods, mood swings, hair loss, weight gain, vaginal dryness, and decreased libido, these symptoms actually point to a deeper issue and can be alleviated with various lifestyle changes. TCM teaches that the body’s hormonal cycle is closely linked to the energy of the Liver and Kidneys. The Liver is responsible for smooth menstruation, and the Kidneys store Jing, or vital essence, which naturally depletes with age. To treat perimenopause, TCM aims to tonify the Kidneys and regulate the Liver.
Acupuncture, herbs, proper nutrition, yin protective movement, stress reduction, and focus on quality sleep are all the best tools to utilize to make sure your transition to menopause is as smooth and pleasant as possible.
Acupuncture for Perimenopause
Acupuncture can help the following symptoms:
Hot flashes- Hot flashes occur when cooling, yin energy declines, leaving an excess of hot yang energy. Acupuncture can cool rising yang by promoting blood vessel dilation, regulating your temperature.
Mood changes- Common mood changes include irritability, anxiety, depression, and rage, all caused by fluctuating hormones. Estrogen affects the production of dopamine and serotonin, the happiness hormones, and the drop in estrogen during perimenopause lowers these neurotransmitter levels. The most effective treatment for mood disturbances is balancing the liver.
Memory, mental focus, and brain fog- Estrogen promotes neuronal growth in the brain, and when it declines, the brain feels the loss. The brain is supported by the Jing of the Kidneys, and each organ system plays a role in supporting brain function. If one of them is out of balance, the brain suffers. Acupuncture can help balance these systems.
Fatigue- Acupuncturists will focus on the digestive system and the Kidneys to treat fatigue. When the digestive system is weak, the body dips into stored Jing in the Kidneys. Jing naturally declines as we age and can not be replenished, so all reserves must be preserved. A healthy digestive system improves energy, prevents premature aging, and regulates sleep disturbances.
Changes in menstruation- Menstruation changes are often the first marker of perimenopause. Skipped periods, lighter or heavier flows, and shorter cycles are all common changes to regular menstruation one may experience. Acupuncture can help make these transitional periods more bearable by increasing blood circulation to the ovaries and uterus, and regulating the hypothalamic-pituitary-ovarian axis, which is the system that governs the menstruation cycle. The Liver system is once again treated, since it regulates and stores blood.
Lifestyle Changes
Make sure to prioritize quality sleep. Learn and train your body clock and try to stick to going to bed and waking up at the same time each day, ensuring consistent quality sleep. Creating a calming wind down routine will help your body and mind relax before bed, allowing you to fall asleep easily. Avoid screens in bed, heavy meals right before bed, and heavy exercise close to bed time. At the end of a long day, prioritize relaxation, inner calm, and peaceful rest.
Nutrition is going to look different for each woman’s specific needs, but make sure to eat a balanced diet of healthy fats, whole foods, and herbs, and avoid foods like processed sugar, alcohol, and caffeine.
Allow breaks while at work, whether it be a short walk to get your blood flowing, a cup of tea, or a chance to eat a nutritious meal. Taking the occasional vacation to completely de-stress from the hustle and bustle of the work day will bring cortisol levels down, allowing for full relaxation. Working long hours consistently will contribute to burn out and exacerbate negative and unpleasant perimenopause symptoms.
Get proper exercise to support blood flow, brian function, and full body balance. Yoga, pilates, walking, and other exercises that strengthen bone density and build muscle are all great options or staying strong, but not depleting jing. Hit exercises, strength training, and any other intense workout should be avoided because these types of exercise drain jing. The focus should be on maintaining strength, not increasing.
Drink enough water. Proper hydration will increase blood flow, support healthy joints, aid brain function, and support proper function of all body systems. Dehydration can cause headaches, body aches, constipation, dry skin and hair, and is just generally draining. Also, drinking alcohol inhibits a good nights sleep, raises cortisol, and taxes the liver and kidneys, affecting all systems that need to be in balance to support your body through perimenopause.
Herbs
The best herbs for Perimenopause are:
● Red Clover- Red Clover is used to support immune function and ease hot flashes.
