Hormonal changes during perimenopause and menopause can affect much more than your periods. Hot flushes, night sweats, disrupted sleep, changes in mood and energy, and other physical symptoms can make this stage of life challenging.
In Traditional Chinese Medicine (TCM), perimenopause and menopause are viewed as natural transitions, during which the body gradually adapts to changing internal balance. These changes are described in terms of Kidney Yin and Yang, which are traditionally associated with temperature regulation, sleep, energy and emotional wellbeing. Acupuncture aims to support balance and overall wellbeing during this transition, working with your individual pattern of symptoms.
Not sure where to start? Take our free 2-minute health assessment for personalised recommendations. When you’re ready, book your first appointment online. This includes a full consultation and treatment, looking at your symptoms, lifestyle and health history.
At The Get Well Clinics acupuncture is affordable at £42 a session, so you don’t have to navigate symptoms alone.
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Individual patient experiences. Results vary.
What Happens During Menopause and Perimenopause?
As activity in the ovaries decreases, oestrogen and progesterone levels fall and periods stop. Your body no longer needs the hormone levels it once did, but the adjustment can be uncomfortable, and for some women it goes on for years.
Perimenopause is the run-up to that, and can begin years earlier, with changes to your cycle, mood and sleep long before menopause itself.
What Causes It
Falling oestrogen affects blood vessel regulation, contributing to hot flushes and night sweats. Broken sleep compounds this and is closely linked to low mood during menopause (NICE NG23; NHS).
Menopause is shaped by more than hormones. Life circumstances, including caring responsibilities, work pressure and social support, influence how difficult the transition feels (Avis NE, et al.), which is why focusing on one hormone may miss the bigger picture.
You May Be Feeling / Experiencing
- Hot flushes and night sweats
- Disrupted sleep, often broken by sweating
- Mood changes, low mood and anxiety
- Brain fog, forgetfulness and poor concentration
- Joint and muscle aches
- Reduced libido, vaginal dryness and discomfort during sex
- Palpitations, headaches and urinary changes
Please speak to your GP about your options, including HRT, and about any bleeding after your periods have stopped, which should always be checked.
Acupuncture works alongside medical care, not instead of it, and we do not advise on changing prescribed treatment.
Source: NHS, Menopause and perimenopause symptoms; NICE guideline NG23.
How Acupuncture Supports Perimenopause and Menopause
Hot flushes, night sweats, poor sleep, brain fog, mood changes, anxiety and joint pain all affect how you feel day to day. When several arrive together, it is hard to know where to start.
We look at the bigger picture rather than treating one symptom in isolation, taking a full health history including pulse and tongue diagnosis, and considering your sleep, stress, diet and lifestyle. That helps us understand your pattern and build a plan around you.
We see the results in clinic and the science is catching up.
A meta-analysis found acupuncture improved menopause-related symptoms and quality of life in women in natural menopause (Chiu HY, et al. Menopause. 2015;22(2):234-244), and for hot flushes a randomised trial found reduced frequency compared with usual care lasting six months (Avis NE, et al. 2016).
A Cochrane review against sham found no clear difference (Dodin S, et al. 2013), reflecting how hard acupuncture is to pin down in trials, since a convincing placebo needle is close to impossible to design. As to why it works, researchers point to several mechanisms:
- Calming the nervous system: disrupted sleep and hormonal change keep the nervous system in alert mode. Acupuncture is aimed at the parasympathetic “rest and restore” side of that system, and a meta-analysis of 9 randomised trials found it affected heart-rate variability and parasympathetic activity (Hamvas et al., 2023).
- Improving circulation: a systematic review found acupuncture increased local blood flow in muscle and skin (Kim et al., 2016), one of its more measurable effects.
- Releasing endorphins: research points to the release of endogenous opioid peptides, including endorphins, the body’s own pain-relieving and feel-good chemicals (Han, Neuroscience Letters, 2004).
- Reducing anxiety symptoms: a 2021 systematic review and meta-analysis of randomised controlled trials found
acupuncture reduced anxiety symptoms, and a 2026 review reported the same compared with sham treatment or usual care (Annals of General Psychiatry. 2021;20(1):9; Jang et al., Journal of Clinical Psychology, 2026). - Acting on brain chemistry: research points to the release of endorphins, the body’s own feel-good chemicals, and has examined the brain regions handling pain and stress alongside the neurotransmitters that affect mood, including serotonin, noradrenaline and dopamine (Han, Neuroscience Letters, 2004). These are proposed mechanisms rather than settled conclusions.
- Works alongside HRT: acupuncture is not an alternative to HRT. The aim is support while your body adjusts (NICE guideline NG23 sets out the medical options).
Individual results vary. These findings are not a guarantee of outcome for every patient.

Lasting Changes

Lasting change often comes from small shifts alongside treatment, so we also offer support through:
- Diet & lifestyle coaching: removing food triggers, improving sleep, and moving your body more, at a pace that works for you.
- Stress-management tools: easy breathing exercises, mindfulness, and relaxation techniques you can use daily without feeling overwhelmed.
Common Questions Answered
Yes. We work alongside HRT, not instead of it, because most women need more than one tool.
Many patients report relief from disrupted sleep and night sweats after a course of treatment.
We take these symptoms seriously, not just the physical ones, as part of a whole-body approach to menopause.
Acupuncture works by building change slowly over time, small shifts that add up, rather than one big fix. Everyone is different, but most patients start to notice a difference after several regular sessions rather than a single visit.
Why Choose Our Low Cost Acupuncture Clinics in London?
Expert
Our highly qualified acupuncturists, without the private clinic price tag.
Whole-body approach
We use traditional acupuncture diagnostic principles to look at your symptoms in the context of your whole health, not just the area that hurts
Convenient locations
Our clinics in Camberwell and Paddington are close to bus, train, and Tube lines, so getting here is simple.
Acupuncture Articles
You don’t need to understand how acupuncture works for it to work. But if you’re curious about the science, we’ve linked some articles below, with more on Traditional Chinese Medicine in our Articles section.
Acupuncture can be difficult to study. Researchers use sham acupuncture as a control, with needles placed away from recognised acupuncture points, but these “fake” points can still have an effect. Many studies are also small because research funding is limited. This means some conditions have not yet been studied at the scale needed for firm conclusions. That is not the same as acupuncture being tested and failing. Where high-quality, large-scale research has been carried out, the evidence is much stronger.
Acupuncture alongside HRT
NICE guideline NG23, Menopause: diagnosis and management. 2015, updated 2019. Covers HRT and non-hormonal options.
Managing Night Sweats and Sleep Disruption
Support for one of menopause’s most exhausting symptoms. Chiu HY, Hsieh YJ, Tsai PS. Acupuncture to Reduce Sleep Disturbances in Perimenopausal and Postmenopausal Women: A Systematic Review and Meta-analysis. Obstetrics & Gynecology. 2016;127(3):507–515.
Brain Fog and Perimenopause
Chiu HY, Pan CH, Shyu YK, Han BC, Tsai PS. Effects of acupuncture on menopause-related symptoms and quality of life in women on natural menopause: a meta-analysis of randomized controlled trials. Menopause. 2015;22(2):234-244.
















