Treatment of PMS, Premenopausal Syndrome and Menopause with Acupuncture

What is Premenstrual Syndrome?

Premenstrual syndrome (PMS) is a condition that affects a woman’s emotions, physical health, and behavior on certain days of the menstrual cycle, often just before her periods. Almost every woman experiences symptoms such as fatigue, irritability, overeating and depression in the premenstrual period.

It is estimated that 3 out of every 4 menstruating women experience some form of premenstrual syndrome. Symptoms tend to recur in a predictable pattern.

PMS symptoms begin 5 to 11 days before menstruation (menstruation) and typically go away once menstruation begins. The cause of PMS is unknown. However, many researchers use both estrogen and progesterone at the beginning of the menstrual cycle.

believes it is related to a change in the level of both the hormone and serotonin.

For some, the physical pain and emotional stress are severe enough to affect their daily lives. Regardless of symptom severity, for most women, signs and symptoms usually disappear within four days of the start of their menstrual period.

Because Premenstrual Syndrome and Menstrual Disorders are fully functional, they are easy to treat with auricular acupuncture. Auricular acupuncture often leads to relief of symptoms.
Premenstrual syndrome (PMS) is associated with progesterone deficiency. Estrogen levels are usually normal. Lab tests assume that the progesterone level is 10% of the estrogen level.
With the needling of the Progesterone Point, hormonal balance is achieved.
The Womb Point is energetically weak and should be treated as well. Three hormone points should be pricked. These are the estrogen point, the progesterone point, and the gonadotropin point.
The uterine point should be pricked, especially if there are severe and severe cramps during menstruation.
As a spasmolytic point, SI-3 (= Retro-Celiac Plexus point) is pricked in the right ear. Also, Liv-3 (=Rage Point) is pinned.
As psychotropic points, Master Omega point and depression point are also pinned.

Body acupuncture points such as GB-26, UB-30, Ren-1, 2, 3, 7, St-25, 29 can be used in the treatment of menstruation.

Premenopause and estrogen dominance

The hormonal changes that occur between a woman’s mid-30s and her mid-50s are quite different from the changes that occur around menopause.

Perimenopause refers to the year or two years before the onset of menopause, when estrogen, progesterone, and testosterone levels drop as menstrual cycles become thinner.

Premenopause refers to hormonal changes that can begin in their mid-30s and up to 20 years before menopause.
Many women in their 20s and 30s have their hormonal cycles working perfectly. Hormonal changes can begin as early as a woman’s mid-30s. Some women may begin to experience anovulatory menstrual periods, in which case the ovaries do not release eggs every few weeks and no progesterone is produced to balance the effects of estrogen. Enough estrogen is produced to support the uterine lining and menstruation still continues, but there is a deviation in the ratio of estrogen to progesterone in this cycle. This creates a state of estrogen dominance. Estrogen levels do not need to be very high and may even be less than optimal, but when progesterone does not have a natural balancing effect, the effect of estrogen is greater.

Also, ovulatory cycles tend to produce less progesterone. A woman with estrogen dominance may have a worsening PMS (premenstrual syndrome), difficult or irregular periods, turbulent mood, confusion, lubrication in the abdomen and buttocks, headache, bloating, edema, chronic facial redness, anxiety, depression, fatigue, sudden more likely to experience worsening allergies, asthma, skin problems, and sinus congestion.
Periods without ovulation are not the only factor in estrogen dominance. Being overweight or obese increases estrogen production (fat cells produce estrogen). Changes in cortisol, insulin and adrenaline caused by chronic stress will also change the hormone balance in the direction of estrogen dominance.

Chronic stress and adrenal fatigue are the main causes of low progesterone levels in women in their 40s.


Menopause is the period of permanent cessation of menstruation following the loss of ovulation, followed by a menstrual-free period of at least 12 months. Premenopause, on the other hand, is a transitional period that lasts for at least 6 years, when changes begin, and is characterized by irregularity in the menstrual cycle.

Some of the symptoms are:

Discontinuation of menstruation after menstrual irregularity, Hot flashes, Weakness and loss of volume in the urinary tract, vagina and surrounding tissues, Occurrence of osteoporosis (bone loss) and cardiovascular diseases due to long-term deficiency of estrogen.

What is the place of acupuncture in the treatment of menopause?

In the treatment of menopause and premenopausal syndrome, acupuncture increases estrogen synthesis in adipose tissue and liver. Thus, it reduces the occurrence of symptoms due to estrogen deficiency.

Physiology of Menopause
Loss of ovarian follicles leads to a slow decrease in ovarian hormone production, resulting in cessation of menstruation and loss of ability to have children. FSH is measured as >40. Body changes such as weight gain, skin and hair changes, dry eye syndrome, vaginal dryness, bone loss are seen.

Purpose of Menopause Treatment
Menopausal complaints (flush, sweating, palpitation, sleep disturbance, distraction, sexual reluctance) Osteoporosis, heart and vascular diseases (coronary heart disease, strokes, venous thromboembolism (VTE)) in postmenopausal women, diabetes mellitus, mood status, depression, cognitive deficits, and dementia.

Treatment with auricular acupuncture

Hormone points such as estrogen, progesterone and gonadotropin points are pricked. Diazepam (=Valium) Analogue points, Spleen Point and Hypothalamus are injected, which stabilizes the autonomic nervous system.
UB-31 and Ren-7 can be used as body acupuncture in the treatment of menopause.

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