● Black Cohosh- Also known as Snakeroot, Bugbane, Fairy Candles, or Rattletop, Black Cohosh is native to the United States and is used to support the female reproductive system, treat hot flashes, mood swings, sleep disturbances, and inflammatory response.
● Chaste Tree Berry- This berry is known as a natural fertility enhancer, balancing estrogen levels and supporting reproductive health. Other medicinal uses include relief from menstrual cramps and mood swings, improved sleep quality, hormone balancing, relief from night sweats, and reduced swelling.
● Dong Quai- Also known as the female Ginseng, this plant is used in TCM to treat menstrual cramps and alleviate discomfort from hot flashes and night sweats. Due to its estrogen-like properties, it is helpful for women experiencing estrogen based conditions, like menopause.
● Shatavari- Belonging to the asparagus family, this herb is adaptogenic, helping the body adapt to stress, is anti-inflammatory, relieves anxiety and depression, is an antioxidant, boosts immunity, improves digestive health, regulates the menstrual cycle, increases blood flow to the vaginal area and increases vaginal lubrication, reduces menstrual cramps, increases libido, balances hormones, aids the production of happy hormones, reduces mood swings, and relieves symptoms of irritability, vaginal dryness, hot flashes, and night sweats.
● Wild Yam- Also known as American Yam, this plant is traditionally used to treat mood swings, hot flashes, and insomnia due to its estrogen-like properties.
● Mimosa- With a long history of use in TCM, this tree is used to support healthy stress response, sleep cycle, and emotional well being, making it popular for women experiencing perimenopause and menopause.
● St. John’s Wort- This yellow flowering plant has a long history of health benefits, including supporting emotional well being, antioxidant properties, and promoting feelings of calm during the menopausal transition.
● Ginseng- Ginseng is used to reduce the frequency and severity of hot flashes and night sweats, supports cognitive function and mood, and supports overall quality of health for peri and menopausal women.
While herbs are a beneficial support while going through perimenopause and menopause, always consult a professional before taking, as many herbs have contraindications that should be considered.
Perimenopause is a transitional time that should be seen as an opportunity to proactively observe and treat any imbalances you may be experiencing to encourage a healthy menopause. If you take the time during these transitional years to learn the root of symptoms like hot flashes, night sweats, mood swings, and other common menopause symptoms, you can then treat your body accordingly. Maybe your liver needs extra support, or you need more sleep at night to lower cortisol levels. Any preemptive tweak you can make to your routine can help ease the discomfort of menopause. Menopause does not have to be unpleasant or uncomfortable. The time for your body to be in demand and reproduce is over, it is now time to turn inward, focus on restoration, and prioritize supporting your body through change.
Resources
● https://www.blossomclinic.net/2019/02/22/perimenopause/
● https://www.yasminhodgeacupuncture.co.uk/post/understanding-the-menopause-the-second-spring
●https://www.nccaom.org/wpcontent/uploads/pdf/Managing%20Menopause%20Symptoms%20With%20Traditional%20Chinese%20Medicine.pdf
● https://encircleacupuncture.com/perimenopause-5-ways-acupuncture-can-help/
● https://www.gaiaherbs.com/blogs/seeds-of-knowledge/herbs-for-menopause?srsltid=AfmBOoof7BBBWp_jau4hWeOj2Y1fRqeREYBz4fILc9iFSqlEVUai8wZ2
● https://holistic-corner.com/shop/spices/organic-chaste-tree-berries-85g/?srsltid=AfmBOopUbDBdKk4L6fJ2ezVlj-puvZn2TAiFG1Z9CPWIIU-LK0FTeTKA
● https://vediherbals.com/blogs/blog/deep-dive-into-the-uses-of-shatavari?srsltid=AfmBOooOgReJ2HGkhQgkQJGZGZPWylhAl8QXmeM92Qlmr-3MjaaeUIT_
● https://www.hollandandbarrett.com/the-health-hub/conditions/womens-health/menopause/go-wild/